台灣之女性新移民健康照護的社群隔離現象

Social Segregation and the Health Care of Female Immigrants in Taiwan

科技文明的發達縮短了人與人之間的距離，也模糊了國界的藩籬。跨國婚姻在近年對台灣社會產生極大的衝擊與變化，女性新移民在新的國度中，除了適應新世界的各種壓力外，也面對了一連串的社會區分與差異選擇，因此在文化、語言及婚姻過程中逐漸顯現出社群隔離現象。而在健康照護系統中，女性新移民所面對的社群隔離現象，逐漸造成其弱勢狀態。所以目前的體系對女性新移民提供的健康照護，是值得探討的重要課題。本文從女性新移民跨國婚姻形成之社群隔離現象，探究其生活調適，並進一步討論其健康照護的處境，藉以提供健康照護者進一步省思女性新移民的健康照護需求，以期對女性新移民加入更多的關注。

Technology has reduced the distance between people, and also blurred the boundaries between nations. In recent years the development of Taiwan society has been affected by cross-national marriages. In these cases, the foreigner-usually the female-living in a new country and adapting to the pressures of being in a new society very different from her own, is also confronted by a succession of social distinctions and differentiating selection processes, giving rise gradually to the phenomenon of social segregation in culture, language and marriage. Such segregation has in turn led gradually to inferior medical care for female immigrants. It is therefore worth investigating whether the current medical system can offer appropriate health care to the female immigrant. This article's approach is to discuss trans-national marriage and analyze the living situations of female immigrants, to investigate their social segregation, and hence their situation in relation to medical care. It also prompts more advanced reflection, on the part of clinical professional caregivers, of the needs of female immigrants, in the hope that those needs will become the subject of greater interest and attention.