결혼 이주 여성의 미충족 의료에 미치는 영향 요인분석 = Analysis of Factors Affecting Unmet Healthcare Needs of Married Immigrant Women

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify the factors affecting the unmet healthcare needs of married immigrant women. Methods: This study was a secondary data analysis using data from the 2009 National Survey of Multicultural Families. Data collected from 58,735 married immigrant women who had spouses were analyzed using descriptive statistics, Chi-square test, and logistic regression.
Results: Overall, 9.9% of married immigrant women have unmet healthcare needs. The significant predictors related to unmet healthcare needs were young age, high level of education, employed, country of origin, long period of residence, low income, uninsured, urban area, low level of subjective health status, and illness experience over past two weeks. In particular, four variables (long period of residence, low income, subjective health status, and illness experience over past two weeks) significantly predicted unmet healthcare needs for women from all countries of origin. Conclusion: The results of the study indicate that common predictors related to unmet healthcare needs of married immigrant women are a long period of residence, low income, subjective health status, and illness experience over past two weeks. Therefore intervention strategies to decrease unmet healthcare needs should focus on these significant predictors.

참고문헌 (Reference)

1 양숙자, "한국 거주 여성결혼이민자의 건강상태, 보건의료이용과 관련요인에 관한 연구" 한국보건간호학회 24 (24): 323-335, 2010

2 김진구, "저소득층의 의료 이용과 욕구 미충족에 영향을 미치는 요인" 한국사회복지연구회 37 (37): 5-33, 2008

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

4 김춘미, "여성결혼이민자의 보건의료이용실태와 보건의료요구도 조사" 지역사회간호학회 22 (22): 333-341, 2011

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

6 양숙자, "국내 여성결혼이민자의 출신국별 건강행위와 관련 요인" 지역사회간호학회 22 (22): 66-74, 2011

7 장인순, "결혼이민여성의 산전관리 실태와 영향요인" 여성건강간호학회 16 (16): 326-335, 2010

8 Kim, S. J., "Unmet needs for health care among Korean adults" Seoul National University 2008

9 Pledger, M. J., "Unmet need of GP services in Pacific people and other New Zealanders" 124 (124): 35-45, 2011

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

11 Oh, Y. H., "The supply status of health care institutions and hospital beds" 129 : 1-8, 2012

12 Choi, S. G, "The status and countermeasure of multicultural family in rural"

13 Siddiqi, A, "The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care: Comparing the United States to Canada" 69 (69): 1452-1459, 2009

14 Kim, H. R., "The reproductive health and policy subject in the international foreign wives" Korea Institute for Health and Social Affairs 2008

15 Ministry of Health & Welfare, "The National Health Plan 2020" Author 2011

16 Dunn, J. R., "Social determinants of health in Canada's immigrant population : Results from the National Population Health Survey" 51 (51): 1573-1593, 2000

17 Andersen, R. M., "Revisiting the behavioral model and access to medical care: Does it matter?" 36 (36): 1-10, 1995

18 Statistics Korea, "Internal migration statistics: Number of internal migrants for city, county, and distric"

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

20 Kim, H. R., "Health status of marriage-based immigrants in Korea and policy directions" 165 : 46-57, 2010

21 Seol, D. H., "Foreign wives’ life in Korea: Focusing on the policy of welfare and health" Ministry of Health & Welfare 2005

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

23 Statistics Korea, "Current population survey: Birth, death, marriage and divorce"

24 Donabedian, A., "Aspects of Medical Care Administration: Specifying requirements for health care" Harvard University Press 1973

25 Kim, J. H., "A study of factors in unmet medical need and equity" Yonsei University 2012

26 Kim, S. K., "A national survey on multicultural families 2009" Ministry of Health & Welfare, Ministry of Justice Republic of Korea, Ministry of Gender Equality & Family Republic of Korea, The Korea Institute for Health and Social Affairs 2010