Purpose Migrant workers battle to access health services and adapt to a new culture. Self-care agency can be essential for health self-management. This study examines the effects of a health engagement program to improve self-care agency using a living lab approach among migrant workers living in South Korea.
Methods This study used a mixed-methods design, including a non-equivalent pre-post-test control group and three focus group interviews. Participants included 42 migrant workers from nine countries recruited via flyers, posters, and internet bulletins posted by a migrant community organization. During the 12 weeks, only the intervention group participants received four workshops addressing healthy physical activity, healthy dietary habits, effective cultural adaptation, stress management, and two outdoor cultural activities. They also participated in focus group interviews after the second, third, and fourth group activities and discussed the benefits of healthy behaviors and specific ways to implement them in real life.
Results Participants in the intervention group showed an increase in self-care agency, health literacy, and acculturation after the 12- week intervention. Themes were derived based on the lessons from living lab activities, barriers to health behavior practices, and methods to overcome these.
Conclusion This study demonstrated that multi-component intervention using a living lab effectively increased migrants’ participation in health promotion activities by strengthening health in their self-care agency. The qualitative and living lab approach effectively obtained comprehensive results on strategies to enhance healthy behavior engagement.
Purpose The purpose of this scoping review was to explore related factors in diabetes self-care among immigrants in the U.S. Diabetes is one of the fastest-growing chronic illnesses, but little is known about factors in self-care among minority immigrants in the U.S.
Methods The Arksey and O’Malley (2005) methodological framework guided this review, which examined 16 articles, including qualitative, quantitative, and mixed-methods designs. PRISMA guidelines were used with five Databases. Search terms included: immigrants in the U.S., type 2 diabetes, self-care, and self-management.
Results Factors related to diabetes self-care among immigrants were identified: (1) changed dietary lifestyle, (2) low economic and health insurance, (3) social support and resources, (4) low English proficiency, (5) psychological contexts, and (6) gender roles.
Conclusion Given the culturally unique related factors in diabetes self-care among immigrants, healthcare professionals must be knowledgeable and responsive to the ethnic minority immigrants’ needs to promote effective diabetes self-care.
Purpose Over time, the number of migrant workers in Korea has shown a steady increase. Notably, among all migrant workers, those from Vietnam constitute the third largest group in Korea. The main objective of this study was to investigate the factors that influence the health-related quality of life of Vietnamese migrant workers. The study aimed to provide essential data for the development of customized nursing intervention programs and policy preparation in the future.
Methods A total of 220 Vietnamese migrant workers aged between 18 and 64, who were employed in Korea through the Employment Permit System and had been residing in the country for more than 91 days, participated in this study.
Results The study results revealed that physical activity (β=.19, p=.002), hope (β=.50, p <. 001), cohabitation with colleagues (β=.16, p =.003), and sleep hour (β=.11, p =. 031) had a statistically significant impact on health-related quality of life. The findings showed that higher levels of physical activity and hope were positively associated with higher health-related quality of life. Moreover, cohabiting with colleagues and sleeping for more than six hours were also significantly related to higher health-related quality of life.
Conclusion Given these findings, it is imperative to develop programs that encourage physical activity and enhance the health-related quality of life of migrant workers from Vietnam. Policymakers and employers should also consider providing adequate living conditions that facilitate cohabitation with colleagues and sufficient time for sleep to improve the health and well-being of migrant workers.
Purpose To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose.
Methods: This qualitative study included 15 marriage-based immigrant women.
Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis.
Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language.
Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.
Citations
Citations to this article as recorded by
The Evolution of Phenomenology in Korean Nursing Research: A Scoping Review Seo Minjeong, Kim Yune Kyong, Park Jin Ryung, Sim Guiyeon, Ko Youngshim Asian Nursing Research.2024;[Epub] CrossRef
Purpose With the first generation of marriage-based immigrant women in East Asia now reaching their middle or old age, the need to focus investigations on their health-related quality of life has arisen. This study aimed to examine the extent to which physical and mental health, and psychosocial variables can predict health-related quality of life among Japanese middle-aged immigrant women.
