Married Immigrant Women's Utilization of Health Care and Needs of Health Services

여성결혼이민자의 보건의료이용실태와 보건의료요구도 조사

  • Received : 2011.07.15
  • Accepted : 2011.09.20
  • Published : 2011.09.30

Abstract

Purpose: The purpose of this study was to analyze married immigrant women's utilization of health care and their demand for public health care services. Methods: This study was conducted through descriptive survey with 102 married immigrant women in 2 cities, and survey was done from November, 2010 to May, 2011. Results: The results were as follows. Of respondents, 70% were using medical services in Korea and only 38.2% of them were satisfied with services. Major difficulties in using health care services were 'access problem' (35.7%), 'communication problem' (27.7%), and 'medical cost' (19.8%). The respondents' main sources of health information were family (56%), health care center (15%). The types of health information and education demanded by respondents were children's health care (22.1%), pregnancy and delivery (21.1%), and common disease care (20.0%). The most wanted services from public health care institutions were vaccination (24.5%), health promotion (21.5%), and leisure activity programs (20.6%). There was a statistically significant difference in period of immigration and public health care demands. Conclusion: For married female immigrants, it is recommended to provide tailored public health care services such as outreach service and visiting nursing care service, and to set up different language signs for common disease patients.

Keywords

References

  1. Ahn, Y. H. (2008). Health status and health behavior of immigrant women married to Koreans. Journal of Korean Academy of Public Health Nursing, 22(1), 18-26.
  2. Dias, S. F., Severo, M., & Barros, H. (2008). Determinants of health care utilization by immigrants in Portugal. BMC Health Service Research, 8, 207-214. https://doi.org/10.1186/1472-6963-8-207
  3. Jeong, N. O., & Lee, M. H. (2010). A predictive model on health promotion behavior in women who immigrate for marrage. Journal of Korean Academy Nurse, 40(5), 695-704. https://doi.org/10.4040/jkan.2010.40.5.695
  4. Kang, N. Y. (2007). Study in acquisition of Korean communicative competence for married migrant women. Unpublished master's thesis, Seoul National University, Seoul.
  5. Kim, B. R. (2007). The present situation of the international marriage immigration and the adaptation of inter-nationally married women immigrants in Korean society. Unpublished master's thesis, Sogang University, Seoul.
  6. Kim, E. S., Kim, S. H., & Kim, S. Y. (2006). Survey on Gangwon marriage immigrant female and strategy for support of their adaptation in Korean community. Chuncheon: Gangwon development Research Institute.
  7. Kim, G. H. (2008). Characteristics of health behavior and the medical utilization of female marriage immigrants in a rural area. Unpublished master's thesis, Kyungpook National University, Daegu.
  8. Kim, H. Y. (2010). Health status of marrage-based immigrants in Korea and policy directions. Health and Welfare Forum, 46-57.
  9. Kim, M. J., Kim, T. I., & Kwon, Y. J. (2008). A Study on health promotion behavior and contraception in married immigrant women. Women Health Nursing, 14(4), 323-332. https://doi.org/10.4069/kjwhn.2008.14.4.323
  10. Kim, S. K., Kim, Y. K., Cho, A. J., Kim, H. R., Lee, H. K., Seol, D. H., et al. (2010). Study on current status of multicultural families. Seoul: Korea Ministry of Health & Welfare. Korea Ministry of Gender Equaltity & Family, Korea Ministry of Justice & Korea Institute for Health and Social Affairs.
  11. Kim, Y. J., Kim, H. K., & Lee, H. J. (2008). Policy suggestion of health status and health promtion for female marriage immigrants. Gongju: Chungcheongnamdo Women's Policy Development Institute.
  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. Koh, C. K., & Koh, S. K. (2009). Married female migrants' experience of health care services. Journal of Korean Academy Society of Nursing Education, 15(1), 89-99. https://doi.org/10.5977/JKASNE.2009.15.1.089
  14. Korea National Statistics Office. (2009). Marriages to foreigners for sis, guns, gus. Retrieved June 3, 2011, from http://kosis.kr/abroad/abroad_01List.jsp
  15. Korean Ministry of Health and Welfare. (2008). The fourth Korea national health & nutrition examination survey (KNHANES IV). Seoul: Author.
  16. Ministry of Government Legislation. (2010). Supporting law for multicultural family. Retrieved March 3, 2011, from http://www.law.go.kr/LSW/lsSc.do?menuId=0&p1
  17. Seol, 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 & Family Affairs.
  18. Sundquist, J. (2001). Migration, equality and access to health care services. Journal of Epidemiology & Community Health, 55, 691-692. https://doi.org/10.1136/jech.55.10.691
  19. Wu, Z., Penning, M. J., & Schimmele, C. M. (2005). Immigrant status and unmet health care needs. Canadian Journal of Public Health, 96(5), 369-373.
  20. Yang, S. J. (2010). Health status, health care utilization and related factors among Asian immigrant women in Korea. Journal of Korean Academy of Community Health Nursing, 24(2), 323-335.
  21. Yang, S. J. (2011). Health behaviors and related factors among asian immigrant women in Korea by ethnicity. Journal of Korean Academy of Community Health Nursing, 22(1), 66-74. https://doi.org/10.12799/jkachn.2011.22.1.66