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      홍콩 이주 한인의 미충족 의료에 영향을 미치는 요인 = Factors Affecting Unmet Healthcare Needs among Korean Migrants in Hong Kong

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      https://www.riss.kr/link?id=A100326168

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      다국어 초록 (Multilingual Abstract)

      Objective: Despite numerous studies addressed health and health care issues among migrant populations, a majority of studies focused on migrants with lower socioeconomic status living in North America or Europe. The purpose of this study was to examine factors associated with unmet healthcare needs among Korean migrants in Hong Kong, Asia``s popular destination of immigration. Methods: The information on unmet healthcare needs among Korean immigrants were collected using a structured questionnaire. A total of 112 individuals responded the survey and 97 respondents were included in our analysis after excluding missing values. Results: Our results indicated that approximately 50% of Korean migrants have experienced unmet healthcare needs and the proportion of unmet healthcare needs was evenly spilt between male and female. In light of thefactors associated with unmet healthcare needs, we found that individuals who expressed trust in Korean physicians and those who do not have trust in Hong Kong-Chinese physicians were more likely to report unmet healthcare needs. In addition, English language proficiency, duration of immigration and total number of inmates were associated with unmet healthcare needs. Conclusion: Our findings provide empirical evidence regarding unmet healthcare needs among Korean migrant populations in Hong Kong. Thus, our study also suggests that the identified factors need to be considered for new comers to Korea in order to provide appropriate health care services.
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      Objective: Despite numerous studies addressed health and health care issues among migrant populations, a majority of studies focused on migrants with lower socioeconomic status living in North America or Europe. The purpose of this study was to examin...

      Objective: Despite numerous studies addressed health and health care issues among migrant populations, a majority of studies focused on migrants with lower socioeconomic status living in North America or Europe. The purpose of this study was to examine factors associated with unmet healthcare needs among Korean migrants in Hong Kong, Asia``s popular destination of immigration. Methods: The information on unmet healthcare needs among Korean immigrants were collected using a structured questionnaire. A total of 112 individuals responded the survey and 97 respondents were included in our analysis after excluding missing values. Results: Our results indicated that approximately 50% of Korean migrants have experienced unmet healthcare needs and the proportion of unmet healthcare needs was evenly spilt between male and female. In light of thefactors associated with unmet healthcare needs, we found that individuals who expressed trust in Korean physicians and those who do not have trust in Hong Kong-Chinese physicians were more likely to report unmet healthcare needs. In addition, English language proficiency, duration of immigration and total number of inmates were associated with unmet healthcare needs. Conclusion: Our findings provide empirical evidence regarding unmet healthcare needs among Korean migrant populations in Hong Kong. Thus, our study also suggests that the identified factors need to be considered for new comers to Korea in order to provide appropriate health care services.

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      참고문헌 (Reference)

      1 법무부, "출입국ㆍ외국인정책 통계월보: 2014년 2월호"

      2 외교부, "재외동포정책 및 현황. 2014. (2012년 12월말기준)"

      3 이민아, "이민 전·후의 연결망이 결혼이민자여성의 심리적 안녕감에 미치는 영향: 우울도와 삶의 만족도를 중심으로" 한국보건사회학회 (27) : 31-60, 2010

      4 김길용, "의사 신뢰의 구성요인" 한국보건사회학회 (29) : 129-152, 2011

      5 허순임, "우리나라 성인의 미 충족의료 현황: 연령 간의 차이를 중심으로" 한국보건경제정책학회 13 (13): 1-16, 2007

      6 김수정, "우리나라 가구 의료비부담과 미충족 의료 현황: 의료보장 형태와 경제적 수준을 중심으로" 한국보건경제정책학회 17 (17): 47-70, 2011

      7 송경신, "미충족 의료에 미치는 관련 요인 분석" 사단법인 대한보건협회 37 (37): 131-140, 2011

      8 신영전, "미 충족의료의 현황과 관련요인 -1차, 2차 한국복지패널자료를 이용하여-" 한국보건사회연구원 29 (29): 95-122, 2009

