Browse > Article
http://dx.doi.org/10.5932/JKPHN.2020.34.2.225

Factors related to the Health Literacy of Chinese and Vietnamese Female Marriage Immigrants  

Cho, Eun Soo (College of Nursing, Ewha Womans University)
Yang, Sook Ja (College of Nursing, Ewha Womans University)
Publication Information
Journal of Korean Public Health Nursing / v.34, no.2, 2020 , pp. 225-237 More about this Journal
Abstract
Purpose: This descriptive correlational study examined the acculturation, health literacy, and factors affecting the health literacy of Vietnamese and Chinese female marriage immigrants. Methods: The sample consisted of 90 Vietnamese and 89 Chinese female marriage immigrants who participated in Multicultural Family Support Centers' programs in metropolitan city A. The health literacy was measured by HLI-FMI (Health Literacy Index for Female Marriage Immigrants), acculturation was measured using the Acculturation Index for female marriage immigrants. Descriptive statistics, t-test, Chi-square, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple linear regression were performed for data analysis. Results: The Chinese group (M=9.80±2.72) showed a significantly higher health literacy than the Vietnamese group (M=8.07±3.57). The factors affecting health literacy among Chinese were the length of residence (β=.442 p<.001), and adaptation to Korean culture (β=.381, p=.007). Conclusion: To develope graded education programs for promoting the health literacy of Chinese and Vietnamese female marriage immigrants, the length of residence can be considered. Continuously providing a support system to help them adapt to Korean culture can also have a positive effect on health literacy.
Keywords
Female; Marriage; Immigrants; Acculturation; Health literacy;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs(1999). Health Literacy: Report of the council on scientific affairs. Journal of the American Medical Association, 281(6), 552-557.   DOI
2 Aguilar, I. (2015). An investigation of health literacy, acculturation, diabetes knowledge, and social supports among Latinos with diabetes In Southern Ontario. unpublished master's thesis, University of Western Ontario, Ontario, London, Canada.
3 Bass, P. F., Wilson, J. F., & Griffith, C. H. (2003). A shortened instrument for literacy screening. Journal of General Internal Medicine, 18(12), 1036-1038.   DOI
4 An, J. S., Kim, H. R., & Yang, S. J. (2013). Factors related with health literacy Women in Korea. Journal of Korean Academy of Community Health Nursing, 24(4), 377-387. http://dx.doi.org/10.12799/jkachn.2013.24.4.377   DOI
5 Cho, J. E., Cho, G. J. (2014). A study on changes of the effect of factors to married immigrant women’s health: Multicultural families survey (2009, 2012). The Journal of Migration & Society, 7(2), 5-28. http://dx.doi.org/10.15685/jms.2014.08.7.2.5
6 Choi, S. E., Ruch, E., & Henry, S. (2013). Health literacy in Korean immigrants at risk for type 2 diabetes. Journal of Immigrant and Minority Health, 15(3), 553-559. http://dx.doi.org/10.1007/s10903-012-9672-9   DOI
7 Gele A. A., Pettersen, K. S., Torheim, L. E., & Kumar B. (2016). Health literacy: The missing link in improving the health of Somali immigrant women in Oslo. BMC Public Health, 16(1):1134. http://dx.doi.org/10.1186/s12889-016-3790-6   DOI
8 Institute of Medicine. (2004). Health literacy: A prescription to end confusion. Washington, DC: The National Academies Press.
9 Jeong, J. Y., & Shim, M. S. (2014). Immigrant women’s health status, health behaviors and health care utilization. Journal of Korean Public Health Nursing, 28(2), 200-210. http://dx.doi.org/10.5932/JKPHN.2014.28.2.200   DOI
10 Jung, M. S. (2015). Cultural competence, health promotion behavior, and quality of life in married immigrant women in Korea. The Journal of Korean Academic Society of Nursing Education, 21(1), 36-45. http://dx.doi.org/10.5977/jkasne.2015.21.1.36   DOI
11 Kim, Y. S. (2011). Development of an acculturation scale for female marriage immigrants in Korea. The Women’s Studies, 81(2), 103-146. http://dx.doi.org/10.33949/tws.2011..2.004   DOI
12 Kang, C. H., & Han, Y. R. (2016). The Relationship among family support, self-efficacy, health literacy, perceived health status and health-promoting behavior in married immigrant women. Journal of Korean Academy of Community Health Nursing, 27(3), 202-212. http://dx.doi.org/10.12799/jkachn.2016.27.3.202   DOI
13 Kim, S. S., Kim, S. H., Lee, S. Y. (2005). Health literacy: Development of a Korean health literacy assessment tool. Journal of Korean Society for Health Education and Promotion, 22(4), 215-227.
