Pongthippat Weerati, Östlund Gunnel, Darvishpour Mehrdad, Kijsomporn Jureerat, Gustafsson Lena-Karin
School of Health, Care and Social Welfare, Mälardalen University, Box 325, Eskilstuna, 631 05, Sweden.
Mental Health and Psychiatric Nursing Department, Boromarajonani College of Nursing, Udon Thani, Thailand.
BMC Womens Health. 2024 Jun 12;24(1):337. doi: 10.1186/s12905-024-03071-6.
Women who are migrants experience discrimination and face major risks, including sexual exploitation, trafficking, and violence, which affect their health and well-being. This study explored critical health incidents experienced by immigrant Thai women in marriage migration.
A qualitative explorative approach with in-depth interviews was used. Forty immigrant Thai women who currently or previously had a Swedish spouse were recruited for the study. An inductive critical incident technique was used to collect and analyze the data as the first step. In a second deductive step, the Newman system model was used to categorize health dilemmas.
The women reported 438 critical health incidents in five main areas. Psychological health dilemmas included emotional abuse, feeling overwhelmed due to family responsibilities and the stress of leaving family behind. Sociocultural health dilemmas included transnational family duties or not performing family duties. Physiological health dilemmas included experiencing physical violence and environmental, domestic or work accidents. Developmental health dilemmas included failing health, difficulties upholding the duties expected of a spouse in the target culture and caring for an elderly husband. Spiritual health dilemmas included critical incidents in which the women perceived themselves to have failed in their hopes and duties as a wife, which intensified their dependence on faith, particularly the Buddhist concept of karma.
Professionals in health and welfare practices in Thailand together with professionals in Western countries who work with women in marriage migration situations need to recognize the psychological, sociocultural, physiological, developmental, and spiritual health dilemmas experienced by these women. Furthermore, civil organizations that meet Thai women in foreign countries, such as Buddhist cultural associations, would benefit from the multicultural knowledge revealed by the present study. This knowledge can facilitate healthcare and welfare support for women in marriage migration situations.
移民女性遭受歧视并面临重大风险，包括性剥削、人口贩卖和暴力，这些都会影响她们的健康和福祉。本研究探讨了泰国移民女性在婚姻移民中经历的重大健康事件。
采用定性探索性方法并进行深入访谈。招募了40名目前或曾经有瑞典配偶的泰国移民女性参与研究。第一步使用归纳性关键事件技术来收集和分析数据。第二步采用演绎法，使用纽曼系统模型对健康困境进行分类。
这些女性报告了五个主要领域的438起重大健康事件。心理健康困境包括情感虐待、因家庭责任和与家人分离的压力而感到不堪重负。社会文化健康困境包括跨国家庭责任或未能履行家庭责任。生理健康困境包括遭受身体暴力以及遭遇环境、家庭或工作事故。发展健康困境包括健康状况不佳、难以履行目标文化中配偶应尽的职责以及照顾年迈的丈夫。精神健康困境包括一些关键事件，在这些事件中，女性认为自己作为妻子的希望和职责未能实现，这加剧了她们对信仰的依赖，尤其是佛教的因果报应观念。
泰国健康与福利领域的专业人员以及在婚姻移民情况下与女性打交道的西方国家专业人员需要认识到这些女性所经历的心理、社会文化、生理、发展和精神健康困境。此外，在国外接触泰国女性的民间组织，如佛教文化协会，将受益于本研究揭示的多元文化知识。这些知识有助于为处于婚姻移民状况的女性提供医疗保健和福利支持。
