title: [A quantitative analysis of information-seeking behaviors regarding medical institutions with Spanish language support among South American Spanish-speaking migrants in Aichi Prefecture, Japan].
abstract: OBJECTIVE
  This study aimed to explore the factors associated with information-seeking behaviors regarding medical institutions with Spanish language support among South American Spanish-speaking migrants living in Aichi Prefecture, Japan.
  
  
  METHODS
  The survey targeted South American Spanish-speaking migrants aged 18 years and older currently residing in Aichi Prefecture who had lived in Japan for at least three months and who had previously seen a doctor in Japan. The questionnaire was written in Spanish and the survey was conducted from April to July, 2010. Wilson's information behavior model was used to study information-seeking behavior regarding medical institutions with Spanish language support among 245 respondents who completed the questionnaires (response rate: 58.9%). Experience seeking medical institutions with Spanish language support in the Tokai area was set as the dependent variable and a chi-square test was conducted to examine relationships with language support needs, recognition of and access to medical institutions with Spanish language support, living situation in Japan, and Japanese language skills.
  
  
  RESULTS
  Among the 245 respondents, 106 were male (43.3%) and 139 were female (56.7%). The average age was 39.6±11.2 years old and 84.5% were Peruvian. The average length of residency in Japan was 11.0±5.7 years, and 34.3% of respondents had lived in Aichi for 5-9 years. A total of 165 respondents (67.3%) had searched for medical institutions with Spanish language support, while 80 (32.7%) had not. Information-seeking behavior regarding medical institutions with Spanish language support was associated with having previously experienced a need for Spanish language support when seeing doctors in Japan, finding and attending medical institutions with Spanish language support in the Tokai area, length of residency in Japan, Japanese language skills, and the language used in daily life.
  
  
  CONCLUSIONS
  Experience in requiring Spanish support when sick or injured in Japan motivated respondents to seek medical institutions with Spanish language support. Communication difficulties in Japanese, speaking Spanish in daily life, and length of residency in Japan were relevant factors in their information-seeking behaviors. Respondents were likely to obtain information from family, friends, co-workers, and Spanish media, but not from public institutions that distribute Spanish material. Finding an effective way to disseminate health-related information was a fundamental health issue for South American Spanish-speaking migrants.
authors.affiliation: Nagoya City University, School of Nursing.
authors.forename: Michiko
authors.initials: M
authors.lastname: Takaku
authors.forename: Seiichi
authors.initials: S
authors.lastname: Ichikawa
authors.forename: Noriyo
authors.initials: N
authors.lastname: Kaneko
mesh_terms: D000328:Adult; D003144:Communication Barriers; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D057226:Information Seeking Behavior; D007564:Japan; D008297:Male; D008875:Middle Aged; D013020:South America / Q000208:ethnology; D014171:Transients and Migrants / Q000523:psychology*