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.
Sigma Membership
Unknown
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Immigrant Women, Health Prevention Services Utilization, Acculturation
Recommended Citation
Kuo, Shu-Fen; Chen, Ching-Min; and Chang, Wen-Yin, "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" (2014). INRC (Congress). 149.
https://www.sigmarepository.org/inrc/2014/posters_2014/149
Conference Name
25th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Hong Kong
Conference Year
2014
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
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
Hong Kong
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.