台灣東南亞籍婦女婦幼預防保健服務使用之滿意度及相關因素探討

This is a report of satisfaction of maternal and child's preventive care use based on Andersen health seeking behavior model. The purpose of this study was to examine the predisposing, enabling, need and outcome factors among immigrant women in Taiwan, and further to explore predictors of satisfaction. The sample included 133 women living in 2 counties of Taiwan who are Vietnamese (66.9%), Indonesians (15.9%), Thailand (5.2%) and Filipinas (8.2%) women. A hierarchical multiple regression analysis was performed with satisfaction as the outcome variable. The results showed that women were with an average of 28.68 years old (SD=4.31), had lived in Taiwan for 5.72 years (SD=2.54) in Taiwan, with junior and high (vocational) school educational preparation in their original countries. There were in average 2.2 access barriers (range 0-8, SD=1.38) perceived by the subjects for seeking medical care; and ”integration” ranked highest in the 4 domains measured by the acculturation scale. Most of women were in normal health status, in average with 10.06 prenatal examinations (SD=2.93), and completed all children's preventive care use. The satisfaction was in average 23.33 (range 5-30, SD=2.93). The result of hierarchical multiple regression analysis indicated that six factors significantly predicted satisfaction of maternal and child's preventive care use: nationality, length of stay in Taiwan, educational preparation in the country of origin, access barrier, separation and prenatal care utilization. The six predictor variables contributed 25% in shared variability. Our findings indicated a significant positive relationship between predisposing, enabling, and outcome factors with satisfaction. In conclusion, this study revealed that acculturation was an important factor to influence the satisfaction of maternal and child's preventive care use. The clinicians could routinely identify immigrant women who might be in different acculturation and need more health support.