Acculturation, Social Network, and Health-related Quality of Life in Korean-Chinese Immigrants

Article information

Res Community Public Health Nurs. 2013;24(4):438-450
Publication date (electronic) : 2013 December 31
doi : https://doi.org/10.12799/jkachn.2013.24.4.438
1College of Nursing, University of Illinois at Chicago, Chicago, USA.
2College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
Corresponding author: Lee, Hyeonkyeong. College of Nursing, Nursing Policy Research Institute, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-749, Korea. Tel: +82-2-2228-3373, Fax: +82-2-392-5440, hlee39@yuhs.ac
Received 2013 September 29; Revised 2013 November 18; Accepted 2013 December 17.

Abstract

Purpose

The purpose of this study is to identify relationships between acculturation, social network, and health-related quality of life (HRQOL) among Korean-Chinese immigrants.

Methods

A cross-sectional descriptive study was conducted with 147 Korean-Chinese immigrants who were residing more than 1 year in Korea. Physical and mental dimensions of HRQOL were assessed by Short Form-12 Health Survey that consisted of a physical component summary (PCS) and a mental component summary (MCS). Data were analyzed with Pearson's correlation and multiple regression.

Results

The mean PCS score was 41.14±10.72 and the mean MCS score was 49.09±11.31 (possible range 10-70). Depression (β=-6.43) and Social network frequency (β=2.44) explained 28.4% of the variance in PCS while depression (β=-11.54) and visiting clinic/hospital (β=-4.00) explained 34.3% of the variance in MCS. Acculturation was not significantly associated with HRQOL.

Conclusion

This study confirmed that the social network frequency influences HRQOL among Korean-Chinese Immigrants. The findings suggest that social network analysis should be considered in the process of developing health intervention strategies for Korean-Chinese immigrants.

Notes

This article is a revision of the first author's master's thesis from Yonsei University.

References

1. Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new Millennium. Soc Sci Med 2000;51(6):843–857.
2. Bhandari P. Stress and health related quality of life of Nepalese students studying in South Korea: A cross sectional study. Health Qual Life Outcomes 2012;10:26.
3. Cho SH. Factors associated with physical activity among Chinese immigrant women Seoul: Yonsei University; 2013. Unpublished master's thesis.
4. Choi JM. Social networks, spiritual well-being, and the quality of life in hemodialysis patients Seoul: Yonsei University; 2007. Unpublished master's thesis.
5. Choi SE, Reed PL. Psychometric validation of a short acculturation scale for Korean immigrants. Nurs Res 2011;60(4):240–246.
6. Chun KK, Lee MK. Preliminary development of Korean version of CES-D. Korean J Clin Psychol 1992;11(1):65–76.
7. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
8. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh 2005;37(4):336–342.
9. Guk SH. A study on assimilation to Korean culture of Korean-minority in China Seoul: Yonsei University; 1999. Unpublished master's thesis.
10. Kim BJ, Lee HJ. Factors affecting quality of life for elderly Korean immigrants in Los Angeles county: Focusing on socioeconomic and social capital traits. Gyeonggi Res Inst Rev 2011;13(1):145–168.
11. Kim BJ, Sangalang CC, Kihl T. Effects of acculturation and social network support on depression among elderly Korean immigrants. Aging Ment Health 2012;16(6):787–794.
12. Kim JH. Study on social network, social support and stress of female marriage immigrant in Korea Seoul: Ewha Womans University; 2012. Unpublished master's thesis.
13. Kim OS, Baik SH, Kim KH. The relationships among social support, stress, and loneliness in migrant Yanbian Korean workers. J Korean Acad Adult Nurs 2003;15(4):607–616.
14. Kim SJ, Lee HK, Ahn HM. Relationships between work-related psychosocial and acculturative factors and work-related musculoskeletal disorders among Korean-Chinese migrant workers living in Korea. Korean J Occup Health Nurs 2010;19(1):28–40.
15. Kim SJ, Lee SH, Kim SY, Kim AL, Park HT, Lee YJ. Migrant workers' quality of life related to health. J Korean Acad Adult Nurs 2008;20(5):791–803.
16. Kim SY, Choi KY, Oh HY. Relationships of social networks to health status among the urban-low income elderly. Korean J Rehabil Nurs 2010;13(1):53–61.
17. Ko YH, Kim S, Kim GS, Chang SB. Mammography screening according to breast cancer disease and social network characteristics of married Korean women. Korean J Women Health Nurs 2011;17(2):157–168.
19. Lee KH, Kim KW. Relationship of social-cultural adaptation, emotion and health related quality of life in married female immigrants. J Korean Soc Matern Child Health 2011;15(2):121–131.
20. Li Y, Wu S. Social networks and health among rural urban migrants in China: A channel or a constraint? Health Promot Int 2010;25(3):371–380.
21. Lim JW, Yi JH, Zebrack B. Acculturation, social support, and quality of life for Korean immigrant breast and gynecological cancer survivors. Ethn Health 2008;13(3):243–260.
22. Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci 1987;9(2):183–205.
23. Mui AC, Kang SY, Kang D, Domanski MD. English language proficiency and health-related quality of life among Chinese and Korean immigrant elders. Health Soc Work 2007;32(2):119–127.
24. Park SS, Cho SI, Jang SN. Positive and negative influence of social network on self rated health and its gendered pattern. J Korean Soc Health Educ Promot 2011;28(4):39–49.
25. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977;1(3):385–401.
26. Redfield R, Linton R, Herskovits MJ. Memorandum for the study of acculturation. Am Anthropol 1936;38(1):149–152.
27. Stewart AL, Napoles-Springer A. Health-related quality of life assessments in diverse population groups in the United States. Med Care 2000;38(9 Suppl):II102–II124.
28. Tracy EM, Whittaker JK. The social network map: Assessing social support in clinical practice. Fam Soc 1990;71(8):461–470.
29. Ware J Jr, Kosinski M, Keller SD. A 12-item short-form health survey: Construction of scales and preliminary reliability and validity. Med Care 1996;34(3):220–233.
30. Yang YM, Wang HH. Acculturation and health-related quality of life among Vietnamese immigrant women in transnational marriages in Taiwan. J Transcult Nurs 2011;22(4):405–413.

Article information Continued

Table 1

Sociodemographic Characteristics of the Participants (N=147)

Table 1

Multiple response.

Table 2

Mean Scores for Acculturation, Social Network, and HRQOL (N=147)

Table 2

HRQOL=health related quality of life; PCS=physical component summary; MCS=mental component summary.

Table 3

Acculturation, Social Network, and HRQOL by General Characteristics (N=147)

Table 3

HRQOL=health-related quality of life; PCS=physical component summary; MCS=mental component summary.

Scheffé test.

Table 4

Multiple Regression for Variables Predicting HRQOL (N=147)

Table 4

HRQOLhealth-related quality of life; PCS=physical component summary; MCS=mental component summary.

*p<05, **p<01.