Methods This study has a descriptive cross-sectional design. A convenience sample of 197 Japanese middle-aged marriage-based immigrant women from two regions of South Korea were recruited between December 2017 and March 2018. Participants completed self-administered questionnaires on health-related quality of life, menopausal symptoms, depression, perceived health status, disease morbidity, social support, and acculturation. The data were analyzed using hierarchical multiple regression.
Results Depression was the strongest predictor of health-related quality of life, followed by perceived health status, social support, and household income. Menopausal symptoms, presence of disease, and acculturation appeared to have no additional impact on participant’s health-related quality of life.
Conclusion In times of rapid growth of global migration and the aging of immigrants in new destination countries, nursing interventions and public health policies for aging marriage-based immigrant women should be prioritized to improve their mental health by facilitating social support and disease management. In addition, social and employment policies that can help immigrant women transition to a healthy midlife are needed.
Citations
Citations to this article as recorded by
Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study Duckhee Chae, Keiko Asami, Jaseon Kim, Kukhyeon Kim, Jeeheon Ryu, Ardith Z. Doorenbos Research in Community and Public Health Nursing.2024; 35: 10. CrossRef
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.
Citations
Citations to this article as recorded by
Health and medical experience of migrant workers: qualitative meta-synthesis Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park Archives of Public Health.2024;[Epub] CrossRef
Purpose The purpose of this study is to identify the factors of health beliefs, cultural barriers, and intentions of cervical cancer screening behaviors in married immigrant women and provide information for the development of intervention programs. Methods The subjects were 207 married immigrant women living D and S cities, and G and Y counties. The data were collected from April to June 2019, using a self-report structured questionnaire that was translated into English, Chinese, Vietnamese, and Korean, and analyzed by the SPSS/WIN 24.0 program. Results As a result of this study, it was found that the intention of cervical cancer screening for married immigrant women were high when they had a job (β=-.17, p=.014), experience of Pap testing within the past year (β=-.28, p<.001), experience of cervical cancer prevention education (β=-.18, p=.008), and a higher perceived sensitivity (β=.18, p=.016). All of these variables together explained 22% of the intention of cervical cancer screening behaviors in immigrant women married to Korean men. Conclusion In order to increase the cervical cancer screening behaviors in married immigrant women, intervention strategies to increase perceived susceptibility and decrease cultural barriers for immigrant women should be developed.
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.
Citations
Citations to this article as recorded by
Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence Hanna Jeong, Youngsuk Kim Journal of Korean Academy of Nursing.2024; 54(1): 73. CrossRef
Evaluation of bio-psycho-social and socio-cultural problems of Syrian elderly living in Turkey Emrah Apak, Taner Artan, Dogac Niyazi Ozucelik International Journal of Social Psychiatry.2023; 69(2): 454. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea Yu Zhu Zhang, Seon Young Hwang Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
Health-related quality of life of migrant workers: a systematic literature review Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park BMC Public Health.2023;[Epub] CrossRef
What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea? Jihyon Pahn, Heesuk Kim, Youngran Yang Research in Community and Public Health Nursing.2023; 34: 147. CrossRef
Social Support for Acculturative Stress, Job Stress, and Perceived Discrimination Among Migrant Workers Moderates COVID-19 Pandemic Depression Youlim Kim, Hyeonkyeong Lee, Mikyung Lee International Journal of Public Health.2022;[Epub] CrossRef
Purpose This study aimed to investigate the current state and trends of health literacy research considering migrants living in South Korea. Methods A review of the literature was conducted using electronic data base and citation tracking. A total of 82 articles were identified, of which 16 articles that met the inclusion criteria were selected for review. Two authors reviewed the articles independently using a matrix table and then examined four aspects of the studies jointly: research method, immigrant characteristics, health literacy assessment, and main findings. Results Most of the articles (n=13) were descriptive studies and three were methodology studies for instrument development. Of the 13 studies, eight involved female immigrants, four of health literacy involved migrant workers, and four concerned North Korean Refugees. A total of eight types of health literacy assessment tools were used. Sufficient samples and sampling methods were lacking at the population level. Conclusion The results of the review generally showed that the health literacy of immigrants was lower than that of native South Koreans, and that there was a difference between nationality and gender among immigrants; however, further research is needed to review a larger sample with a validated instrument.
