The Effect of Mothers' Nationality on the Complete Health Screening of Infants and Children

영유아 어머니의 국적이 영유아 건강검진 완전 수검에 미치는 영향

  • Seo, Mi Gyeung (Department of Health Administration, Yonsei University Graduate School) ;
  • Jeong, Jae Yeon (Department of Biohealth Convergence Open Sharing System, Dankook University) ;
  • Yoon, In Hye (Department of Health Administration, Yonsei University Graduate School) ;
  • Jeong, Hyoung Sun (Department of Health Administration, Yonsei University College of Health Sciences)
  • 서미경 (연세대학교 대학원 보건행정학과) ;
  • 정재연 (단국대학교 바이오헬스 혁신공유대학) ;
  • 윤인혜 (연세대학교 대학원 보건행정학과) ;
  • 정형선 (연세대학교 일반대학원 보건행정학과)
  • Received : 2021.06.30
  • Accepted : 2021.09.09
  • Published : 2021.09.30

Abstract

Purposes: The purpose of this study is to confirm the effect of mother's nationality on screening rates for infants and children health screening. We intend to find out if there is a difference in health level between infants of multicultural families and infants of domestic families, and contribute to policies to enhance future national health levels by providing information on them. Methodology: Data for those who received the first infant and children health screening between 2012 and 2018 were obtained from the National Health Insurance Service(NHIS) DB. Frequency analysis, chi-square test and logistic regression analysis were performed with the SAS 9.4 program, and the case where all the 1st to 3rd checkups were completed was defined as type I, and the case of all the 1st to 7th checkups completed, type II. Findings: Complete screening rates for type I and type II were 45.8% and 20.0%, respectively. Especially, complete screening rate of infants whose mothers nationality is foreign is only 3-4th of that of domestic mothers, and it also differed according to nationality. Practical Implications: The difference in the screening rate according to the mother's nationality is likely to lead to a health gap between multicultural families and domestic families. It is necessary to promote and encourage proper monitoring and health management through continuous health screening for infants and children.

