1.Social capital, family formation, and childcare for mothers in ethnic Korean communities in Japan
Chie KOH ; Miho FURUYAMA ; Ruriko MIYASHITA ; Kaori WATANABE
Journal of International Health 2023;38(2):43-52
Introduction The demographic composition of the ethnic Korean population in Japan (often referred to as zainichi) shows a declining birthrate. However, zainichi who live in zainichi Korean communities have more children than zainichi living in predominantly Japanese communities. Social capital (SC) can increase societal efficiency by promoting cooperative behavior within communities. This study clarified the family formation and SC that supports childcare for zainichi mothers living in zainichi Korean communities.Methods We conducted semi-structured interviews with 10 zainichi mothers living in zainichi Korean communities in Japan. We qualitatively and descriptively analyzed the family formation and SC that support childcare in this population. The Ethical Committee of Osaka Prefecture University approved this study and the participants gave their written informed consent.Results We extracted three categories and 12 subcategories for “thoughts on current family formation” and four categories and 11 subcategories for “SC supporting childcare.” Zainichi mothers living in Korean communities “think consciously about marriage” and “think positively about having multiple children and family formation,” but they have “concerns about childbearing and child-rearing.” “People who support childcare practically and mentally” and “childcare services” were also identified as important factors. Although zainichi mothers felt dissatisfied with “support that they wanted to use but found difficult to use,” they considered childcare support as human and physical SC. As an additional resource, they felt that “the zainichi community fosters security and bonding,” and thus promotes SC for child-rearing.Discussion Networks with common norms, values, and understanding facilitated cooperation among zainichi mothers. “The zainichi community, which fosters security and bonding,” may support family formation through engendering a positive perception of child-rearing.
2.Present nursing practices and challenges for foreign pregnant and postpartum women at perinatal medical centers in Osaka, Japan
Chie KOH ; Takako CHIBA ; Sachiko NAKANE ; Yoko FUJIKAWA ; Yuki YOSHIDA ; Chieko DOI ; Kayo KIKUKAWA ; Naoko UTAGAWA ; Ruriko MIYASHITA ; Takayo MAEDA
Journal of International Health 2024;39(2):21-32
Introduction The number of foreign residents in Japan reached a record high in 2023 and is still increasing. Many foreign residents are in their 20s and 30s and of reproductive age. The study aim was to clarify the present nursing practices and challenges for foreign pregnant and postpartum women at perinatal medical centers in Osaka, which contains many foreign residents.Methods A self-administered questionnaire survey was conducted from October 1 to December 31, 2023. Questionnaires were sent to one representative of the obstetrics departments of 23 perinatal medical centers in Osaka that agreed to participate in the study.Results A total of eight facilities (34.8%) returned questionnaires. Regarding the current status of nursing care for foreign pregnant and postpartum women, medical interpreters were frequently used during pregnancy to explain about abnormalities and precautions (87.5%); during delivery to explain about emergency cesarean section (62.5%); and during the postpartum/newborn period to explain about maternal abnormalities and precautions after delivery and discharge (75.0%) and about neonatal abnormalities and precautions after discharge (75.0%). Interpreters such as family members and friends were most frequently used during hospitalization for delivery (87.5%). More than half of facilities used various types of multilingual materials, such as cards with explanatory illustrations, communication cards, and childcare support information.Conclusions Family and friends helped women to interpret medical information, and telephone interpretation and multilingual translation equipment were also used. Various multilingual materials were used to address linguistic issues, and cultural and religious considerations were implemented at all facilities. However, there is a lack of medical interpreters, particularly during the delivery period, and free multilingual resources are not being fully used.