Immigrants’ Experiences of Maternity Care in Japan
Autor: | Sarah E. Porter, Shigeko Horiuchi, Yukari Igarashi |
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Rok vydání: | 2013 |
Předmět: |
Adult
Gerontology China Health (social science) Cross-sectional study Philippines media_common.quotation_subject Immigration Emigrants and Immigrants Literacy Health(social science) Patient satisfaction Japan Pregnancy Surveys and Questionnaires Cultural diversity Republic of Korea Culturally diverse immigrant women Health care Humans Medicine Maternal Health Services media_common Original Paper business.industry Loneliness Public Health Environmental and Occupational Health language.human_language Maternity care Cross-Sectional Studies Patient Satisfaction language Female medicine.symptom Portuguese business Brazil |
Zdroj: | Journal of Community Health |
ISSN: | 1573-3610 0094-5145 |
Popis: | Language and cultural differences can negatively impact immigrant women’s birth experience. However, little is known about their experiences in Japan’s highly homogenous culture. This cross-sectional study used survey data from a purposive sampling of immigrant women from 16 hospitals in several Japanese prefectures. Meeting the criteria and recruited to this study were 804 participants consisting of 236 immigrant women: Chinese (n = 83), Brazilian (n = 62), Filipino (n = 43), South Korean (n = 29) and from variety of English speaking nations (n = 19) and 568 Japanese women. The questionnaire was prepared in six languages: Japanese (kana syllables), Chinese, English, Korean, Portuguese, and Tagalog (Filipino). Associations among quality of maternity care, Japanese literacy level, loneliness and care satisfaction were explored using analysis of variance and multiple linear regression. The valid and reliable instruments used were Quality of Care for Pregnancy, Delivery and Postpartum Questionnaire, Rapid Estimate of Adult Literacy in Medicine Japanese version, the revised UCLA Loneliness Scale-Japanese version and Care satisfaction. Care was evaluated across prenatal, labor and delivery and post-partum periods. Immigrant women scored higher than Japanese women for both positive and negative aspects. When loneliness was strongly felt, care satisfaction was lower. Some competence of Japanese literacy was more likely to obstruct positive communication with healthcare providers, and was associated with loneliness. Immigrant women rated overall care as satisfactory. Japanese literacy decreased communication with healthcare providers, and was associated with loneliness presumably because some literacy unreasonably increased health care providers’ expectations of a higher level of communication. |
Databáze: | OpenAIRE |
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