Keywords

References

  1. Korean Statistical Information Service. Vital Statistics of Korea; 2021 [cited 2021 Sep 7]. Available from https://kosis.kr/statHtml/statHtml.do? orgId=101&tblId=DT_1B81A21&checkFlag=N
  2. OECD. Fertility rates(indicator); 2021 [cited 2021 Feb 5]. Available from https://data.oecd.org/pop/fertility-rates.htm
  3. Anderson L et al. The effectiveness of early childhood development programs: A systematic review. American journal of preventive medicine 2003; 24(3): pp.32-46. https://doi.org/10.1016/S0749-3797(02)00655-4
  4. Britto P et al. Nurturing care: promoting early childhood development. The Lancet 2017; 389 (10064): pp.91-102. https://doi.org/10.1016/s0140-6736(16)31390-3
  5. Daelmans B et al. Early childhood development: the foundation of sustainable development. The Lancet 2017; 389(10064): pp.9-11. https://doi.org/10.1016/S0140-6736(16)31659-2
  6. Moon JS. Review of National Health Screening Program for infant and children in Korea. Journal of the Korean Medical Association 2010; 53(5): pp.377-385. https://doi.org/10.5124/jkma.2010.53.5.377
  7. National Health Insurance Service. Infants and Children Health Checkup Guide ; 2021 [cited 2021 Jan 5]. Available from https://www.nhis.or.kr/nhis/healthin/wbhaca04800m01.do
  8. Kang S, Chung W, Kim H, Lee S. What Factors Cause a Complete Examination of Infant Health Checkup?. Health Policy and Management 2014; 24(3): pp.261-270. https://doi.org/10.4332/KJHPA.2014.24.3.261
  9. Moon JS et al. One-year evaluation of the national health screening program for infants and children in Korea. Korean Journal of Pediatrics 2010; 53(3): pp.307-313. https://doi.org/10.3345/kjp.2010.53.3.307
  10. Kwon S, Seo D. A Study of the Parents' Health Care Management for their Children's Health in Gangwon Province. Korean Journal of Child Education and Care 2013; 13(4): pp.257-275.
  11. Korean Statistical Information Service. Multicultural Live births by province; 2020 [cited 2021 Feb 5]. Available from https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BB0006&vw_cd=MT_ZTITLE&list_id=A2_5&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  12. Kim H, Yeo J, Jung J, Baek S. Health status of marriage immigrant women and children from multicultural families and health policy recommendations. Seoul: Korea Institute for Health and Social Affairs 2012; pp.276.
  13. Lee NY. The Educational Needs Analysis on Child Health Care Education for Multicultural Mothers. Journal of the Korea Academia-Industrial cooperation Society 2018; 19(5): pp.190-198. https://doi.org/10.5762/KAIS.2018.19.5.190
  14. Yu DJ. A Study on the Satisfaction of the Parents to the National Infants' health screening-Services in Metro Incheon Area- [dissertation]. Inchon: University of Incheon; 2012.
  15. Choi JY. A Study on the of Recognition and Satisfaction Level of Guardians about the Project of Health Examination for Children in Child Care Cente [dissertation]. Kong Ju: Kong Ju National University Kong Ju; 2010.
  16. Kim E, Im H, Kim J. Recognition and suggestions for national early childhood health examination by mothers of infant and young children. The Journal of Eco Early Childhood Education & Care 2017; 16(4): pp.25-53.
  17. Kim HR. Health status of marriage-based immigrants in Korea and policy directions. In: Health and welfare policy forum 2010; 165: pp.46-57.
  18. Lim DS et al. Research Study on Health Service Needs using Big Data Analysis to Improve Multicultural Family's Life Quality; 2018 [cited 2021 April 10]. Available from http://www.alio.go.kr/informationResearchView.do?seq=2511080
  19. Kim T, Kim M, Kwon Y, Jun M. Evaluation of physical growth and developmental status of infants and children of married immigrant women in rural areas. Child Health Nursing Research 2010; 16(2): pp.164-174. https://doi.org/10.4094/jkachn.2010.16.2.164
  20. Park HO et al. Comparative study of newborns of Asian immigrant and Korean women. Korean Journal of Pediatrics 2009; 52(10): pp.1119-1126. https://doi.org/10.3345/kjp.2009.52.10.1119
  21. Ryu JH et al. 2018 Comprehensive Children's Survey; 2019 [cited 2021 April 21]. Available from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=350493&page=1
  22. Kwak M, Park E, Bang J, Sung N, Lee J, Choi K. Factors associated with cancer screening participation, Korea. Journal of Preventive Medicine and Public Health 2005; 38(4): pp.473-481.
  23. Lee MS. Cancer screening and influencing factors in a island residents. Asian Oncology Nursing 2008; 8(2): pp.138-146.
  24. Yeo J, Jeong H. Determinants of health screening and its effects on health behaviors. Health Policy and Management 2012; 22(1): pp.49-64. https://doi.org/10.4332/KJHPA.2012.22.1.049
