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Lee H, Kang HS, De Gagne JC. Life satisfaction of multicultural married couples: Actor-Partner Interdependence Model analysis. Health Care Women Int 2023; 44:1106-1118. [PMID: 33797346 DOI: 10.1080/07399332.2021.1894151] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 02/04/2021] [Accepted: 02/18/2021] [Indexed: 10/21/2022]
Abstract
We aimed to identify the actor and partner effects of health status, relationship satisfaction, and depression on the life satisfaction of married immigrant women and their husbands in South Korea. We used a cross-sectional design that included 2865 multicultural married couples with data from the 2015 national survey of multicultural families in Korea. We analyzed the data using path analyses within the Actor-Partner Interdependence Model (APIM) framework. Health status, depression, and relationship satisfaction had actor effects in both wives and husbands, while depression had no partner effects on either. Health status had partner effects only for wives, and relationship satisfaction had partner effects for both husbands and wives. Given that factors influencing life satisfaction differed in couples and since those with depression and poor health were more susceptible to lower life satisfaction, it is essential to introduce efforts to prevent depression and improve relationships considering differences of partner effects.
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Affiliation(s)
- H Lee
- Department of Nursing, Sangmyung University, Cheonan-Si, South Korea
| | - H S Kang
- Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea
| | - J C De Gagne
- School of Nursing, Duke University, Durham, North Carolina, USA
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Bradley H, Ho HY. Comprehensive Comparisons of Family Health Between Families With One Immigrant Parent and Native Families in Taiwan: Nationwide Population-Based Cohort Study. JMIR Public Health Surveill 2022; 8:e33624. [PMID: 36534459 PMCID: PMC9808584 DOI: 10.2196/33624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 02/19/2022] [Accepted: 10/11/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Mothers and children in families with one immigrant parent have been reported to be healthier than those in native families; however, the health of the fathers in these families has rarely been discussed in literature. OBJECTIVE We aimed to comprehensively compare the health of all the family members between families with one immigrant parent (native fathers, immigrant mothers, and their children) and native families (native fathers, native mothers, and their children). METHODS We conducted a cohort study by using the Taiwan Maternal and Child Health Database to recruit live-born children and their parents from 2004 to 2016. Overall, we identified 90,670 fathers, 91,270 mothers, and 132,457 children in families with one immigrant parent and 1,666,775 fathers, 1,734,104 mothers, and 2,637,191 children in native families and followed up with them from 2004 to 2017. The outcomes comprised common physical and mental disorders, catastrophic illnesses, mortality, and child adversities and accidents. The covariates comprised the child's year of birth, parental age, low-income status, and physical or mental disorder status. Logistic regression was performed to compare the risks of the outcomes between families with one immigrant parent and native families. RESULTS The parents in families with one immigrant parent were more likely to be of low-income status and were older than the parents in native families. After adjusting for the covariates, fathers in families with one immigrant parent were found to have higher risks of physical and mental disorders, catastrophic illness, and mortality than fathers in native families. Conversely, mothers in families with one immigrant parent had lower risks of physical and mental disorders, catastrophic illness, and mortality than mothers in native families. Finally, the children in families with one immigrant parent generally had better physical and mental health but higher risks for leukemia, liver diseases, autism spectrum disorder, and road traffic accidents than children in native families. CONCLUSIONS The health status of the members of families with one immigrant parent was nonhomogeneous, and the poorer general health of fathers in such families suggests health inequalities in families with one immigrant parent.
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Affiliation(s)
| | - Hsing-Ying Ho
- Department of Healthcare Administration, Asia University, Taichung, Taiwan.,Department of Psychology, Asia University, Taichung, Taiwan
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Song JE, Roh EH, Kim YJ, Ahn JA. Effects of Maternal Adjustment Enhancement Program Using Mobile-Based Education for Chinese Immigrant Women in Korea: A Quasi-Experimental Study. J Transcult Nurs 2022; 33:685-694. [PMID: 35941817 DOI: 10.1177/10436596221107601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION This study aimed to develop a maternal adjustment program for Chinese immigrant primiparous women in Korea and to investigate its effectiveness. METHODOLOGY Forty-five Chinese immigrant women with newborns were recruited and conveniently assigned into experimental and control groups. A maternal adjustment enhancement program was initiated to the experimental group using a mobile-based education regarding cultural intimacy for 4 weeks. RESULTS In the follow-ups, the experimental group showed significantly higher knowledge of childcare and parenting efficacy. Both the experimental and control groups showed an improvement in social support and a decrease in childcare stress without between-group differences. DISCUSSION The maternal adjustment enhancement program can be utilized as an effective approach to improve knowledge of childcare and reinforce parenting efficacy of Chinese immigrant women in Korea. Strategies to reduce language barrier and to provide education with culturally friendly manners should be utilized for successful transition to motherhood among immigrant mothers.
