J Korean Acad Community Health Nurs.  2018 Mar;29(1):41-53. 10.12799/jkachn.2018.29.1.41.

Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea

Affiliations
  • 1Graduate School, Seoul National University, Seoul, Korea.
  • 2College of Nursing, Seoul National University, Seoul, Korea. lisook@snu.ac.kr

Abstract

PURPOSE
This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea.
METHODS
It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the "˜National Survey of Multicultural Families 2015.' Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need.
RESULTS
The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors.
CONCLUSION
The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.

Keyword

Immigrants; Working women; Health services accessibility; Healthcare disparities

MeSH Terms

Causality
Delivery of Health Care*
Discrimination (Psychology)
Emigrants and Immigrants*
Family Characteristics
Female
Grief
Health Behavior
Health Services Accessibility
Healthcare Disparities
Humans
Korea*
Logistic Models
Marriage
Multivariate Analysis
Nursing Services
Prevalence
Social Discrimination
Women, Working

Figure

  • Figure 1. Conceptual framework for the study.


Reference

References

1. Lee Y. Study on the determinants of international migration: Focusing on narratives of marriage migrants of Filipino. Diaspora Studies. 2014; 8(1):119–144.
2. Chung HS, Kim YS, Yi T, Ma KH, Choi Y, Park G, et al. An analysis on the national survey of multicultural families 2015. Research Report. Seoul: Korean Women's Development Institute;2016. January. Report No.: 2016-03.
3. Portes A, Rumbaut RG. Immigrant America: A portrait. 4th ed. Oakland, California: University of California Press;2014. p. 496.
4. Lee Sl. Migration and health: A theoretical perspective. Working Paper. Goyang City, Gyeonggido: IOM Migration Research & Training Centre;2011. October. Report No.: 2011-03.
5. Singh S, Schulz AJ, Neighbors HW, Griffith DM. Interactive ef- fect of immigration-related factors with legal and discrimination acculturative stress in predicting depression among Asian American immigrants. Community Mental Health Journal. 2017; 53(6):638–646. https://doi.org/10.1007/s10597-016-0064-9.
6. Lee C, Ayers SL, Kronenfeld JJ. The association between perceived provider discrimination, health care utilization, and health status in racial and ethnic minorities. Ethnicity & disease. 2009; 19(3):330–337.
7. Kim HR, Yeo JY, Chung JJ, Paik SH. Health status of marriage immigrant women and children from multicultural families and health policy recommendations. Research Report. Seoul: Korea Institute for Health and Social Affairs;2012. December. Report No.: 2012-10.
8. Yang SJ. Health status, health care utilization and related factors among Asian immigrant women in Korea. Journal of Korean Academy of Public Health Nursing. 2010; 24(2):323–335.
9. Kim CM, Park MS, Kim EM. Married immigrant women's utilization of health care and needs of health services. Journal of Korean Academy of Community Health Nursing. 2011; 22(3):333–341. https://doi.org/10.12799/jkachn.2011.22.3.333.
Article
10. Donabedian A. Aspects of medicalcare administration: Specifying requirements for health care. 1st ed. Cambridge, MA: Harvard University Press;1973. p. 800.
11. Cha SJ. Unmet health care needs of marriage migrant women in Korea [master's thesis]. [Seoul]: Seoul National University;2012. p. 74.
12. Kim SH, Lee CY. Analysis of factors affecting unmet healthcare needs of married immigrant women. Journal of Korean Academy of Nursing. 2013; 43(6):770–780. https://doi.org/10.4040/jkan.2013.43.6.770.
Article
13. Park JS, Kwon JH, Park JW, Kim SY, Choi HR, Im SY. Relationship between occupational characteristics and unmet health care needs. Paper presented at: The 55th Autumn Conference of The Korean Society for Occupational and Environmental Medicine. 2015. November 5-7; Hotel Geumosan, Gumi City, Korea.
14. Andersen RM. Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior. 1995; 36(1):1–10. https://doi.org/10.2307/2137284.
Article
15. Yang PQ, Hwang SH. Explaining immigrant health service utilization: A theoretical framework. SAGE Open. 2016; 6(2):1–15. https://doi.org/10.1177/2158244016648137.
16. Ministry of Health and Welfare & Korea Health Promotion Foundation. 2016 Community integrated health promotion program guide. Guide Book. Sejong & Seoul, Korea: Ministry of Health and Welfare & Korea Health Promotion Foundation;2016. February. Report No.: 11-1352000-000874-10.
17. Kang YS, Hong E. A study on health education needs of the multicultural family as perceived by visiting nurses. Journal of Korean Public Health Nursing. 2014; 28(3):445–459. https://doi.org/10.5932/JKPHN.2014.28.3.445.
Article
18. Lee SW, Kim KS, Kim TW. The status and characteristics of industrial accidents for migrant workers in Korea compared with native workers. Korean Journal of Occupational and Environmental Medicine. 2008; 20(4):351–361.
Article
19. Cho I, Ahn S, Kim SY, Park YS, Kim HW, Lee SO, et al. Depression of married and employed women based on socialrole theory. Journal of Korean Academy Nursing. 2012; 42(4):496–507. https://doi.org/10.4040/jkan.2012.42.4.496.
Article
20. Choi SH. Unmet health care needs among adults in Korea. Public Health Weekly Report. Cheongju City, Chungcheong-buk-do: Korea Center for Disease Control & Prevention;2014. March. Report No.: 2005-811X.
21. Beaujot R, Liu J. Models of time use in paid and unpaid work. Journal of Family Issues. 2005; 26(7):924–946.
Article
22. Baek HC. Comparative study on health promoting behavior in working and non-working mothers with infants and toddlers. Journal of Korean Academy Community Health Nursing. 2014; 25(4):282–290. https://doi.org/10.12799/jkachn.2014.25.4.282.
Article
23. Kim YS. The influence that labor market flexibility exerts on worker health. Health and Social Science. 2014; 36:201–222.
24. Koh CK, Koh SK. Married female migrants' experiences of health care services. The Journal of Korean Academic Society of Nursing Education. 2009; 15(1):89–99.
Article
25. Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR. Race and trust in the health care system. Public Health Reports. 2003; 118(4):358–365. https://doi.org/10.1093/phr/118.4.358.
Article
26. Lee EJ, Lee JM. Quality of life and health service utilization of the migrant workers in Korea. Journal of the Korea Academia-Industrial cooperation Society. 2014; 15(7):4370–4379. https://doi.org/10.5762/KAIS.2014.15.7.4370.
Article
27. Wu Z, Penning MJ, Schimmele CM. Immigrant status and unmet health care needs. Canadian Journal of Public Health. 2005; 96(5):369–373.
Article
28. Cheon JH, Choi JW. Involvement of internationally married female immigrants in social networks by employment status in Busan metropolitan city and adjacent areas. Journal of Wo-men's Studies. 2012; 22(1):139–164.
29. Lebrun LA. Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States. Social Science & Medicine. 2012; 74(7):1062–1072. https://doi.org/10.1016/j.socscimed.2011.11.031.
Article
30. Nguyen LT, Kaptchuk TJ, Davis RB, Nguyen G, Pham V, Tringale SM, et al. The use of traditional Vietnamese medicine among Vietnamese immigrants attending an urban community health center in the United States. The Journal of Alternative and Complementary Medicine. 2016; 22(2):145–153. https://doi.org/10.1089/acm.2014.0209.
Article
Full Text Links
  • JKACHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr