Development and evaluation of a quasi-experimental sexual and reproductive health literacy (SRHL) programme for marriage immigrants in South Korea: focus on Vietnamese women.
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Abstract
Introduction: Sexual and reproductive health (SRH) literacy is a key determinant of health outcomes for women. In South Korea, Vietnamese marriage migrant women face substantial linguistic and cultural barriers to accessing SRH services. This study aimed to develop and evaluate a culturally tailored SRH literacy programme to enhance SRH knowledge and empowerment among Vietnamese marriage migrant women.
Methods: A quasi-experimental study using a non-equivalent control group with a pre-post test design was conducted. 64 Vietnamese marriage migrant women aged 20-39 were recruited from Multicultural Family Support Centers in C city, South Korea. The intervention group (n=32) attended four weekly 100 min face-to-face educational sessions using bilingual materials, while the control group (n=32) received no intervention. Outcomes included subjective SRH literacy (SRHL-K), self-efficacy and objective SRH knowledge, measured via online surveys. Statistical analyses included Mann-Whitney U tests and generalized estimating equations.
Results: The intervention group showed a significant post-intervention increase in SRHL-K scores, particularly in the 'information and knowledge' and 'empowerment and relationship' domains, compared with the control group. However, no significant changes were observed in the 'prevention and treatment' domain. The intervention group also demonstrated a significant improvement in SRH knowledge. In contrast, changes in SRH self-efficacy were not significant, potentially due to the limited scope of the self-efficacy tool.
Conclusion: The findings suggest that a culturally and linguistically tailored SRH literacy programme can improve SRH knowledge and empowerment among Vietnamese marriage migrant women. Future interventions should explore strategies to strengthen SRH behaviours and self-efficacy in this population.
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