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Affiliation(s)
| | - Eun Ha Roh
- Ajou University, Suwon, Republic of Korea.,Global Korean Nursing Foundation, Seoul, Republic of Korea
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Vo NH, Lee SM. Acculturative Stress and Life Satisfaction of Immigrant Vietnamese Wives Living in South Korea: The Moderating Role of Intimate Partner Violence. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP10329-NP10344. [PMID: 33448248 DOI: 10.1177/0886260520986271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This study examined the relationships between acculturative stress, intimate partner violence (IPV), and life satisfaction of immigrant Vietnamese wives. A total of 288 immigrant Vietnamese women who were married to Korean men and were living in South Korea participated in the survey. As expected, the results indicated that acculturative stress was negatively related to life satisfaction. Moreover, IPV significantly moderated the relationship between acculturative stress and life satisfaction. The moderating role of IPV is evident when the acculturative stress is low.
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Lee E, Kim SI, Jung-Choi K, Kong KA. Household decision-making and the mental well-being of marriage-based immigrant women in South Korea. PLoS One 2022; 17:e0263642. [PMID: 35192668 PMCID: PMC8863252 DOI: 10.1371/journal.pone.0263642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 01/25/2022] [Indexed: 11/19/2022] Open
Abstract
Objective
We assessed the association between household decision-making and mental well-being among Asian immigrant women residing in Korea. We also investigated if the impact varies by the regional origin and examined potential factors for joint decision-making.
Methods
We conducted a cross-sectional study using the Korean National Survey of Multicultural Families 2015 and logistic regression. We analyzed data from 11,188 married immigrant women ages 20 to 59 who were originally from East Asia or Southeast/South Asia and co-living with their spouses. We defined households as joint-decision, wife-decision, or husband-decision based on who decides how living expenses are spent. Mental well-being encompassed a depressive mood for two consecutive weeks, and life and marital satisfaction.
Results
After controlling for covariates, we showed that immigrant women in husband-decision households were more likely to have depressive mood (odds ratio [OR] 1.26, 95% confidence interval [CI]: 1.14–1.38), poorer life satisfaction (OR 1.49, 95% CI: 1.24–1.78), and poorer marital satisfaction (OR 1.81, 95% CI: 1.47–2.22) than women in joint-decision households. Immigrant women in wife-decision households had a similar but slightly lower odds of poor mental well-being. This association was less prominent for Southeast/South Asian origin than East Asian origin, while the age-adjusted prevalence rates of poor mental well-being among them were higher than their East Asian counterparts. Factors that restricted the odds of husband-decision did not necessarily guarantee wife-decision.
Conclusions
This study suggests one-sided decision-making can be a risk factor for immigrant women’s poor mental well-being, while joint decision-making is protective. Differences across regional origins suggest domestic decision-making might be a less important predictor for mental well-being in immigrants more occupied with adapting to the host society. Factors for joint decision-making should be addressed to improve the mental well-being of immigrant women.