Citations
Citations to this article as recorded by
Development of a mobile health information application for immigrant women in South Korea Sou Hyun Jang, Yong Jeong Yi, Yun-Mi Song Online Information Review.2024;[Epub] CrossRef
Association between divorce and access to healthcare services among married immigrants: propensity score approaches Suyeong Bae, James E. Graham, Sanghun Nam, Ickpyo Hong Archives of Public Health.2022;[Epub] CrossRef
Health literacy and health information-seeking behavior of immigrants in South Korea Yong Jeong Yi, Barun Hwang, Hyunsoo Yoon, Hyuncheon Jeong Library & Information Science Research.2021; 43(4): 101121. CrossRef
Purpose This study aims to identify related factors of psychological well-being of migrant workers in Korea. Methods The subjects were 138 migrant workers residing legally in K or B Cities. Data were collected from July 1 to August 31, 2018, using self-report structured questionnaires that were translated into English, Chinese, Vietnamese, and Korean, and were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression. Results The most important influencing factors on the psychological well-being of migrant workers were social support (β=.36, p<.001), followed by perceived health status (β=.25, p=.001), education (β=−.18, p=.015), and spouse support (β=.16, p=.032). The overall explanatory power was 28.9%. Conclusion In order to improve the psychological well-being of migrant workers, it is required to develop a nursing approach that may promote the social support, health status, and spouse support, and consider the educational level of migrant workers.
Citations
Citations to this article as recorded by
Relationship between social interaction and health of the floating elderly population in China: an analysis based on interaction type, mode and frequency Yiqing Xing, Liang Zhang, Yuelu Zhang, Ruibo He BMC Geriatrics.2023;[Epub] CrossRef
Social Support for Acculturative Stress, Job Stress, and Perceived Discrimination Among Migrant Workers Moderates COVID-19 Pandemic Depression Youlim Kim, Hyeonkyeong Lee, Mikyung Lee International Journal of Public Health.2022;[Epub] CrossRef
PURPOSE The purpose of this study is to construct and verify a path model for the influencing factors on occupational stress of Vietnamese migrant workers in Korea. METHODS Participants were 193 Vietnamese migrant workers recruited from Foreign Workers Support Centers. Data were collected by a self-administered survey with copies of a Questionnaire written in Vietnamese. Data were analyzed with descriptive statistics, Pearson's correlation coefficients and path analysis using SPSS/WIN 23.0 and Amos 20.0 program. RESULTS Length of residence, homeland friends' and Korean colleagues'supports, and acculturation have been found to have significant direct effects on occupational stress of Vietnamese migrant workers. Meanwhile, Length of residence, homeland friends', Korean colleagues', and their families' supports showed indirect effects on their occupational stress. What had the greatest direct effect on occupational stress of Vietnamese migrant workers was Korean colleagues' support. CONCLUSION For reducing occupational stress of Vietnamese migrant workers, it is necessary to strengthen their Korean colleagues' supports in work places. In addition, community organizations should take strategies to enhance homeland friends' supports and to improve acculturation of Vietnamese migrant workers.
Citations
Citations to this article as recorded by
Work Adaptation Experience of Vietnamese Workers in Korean Workplaces: Constructivist Grounded Theory HyeJung Jun, GaEon Lee Research in Community and Public Health Nursing.2023; 34: 108. CrossRef
What Determines the Health-related Quality of Life of Vietnamese Migrant Workers in Korea? Jihyon Pahn, Heesuk Kim, Youngran Yang Research in Community and Public Health Nursing.2023; 34: 147. CrossRef
Mediating effects of religious coping on acculturative stress and life satisfaction: Focus on Sri Lankan migrant workers in Korea Bu-Hyun Nam Asian and Pacific Migration Journal.2023; 32(2): 314. CrossRef
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.
