The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
권호 표지

Association between Subjective Social Status and Perceived Health among Immigrant Women in Korea

이주여성의 주관적 사회수준과 주관적 건강 간의 관련성

  • Mok, Hyung-kyun (Department of Public Health Science, Graduate School of Korea University) ;
  • Jo, Kyu-hee (Department of Nursing, Graduate School of Korea University) ;
  • Lee, Jun Hyup (Department of Public Health Science, Graduate School of Korea University)
  • 목형균 (고려대학교 일반대학원 보건과학과) ;
  • 조규희 (고려대학교 일반대학원 간호학과) ;
  • 이준협 (고려대학교 일반대학원 보건과학과)
  • Received : 2017.09.21
  • Accepted : 2017.12.01
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: About for twenty years, immigrant women in South Korea have steadily increased due to economic growth and industrialization. According to previous studies in terms of immigrants, subjective socio-economic status(SES) as well as objective SES such as income, occupation and level of education predict health outcomes. The purpose of this study was to examine association between subjective social status and perceived health among immigrant women. Methods: We analyzed 12,531 participants from the 2012 National Survey of Multicultural Families. Study variables included subjective SES in Korea, subjective SES in community and perceived health. Control variables were age, household income, employment, education, marital status, ethnicity, language proficiency. For this study, descriptive analysis, Chi-square test, and multivariate logistic regression analysis were performed. Results: Among immigrant women, after adjusting for control variables, level of education in community was not associated with perceived health. Otherwise, subjective social status in Korea(low subjective social status reference group vs high subjective status : OR 2.056) was associated with perceived health. Conclusions: Immigrant women in Korea would be culturally affected by inherent characteristic rather than social economic status. Through this study, in order to improve health inequality among immigrant women, we should consider developing social supports and networks.