14 Kim, H. R., Teo, J. Y., Jeong, J.J., & Baek, S. H. (2012). Health status of marriage immigrant women and children from multicultural families and health policy recommendations (2012-10). Seoul: Korea Institute of Health and Socal Affairs.
15 Kim, H. J., & Koo, S. M. (2017). Factors related with health literacy in Asian immigrant women in Korea. Journal of Korea Entertainment Industry Association, 11(1), 199-209. http://dx.doi.org/10.21184/jkeia.2017.01.11.1.199   DOI
16 Korea Statistical Information Service(2019, February). Current status of international marriage. Retrieved February 20, 2019, from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2430
17 Lee, S. H., Choi, E. H. R., Je, M. J., Han, H. S., Park, B. K., Kim, S. S. (2011). Comparison of two versions of KHLAT for improvement strategies. Korean Journal of Health Education and Promotions, 28(3), 57-65.
18 Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
19 Kalich, A., Heinemann, L., & Ghahari, S. (2016). A scoping review of immigrant experience of health care access barriers in Canada. Journal of Immigrant and Minority Health, 18(3), 697-709. http://dx.doi.org/10.1007/s10903-015-0237-6   DOI
20 Lee, M., Shin, H. G., Lee, M. J., Park, C. Y. (2018). Research trends and policy issues of health literacy in Korea. The Journal of Health Technology Assessment. 6(1), 22-32. http://dx.doi.org/10.34161/johta.2018.6.1.004   DOI
21 Rudd, R. E. (2007). Health Literacy skills U.S. adults. American Journal of Health Behavior, 31(1), S8-S18. http://dx.doi.org/10.5993/AJHB.31.s1.3
22 Whittal, A., Paech, J., & Lippke, S. (2015). Does acculturation orientation relate with doctor-immigrant patient relationships and immigrant health literacy? The European Health Psychologist, 17, 524.
23 Yang, S. J., Chee, Y. K., An, J. S., Park, M. H., & Jung, S. O. (2014). Health literacy and its associated factors in Korean-Chinese and other Asian immigrant women in Korea. Journal of Korean Public Health Nursing, 28(2), 211-227. http://dx.doi.org/10.5932/JKPHN.2014.28.2.211   DOI
24 Lee Y. O., & Chang, D. H. (2015). Access to health related information of married immigrant women in Korea. Journal of Korean Library and Information Science Society, 46(3), 171-199. http://dx.doi.org/10.16981/kliss.46.3.201509.171   DOI
25 Mantwill, S., & Schulz, P. J. (2017). Does acculturation narrow the health literacy gap between immigrants and non-immigrants-An explorative study. Patient Education and Counseling, 100(4), 760-767. http://dx.doi.org/10.1016/j.pec.2016.10.021   DOI
26 Rajah, R. Hassali, M. A. A., & Murugiah, M. K.(2019). A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public Health, 167, 8-15. http://dx.doi.org/10.1016/j.puhe.2018.09.028   DOI
27 Song, I. K. (2016). Risk factors of adverse birth outcomes among immigrant women in the Republic of Korea. Unpublished master's thesis, Seoul National University, Seoul.
28 Weiss, B. D., & Palmer, R. (2004). Relationship between health care costs and very low literacy skills in a medically needy and indigent medicaid population. The Journal of American Board Family practice, 17(1), 44-47. http://dx.doi.org/10.3122/jabfm.17.1.44   DOI
29 Yang, S. J., Chee, Y. K., An, J. S., Park, M. H., & Jung, S. O. (2016). Analysis of validity and reliability of the health literacy index for female marriage immigrants. Asia Pacific Journal of Public Health, 28(4), 368-381. http://dx.doi.org/10.1177/1010539516645157   DOI
30 Yang, S. J., & Chee, Y. K. (2017). Development and psychometric testing of the health literacy index for female marriage immigrants (HLI-FMI) in Korea. Women & Health, 57(8), 1007-1030. http://dx.doi.org/10.1080/03630242.2016.1222328   DOI