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Affiliation(s)
- Eunji Lee
- Department of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea
- Kyungpook National University Law School, Daegu, Korea
| | - Soo In Kim
- Department of Psychiatry, College of Medicine, Ewha Womans University, Seoul, Korea
| | - Kyunghee Jung-Choi
- Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, Seoul, Korea
| | - Kyoung Ae Kong
- Department of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea
- * E-mail:
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Jo Y. The significance of resilience in mental health promotion of marriage immigrant women: a qualitative study of factors and processes. BMC Womens Health 2020; 20:84. [PMID: 32345269 PMCID: PMC7189560 DOI: 10.1186/s12905-020-00945-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 04/12/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study explores a series of processes in which marriage immigrant women achieve positive mental health status after experiencing various marriage- and migrant-related difficulties through the framework of resilience theory. As marriage immigrant women face greater barriers to public health services than non-immigrant women, it is necessary to understand the related factors, process, and context to address these barriers and strengthen available assets. METHODS A qualitative case study design was used with the phenomenological approach. Eleven mental health promotion program managers and 12 marriage immigrant women from who experienced resilience were recruited from four public-funded multicultural community centers in Seoul and Gyeonggi-do, South Korea, between December 2015 and March 2016. Using data from in-depth semi-structured face-to-face interviews, the author applied theme analysis informed by the resilience theory in order to identify factors that affect resilience and its development process. RESULTS Findings indicated that the process of resilience follows enduring difficulties, collapse of stability, access to professional help, professional and social support, and experience of growth. A combination of the staged process of growth, absence of partner support, children as a driving force for change, the need for economic activity, factors affecting difference in growth: satisfaction levels of women's need for recognition, respect, and reward, and level of spousal support were identified as factors affecting marriage immigrant women's resilience. CONCLUSIONS Spouses, children, and economic activity play key roles in resilience in positive and negative ways. The existing information barrier should be addressed at a structural level to improve the mental health of marriage immigrant women, and the optimum time for intervention is suggested within 2 years post-migration. Efforts to build supportive relationships with Korean spouses and meet the women's needs for recognition, respect, and reward may also help promote these women's resilience.
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Affiliation(s)
- Yeonjae Jo
- Dong-A University, College of Nursing, G05-510, Daeshingongwon-ro 32, Seogu, Busan, 49201, South Korea.
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Kim SH, Cho Chung HI. [Adaptation to Motherhood in Central Asian-Korean Immigrants to Korea: A Grounded Theory Study]. J Korean Acad Nurs 2020; 49:677-689. [PMID: 31932563 DOI: 10.4040/jkan.2019.49.6.677] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 08/06/2019] [Accepted: 08/09/2019] [Indexed: 11/09/2022]
Abstract
PURPOSE This qualitative study aimed to develop a substantive theory of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea. METHODS Individual, in-depth interviews were conducted from July to September 2017, with 18 women who emigrated of Korean ethnicity from Central Asia to Korea, and took care of their baby for at least a year after their first delivery in Korea. The interviews were audio-recorded and transcribed verbatim. Data from the transcriptions were analyzed through Strauss and Corbin's grounded theory method, and data analysis was conducted simultaneously with data collection. RESULTS As a result of categorizing the interview data through the process of open coding, 10 categories, with 31 subcategories and 102 concepts were drawn, and "growth as a Central Asian-Korean mother in an unfamiliar, historical hometown" was found to be the core category of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea. CONCLUSION A characteristic of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea, drawn from this study, is that it differs according to the level of initiative to carry out interaction strategies, and the use of various supportive social resources. The findings indicate the need for Medicare eligibility adjustment for antenatal care, the extension of the visa renewal period during childbirth, the development of web- or mobile application-based educational programs in Russian language, and the establishment of integrated visiting healthcare services, community service resources, and policy support to enable these women to utilize various supportive social resources.
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Affiliation(s)
- Su Hyun Kim
- Department of Nursing, Nambu University, Gwangju, Korea
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Lee H, Seo S, Kang R, Kim Y, Hyun HK. Increasing access to oral healthcare for marriage-immigrant women in South Korea: programme design to policy recommendation. Int Dent J 2019; 69:354-360. [PMID: 30957875 DOI: 10.1111/idj.12479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES To examine oral health status and access to dental care among marriage-immigrant women (MIW) in South Korea (Korea). MATERIALS AND METHODS We analysed patients' demographic information and access to dental services through the 'Family-Love Dental Program' and compared them with Korean oral health surveillance data. The 'Family-Love Dental Program' resulted from a partnership among the Korean Ministry of the Gender Equality and Family, Seoul National University Dental Hospital, and Cigna Insurance Company (registered as 'LINA' in South Korea) to increase access to oral health for MIW from 2010 to 2016. RESULTS Over the programme duration, 1,944 MIW underwent dental examination and 1598 MIW received dental treatment. More than two-thirds of MIW (69.5%) receiving dental services were aged between 20 and 39 years. In 2016, the proportion of untreated dental caries among MIW was 54.8%, which was significantly higher than that of untreated dental caries among Korean women within the same age group (24.9%). Over the programme duration, 501 MIW (25.8%) underwent final restoration, and advanced care was provided at the Seoul National University Dental Hospital. CONCLUSION MIW have a significantly higher number of dental caries than Korean women within the same age group. Future programmes and policies should consider specific barriers that will promote oral health parity for MIW and their children.
