Cross-Cultural Comparisons of Health-Related Quality of Life between Taiwanese Women and Transnational Marriage Vietnamese Women in Taiwan

越南籍跨國婚姻婦女與台灣版生活品質婦女常模之跨文化比較

10.1097/JNR.0b013e31820bebcd

楊詠梅(Yung-Mei Yang)；王秀紅(Hsiu-Hung Wang)

跨國婚姻婦女 ； 健康生活品質 ； 移民健康 ； transnational marriage women ； health-related quality of life HRQL ； immigrant health

The Journal of Nursing Research

19卷1期（2011 / 03 / 01）

44 - 52

英文

背景　根據內政部統資料顯示，至2010年為止，東南亞外籍配偶在台人數約十三萬人，其中68%來自於越南，雖然越南籍跨國婚姻婦女為最大宗的移民族裔，但其健康狀態的研究卻很少。 目的　為探討越南籍跨國婚姻婦女之健康生活品質並與台灣版SF-36常模比較。 方法　以橫斷式問卷調查收集資料，收案時間是2007年6月至2008年7月，以方便及滾雪球法取樣自高雄縣市、台南縣市以及屏東縣市等地區之越南籍跨國婚姻婦女共203人。研究工具包括人口學資料表，以及編修後的越南文SF-36V2。用以跨文化比較的台灣版SF-36常模為，行政院衛生署國民健康局人口與健康調查研究中心，於2001年國民健康調查12歲（含以上）的受訪者18,142人為分析樣本，所建立的台灣版SF-36常模。 結果　本研究發現，越南籍跨國婚姻婦女的健康生活品質狀況比國人婦女低，研究結果顯示，越南籍跨國婚姻婦女的健康生活品質，比國人婦女健康生活品質在七個面向分數都較低，包括身體功能、因身體問題所引起的角色限制、一般健康知覺、活力、社會功能、因情緒問題所引起的角色限制、和心理健康等。而越南籍跨國婚姻婦女在身體疼痛面向分數較高。 結論　越南籍跨國婚姻婦女的身體疼痛、疲憊、身心症、社會孤立以及心理健康等問題應被關切，本研究結果可提供政府對跨國婚姻婦女健康政策制訂的依據。

Background: According to the Ministry of the Interior, Department of Statistics, Taiwan, ROC (2010), Taiwan is home to 131,000 Southeast Asian female spouses holding valid resident permits. More than two thirds (68%) of this number is from Vietnam. An understanding of health-related quality of life (HRQL) among female Vietnamese spouses is essential to develop appropriate health policies and interventions for this population. Purpose: The purpose of this study was to compare HRQL values between the general Taiwan female spouse population and the female Vietnamese spouses living in Taiwan. Methods: This study was conducted in a community-based health center in southern Taiwan and targeted households with Vietnamese wives in the Tainan, Kaohsiung, and Pingtung areas. A total of 203 female Vietnamese spouses were included in this study, with data collected using questionnaires between June 2007 and July 2008. Research instruments included the Demographic Inventory Scale and the 36-Item Short Form Version 2. The general population norm was based on the findings of the Center for Population and Health Survey Research, Bureau of Health Promotion, Department of Health in Taiwan (2001) using the 36-Item Short Form Version 2, with norm scoring based on 18,142 subjects aged 12 years and older. Results: Cross-cultural comparisons indicate that Vietnamese immigrant women have a generally lower HRQL mean score than Taiwanese women in terms of seven dimensions, including physical functioning, role limitations due to physical health, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. Only one domain, bodily pain, showed a slightly higher level among Vietnamese spouse respondents. This result is consistent with previous studies that indicate immigrant health status is generally lower than that of the people in the host society. Conclusions: High bodily pain, low vitality, somatization, social isolation, and mental health issues were discussed and should of concern to future policymakers. This study can inform the government regarding which references to use to make appropriate health policies for immigrant women and their families.

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