• Research in Community and Public Health Nursing
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• v.27 no.2
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• pp.173-182
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• 2016

Purpose: This study was conducted to survey female Vietnamese marriage immigrants' life stress and to analyze factors influencing their life stress and coping strategies. Methods: As descriptive correlation research, this study conducted a survey with 182 conveniently sampled subjects. Data were collected in June, 2015, and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: The subjects' life stress levels were above average, and significantly varied according to their health, and economic status. Stress coping strategies used by the subjects included assistance seeking, problem avoidance, wishful thinking, problem solving, and emotional alleviation in the order of frequency. As a result of the stepwise multiple regression, economic level, economic activity, and health status were found to be the most significant factors influencing the subjects' life stress, and these variables explained 45.1% of the variation in life stress. Conclusion: Female marriage immigrants were experiencing above-average life stress, and they were coping with it mainly in terms of assistance seeking or problem avoidance. In order to mitigate their stress, therefore, it is necessary to provide extended employment opportunities and economic activities for them so that they can cultivate their abilities in health management.

• Journal of Korean Public Health Nursing
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• v.26 no.3
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• pp.518-531
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• 2012

Purpose: This study was conducted in order to develop and test a measurement for assessment of stress of female marriage immigrants in Korea. Methods: Forty four preliminary items were initially developed based on literature review and focus group interviews. Those items were evaluated by experts for content validity, resulting in six factors and 26 items. The 26 items were translated into Chinese, Vietnamese, and English by professional translators and were reviewed by native speakers of each language who are fluent in Korean. For testing validity and reliability, data were collected from 323 female marriage immigrants residing in five regions in Korea. Results: As a result of item analysis, 25 items were selected. Factor analysis yielded 21 items in four factors, including 1) household economic 2) parenting and discrimination 3) cultural and 4) emotional stressors, explaining 61.3% of the total variance of stress of female marriage immigrants in Korea. The Cronbach's alpha reliability coefficient was .903 for the overall instrument and .692-.892 for four factors. Conclusion: Measurement of stress for female marriage immigrants in Korea has high validity and reliability. Therefore, this measurement may be utilized for systematic assessment of stress and for identification of areas of support for female marriage immigrants in Korea.

• Journal of the Korean Home Economics Association
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• v.48 no.7
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• pp.1-13
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• 2010

This study investigated how the characteristics of female international marriage immigrants, their husbands, their children, and their families affected their parenting self-efficacy, using a sample of 187 female international marriage immigrants, from China, the Philippines, or Vietnam, now living in Pusan and Gyungnam, Korea. We used questionnaires were based on the studies by Choe & Chung (2001), Shin (1997), Lee (1996), and Lee & Song (1991), and with the addition of demographic characteristics. Analysis results showed that the mother's parenting self-efficacy subscales correlated positively with mother's educational level, social support, and Korean language level; husband's educational level; and family income, and negatively with mother's depression, husband's age, and mother's acculturative stress. Multiple regressions indicated that husband's support was the strongest predictor of female international marriage immigrants' parenting self-efficacy.

• Nutrition Research and Practice
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• v.10 no.3
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• pp.313-320
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• 2016

BACKGROUND/OBJECTIVES: This study was conducted to compare the overall changes in dietary intake and metabolic syndrome risk parameters in Vietnamese marriage-based female immigrants over time. SUBJECTS/METHODS: The subjects of this study were 581 Vietnamese marriage-based female immigrants, who were recruited from local clinical centers in Korea. Baseline data were collected from 2006-2011 and the follow-up data were collected from 2012-2014. Dietary food intake was assessed by a 1-day 24-hour recall method. RESULTS: Compared to the baseline, the mean body weight, body mass index, waist circumference, high density lipoprotein (HDL)-cholesterol, systolic blood pressure and diastolic blood pressure increased while the fasting blood sugar, triglycerides and low density lipoprotein-cholesterol decreased at follow-up. The total consumption of foods such as vegetables/fruits/seaweeds/mushrooms, oil and fat, and eggs decreased during the follow-up period, whereas the consumption of sugars, beverages and meats increased. Partial correlation between the rate of change [(Follow-up - Baseline) / Baseline ${\times}100$] in metabolic syndrome risk parameters and food intake after controlling for confounding factors showed that the waist circumference was positively correlated with either the total plant food intake (r = 0.1042, P = 0.0129) or the total food intake (r = 0.0880, P = 0.0359). The plasma levels of total cholesterol (r = -0.1918, P = 0.0289) and HDL-cholesterol (r = -0.1424, P = 0.0007) were negatively correlated with the percentage of total intake from plant food, and HDL-cholesterol levels were positively correlated with the intake of total animal food (r = 0.0980, P = 0.0217). The serum C-reactive protein levels were positively correlated with the total intake of animal food (r = 0.2374, P < 0.0001) or the percentage of total intake from animal food (r = 0.1346, P = 0.0016). CONCLUSIONS: These results suggest that the change rate of dietary intake such as total plant food or animal food is associated with the change rates of metabolic syndrome risk parameters.