      9 유연이, "동포 대상 특화 서비스" YTN News

      10 Cha SJ, "Unmet health care needs of marriage migrant women in Korea" Seoul National University 2012

      1 법무부, "출입국ㆍ외국인정책 통계월보: 2014년 2월호"

      2 외교부, "재외동포정책 및 현황. 2014. (2012년 12월말기준)"

      3 이민아, "이민 전·후의 연결망이 결혼이민자여성의 심리적 안녕감에 미치는 영향: 우울도와 삶의 만족도를 중심으로" 한국보건사회학회 (27) : 31-60, 2010

      4 김길용, "의사 신뢰의 구성요인" 한국보건사회학회 (29) : 129-152, 2011

      5 허순임, "우리나라 성인의 미 충족의료 현황: 연령 간의 차이를 중심으로" 한국보건경제정책학회 13 (13): 1-16, 2007

      6 김수정, "우리나라 가구 의료비부담과 미충족 의료 현황: 의료보장 형태와 경제적 수준을 중심으로" 한국보건경제정책학회 17 (17): 47-70, 2011

      7 송경신, "미충족 의료에 미치는 관련 요인 분석" 사단법인 대한보건협회 37 (37): 131-140, 2011

      8 신영전, "미 충족의료의 현황과 관련요인 -1차, 2차 한국복지패널자료를 이용하여-" 한국보건사회연구원 29 (29): 95-122, 2009

      9 유연이, "동포 대상 특화 서비스" YTN News

      10 Cha SJ, "Unmet health care needs of marriage migrant women in Korea" Seoul National University 2012

      11 Chen J, "Unmet Needs for Health Care" 13 (13): 23-34, 2002

      12 Newacheck PW, "The unmet health needs of America's children" 105 (105): 989-997, 2000

      13 Yang JY, "The longitudinal trend and association factors of unmet medical need" Korea University 2010

      14 Lee C, "The association between perceived provider discrimination, healthcare utilization and health status in racial and ethnic minorities" 19 (19): 330-337, 2009

      15 Burgess DJ, "The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample" 19 (19): 894-911, 2008

      16 Andersen R, "Societal and individual determinants of medical care utilization in the United States" 51 (51): 95-124, 1973

      17 Deri C, "Social networks and health service utilization" 24 (24): 1076-1107, 2005

      18 Dunn JR, "Social determinants of health in Canada's immigrant population : results from the National Population Health Survey" 51 (51): 1573-1593, 2000

      19 PartnetNet, "Research and Statistics: Latest Staticitcs:Statistical Information for the Last 12 Months"

      20 Hummer R, "Race/ethnicity, nativity, and U.S. adult mortality" 80 : 136-153, 1999

      21 Fowler N, "Providing primary health care to immigrants and refugees : the North Hamilton experience" 159 (159): 388-391, 1998

      22 Casagrande SS, "Perceived discrimination and adherence to medical care in a racially integrated community" 22 (22): 389-395, 2007

      23 Wong EL, "Patient experiences with public hospital care : first benchmark survey in Hong Kong" 18 (18): 371-380, 2012

      24 Cho Y, "Nativity, Duration of Residence, and the Health of Hispanic Adults in the United States1" 38 (38): 184-211, 2004

      25 Lee SR, "Migration and health : a theoretical perspective" ICM MRTC 2011

      26 Cho YT, "Migration and Health : A Comparative Study of Mortality Profiles between Korean Americans and Koreans" 4 (4): 207-234, 2001

      27 Ali J, "Mental Health of Canada’s Immigrants" 13 : 1-11, 2002

      28 Ku L, "Left out : immigrants' access to health care and insurance" 20 (20): 247-256, 2001

      29 Bowen S., "Language barriers in access to health care"

      30 Kim, H., "Korean Language and Korean Studies in Hong Kong." 7 (7): 141-153, 2010

      31 World Health Organization (WHO)., "International Migration, Health and Human Rights" Health & Human Rights Publication 2003