Citations
Citations to this article as recorded by
Unmet Healthcare Needs and Related Factors Among Immigrants: A Cross-Sectional Secondary Analysis of 2019 Korea Community Health Survey Data SookKyoung Park, Hye Young Kim, Young-Me Lee INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2023; 60: 004695802211468. CrossRef
Factors associated with self-rated health among immigrant workers in South Korea: Analyzing the results of the 2020 survey on immigrants' living conditions and labor force Soo Jin Kang, Jinseub Hwang, Dohyang Kim, Bongjeong Kim Frontiers in Public Health.2022;[Epub] CrossRef
Acceptance of the COVID-19 Vaccine by Foreigners in South Korea Chiara Achangwa, Tae-Jun Lee, Moo-Sik Lee International Journal of Environmental Research and Public Health.2021; 18(22): 12035. CrossRef
Too long to wait: South Asian migrants’ experiences of accessing health care in Australia Manju Adhikari, Sabitra Kaphle, Yamuna Dhakal, Sabina Duwadi, Rajan Subedi, Sonu Shakya, Sunil Tamang, Mukesh Khadka BMC Public Health.2021;[Epub] CrossRef
PURPOSE This study aims to examine the relationships among social discrimination, subjective health, and personal satisfaction based on the country of origin. METHODS The analysis was based on 16,958 immigrants who participated in the National Survey of Multicultural Family 2015 in Korea. This study conducted stratified cross-analysis of social discrimination for the differences in subjective health and personal satisfaction. Multivariate-adjusted odds ratios and 95% confidence intervals for the relationships among social discrimination, subjective health, and personal satisfaction were examined with multivariable logistic regression. RESULTS There were differences in experience of social discrimination, subjective health status, and personal satisfaction according to the country of origin. Groups without the experience of social discrimination had better subjective health and personal satisfaction than the other groups. CONCLUSION This study demonstrates that a discrimination prevention program needs to be developed based on a cultural approach.
Citations
Citations to this article as recorded by
Factors associated with the self-rated health of migrant workers in Korea Duckhee Chae, Jaseon Kim, Keiko Asami, Jongdae Kim Korean Journal of Health Education and Promotion.2019; 36(3): 37. CrossRef
PURPOSE The purpose of this study is to examine the association of family support, self-efficacy, health literacy and perceived health status with health-promoting behavior (HPB) in married immigrant women. METHODS A cross-sectional based survey was conducted to collect data from married immigrant women living in Gyeongsang province. Questionnaires included Health promoting lifestyle profile II, General self-efficacy scale, Korean Health literacy assessment and perceived health status. RESULTS 157 subjects participated in the study (mean age, 30.47±6.83). Their duration of living in Korea was 63.05±50.11 months. Of the participants, 59.2% were Vietnamese. The level of HPB, perceived health status, health literacy, support of family and self-efficacy were 2.58±0.42, 3.39±0.86, 25.12± 20.99, 3.83±0.70 and 3.61±0.53 respectively. Factors affecting the HPB of the participants were support from family (β =.45, p<.001) and self-efficacy (β=.16, p<.05). The explanatory power of these two variables was 34.2%. CONCLUSION This study suggests that the factors influencing the HPB of married immigrant women include support from family and self-efficacy. A variety of programs should be provided for families so that they can support those women to help them increase their HPB. It is recommended that more various programs be provided to increase their self-efficacy.
Citations
Citations to this article as recorded by
The effect of health literacy and self-efficacy levels of Syrian refugee university students on quality of life Hıdır Apak, Gülhan Yiğitalp, Oktay Tatlıcıoğlu Journal of Public Health.2024;[Epub] CrossRef
Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study Geun Young Jang, Soo Jung Chang, Jun Hee Noh Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Multiple mediation effect of coping styles and self-esteem in the relationship between spousal support and pregnancy stress of married immigrant pregnant women So-hyun Moon, Miok Kim PeerJ.2023; 11: e16295. CrossRef
Influence of Perceived Health Status, Perceived Barrier, Cultural Acculturation on Empowerment in Married Migrant Women Yong-Sook EO, Yeon Hee LEE JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1308. CrossRef
Trends and Level in Health Literacy Research on Immigrants in Korea: A Literature Review Soo Jin Kang, Na Kyum Hyung Journal of Korean Academy of Community Health Nursing.2020; 31(3): 322. CrossRef
The Impact of Social Cognitive Constructs on Dietary Behaviors in Breast Cancer Survivors Hyenam Hwang Asian Oncology Nursing.2016; 16(3): 139. CrossRef
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.
Citations
Citations to this article as recorded by
A Scoping Review of the Health of East and Southeast Asian Female Marriage Migrants Zhiyuan Yu, Barbara Bowers, Brenda S. A. Yeoh Journal of Immigrant and Minority Health.2020; 22(1): 182. CrossRef