Journal List > J Korean Acad Nurs > v.44(3) > 1002987

Park and Choi: Development of Reproductive Health Program and Identification of Effect for Married Women Immigrants

Abstract

Purpose

This study was done to develop a reproductive health program to improve reproductive health of women immigrants.

Methods

The participants in the study were 58 immigrant women who lived in Vietnam, China, Philippines, or Cambodia before marriage. They were assigned to the experiment group (n=29) or the control group (n=29). The reproductive health program for this study consisted of reproductive health education, health counseling, phone monitoring, and emotional support based on Cox (1982)'s Interaction Model of Client Health Behavior and was implemented for four weeks.

Results

There were significant differences in reproductive health knowledge (t=9.78, p<.001), reproductive health attitude (t=6.59, p<.001), and reproductive health behavior (t=5.11, p<.001) within and between groups after the reproductive health program. But there were no significant differences in clinical indicators between the two groups.

Conclusion

The results of this study indicate the that reproductive health program for the women immigrants is effective in terms of reproductive health knowledge, reproductive health attitude and reproductive health behaviors. Therefore, nurses in public and private facilities, such as multicultural centers and public health centers in each community, should develop strategies to expand and provide reproductive health programs for women immigrants.

Figures and Tables

Table 1
Homogeneity Test of General Characteristics (N=58)
jkan-44-248-i001

*Fisher's exact probability test; Exp.=Experimental group; Cont.=Control group.

Table 2
Homogeneity Test of Reproductive Health Related Characteristics (N=58)
jkan-44-248-i002

*Fisher's exact probability test; Exp.=Experimental group; Cont.=Control group; HPV=Human papilloma virus; Pap=Papanicolaou; BMI=Body mass index.

Table 3
Homogeneity of Dependent Variables (N=58)
jkan-44-248-i003

Exp.=Experimental group; Cont.=Control group; STD=Sexual transmitted disease; RBC=Red blood cell; WBC=White blood cell; Hb=Hemoglobin; Hct=Hematocrit.

Table 4
Comparison of reproductive Health Knowledge, Reproductive Health Attitude, Reproductive Health Behavior among the Two Groups after Reproductive Health Program (N=58)
jkan-44-248-i004

Exp.=Experimental group; Cont.=Control group; RS=reproductive system; STD=Sexual transmitted disease.

Table 5
Comparison of Results of Clinical Indicators for Two Groups after Program (N=58)
jkan-44-248-i005

Exp.=Experimental group; Cont.=Control group; RBC=Red blood cell; WBC=White blood cell; Hb=Hemoglobin; Hct=Hematocrit.

Notes

This manuscript is based on a part of the first author's doctoral dissertation from Gyeongsang National University.