Keywords

References

  1. 김광숙, 문선숙. 여성 결혼이민자의 주관적 건강상태, 건강행위 실천, 결혼 만족도. 한국보건간호학회 2011;(25)2:174-186. https://doi.org/10.5932/JKPHN.2011.25.2.174
  2. 김동진, 김명희, 김유미, 기명, 윤태호, 정혜주, 채수미, 최지희. 한국의 건강불평등 지표와 정책과제-건강불평등 완화를 위한 전략. 한국보건사회연구원 연구보고서 2016
  3. 김순규, 이주재. 국제결혼 이주여성의 한국어 능력과 사회적 지지가 한국생활 적응에 미치는 영향. 한국가족복지학 2010;(15)1:5-20.
  4. 김혜련. 다문화가족의 건강문제와 정책과제. 보건복지 Issue&Focus, 2013;(185):1-8.
  5. 보건복지부. 제4차 국민건강증진종합계획. 보건복지부, 2016
  6. 서인주, 박정숙. 여성결혼이민자의 건강증진행위, 건강문제 및 주관적 건강상태. 디지털융복합연구 2013;(11)4:369-382. https://doi.org/10.14400/JDPM.2013.11.4.369
  7. 송형주. 세계화 시대 이주여성과 이민정책 [박사학위논문]. 서울: 고려대학교 대학원, 2015.
  8. 여성가족부. 2012년 전국 다문화가족 실태조사연구. 여성가족부, 2013
  9. 이향련, 스테파니아, 조영임, 최은영, 박정애, 박영미. 한국 이주노동자의 건강관련 특성. 한국산업간호학회지 2009;(18)1:5-13.
  10. 출입국 외국인 정책본부. 2016 출입국.외국인 정책 통계연보. 서울: 법무부, 2016.
  11. Adler NE, Epel ES, Castellazzo G, Ickovics JR. Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy white women. Health Psychology 2000;(19)6:586-592. https://doi.org/10.1037/0278-6133.19.6.586
  12. Adler NE, Singh-Manoux A, Schwartz J, Stewart J, Matthews K, Marmot M. Social status and health: A comparison of British civil servants in Whitehall-II with European-and African-Americans in CARDIA. Social Science Medicine 2008;(66)5:1034-1045. https://doi.org/10.1016/j.socscimed.2007.11.031
  13. Adler NE, Rehkopf DH. U.S. Disparities in health: Descriptions, causes, and mechanisms. Annual Review of Public Health 2008;(29):235-252. https://doi.org/10.1146/annurev.publhealth.29.020907.090852
  14. Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Shn RL. Socioeconomic status and health: The challenge of the gradient. American Psychological Association 1994;49(1):15-24. https://doi.org/10.1037/0003-066X.49.1.15
  15. Alang S, McCreedy E, McAlpine D. Race, ethnicity, and self-rated health among immigrants in the United States. Journal of Racial and Ethni Health Disparities 2015;2:565-572 https://doi.org/10.1007/s40615-015-0106-y
  16. Banks J, Marmot M, Oldfield MJ, Smith JP. Disease and disadvantage in the United States and in England. JAMA 2006;(295)17:2037-2045. https://doi.org/10.1001/jama.295.17.2037
  17. Belloc B, Breslow L. Relationship of physical health status and health practices. Preventive Medicine 1972;(1)3:409-421. https://doi.org/10.1016/0091-7435(72)90014-X
  18. Braveman PA, Cubbin C, Egerter S, Williams DR, Pamuk E. Socioeconomic disparities in health in the United States: What the patterns tell us. American Journal of Public Health 2010;(100)1:186-196. https://doi.org/10.2105/AJPH.2009.166082
  19. Braveman PA. Health disparities and health equity: Concepts and measurement. Annual Review of Public Health 2006;(27):167-194. https://doi.org/10.1146/annurev.publhealth.27.021405.102103
  20. Castles M, Miller J. Migration in the Asia-Pacific region, [Internet]. Migration Policy Institute c2017[cited 2017 March 10], Available From: DOI: http://http://www.bollettinoadapt.it/old/files/document/1853MIS_IMM_10LUGLIO.pdf(accessed June., 5, 2017)
  21. Cene C, Halladay J, Gizlice Z, Roedersheimer K, Hinderliter A, Cummings D. Associations between subjective social status and physical and mental health functioning among patients with hypertension. Journal of Health Psychology 2016;(21)11:2624-2635 https://doi.org/10.1177/1359105315581514
  22. Collins A, Goldman N. Perceived Social Position and Health in Older Adults in Taiwan. Social Science Medicine 2008;(66)3:536-544. https://doi.org/10.1016/j.socscimed.2007.10.004
  23. Davies AR, Ware JE. Measuring health perceptions in the health insurance experiment. Santa Monica: Rand Corporation, 1981.
  24. de Castro AB, Gee GC, Takeuchi DT. Examining alternative measures of social disadvantage among Asian Americans: the relevance of economic opportunity, subjective social status, and financial strain for health. Journal of Immigrant Minority Health 2010;(12)5:659-671. https://doi.org/10.1007/s10903-009-9258-3
  25. Euteneuer F. Subjective social status and Health. Current Opinion in Psychiatry 2014;(27)5:337-343. https://doi.org/10.1097/YCO.0000000000000083
  26. Gianaros PJ, Shorenstein JA, Cohen S, Matthews KA, Brown SM, Flory JD. Perigenual anterior cingulate morphology covaries with perceived social standing. Social Cognitive and Affective Neuroscience 2007;(2)3:161-173. https://doi.org/10.1093/scan/nsm013
  27. Goodman E, Adler AE, Daniels SR, Morrison JA, Slap GB, Dolan LB. Impact of objective and subjective social status on obesity in a biracial cohort of adolescents. Obesity Research 2003;(11)8:1018-1026. https://doi.org/10.1038/oby.2003.140
  28. Goodman E, Huang B, Schafer-Kalkhoff T, Adler, NE. Perceived socioeconomic status: A new type of identity that influences adolescents' self-rated health. Journal of Adolescent Health 2007;(41)5:479-487. https://doi.org/10.1016/j.jadohealth.2007.05.020