      32 United Nation(UN)., "International Migration Report 2009: A Global Assessment. Department of Economic and Social Affairs" UN 1-334, 2011

      33 McDonald JT, "Insights into the 'healthy immigrant effect' : health status and health service use of immigrants to Canada" 59 (59): 1613-1627, 2004

      34 Waterstone M, "Incidence and predictors of severe obstetric morbidity: case-control study" 322 (322): 1089-1093, 2001

      35 Frisbie WP, "Immigration and the health of Asian and Pacific Islander adults in the United States" 153 (153): 372-380, 2001

      36 Derose KP, "Immigrants and health care : sources of vulnerability" 26 (26): 1258-1268, 2007

      37 Wu Z, "Immigrant status and unmet health care needs" 96 (96): 369-373, 2005

      38 Wu,. Z, "Immigrant Status and Unmet Health Care Needs in British Columbia" Research on Immigration and Integration 2004

      39 Yamashiro G, "Help-seeking among Asian and Pacific Americans : a multiperspective analysis" 42 (42): 176-186, 1997

      40 Kuo J, "Health status of Asian Americans: United States, 1992-94" (298) : 1-16, 1998

      41 Solé-Auró A, "Health of Immigrants in European Countries1" 42 (42): 861-876, 2008

      42 Leclere FB, "Health care utilization, family context, and adaptation among immigrants to the United States" 35 (35): 370-384, 1994

      43 Joh HK, "Gender and socioeconomic status in relation to weight perception and weight control behavior in Korean adults" 6 (6): 17-27, 2013

      44 Huh SJ, "Factors influencing unmet needs for health care by income groups" Seoul National University 2010

      45 Jeon BY, "Factors affecting health care utilization and unmet health care needs of the disabled population in Korea" Seoul National University 2014

      46 Cordasco KM, "English language proficiency and geographical proximity to a safety net clinic as a predictor of health care access" 13 (13): 260-267, 2011

      47 Brice-Baker J, "Domestic violence in african-american and african-caribbean families" 3 (3): 23-38, 1994

      48 Bostean G., "Does selective migration explain the Hispanic paradox? A comparative analysis of Mexicans in the U.S. and Mexico" 15 (15): 624-635, 2013

      49 Fiscella K, "Disparities in health care by race, ethnicity, and language among the insured : findings from a national sample" 40 (40): 52-59, 2002

      50 Cunningham PJ, "Differences between symptom-specific and general survey questions of unmet need in measuring insurance and racial/ethnic disparities in access to care" 45 (45): 842-850, 2007

      51 Diamant AL, "Delays and unmet need for health care among adult primary care patients in a restructured urban public health system" 94 (94): 783-789, 2004

      52 Choi JY, "Contextual effects on health care access among immigrants : lessons from three ethnic communities in Hawaii" 69 (69): 1261-1271, 2009

      53 Browne C, "Asian and Pacific Island elders : issues for social work practice and education" 39 (39): 252-259, 1994

      54 Kim JE, "Acculturation stress and adjustment program development for international students" Aju University 2009

      55 Setia MS, "Access to health-care in Canadian immigrants : a longitudinal study of the National Population Health Survey" 19 (19): 70-79, 2011

      56 Lasser KE, "Access to care, health status, and health disparities in the United States and Canada : results of a cross-national population-based survey" 96 (96): 1300-1307, 2006

      57 Census and Statistics Department, "2011 Population Cencus - Thematic Report : Ethnic Minorities" Census and Statistics Department, Hong Kong Special Administrative Region 1-152, 2011

      58 보건복지부, "2009 국민건강영양조사통계: 국민건강영양조사 제4기 3차년도" 2011

      59 Asanin J, ""I spent nine years looking for a doctor":exploring access to health care among immigrants in Mississauga, Ontario, Canada" 66 (66): 1271-1283, 2008

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