DOI QR코드

DOI QR Code

Influence of Depression and Social Support on Health-related Quality of Life among Migrant Workers: The Mediating Effect of Health Promoting Behavior

외국인 근로자의 우울 및 사회적 지지가 건강관련 삶의 질에 미치는 영향: 건강증진행위의 매개효과

  • Received : 2020.03.22
  • Accepted : 2020.08.30
  • Published : 2020.09.30

Abstract

Purpose: This study aims to identify the mediating effect of health promoting behavior in the relationship between depression and health-related quality of life, and between social support and health-related quality of life among migrant workers. Methods: Data were collected from 152 migrant workers working at companies in K and B metropolitan cities. The study conducted a survey from August 1 to September 30, 2019, and used self-report structured questionnaires that were translated into English and Korean. The data were analyzed using descriptive statistics, Pearson correlation coefficient, simple and multiple regression, Baron and Kenny's method, and Sobel test. Results: Depression was significantly negatively correlated with social support (r=-.29, p<.001), health promoting behavior (r=-.30, p<.001) and health-related quality of life (r=-.44, p<.001). And social support was significantly positively correlated with health promoting behavior (r=.50, p<.001) and health-related quality of life (r=.44, p<.001). And health promoting behavior was significantly positively correlated with health-related quality of life (r=.51, p<.001). Furthermore health promoting behavior showed partial mediating effects in the relationship between depression and health-related quality of life (Z=3.26, p<.001), and showed partial mediating effects in the relationship between the social support and health-related quality of life (Z=3.98, p<.001). Conclusion: In this study, depression and social support were shown to mediate health promotion behavior to improve health-related quality of life. Therefore, in order to improve the health-related quality of life of migrant workers, it is necessary to focus on the health promotion behaviors, and effective strategies are needed to reduce depression, and support social support.

Keywords

References

  1. Statistics Korea. Immigrant status and employment survey results by 2018 [Internet]. Daejeon: Statistics Korea. 2018 [cited 2018 December 19]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/3/1/index.board?bmode=read&aSeq=372125
  2. Hwang WJ, Park YH. Factors affecting health-related quality of life on Korean blue-collar workers. Korean Journal of Occupational Health Nursing. 2015;24(2):94-102. https://doi.org/10.5807/kjohn.2015.24.2.94
  3. Park YH, Chae DH, Kim SH. The effects of overtime work on health-related quality of life of Korean blue-collar workers. Journal of the Korea Convergence Society. 2017;8(12):199-208. https://doi.org/10.15207/JKCS.2017.8.12.199
  4. Jung SY, Oh YR, Bae YJ. A study on social networks, daily difficulties, and social support systems and their influence on the mental health of foreign workers. Korean Journal of Social Welfare Research. 2013;34:1-35.
  5. Jeon HJ, Lee GE. Acculturative stress and depression of Vietnamese immigrant workers in Korea. Journal of Korean Academy of Community Health Nursing. 2015;16(4):380-389. https://doi.org/10.12799/jkachn.2015.26.4.380
  6. Won YH, Choi SH. A study on the effects of medical service supports on adaptation of foreign workers into Korean society. Journal of Community Welfare. 2011;38:29-50.
  7. Stuifbergen AK, Seraphine A, Harrison T, Adachi E. An explanatory model of health promotion and quality of life for persons with post-polio syndrome. Social Science & Medicine. 2005;60(2):383-393. https://doi.org/10.1016/j.socscimed.2004.05.009
  8. Jung JK, Park YH. Acculturation, social support, and health promoting lifestyle behavior among foreign workers in South Korea. Korean Journal of Social Welfare Research. 2012;32:29-52.
  9. Stuifbergen AK. Health-promoting behaviors and quality of life among individuals with multiple sclerosis. Scholarly Inquiry for Nursing Practice. 1995;9(1):31-50.
  10. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health - Related quality of life. Journal of Nursing Scholarship. 2005;37(4):336-342. https://doi.org/10.1111/j.1547-5069.2005.00058.x
  11. Buchcik J, Westenhoefer J, Martin CR. Assessment measures of health-related quality of life(HRQoL) of migrants: A systematic review. International Journal of Migration, Health and Social Care. 2013;9(4):170-188. https://doi.org/10.1108/IJMHSC-09-2013-0033
  12. Wong WK, Chou KL, Chow NW. Correlates of quality of life in new migrants to Hong Kong from mainland China. Social Indicators Research. 2012;107(2):373-391. https://doi.org/10.1007/s11205-011-9853-2
  13. Park EH, Kim HS. A study on the factors affecting on worker's quality of life. Journal of Digital Convergence. 2017;15(11): 581-589. https://doi.org/10.14400/JDC.2017.15.11.581
  14. Beck AT. Depression: Clinical, experimental, and theoretical aspects. Hoeber Medical Division, Harper & Row. 1967.
  15. Shin Y. Life stress, distress symptoms, and social supports among Korean immigrants who own small retail businesses [dissertation]. [Baltimore]: Maryland University; 1992. 167 p.
  16. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985;98(2):310-357. https://doi.org/10.1037/0033-2909.98.2.310
  17. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research. 1987;36(2):76-81.
  18. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 7th ed. Upper Saddle River, NJ: Prentice Hall. 2014.
  19. Park KH. Relations between health promoting lifestyle and health conception, self efficacy, hardiness [master's thesis]. [Seoul]: Ewha Womans University; 1995. 78 p.
  20. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of Korean Neuropsychiatric Association. 2000;39(3):571-579.
  21. Chung MS. Cultural competence, health promotion behavior, and quality of life in married immigrant women in Korea. Journal of Korean Academic Society of Nursing Education. 2015;21(1):36-45. https://doi.org/10.5977/jkasne.2015.21.1.36
  22. Kim JH, Park SJ, Lee J. Effects of intervention for health promotion of foreign workers: A systematic review. Journal of the Korea Convergence Society. 2018;9(9):407-420. https://doi.org/10.15207/JKCS.2018.9.9.407
  23. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  24. Carolan S, Harris PR, Cavanagh K. Improving employee wellbeing and effectiveness: Systematic review and meta-analysis of web-based psychological interventions delivered in the workplace. Journal of Medical Internet Research. 2017;19(7):e271. https://doi.org/10.2196/jmir.7583
  25. Lu CH, Luo ZC, Wang JJ, Zhong JH, Wang PX. Health-related quality of life and health service utilization in Chinese rural-tourban migrant workers. International Journal of Environmental Research and Public Health. 2015;(12)2:2205-2214. https://doi.org/10.3390/ijerph120202205
  26. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992;11 (1):65-76.
  27. WHOQOL group. Study protocol for the world health organization project to develop a quality of life assessment instrument (WHOQOL). Quality of Life Research. 1993;2(2):153-159. https://doi.org/10.1007/bf00435734
  28. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  29. Shin HH, Shin YH. Life stress, social support, and antepartum depression among married immigrant women from Southeast Asia. Journal of Korean Academy of Community Health Nursing. 2015;26(2):108-118. https://doi.org/10.12799/jkachn.2015.26.2.108

Cited by

  1. 산업장근로자의 건강증진행위, 지각된 건강상태가 건강관련 삶의 질에 미치는 영향 vol.35, pp.1, 2020, https://doi.org/10.5932/jkphn.2021.35.1.165