Lee Da Eun, Lee Ji-Eun, Park So Yun, Chung Hye Won
Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul, Korea.
Department of International Studies, Graduate School of International Studies, Ewha Womans University, Seoul, Korea.
Obstet Gynecol Sci. 2018 Jan;61(1):118-126. doi: 10.5468/ogs.2018.61.1.118. Epub 2017 Dec 29.
This study aimed to analyze the association of socioeconomic factors, acculturation, and body mass index (BMI) as the first large prospective cohort study to determine the state of health of Vietnamese-born migrant women residing in Korea.
Participants were Vietnamese marriage-based immigrant women living in Korea. Data (n=1,066) was collected during both periods of baseline (2006-2011) and follow-up (2012-2014) in 34 cities in Korea.
The results show that acculturation stress is relatively low among participants. Current BMI showed a significant difference according to the current age, monthly family income, and psychophysical stress. Depending on age, education level, monthly family income, we identified a significant difference in the annual BMI change. In correlation analysis, current BMI was significantly associated with age at arrival, reading and writing in Korean language adaptation, and psychophysical stress. Annual BMI change was significantly associated with age at arrival and years since immigration.
Our analysis revealed that acculturation measured by Acculturative Stress Scale for International Students had no association with current BMI or annual BMI change, but had an association with several socioeconomic statuses. This study had the advantage that subjects had a homogenous background of marriage-based immigrant women, so we could see the association of BMI and acculturation, without considering cofounding factors.
本研究旨在分析社会经济因素、文化适应与体重指数(BMI)之间的关联,这是第一项大型前瞻性队列研究,旨在确定居住在韩国的越南出生移民女性的健康状况。
研究对象为居住在韩国的越南婚姻移民女性。在韩国34个城市的基线期(2006 - 2011年)和随访期(2012 - 2014年)收集数据(n = 1066)。
结果显示,参与者的文化适应压力相对较低。当前BMI根据当前年龄、家庭月收入和身心压力存在显著差异。根据年龄、教育水平、家庭月收入,我们发现年度BMI变化存在显著差异。在相关性分析中,当前BMI与抵达年龄、韩语读写适应能力以及身心压力显著相关。年度BMI变化与抵达年龄和移民年限显著相关。
我们的分析表明,用国际学生文化适应压力量表衡量的文化适应与当前BMI或年度BMI变化无关,但与几种社会经济状况有关。本研究的优势在于研究对象具有基于婚姻的移民女性这一同质背景,因此我们可以在不考虑混杂因素的情况下观察BMI与文化适应之间的关联。