• Journal of Family Resource Management and Policy Review
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• v.18 no.4
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• pp.69-90
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• 2014

This study focused on the adjustment of family living culture in relation to women who have immigrated for marriage. Specifically, it sought to determine how Vietnamese immigrant women understand and adapt to the culture of family life in Seoul, Korea. The investigation was conducted from 2 May to 30 May 2014, with 28 Vietnamese immigrant women as participants. Personal, family, social, and cultural factors affecting family life and culture were considered. It was determined that Vietnamese women can easily adapt to life in Korea to provide; the results of the material analysis are described below. First, Vietnamese immigrant women are satisfied with their economic life in Korea. In Vietnam, women have the right to marry Korean men if they want to. Vietnamese women are encouraged to marry want to marry a Korean man. Because they are satisfied with the present marriage. Second, migrant women learn to adapt to South Korean culture and food. However, cultural differences between a woman's husband and mother-in-law can become a source of conflict. Third, children of multicultural families easily accept Vietnamese people, since they are educated to do so through their Vietnamese mothers Vietnamese woman wants to teach their children the Vietnamese food and culture. Fourth, the Vietnamese immigrant women also participate in multicultural family support centers and communities. They want to become productive members of society through employment opportunities in South Korea. Fifth, the cultural and welfare policies of the government should be carried on so that migrant women are able to study cultural adaptation. This case study examined difficulties that Vietnamese immigrant women have in adjusting to life and culture in Korea. The findings could be used as a resource to help Vietnamese women living in Korea.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.506-517
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• 2021

Purpose: The purpose of this study was to explore the health management experience of Vietnamese Married Immigrant Women living in the city. Methods: The study participants were 11 Vietnamese immigrant women residing in the urban area who felt bad about their health. Data collection was conducted in depth through individual interviews, and the collected data were analyzed through Strauss & Corbin data analysis. Results: The core category was "health is not a necessity but a choice in a strange land called Korea". The contextual conditions were, "The hard thing-exposing "myself" to the world", and "Hurts hidden, to be away from people's eyes". For the causal condition, the categories of "Unfamiliar life to live alone", "Unfamiliar life different from expectation", and "Symptoms of body suddenly suffering alone", were derived. Through action-interaction, the immigrant women revealed that in their Korean social-structural context, they tended to follow "Health pushed away in turbulent life". The intervening conditions were "a person who is able to help me", "places that can give a helping hand nearby", and "Vietnamese women's grit". A Vietnamese married immigrant woman had her own "Health in the chain with life". As a result, they gained "Health, which is a top priority in life" or "Health oppressed by the weight of life". Conclusion: This study enhanced the understanding of the healthcare process of Vietnamese married immigrant women living in urban areas.

• Women's Health Nursing
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• v.25 no.1
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• pp.19-30
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• 2019

Purpose: To identify needs for pregnancy and postpartum adaptation of Chinese immigrant women and Vietnamese immigrant women in South Korea. Methods: A descriptive research design was employed. Data were collected from 244 Chinese immigrant women and Vietnamese immigrant women from 3 provinces, 20 health care centers, and multi-cultural family support centers. Data were analyzed with descriptive statistics, t-test and ANOVA. Results: An average score for needs perceived by Chinese immigrant women was significantly higher than that perceived by Vietnamese immigrant women. There were significantly differences in physical and emotional adaptation after childbirth, nutrition during pregnancy, cross cultural understanding and personal respect, and adaptation daily activity during pregnancy between the 2 groups. The highest score of needs in Chinese immigrant women was for nutrition during pregnancy and that in Vietnamese immigrant women was for baby rearing and family support. Conclusion: Based on needs of pregnancy and postpartum adaption, nursing intervention program in consideration of cultural characteristics of Chinese immigrant women and Vietnam immigrant women need to be developed for their pregnancy and postpartum health care.

