DOI QR코드

DOI QR Code

Health Status, Health Care Utilization and Related Factors among Asian Immigrant Women in Korea

한국 거주 여성결혼이민자의 건강상태, 보건의료이용과 관련요인에 관한 연구

  • Yang, Sook-Ja (Division of Nursing Science, College of Health Sciences, Ewha Woman University)
  • 양숙자 (이화여자대학교 간호과학부)
  • Received : 2010.07.29
  • Accepted : 2010.09.08
  • Published : 2010.09.30

Abstract

Purpose: This study identified sociodemographic characteristics, health status, health care utilization and related factors of Asian immigrant women in Korea. Methods: Data were collected from 465 immigrant women from China, Vietnam, the Philippines, and other Asian countries using standardized questionnaires. Descriptive statistics and $X^2$-test were performed utilizing SPSS version 17. A p-value <.05 was considered statistically significant. Results: Subjects had relatively good subjective health. The most prevalent conditions were, in order, anemia, gastrointestinal diseases, gynecological diseases, and depression. Subjects utilized mostly hospitals or clinics when sick. There were significant relationships between health care utilization and factors including residence, time since immigration and economic status. The rate of non-treatment in hospitals or clinics was 30.1% during the previous year, with significant relationships between non-treatment and factors including time since immigration and economic status. The major reasons for non-treatment were the burden of hospital expenses followed by communication difficulty. Conclusion: Public health efforts should be targeted to Asian immigrant women to improve their health status and support health care utilization.

Keywords

References

  1. Alba, I. D., Hubbell, F. A., McMullin, J. M., Sweningson, J. M., & Saitz, R. (2005). Impact of U.S citizenship status on cancer screening among immigrant women. J Gen Intern Med. 20(3), 290-296. https://doi.org/10.1111/j.1525-1497.2005.40158.x
  2. Chen, J., Ng, E., & Wilkins, R. (1996). The health of canada's immigrants in 1994-1995. Health Reports, 7(4), 33-45.
  3. Dias, S. F., Severo, M., & Barros, H. (2008). Determinants of health care utilization by immigrants in Portugal. BMC Health Serv Res, 8(207), 1-8. https://doi.org/10.1186/1472-6963-8-1
  4. Garces, I. C., Scarinci, I. C., Harrison, L. (2006). An Examination of Sociocultural Factors Associated with Health and Health Care Seeking among Latina Immigrants. J Immigr Health, 8, 377-385. https://doi.org/10.1007/s10903-006-9008-8
  5. Gross, R., Brammli-Greenberg, S., & Remennick, L. (2001). Self-rated health status and health care utilization among immigrant and non-immigrant Israeli Jewish women. Women & Health, 34(3), 53-69. https://doi.org/10.1300/J013v34n03_04
  6. Hong, S. W., Surl, D. H., Hong, C. U., Kim, M. J., & Surl, M. S. (2006). Health status and establishment of systematic policy of immigrant workers in Korea. Seoul: Seoul National University Hospital.
  7. Ihara, E. S. (2009). Ethnicity matters: The socioeconomic gradient in health among Asian Americans. J Sociol & Soc Welfare, 106(2), 125-144.
  8. Kang, A. G. (2007). An analysis of the equity in health service utilization with the regional distribution of health care resources. Soc Secur Res, 23(2), 189-219.
  9. Kelaher, M., Williams, G., & Manderson, L. (2001). Population characteristics, health and social issues among Filipino in Queensland, Australia. J Ethn Migr Stud, 27(1), 104-114.
  10. Kim, H. R., Hwang, N. M., Jang, I. S., Yoon, K. J., & Kang, B. J. (2008). Status and policy of reproductive health of marital immigrant women in Korea. Seoul: Korea Institute for Health and Social Affairs.
  11. Kim, S. K., Kim, Y. K., Cho, A. J., Kim, H. R., Lee, H. K., Surl, D. H., et al. (2010). Study on current status of multicultural families. Seoul: Korea Ministry of Health & Welfare, Korea Ministry of Gender Equality & Family, Korea Ministry of Justice, & Korea Institute for Health and Social Affairs.
  12. Kim, Y. K. (2009). Current status of multicultural families in a multicultural era and policy implications. Seoul: Korea Institute for Health and Social Affairs.
  13. Korea Immigration Service. (2010, April). Asian immigrant women's residence status by nationality in Korea. Retrieved June 20, 2010. from http://www.immigration.go.kr/HP/TIMM/imm_06/image/fas/200912/E01(09-4).
  14. Korea Ministry of Health, Welfare and Family Affairs, & Korea Center for Disease Control and Prevention. (2008). 2007 National health statistics: The 4th national health and nutrition examination survey. Seoul: Korea Ministry of Health, Welfare and Family Affairs & Korea Center for Disease Control and Prevention.
  15. Korea Statistical Information Service. (2009, December). Marriages to foreigners for Sis, Guns, Gus. Retrieved July 3, 2010, from http://kosis.kr/html/InterStatic/staticCount.jsp?org_id=101&tbl_id=DT_1B83A24&olapAt=Y&vwcd=MT_ZTITLE&path=인구.가구>인구동향조사>혼인&keyword=시군구별외국인과의혼인.
  16. Leclere, F. B., Jensen, L., & Biddlecom, A. E. (1994). Health care utilization, family context, and adaptation among immigrants to the united states. J Health Soc Behav, 35, 370-384. https://doi.org/10.2307/2137215
  17. Nguyen, P. H., Nguyen, K. C., Le Mai, B., Nguyen, T. V., Ha, K. H., Bern, C., et al. (2006). Risk factors for anemia in Vietnam. Southeast Asian J Trop Med Public Health, 37(6), 1213-1223.
  18. Song, M. S., Song, H. J., & Mok, J. Y. (2003). Elderly's subjective health condition and its correlates in senior citizen center. J Korea Geront Soc, 23(4), 127-142.
  19. Surl, D. H., Kim, Y. T., Kim, H. M., Yoon, H. S., Lee, H. K., Lim, K. T., et al. (2005). Status and policy of health and social welfare of marital immigrant women in Korea. Seoul: Korea Ministry of Health, Welfare and Family Affairs.
  20. World Health Organization & Center for Disease Control and Prevention. (2008). Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. Geneva: World Health Organization.
  21. Wu, Z., Penning, M. J., & Schimmele, C. M. (2005). Immigrant status and unmet health care needs. Can J Public Health, 96(5), 369-373.
  22. Yang, Y. M., & Wang, H. H. (2003). Life and health concerns of Indonesian women in transnational marriages in Taiwan. J Nurs Res, 11(3), 167-175. https://doi.org/10.1097/01.JNR.0000347633.72476.4a