  29. Herman DR, Solomons NW, Mendoza I, Qureshi AK. Self-rated health and its relationship to functional status and well-being in a group of elderly Guatemalan subjects. Asia Pacific Journal of Clinical Nutrition 2001;(10)3:176-82. https://doi.org/10.1046/j.1440-6047.2001.00245.x
  30. Idler EL, Benyamini Y. Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health Social Behavior 1997;(38)1:21-37. https://doi.org/10.2307/2955359
  31. Koh HK, Oppenheimer SC, Massin-Short SB, Emmons KM, Geller AC, Viswanath K. Translating research evidence into practice to reduce health disparities: A social determinants approach. American Journal of Public Health 2010;(100)1:72-80. https://doi.org/10.2105/AJPH.2009.167353
  32. Kondo N, Sembajwe G, Kawachi I, van Dam RM, Subramanian SV, Yamagata Z. Income inequality, mortality, and self-rated health:Meta-analysis of multilevel studies. British Medical Journal 2009;(39):1178-1181.
  33. Latham K, Peek CW. Self-rated health and morbidity onset among late midlife U.S. adults. The Journals of Gerontology Series B Psychological Sciences and Social Sciences 2013;(68)1:107-16. https://doi.org/10.1093/geronb/gbs104
  34. Leu J, Yen IH, Gansky SA, Walton E, Adler NE, Takeuchi DT. The association between subjective social status and mental health among Asian immigrants: Investigating the influence of age at immigration. Social Science & Medicine 2008;(66)5:1152-1164. https://doi.org/10.1016/j.socscimed.2007.11.028
  35. Marmot M. Status syndrome: A challenge to medicine. JAMA 2006;295(11):1304-1307. https://doi.org/10.1001/jama.295.11.1304
  36. Matthews K, Gallo, L, Taylor M. Are psychosocial factors mediators of socioeconomic status and health connections? Annals of the New york Academy of Science 2010;1186:146-173. https://doi.org/10.1111/j.1749-6632.2009.05332.x
  37. Mirowsky J, Ross CE, Reynolds J. Links between social status and health status. Prentice-Hall Publishers, 2000.
  38. Nummela O, Raivio R, Uutela A. Trust, self-rated health and mortality: a longitudinal study among ageing people in Southern Finland. Social Science & Medicine 2012;74: 1639-43. https://doi.org/10.1016/j.socscimed.2012.02.010
  39. Operario D, Adler N, Williams D. Subjective social status: reliability and predictive utility for global health. Psychology and Health 2004;(19)2:237-246. https://doi.org/10.1080/08870440310001638098
  40. Ostrove J, Adler N, Kuppermann M, Washington E. Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women. Health Psychology 2000;(19)6:613-618. https://doi.org/10.1037/0278-6133.19.6.613
  41. Piko B, Fitzpatrick K. Socioeconomic Status, Psychosocial Health and Health Behaviours among Hungarian Adolescents. European Journal of Public Health 2007;(17)4:353-360. https://doi.org/10.1093/eurpub/ckl257
  42. Piper N, Roces, M. Marriage and migration in an age of globalization Wife or worker? Asian women and migration, Rowman & Littlefield Publishers, 2003.
  43. Robert SA, House JS. Socioeconomic inequalities in health: An enduring sociological problem. Prentice-Hall Publishers, 2000.
  44. Segovia J, Bartlett RF, Edwards AC. The association between self assessed health status and individual health practices. Canadian Journal of Public Health 1989;(80)1:32-37.
  45. Singh-Manoux A, Adler NE, Marmot MG. Subjective social status: Its determinants and its association with measures of ill-health in the Whitehall II Study. Social Science & Medicine 2003;(56)6:1321-1333. https://doi.org/10.1016/S0277-9536(02)00131-4
  46. Singh-Manoux A, Marmot M, Adler N. Does subjective social status predict health and change in health status better than objective status? Psychosomatic Medicine 2005;(67)6:855-561. https://doi.org/10.1097/01.psy.0000188434.52941.a0
  47. Trinh-Shevrin C, Nadkarni S, Park R, Islam N, Kwon S. Defining an integrative approach for health promotion and disease prevention:A population health equity framework. Journal of Health Care Poor Underserved 2015;(26)2:146-163. https://doi.org/10.1353/hpu.2015.0067
  48. Visitacion Sanchon-Macias M, Prieto-Salceda D, Bover-Bover A, Gastaldo, D. Relationship between subjective social status and perceived health among Latin American immigrant women. Latin American Journal of Nursing 2013;(21)6:1353-1359.
  49. Whitehead M, Dahlgren G. Concepts and principles for tackling social inequities in health: Levelling up Part 1. WHO Regional Office for Europe Publishers, 2006.
  50. Wolff LS, Acevedo-Garcia D, Subramanian S, Weber D, Kawachi, I. Subjective Social Status, a New Measure in Health Disparities Research. Journal of Health Psychology 2010;(15)4:560-574. https://doi.org/10.1177/1359105309354345
  51. Zeng Z, Xie Y. Asian-Americans' earnings disadvantage reexamined: The role of place of education. American Journal of Sociology 2004;(109)5:1075-1108. https://doi.org/10.1086/381914