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이주민 취업자의 건강검진 참여와 인구사회학적 및 건강관련 특성과의 관계
채덕희,아사미 게이꼬,김나경 한국보건사회학회 2023 보건과 사회과학 Vol.- No.64
건강검진은 질병의 조기 진단 및 치료를 가능하게 하여 개인의 건강수준 향상과 국가의 질병부담 완화에 기여한다. 본 연구의 목적은 국내 이주민 취업자를 대상으로 건강검진 참여 현황과건강검진 참여에 영향을 미치는 요인을 인구사회학적 특성과 건강관련 특성을 중심으로 분석하는 것이다. 본 연구는 ‘2022년 광주광역시 이주민 건강실태조사’ 자료를 이용한 이차자료 분석연구이다. 본 연구에서는 20세 이상이며 취업 중인 이주민 243명을 연구대상자로 선정하였다. 연구변수는 최근 2년간 건강검진 참여, 인구사회학적 특성(10개 변수), 건강관련 특성(7개 변수)이었다. 건강검진 참여의 영향요인을 파악하기 위해 이분형 로지스틱 회귀분석(logistic regression analysis)을 실시하였다. 연구결과 이주민 취업자의 건강검진 참여율은 66.3%(161명)이었다. 건강검진 참여에 영향을 미치는 요인은 업종(OR=3.99, 95% CI 1.50-10.63), 월평균 소득(OR=4.09, 95% CI 1.48-11.32), 건강정보에 대한 관심(OR=3.27, 95% CI 1.26-8.50)이었다. 건설업·농림어업에 종사하고, 월평균 소득이 150만 원 미만이며, 건강정보에 관심이 낮은이주민이 건강검진에 참여하지 않을 가능성이 높은 취약 집단이었다. 이주민 취업자의 건강보호를 위해서는 이주민이 집중 고용되어 있는 농림어업·건설업 소규모 사업장에 대한 산업안전규제와 감독을 보완하는 제도적인 개선이 필요하다. 더불어 예방적 차원의 건강관리에 대한 이주민 취업자의 인식제고를 위해 이주민의 언어와 문화에 적절한 건강정보를 개발하고 활용해야할 것이다. Health examinations facilitate early diagnosis and treatment of diseases, contributing to the improvement of individuals’ health and the reduction of the burden on the nation's healthcare services. The purpose of this study was to identify the sociodemographic and health-related factors associated with participation in health examinations among migrant workers in South Korea. This study was a secondary data analysis study using data from the 2022 Gwangju city migrant health status survey. In this study, 243 employed migrants aged 20 years or older were selected as the study subjects. We used 18 variables and conducted logistic regression analyses to identify predictors for participation in health examinations. A total of 66.3% of the subjects participated in health examinations. The factors that influenced health examination participation were industry type (OR=3.99, 95% CI 1.50-10.63), monthly income (OR=4.09, 95% CI 1.48-11.32), and interest in health information (OR=3.27, 95% CI 1.26-8.50). Migrants who worked in agricultural, fishery, and construction industries, had a monthly income of less than 1.5 million won, and had low interest in health information were more likely to not participate in health examinations. To protect the health of migrant workers, institutional improvement is needed to supplement industrial safety regulations and supervision for small businesses in the agricultural, fishery, and construction industries, where migrants are concentrated. In addition, to raise the awareness of migrant workers about the importance of preventive health care, it is necessary to develop and utilize health information that is appropriate for their language and culture.
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채덕희,김자선,아사미 게이꼬,김종대 한국보건교육건강증진학회 2019 보건교육건강증진학회지 Vol.36 No.3
Objectives: The purpose of this study was to identify factors associated with the self-rated health of migrant workers and to compare the difference between factors according to the length of stay. Methods: Study subjects were 8,696 migrant workers in Korea who worked at least 40 hours a week. Data were analyzed using logistic regression. Results: Of the subjects, 24.1% rated their health as poor. In the group with more than 10 years of residence in Korea, two times more people rated their health poor than the group of less than 3 years. Factors associated with health were relationship satisfaction, life satisfaction, leisure satisfaction, roommates, discrimination, residential environment satisfaction, unmet health needs, job satisfaction, and income satisfaction. Regardless of the length of stay, relationship satisfaction, unmet health needs, and job satisfaction were common influences. As the length of stay increased, while the significance of employment insurance and life satisfaction decreased, leisure satisfaction, income satisfaction, and Korean language ability increased. Conclusions: The findings suggest that measures to protect the health of migrant workers should begin early in migration. Furthermore, for influencing factors differ depending on the length of residence, health policies for migrant workers should be developed according to the different lengths.
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중국동포와 베트남 귀화 이주민의 주관적 건강에 대한 예측요인: 민족과 젠더의 영향을 중심으로
채덕희,김나경,아사미 게이꼬 다문화건강학회 2024 다문화건강학회지 Vol.14 No.2
Purpose: This study aimed to investigate the impact of individual, social, and migration-related factors on self-rated health among Korean-Chinese and Vietnamese naturalized citizens, and to compare the predictors of self-rated health across ethnic and gender groups. Methods: A logistic regression analysis was conducted on 2,737 adult naturalized citi- zens using data from the 2022 Survey on Immigrants’ Living Condition and Labour Force. Results: A Korean-Chinese ethnicity and the female gender predicted poor self-rated health, along with older age, lower education, single status, lower income, employment status, lower life satisfaction, poor Korean language proficiency, and perceived discrimination. Life satisfaction and Korean proficiency were predictors of self-rated health among Vietnamese naturalized citizens, whereas various individual, social, and migration-related factors predicted self-rated health among the Korean-Chinese. Ethnicity, marital status, and Korean language proficiency were significant predictors of self-rated health exclusively among women. Conclusion: Ethnicity and gender significantly influenced self-rated health, with predictors varying across subgroups. This study emphasizes the need for ethnicity- and gender-sensitive health policies for naturalized citizens.
KCI
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