  25. Kim S, Lee J, An B, Kim Y. Factors Associated with Non-Participation in Health Screening for People with Disabilities. The Korean Journal of Health Service Management 2017; 11(4): pp.89-104. https://doi.org/10.12811/kshsm.2017.11.4.089
  26. Yun J, Lim B, Ho S. Trends and factors affecting participation rate in Korean national health screening among people with disabilities. Health Policy and Management 2014; 24(2): pp.172-180. https://doi.org/10.4332/KJHPA.2014.24.2.172
  27. Kim M, Kim J. Related factors and whether oral examination for economically active population. The Journal of the Korea Contents Association 2018; 18(10): pp.175-182. https://doi.org/10.5392/JKCA.2018.18.10.175
  28. Park SY. Factors affecting the rate of oral examination in the elderly in local communities. Journal of Korean society of Dental Hygiene 2018; 18(3): pp.359-369.
  29. Ahn E, Shin H. Effectiveness of oral examination for infants and toddlers: effects on subsequent utilization and costs. Journal of Korean Academy of Oral Health 2017; 41(2): pp.73-79. https://doi.org/10.11149/jkaoh.2017.41.2.73
  30. Green D, Gaffney M, Devine O, Grosse S. Determining the effect of newborn hearing screening legislation: an analysis of state hearing screening rates. Public Health Reports 2007; 122(2): pp.198-205. https://doi.org/10.1177/003335490712200209
  31. Metz M et al. Newborn screening in South Australia: is it universal?. Medical journal of Australia 2003; 179(8): pp.412-415. https://doi.org/10.5694/j.1326-5377.2003.tb05618.x
  32. Kim HR. Health Issues and Policy Tasks for Multicultural Families. Korea Insitiute for Health and Social Affairs 2013; 185: pp.1-8.
  33. Seo M, Yang M, Jo H, Jung E. The Current Status of and Needs for Child-rearing Support among Multicultural Families. Korea Institute of Child and Education; 2011.
  34. The Korean Pediatric Society. Early childhood physical development- 1 to 2 years; 2021 [cited 2021 March 4]. Available from https://www. pediatrics.or.kr/bbs/index.html?code=infantcare&category=B&gubun= A&page=1&number=49&mode=view&keyfield=&key
  35. Committee on Children with Disabilities. Developmental surveillance and screening of infants and young children. Pediatrics 2001; 108(1), pp.192-195. https://doi.org/10.1542/peds.108.1.192
  36. Bang K, Kim Y, Park J, Lee H. Analysis on the results of developmental screening test in one public health center. Child Health Nursing Research 2002; 8(3): pp.302-312.
  37. Kim JG. Factors affecting the choice of medical care use by the elderly person. J Welf Aged 2008; 39: pp.273-302.
  38. Hur J, Kwon Y. Factors affecting the purchase of indemnity private health insurance and related factors of outpatient healthcare utilization among chronic disease patients. Korea Journal of Hospital Management 2019; 24(3): pp.1-10.
  39. National Health Insurance Service. National Health Screening Statistical Yearbook ; 2019 [cited 2021 Jan 5]. Available from https://www.nhis.or.kr/nhis/together/wbhaec07000m01.do?mode=view&articleNo=10803730&article.offset=0&articleLimit=10
  40. Kim KS. A study on the health status of female marriage immigrants by life cycle and policy suggestions for health promotion measures. Chungcheongnam-do Women's Policy Development Institute. 2008.
  41. Chung M, Kwon J, Park S. A review of brain-based research involving young children 2011; 31(2): pp.207-231.
  42. Ha J, Youn J, Lee Y, Lee H. Factors influencing the health examination in unmarried women. Korean Journal of Women Health Nursing 2014; 20(1): pp.92-104. https://doi.org/10.4069/kjwhn.2014.20.1.92
  43. Han S, Jo E, Son J, SO E. Factors association national health screening program participation according to sex in Korean: using the fifth Korea national health and nutrition examination survey (KNHANES VI, 2013). Korean Journal of Health Education and Promotion 2016; 33(3): pp.37-48.
  44. Kim Y. Lee W, Ro W, Jo S, Baik H, Son H, Meng K. The factors associated with health and cancer screening using preventive programs from health insurance among women of a community. J Korean Soc Health Edu Promot 2003; 20(1): pp.41-60.
  45. Shin H, Kang J, Park W, Kim S. Health status and medical utilization of women in rural area. Journal of agricultural medicine and community health 2009; 34(1): pp.67-75. https://doi.org/10.5393/JAMCH.2009.34.1.067
  46. Kim J, Oh J, Yoon C, Lee J. Married immigrant women's child-rearing experiences including parenting stress and parenting efficacy. Korean Parent-Child Health Journal 2009; 12(1): pp.46-60.
  47. Choi S, Shin S, Choi B. Problem analysis and improvement plan of current infant health checkup; 2017 [cited 2021 March 7]. Available from https://khealth.or.kr/kps/rsrhBusnRept/view?menuId=MENU00894&rsrh_idx=1036
  48. Lee JS. A study of childcare and education, fathers' childcare participation in an international marriage family. The Journal of Korea Open Association for Early Childhood Education 2007; 12.6: pp.21-42.