J Korean Acad Community Health Nurs.  2011 Sep;22(3):333-341. 10.12799/jkachn.2011.22.3.333.

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

• Kim C
• Park MS
• Kim EM

• KMID: 2292845
• DOI: http://doi.org/10.12799/jkachn.2011.22.3.333

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.

Keyword

Immigrant; Health services needs

MeSH Terms

Surveys and Questionnaires
Delivery of Health Care*
Education
Emigrants and Immigrants*
Emigration and Immigration
Female
Health Promotion
Health Services Needs and Demand
Health Services*
Humans
Korea
Leisure Activities
Nursing Care
Pregnancy
Public Health
Vaccination

Reference

1. Ahn YH. Health status and health behavior of immigrant women married to Koreans. J Korean Acad Public Health Nurs. 2008; 22(1):18–26.

2. Dias SF, Severo M, Barros H. Determinants of health care utilization by immigrants in Portugal. BMC Health Serv Res. 2008; 8:207–214.

3. Jeong N, Lee MH. A predictive model on health promotion behavior in women who immigrate for marrage. J Korean Acad Nurs. 2010; 40(5):695–704.

4. Kang NY. Study in acquisition of Korean communicative competence for married migrant women. Seoul: Seoul National University;2007. Unpublished master's thesis.

5. Kim BR. The present situation of the international marriage immigration and the adaptation of inter-nationally married women immigrants in Korean society. Seoul: Sogang University;2007. Unpublished master's thesis.

6. Kim ES, Kim SH, Kim SY. Survey on Gangwon marriage immigrant female and strategy for support of their adaptation in Korean community. Chuncheon: Gangwon development Research Institute;2006.

7. Kim GH. Characteristics of health behavior and the medical utilization of female marriage immigrants in a rural area. Daegu: Kyungpook National University;2008. Unpublished master's thesis.

8. Kim HY. Health status of marrage-based immigrants in Korea and policy directions. Health Welf Policy Forum. 2010; 46–57.

9. Kim MJ, Kim TI, Kwon YJ. A Study on health promotion behavior and contraception in married immigrant women. Korean J Women Health Nurs. 2008; 14(4):323–332.

10. Kim SK, Kim YK, Cho AJ, Kim HR, Lee HK, Seol DH, et al. 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;2010.

11. Kim YJ, Kim HK, Lee HJ. Policy suggestion of health status and health promtion for female marriage immigrants. Gongju: Chungcheongnamdo Women's Policy Development Institute;2008.

12. Kim YK. Current status of multicultural families in a multicultural era and policy implications. Seoul: Korea Institute for Health and Social Affairs;2009.

13. Koh CK, Koh SK. Married female migrants' experience of health care services. J Korean Acad Soc Nurs Educ. 2009; 15(1):89–99.

14. Korea National Statistics Office. Marriages to foreigners for sis, guns, gus. 2009. Retrieved June 3, 2011. from http://kosis.kr/abroad/abroad_01List.jsp.

15. Korean Ministry of Health and Welfare. The fourth Korea national health & nutrition examination survey (KNHANES IV). Seoul: Author;2008.

16. Ministry of Government Legislation. Supporting law for multicultural family. 2010. Retrieved March 3, 2011. from http://www.law.go.kr/LSW/lsSc.do?menuId=0&p1.

17. Seol DH, Kim YT, Kim HM, Yoon HS, Lee HK, Lim KT, et al. Status and policy of health and social welfare of marital immigrant women in Korea. Seoul: Korea Ministry of Health, Welfare & Family Affairs;2005.

18. Sundquist J. Migration, equality and access to health care services. J Epidemiol Community Health. 2001; 55:691–692.

19. Wu Z, Penning MJ, Schimmele CM. Immigrant status and unmet health care needs. Can J Public Health. 2005; 96(5):369–373.

20. Yang SJ. Health status, health care utilization and related factors among Asian immigrant women in Korea. J Korean Acad Community Health Nurs. 2010; 24(2):323–335.

21. Yang SJ. Health behaviors and related factors among asian immigrant women in Korea by ethnicity. J Korean Acad Community Health Nurs. 2011; 22(1):66–74.