跨國婚姻婦女所生育子女之健康狀況及其相關因素 分析

跨國婚姻婦女所生育子女之健康狀況及其相關因素 分析

 論文名稱：跨國婚姻婦女所生育子女之健康狀況及其相關因素 研究所名稱：臺北醫學大學醫務管理學研究所

研究生姓名：洪宜盈

畢業時間：九十三學年度第二學期

指導教授：湯澡薰 臺北醫學大學醫務管理學研究所 副教授

台灣 2003 年平均每 10 對新人就有一對是台灣男子與外籍女子結婚，而根據行政院主計處國情統計通 報指出 93 年出生嬰兒中，生母為外籍或大陸人士占 13.2% 。而這些跨國婚姻家庭，其父母親的人口 社經特質對子女健康狀況有何影響呢？本研究首先探討本國男子人口社經特質與選擇配偶 ( 原 ) 國籍 別之相關影響，接續探討外籍、大陸配偶與本國男子 ( 父母親 ) 的人口社經特質對子女健康狀況之影 響。本研究採橫斷性研究，資料屬性為次級資料，資料來源由內政部戶政司提供之「九十二年外籍與大陸 配偶生活狀況調查」，使用 SAS 8.0 統計軟體進行統計分析，採用統計方法包含描述性統計分析、卡 方檢定、 logistic regression 、 multinomial logit model 。

研究結果發現，探討配偶 ( 原 ) 國籍別時，研究對象以配偶為分析單位，共有 95,288 人，於本國男子 人口社經特質的結婚年齡、教育程度、工作狀況、健康狀況與社會救助跟配偶 ( 原 ) 國籍別有顯著性 影響。探討子女健康狀況時，研究對象以子女為分析單位，有 140,282 位子女。發現母親 ( 原 ) 國籍 別、生產年齡、教育程度對子女健康狀況的影響並不顯著；而母親工作狀況、居住台灣地區時間達顯 著差異；而父親人口社經特質方面，子女出生時父親年齡、教育程度、社會救助對子女健康狀況之影 響均未達顯著水準；而父親健康狀況、工作狀況對子女健康狀況之影響達統計上的顯著差異。

跨國婚姻下，發現患病或傷殘 ( 健康程度稍差 ) 的本國男子偏好迎娶東南亞籍女性配偶；而需人照顧 或長年臥病在床 ( 健康程度最差 ) 的本國男子偏好迎娶大陸籍女性配偶。本研究發現東南亞籍、大陸 配偶的國籍別對子女健康狀況的影響未達顯著差異，反而是不健康的本國男子，其子女健康狀況較容 易患有發展遲緩、身心障礙或重大傷病。

關鍵字：跨國婚姻、外籍配偶、兒童健康、社經地位

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Title of Thesis: Children’s health and its related factors among interracial marriage women Author: Yi-Ying, Hung

Thesis advised by: Chao-Hsiun, Tang (Ph. D.)

One of every 10 pairs of newlyweds in Taiwan in 2003 was an interracial marriage. According to the Statis tical Yearbook from the Executive Yuan of the Republic of China, of all the babies born in 2002, foreigh m others (including mothers from the Mainland China) accounted for 13.2%. The purpose of this study is of t wofold. First, to investigate the association between Taiwanese man's demographical and socioecon omic factors and his spouse’s original nationality. Second, to investigate the association between the demo graphical and socioeconomic factors of foreign immigrant women and their children’s health.

This cross-sectional study employs a secondary data “The Survey on Living Status of immigrants women “ administered by the Ministry of Interior. Statistical methods employed included descriptive statistics, Chi- Square Test, logistic regression and multinomial logit model.

The main findings from this study are summarized as follows. First, original nationality of spouse was asso ciated with Taiwanese man’s age at marriage, education level, working state, health condition and social as sistance status. Second, contrary to findings from previous studies, children’s health was not associated wit h mother’s original nationality, age at birth, and education level. In addition, children’s health was also ass ociated with mother’s working statuse and length of stayin Taiwan.

Furthermore, children’s health condition was associated with father’s working status and health condition.

Study found that moderately illed Taiwanese menwere more likely to marry women from the Southeast Asi an and seriously illed men were more likely to marry women from Mainland China. Father’s health status, in stead of mother’s original nationality, was significantly associated with children’s health status. Childre n of illed fathers are relatively apt to suffer from the developmental delays, disabilities and critical Illness.

Keywords: interracial marriage, foreign immigrants, children’s health, socioeconomic status

Children’s health and its related factors among

women with interracial marriage in Taiwan