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Affiliation(s)
| | - Sumin Seo
- Seoul National University Dental Hospital, Seoul, Korea
| | - Rikyung Kang
- Seoul National University Dental Hospital, Seoul, Korea
| | - Yonghun Kim
- Seoul National University Dental Hospital, Seoul, Korea
| | - Hong-Keun Hyun
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, Seoul, Korea
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Jeon M, Ahn O, An M. Immigrant Vietnamese women's adaptation to culture and society in rural areas of Korea. PLoS One 2019; 14:e0212265. [PMID: 30763371 PMCID: PMC6375616 DOI: 10.1371/journal.pone.0212265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 01/30/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND International marriages between Vietnamese women and Korean men have increased rapidly in Korea. Successful adaptation of these women is challenging, and concerns on the issue have been raised. Most existing studies have surveyed Vietnamese immigrant women in urban Korea; less is known about women residing in rural areas of Korea. Uncovering the experiences and perspectives of these women can inform the design of community support resources. The purpose of this study was to identify a typology to effectively describe the subjective perspectives of Vietnamese women residing in rural Korea on adaptation to Korean culture and society. METHODS AND RESULTS A Q-methodological study was conducted with five steps: construction of the concourse, Q sample, selection of participants, Q-sorting, and data analysis. Twenty-six Vietnamese women married to Korean men who attended local public health centers were surveyed and asked to rank-order 39 Q-statements using a 9-point scale. Principal component factor analysis using a pc-QUANL program was performed to identify adaptation sub-types. Four types of adaptation were identified and labeled: positive adaptation (35.54%), passive adaptation with reservations (8.33%), adaptation with frustration (6.20%), and adaptation and involvement (5.33%). These four types explained 55.40% of the total variance in the women's experience of adaptation to Korean culture and society. CONCLUSIONS This study provides data that may be helpful in understanding the challenges immigrant women in rural areas of Korea face, and in planning family-sensitive adaptation support programs for these women and their families.
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Affiliation(s)
- Misoon Jeon
- Department of Nursing Science, Baekseok University, Cheonan, Korea
| | - Okhee Ahn
- College of Nursing, Woosuk University, Wanju, Korea
| | - Minjeong An
- College of Nursing, Chonnam National University, Gwangju, Korea
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Lanzara R, Scipioni M, Conti C. A Clinical-Psychological Perspective on Somatization Among Immigrants: A Systematic Review. Front Psychol 2019; 9:2792. [PMID: 30705662 PMCID: PMC6344401 DOI: 10.3389/fpsyg.2018.02792] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 12/31/2018] [Indexed: 11/23/2022] Open
Abstract
Background: Somatic and psychopathological conditions (e.g., anxiety, depression, post-traumatic stress disorder, and somatization) are frequent among immigrants belonging to various ethnic groups. Worldwide findings on the epidemiology regarding specific mental conditions still vary with respect to different migration samples and migration contexts. This inconsistency also holds true in the incidence of somatization among migrants. We carried out a systematic review analyzing the relationship between migration and somatization by providing a qualitative data synthesis of original research articles on the topic. Methods: According to PRISMA guidelines, we conducted a systematic search of the literature on PubMed, Scopus, ISI Web of Science, PsycINFO, Google Scholar, and ScienceDirect. The articles were selected using multiple combinations of relevant search terms (e.g., defined somatization and related disorders, and migration status). Each database was searched systematically from January 2000 to December 2017. Results: The initial search identified 338 records, of which 42 research reports met the predefined inclusion criteria and were analyzed. Most studies (n = 38; 90%) were cross-sectional. The main findings of this study are that migrants with somatization exhibited more psychological distress, had an increased perceived need for healthcare service utilization, and reported more post-migration living difficulties and/or post-traumatic stress disorder than those without somatization. It was also found that specific individual features mediate the association between somatization and migration. The prevalence and correlates of somatization were found to vary across the immigrant groups, depending on cultural variation in reasons for migration, stress exposure, explanatory models of illness, coping, and other individual variables. Conclusion: Somatization is a challenge for health professionals due to its vague nature. In this regard, clinical management of immigrant patients should include further efforts to address emotional distress, with special attention to social, cultural, and linguistic differences.
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Affiliation(s)
- Roberta Lanzara
- Department of Psychological, Health and Territorial Sciences, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
| | - Mattia Scipioni
- Department of Psychological, Health and Territorial Sciences, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
| | - Chiara Conti
- Department of Psychological, Health and Territorial Sciences, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
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