• Korean Journal of Health Education and Promotion
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• v.26 no.1
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• pp.93-104
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• 2009

Objectives: Although Asian immigrants have lower rates of smoking and binge drinking than other ethnics in the US, Korean Americans have the highest rate of Asian immigrants. This study, therefore, compared with the rates and examined the predictors of smoking and binge drinking by gender and ethnicity among Asian immigrants in California. Methods: In 2001 and 2003, California Health Interview Survey (CHIS) were conducted in English and their original languages with Asian immigrants residing in 58 Counties and 3 Cities, California. We performed analysis to find out the differences of smoking and binge drinking rates using the secondary data, CHIS 2001 and 2003. Multiple logistic regression analysis for survey data identified predictors of smoking and binge drinking behaviors by gender and ethnicity. Results: Korean American males (35.4%) and Japanese American females (15.4%) had higher rates of smoking prevalence compared with other Asian immigrants in California. In binge drinking, 26.5% of male and 8.1% of female among Korean Americans were binge drinker, and the rates were the top with Asian Americans who had lived in California. It showed the remarkable gap between gender of smoking and binge drinking among Vietnamese immigrants, whereas not the striking difference among Japanese Americans. In multiple regression models, age, educational level, occupation, marital status, English proficiency, and health insurance coverage remained significant for smoking and binge drinking behaviors(P<0.05). Even though the time in the US was not significant, it seemed to be related to educational level and English proficiency. In particular among female, smoking and binge drinking behaviors were associated with acculturation. Conclusion: Although Asian Americans had shared with American culture since they had immigrated in the US, they had significantly different prevalence rates of smoking and binge drinking based on gender and ethnicity. Therefore, future efforts should be focused on understanding differences by ethnicity and target at high-risk subgroups. To achieve this, it needs to develop the educational materials in Korean and their original languages.

• Korean Journal of Community Nutrition
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• v.14 no.1
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• pp.22-30
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• 2009

This study aimed to examine nutritional status and similarities of diets between Vietnamese female immigrants and Korean spouses and dietary changes of Vietnamese females after immigration. Subjects were 608 couples visiting 13 medical centers for the Cohort of Intermarried Women in Korea from November 2006 to November 2007. Anthropometric and biochemical measurements were obtained and dietary intakes were assessed using one-day 24-hour recall. Sixty-eight percent of wives answered there have been changes in their diets and consumptions of meats, fish, dairy products, vegetables, and fruits increased after immigration. Energy intakes of wives and spouses were 1491.7 kcal and 1788.8 kcal, respectively, showing most couples (80.1%) consumed less than the Korean estimated energy requirements. More than half of the couples were below the Korean estimated average requirements of zinc, vitamin $B_2$, and folate. The correlation coefficients between couples ranged 0.15-0.38 for unadjusted, 0.22-0.35 for per 1000 kcal, and 0.21-0.40 for energy-adjusted, respectively. The proportions of couples in the same quartiles of each nutrient intake and in the same answers of each question of Mini Dietary Assessment were about 30% across nutrients and around 50% across questions. The length of residence is related to similarities of nutrient intakes between couples: similarities decreased after 3 years of residence in Korea. In conclusion, nutritional intakes of inter-married couples were inadequate although wives reported that their dietary intakes increased after immigration. Inadequate nutrient intakes of wives were partly explained by similar diets between couples because these wives without enough adjustment to Korean culture were more likely to follow what their spouses ate. Findings from this study may be helpful to improve the nutritional status of inter-married couples and make policies and programs for them. A follow-up study should identify factors affecting inadequate nutritional status of intermarried couples and similarities of their diets.

• Women's Health Nursing
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• v.24 no.2
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• pp.174-184
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• 2018

Purpose: To identify the effects of spousal support on the relationship between acculturative stress and sense of parenting competence among married Vietnamese immigrant women. Methods: The sample for this study consisted of 175 married Vietnamese immigrant women in Gyeongsangnam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlations, and hierarchical multiple regression with SPSS/WIN 23.0. Results: (a) sense of parenting competence was negatively correlated with acculturative stress, whereas a positive correlation was observed with spousal support; (b) spousal support mediated the relationship between acculturative stress and sense of parenting competence. Conclusion: Results of the study suggest that spousal support decreases the negative effects of acculturative stress on sense of parenting competence. Therefore, we need to find ways to strengthen spousal support for married Vietnamese immigrant women.