The health status of postpartum immigrant women in Taiwan

• Published in: Journal of clinical nursing Vol. 21; no. 11-12; pp. 1544 - 1553
• Main Authors: Hung, Chich-Hsiu, Wang, Hsiu-Hung, Chang, Su-Hong, Jian, Shu-Yuan, Yang, Yung-Mei
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01-06-2012; Wiley Subscription Services, Inc
• Subjects: Adult; depression; Depression, Postpartum; Emigration and Immigration; Female; health status; Health Status Indicators; Humans; immigrant women; Noncitizens; nurses; Nursing; Obstetrics; Postpartum Period; postpartum stress; Risk factors; Social Support; Stress; Surveys and Questionnaires; Taiwan; Taiwan - epidemiology; Womens health; Taiwan
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/j.1365-2702.2011.03999.x

Aims.  This study aims to contribute to the current body of literature by examining immigrant women’s postpartum health in the context of Taiwan, in particular, their experience with postpartum stress and depression as well as the levels of social support available to them. This study also aims to identify predictors of their postpartum health status.
Background.  While there has been considerable research on the risk factors for poor postpartum health in the general population, research on the factors influencing immigrant women’s postpartum health has been limited.
Design.  A non‐experimental research design.
Methods.  We collected data from a sample of 340 immigrant postpartum women who could speak Mandarin Chinese, recruited from 10 general hospitals and one obstetric clinic in Taiwan from March 2005 – September 2006. The Hung Postpartum Stress Scale, Beck Depression Inventory‐II, Social Support Scale and Chinese Health Questionnaire were used in this study.
Results.  We found that immigrant women’s postpartum health status differed significantly in relation to their key helpers, depression status, levels of postpartum stress and social support. The logistic regression analysis showed that a one‐point increase in immigrant women’s postpartum stress increased the probability of suffering from minor psychiatric morbidity by 1·04 times.
Conclusions.  These findings suggest that health care professionals should pay attention not only to immigrant postpartum women’s basic financial and support needs but also to their postpartum stress and stressors.
Relevance to clinical practice.  The use of trained community health advocates in partnership with registered nurses can help meet the needs of postpartum women and improve maternal and infant health through their home visits. These nursing interventions should be tailored specifically to decrease immigrant Asian women’s postpartum stress and improve their overall health status and well‐being.