Application of Andersen Model to Verify Utilization of Maternal and Child's Preventive Care Among South-East Asian Immigrant Women in Taiwan: Influence of Acculturation and Associated Factors

2.50
Hdl Handle:
http://hdl.handle.net/10755/335324
Category:
Full-text
Type:
Presentation
Title:
Application of Andersen Model to Verify Utilization of Maternal and Child's Preventive Care Among South-East Asian Immigrant Women in Taiwan: Influence of Acculturation and Associated Factors
Author(s):
Kuo, Shu-Fen; Chen, Ching-Min; Chang, Wen-Yin
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Shu-Fen Kuo, PhD, sfkuo6@tmu.edu.tw; Ching-Min Chen, DNS; Wen-Yin Chang, RN, PhD
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: This is a report of utilization of maternal and child's preventive care based on Andersen health seeking behavior model. The purpose of this study was to examine the predisposing, enabling, need factors among immigrant women in Taiwan, and further to explore acculturation and other predictors of both utilizations. Methods: A cross-sectional survey was conducted. Immigrant women who were living in Taiwan with their Taiwanese husbands and with children under 7 years old were included. Andersen behavior model (1995) was used to identify influencing factors with acculturation and medical access barrier be added in the enabling factors, and health status in need factor. The Structural Equation Modeling (SEM) method was used by SPSS 17.0 and AMOS 18.0 for data analysis. Results: The completed sample included 284 women lived in 2 counties of Taiwan who were in 28.6 years old (SD=4.33) averaged. Results showed that the Chi-square test for the model produced a statistically significant finding (?2 =568.74, df =206, p=0.001; ?2 =539.86, df =206, p=0.001) of maternal and child's preventive care use. Based on the ?2/ df ratio (2.76; 2.62), the second-order factor baseline model fits the data quite well (CFI =0.826, RMSEA =0.079; CFI =0.837, RMSEA =0.076). There were four factors significantly predicted utilization of maternal preventive care: length of stay in Taiwan, educational level in original country, perceived support and integration. And three factors significantly predicted utilization of child's preventive care: family income, perceived support and integration. Conclusion: Our findings indicated a significant relationship of predisposing and enabling factors with utilization of maternal and child's preventive care. This study demonstrated that acculturation was a vivid factor to influence the utilization of maternal and child's preventive care use. Clinical interventions based on these results should be developed and further to examine its effects in order to improve health behavior of immigrant women who might be in different acculturation and need more health support.
Keywords:
immigrant women; health prevention services utilization; acculturation
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST163
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleApplication of Andersen Model to Verify Utilization of Maternal and Child's Preventive Care Among South-East Asian Immigrant Women in Taiwan: Influence of Acculturation and Associated Factorsen
dc.contributor.authorKuo, Shu-Fenen
dc.contributor.authorChen, Ching-Minen
dc.contributor.authorChang, Wen-Yinen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsShu-Fen Kuo, PhD, sfkuo6@tmu.edu.tw; Ching-Min Chen, DNS; Wen-Yin Chang, RN, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/335324-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: This is a report of utilization of maternal and child's preventive care based on Andersen health seeking behavior model. The purpose of this study was to examine the predisposing, enabling, need factors among immigrant women in Taiwan, and further to explore acculturation and other predictors of both utilizations. Methods: A cross-sectional survey was conducted. Immigrant women who were living in Taiwan with their Taiwanese husbands and with children under 7 years old were included. Andersen behavior model (1995) was used to identify influencing factors with acculturation and medical access barrier be added in the enabling factors, and health status in need factor. The Structural Equation Modeling (SEM) method was used by SPSS 17.0 and AMOS 18.0 for data analysis. Results: The completed sample included 284 women lived in 2 counties of Taiwan who were in 28.6 years old (SD=4.33) averaged. Results showed that the Chi-square test for the model produced a statistically significant finding (?2 =568.74, df =206, p=0.001; ?2 =539.86, df =206, p=0.001) of maternal and child's preventive care use. Based on the ?2/ df ratio (2.76; 2.62), the second-order factor baseline model fits the data quite well (CFI =0.826, RMSEA =0.079; CFI =0.837, RMSEA =0.076). There were four factors significantly predicted utilization of maternal preventive care: length of stay in Taiwan, educational level in original country, perceived support and integration. And three factors significantly predicted utilization of child's preventive care: family income, perceived support and integration. Conclusion: Our findings indicated a significant relationship of predisposing and enabling factors with utilization of maternal and child's preventive care. This study demonstrated that acculturation was a vivid factor to influence the utilization of maternal and child's preventive care use. Clinical interventions based on these results should be developed and further to examine its effects in order to improve health behavior of immigrant women who might be in different acculturation and need more health support.en
dc.subjectimmigrant womenen
dc.subjecthealth prevention services utilizationen
dc.subjectacculturationen
dc.date.available2014-11-17T13:49:45Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:49:45Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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