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Journal of Pregnancy
Volume 2018, Article ID 9241923, 12 pages
Research Article

The Access to Antenatal and Postpartum Care Services of Migrant Workers in the Greater Mekong Subregion: The Role of Acculturative Stress and Social Support

1Institute for Population and Social Research, Mahidol University, Salaya, Thailand
2School of Public Health, University of Michigan, Ann Arbor, MI, USA
3Faculty of Business Administration, Bangkokthonburi University, Bangkok, Thailand

Correspondence should be addressed to Charamporn Holumyong;

Received 11 June 2017; Revised 4 February 2018; Accepted 6 February 2018; Published 1 March 2018

Academic Editor: Albert Fortuny

Copyright © 2018 Charamporn Holumyong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The objective of this paper is to determine whether social support and acculturative stress were related to obtaining antenatal and postpartum care for pregnant female migrants, as well as access to health care for migrant children. The study utilized data of 987 migrant workers in Thailand who originated from hill tribes and mountain communities in Myanmar and Cambodia. Regression analysis showed that the language barrier, a crucial factor behind acculturative stress, adversely influenced access to maternal care. Social support reduced the impact of acculturative stress. Migrants with support are more likely to access health care. Based on the Multidimensional Scale of Perceived Social Support, more sources of support either from friends, family members, or other supporters who are significant could increase health care access. Besides friends and family, the support from the Migrant Health Worker Program and Migrant Health Volunteer Program allowed the formal health sector to utilize the informal social networks to improve care for migrants.