References

1. Statistics Korea. Annual report on the marriages and divorces statistics: Based on vital registration. Daejeon: Author;2013.
2. Ministry of Security and Public Administration. Statistics on foreign residents by local governments in 2012 [Internet]. Seoul: Author;2012. cited 2013 July 6. Available from: www.mospa.go.kr/frt/bbs/type001/commonSelectBoardArticledo?bbsId=BBSMSTR_000000000014&nttId=35593.
3. Kim GS, Moon SS. Perceived health status, health behavior, and marital satisfaction in married immigrant women. J Korean Acad Public Health Nurs. 2011; 25(2):174–186.
4. Kim HJ, Sim MJ, Oh HS. The knowledge of menstruation, attitude for menstruation, and knowledge of contraception for immigrant women in international marriages. J Digit Policy Manage. 2012; 10(5):307–314.
5. The International Conference on Population and Development. Programme of action of the international conference on population and development. Chapter VII: Reproductive rights and reproductive health [Internet]. Cairo, EG: Author;1994. cited 2013 July 6. Available from: http://www.unfpa.org/icpd/icpd-programme.cfm#ch7.
6. Choi SY, Park MN. Knowledge about cervical cancer and health beliefs on HPV vaccination in immigrant women. J Korean Data Anal Soc. 2012; 14(3):1399–1410.
7. Jeon MS, Kang KJ, Park SH. A study on pregnancy, delivery, and infant rearing knowledge and educational need of marriage immigrant women. J Agric Med Community Health. 2011; 36(3):179–190. http://dx.doi.org/10.5393/JAMCH.2011.36.3.179.
8. Seol DH, Kim YT, Kim HM, Yoon HS, Lee HK, Yim KT, et al. Foreign wives' life in Korea: Focusing on the policy of welfare and health. Gwacheon: Ministry of Health & Welfare;2005.
9. Kim HR, Hwang NM, Jang IS, Yun KJ, Kang BJ. Reproductive health status of women marriage immigrants in Korea and policy directions. Seoul: Korea Institute for Health and Social Affairs;2008. Report No.: Policy Paper 2008-66.
10. Kim HJ. A study of spousal support, the demand for health education, and quality of life for married female immigrants. Korean J Women Health Nurs. 2008; 14(1):5–11.
11. Jang IS, Hwang NM, Yoon MS, Park S. Current status and factors affecting prenatal care by married immigrant women. Korean J Women Health Nurs. 2010; 16(4):326–335. http://dx.doi.org/10.4069/kjwhn.2010.16.4.326.
12. Kim MJ, Kim TI, Kwon YJ. A study on health promotion behavior and contraception in married immigrant women. Korean J Women Health Nurs. 2008; 14(4):323–332. http://dx.doi.org/10.4069/kjwhn.2008.14.4.323.
13. Kim EH, Lee E, Kim MJ, Park DY, Lee SH. Effects of an educational program of pregnancy and delivery on pregnancy related knowledge, newborn care knowledge, and postpartum care self-efficacy of marriage immigrant women. J Korean Acad Nurs. 2010; 40(1):78–87. http://dx.doi.org/10.4040/jkan.2010.40.1.78.
14. Hyun KJ, Kim YS. Development of a Korean life adaptation measure for female marriage immigrants. Health Soc Welf Rev. 2011; 31(4):63–100.
15. Cox CL. An interaction model of client health behavior: Theoretical prescription for nursing. ANS Adv Nurs Sci. 1982; 5(1):41–56.
16. He D, Zhou Y, Ji N, Wu S, Wang Z, Decat P, et al. Study on sexual and reproductive health behaviors of unmarried female migrants in China. J Obstet Gynaecol Res. 2012; 38(4):632–638. http://dx.doi.org/10.1111/j.1447-0756.2011.01753.x.
17. Wong LP. An exploration of knowledge, attitudes and behaviours of young multiethnic Muslim-majority society in Malaysia in relation to reproductive and premarital sexual practices. BMC Public Health. 2012; 12:865. http://dx.doi.org/10.1186/1471-2458-12-865.
18. Women's Health Nursing Learing Communities. Women's health nursing (I, II): Maternity nursing. 7th ed. Paju: Soomoonsa;2012.
19. Kwag HS. Development and evaluation of health promotion program for the pre-hypertensive middle aged group [dissertation]. Daegu: Keimyung University;2005.
20. Kim HJ. Effects of health promotion program for stroke patients at home [dissertation]. Daegu: Keimyung University;2004.
21. Cohen J. A power primer. Psychol Bull. 1992; 112(1):155–159.
22. Lee EJ, Park JS. Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. J Korean Oncol Nurs. 2011; 11(1):65–73. http://dx.doi.org/10.5388/jkon.2011.11.1.65.
23. Lu C, Xu L, Wu J, Wang Z, Decat P, Zhang WH, et al. Sexual and reproductive health status and related knowledge among female migrant workers in Guangzhou, China: A cross-sectional survey. Eur J Obstet Gynecol Reprod Biol. 2012; 160(1):60–65. http://dx.doi.org/10.1016/j.ejogrb.2011.10.001.
24. Ahn S, Park I, Han JS, Kim TI, Kwak MS, Chung HS. Health behaviors, reproductive health history, and sexual behaviors of college students. Korean J Women Health Nurs. 2008; 14(3):205–212.
25. Lee GM, Choi YH. Effects of newborn care education program on child-rearing knowledge, child-rearing stress, and child-rearing self-efficacy of immigrant pregnant women. J Korean Acad Public Health Nurs. 2012; 26(3):561–571. http://dx.doi.org/10.5932/JKPHN.2012.26.3.561.
26. Chung C, Lee S, Hwang S, Park E. Systematic review of exercise effects on health outcomes in women with breast cancer. Asian Nurs Res. 2013; 7(3):149–159.
27. Jeon Y, Lee H. The effect of sex education program on high school girls' knowledge and attitude toward sex. J Korean Living Sci Assoc. 2007; 16(6):1251–1268. http://dx.doi.org/10.5934/KJHE.2007.16.6.1251.
28. Shin KR, Park HJ, Hong CM. Effects of an educational program about reproductive health promotion on sexual knowledge and attitudes of university students from Korea. J Korean Acad Adult Nurs. 2010; 22(4):448–456.
29. Kim JH, Park MK. Effects of preventive sexual education of HPV on HPV knowledge, cervical cancer preventive behaviors, and sexual autonomy in female university students. J Korean Acad Soc Nurs Educ. 2010; 16(2):257–264.
30. Farnam F, Pakgohar M, Mirmohamadali M, Mahmoodi M. Effect of sexual education on sexual health in Iran. Sex Educ. 2008; 8(2):159–168. http://dx.doi.org/10.1080/14681810801981043.
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