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[影响已婚移民妇女未满足医疗保健需求的因素分析]

[Analysis of factors affecting unmet healthcare needs of married immigrant women].

作者信息

Kim Su Hee, Lee Chung Yul

机构信息

College of Nursing, Graduate School, Yonsei University, Seoul, Korea.

College of Nursing, Institute of Health Services Research, Yonsei University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2013 Dec;43(6):770-80. doi: 10.4040/jkan.2013.43.6.770.

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.

摘要

目的

本研究旨在确定影响已婚移民妇女未满足的医疗保健需求的因素。

方法

本研究是一项二次数据分析,使用了2009年多元文化家庭全国调查的数据。对从58735名有配偶的已婚移民妇女收集的数据进行了描述性统计、卡方检验和逻辑回归分析。

结果

总体而言,9.9%的已婚移民妇女有未满足的医疗保健需求。与未满足的医疗保健需求相关的显著预测因素包括年龄小、教育程度高、就业、原籍国、居住时间长、低收入、未参保、城市地区、主观健康状况差以及过去两周内有疾病经历。特别是,四个变量(居住时间长、低收入、主观健康状况和过去两周内有疾病经历)显著预测了所有原籍国妇女未满足的医疗保健需求。

结论

研究结果表明,与已婚移民妇女未满足的医疗保健需求相关的常见预测因素是居住时间长、低收入、主观健康状况和过去两周内有疾病经历。因此,减少未满足的医疗保健需求的干预策略应侧重于这些显著预测因素。

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