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Purpose : This study aimed to identify the factors influencing menopausal symptoms, work–family conflict, and e-health literacy on health-promoting behaviors among middle-aged female workers. A descriptive cross-sectional design was selected. Methods : The data were collected using a snowball sampling method by posting a recruitment notice and an online survey link on the nursing department’s online bulletin board. The data collection was conducted from September 1 to September 12, 2025, and a total of 173 responses were analyzed. The data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson’s correlation analysis, and multiple regression analysis. Results : The mean score (out of 4) was 2.43±0.46 for health-promoting behaviors. Health-promoting behaviors showed a significant negative correlation with menopausal symptoms (r=–.35, p<.001), work interference with family (r=–.26, p=.001), and family interference with work (r=–.20, p=.010), whereas a significant positive correlation with e-health literacy (r=.43, p<.001). Multiple regression revealed that e-health literacy (β=.27, p<.001), coworker support (β=.26, p<.001), body-shape perception (β=–.22, p<.001), work interference with family (β=–.19, p=.040), menopausal symptoms (β=–.17, p=.011), and satisfaction with economic status (β=.15, p=.018) significantly influenced health-promoting behaviors (adjusted R²=.437, F=10.55, p<.001). Conclusion : The study’s results suggest that when developing health promotion programs for middle-aged female workers, it is essential to comprehensively consider factors such as e-health literacy, coworker support, work–family conflict, satisfaction with economic status, body-shape perception, and menopausal symptoms.