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Journal articles on the topic 'Elderly Asian Americans'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

Baker, Broshel Lenea, and Jay Hewitt. "Stepping Aside for Elderly Persons in American versus East-Asian Cultures." Psychological Reports 88, no. 3 (June 2001): 664–66. http://dx.doi.org/10.2466/pr0.2001.88.3.664.

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In the current study, younger (15–30 years of age) and older (60+ years of age) Asian-American and European-American individuals ( N = 160) were observed as they approached someone of the same ethnic group on a walkway at a city market. The interaction was recorded if one stepped aside and let the other pass. Younger Asian-Americans tended to step aside for older Asian-Americans. No such trend was observed among European-Americans. Results were discussed in terms of cultural values.

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2

Phua, Voon Chin, and Gayle Kaufman. "Grandparenting Responsibility Among Elderly Asian Americans." Journal of Intergenerational Relationships 6, no. 1 (February 26, 2008): 41–59. http://dx.doi.org/10.1300/j194v06n01_04.

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3

Kung, A., K. G. Hastings, K. I. Kapphahn, E. J. Wang, M. R. Cullen, S. L. Ivey, L. P. Palaniappan, and S. Chung. "Cross-national comparisons of increasing suicidal mortality rates for Koreans in the Republic of Korea and Korean Americans in the USA, 2003–2012." Epidemiology and Psychiatric Sciences 27, no. 1 (November 10, 2016): 62–73. http://dx.doi.org/10.1017/s2045796016000792.

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Aims.Korea has the highest suicide rate of developed countries, two times higher than the USA. Suicide trends among Koreans Americans living in the USA during the same period have not yet been described. We report suicide mortality rates and trends for four groups: (1) Korean Americans, (2) non-Hispanic White (NHW) Americans, (3) selected Asian American subgroups and (4) Koreans living in the Republic of Korea.Methods.We used US national (n = 18 113 585) and World Health Organization (WHO) (n = 232 919 253) mortality records for Korea from 2003 to 2012 to calculate suicide rates, all expressed per 100 000 persons. We assessed temporal trends and differences in age, gender and race/ethnicity using binomial regression.Results.Suicide rates are highest in Koreans living in the Republic of Korea (32.4 for men and 14.8 for women). Suicide rates in Korean Americans (13.9 for men and 6.5 for women) have nearly doubled from 2003 to 2012 and exceed rates for all other Asian American subgroups (5.4–10.7 for men and 1.6–4.2 for women). Suicide rates among NHWs (21.0 for men and 5.6 for women) remain high. Among elders, suicide in Korean Americans (32.9 for men and 15.4 for women) is the highest of all examined racial/ethnic groups in the USA.Conclusions.Suicide in Korean Americans is higher than for other Asian Americans and follows temporal patterns more similar to Korea than the USA. Interventions to prevent suicide in Korean American populations, particularly among the elderly, are needed.

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Phua, Voon Chin, Gayle Kaufman, and Keong Suk Park. "Strategic Adjustments of Elderly Asian Americans: Living Arrangements and Headship." Journal of Comparative Family Studies 32, no. 2 (May 2001): 263–81. http://dx.doi.org/10.3138/jcfs.32.2.263.

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Suarez, F. L., and D. A. Savaiano. "Lactose digestion and tolerance in adult and elderly Asian-Americans." American Journal of Clinical Nutrition 59, no. 5 (May 1, 1994): 1021–24. http://dx.doi.org/10.1093/ajcn/59.5.1021.

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6

Phua, VoonChin, James W. McNally, and Keong-Suk Park. "Poverty Among Elderly Asian Americans in the Twenty-First Century." Journal of Poverty 11, no. 2 (June 28, 2007): 73–92. http://dx.doi.org/10.1300/j134v11n02_04.

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Singhal, Shashideep, Puneet S. Basi, Siddharth Mathur, Manpreet Singh, Amir S. Butt, Mojdeh Momeni, and Sury Anand. "W1465: Colonoscopy for CRC Screening in Asymptomatic Elderly African Americans, Hispanics and Asian Americans." Gastrointestinal Endoscopy 71, no. 5 (April 2010): AB335. http://dx.doi.org/10.1016/j.gie.2010.03.877.

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Dong, XinQi, Mengting Li, and Man Guo. "CULTURAL AND SOCIAL RESILIENCE FACTORS ON HEALTH IN THE CONTEXT OF IMMIGRATION." Innovation in Aging 3, Supplement_1 (November 2019): S30. http://dx.doi.org/10.1093/geroni/igz038.116.

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Abstract Acculturation is a process whereby immigrants change their beliefs or behaviors in response to the prevailing norms and values in the host country. Acculturation may directly affect health outcomes, while it also operates through multi-level social factors, such as family relations, social network, and neighborhood cohesion, in shaping immigrants’ health. Asian Americans are the fastest growing minority group in the United States. Chinese Americans constitute the largest segment of Asian Americans. The five studies aim to profile multi-level cultural and social resilience factors of older Asian Americans’ health by analyzing the Asian American Quality of Life survey and the Population Study of Chinese Elderly in Chicago (PINE). Two studies, Acculturation and Cognitive Health and Factors Associated with Unmet Healthcare Needs demonstrated the direct effect of acculturation on health. Another two studies outlined a more complex mechanism between cultural and social determinants and health. Perceived Stress, Social Support, and Dry Mouth found the buffering effect of social support on the relationship between perceived stress and oral health. Neighborhood Social Integration, Social Network, and Cognitive Function identified micro- and macro-level resilience factors exert interaction effects on cognitive function. In addition, previous studies pay little attention to the dynamic nature of social relations. Transition in Family Relations in Immigrant Families took a typology approach to capture multifaceted family relations, with a longitudinal design to explore the transitions in family relations in the process of acculturation and its impact on mental health. This symposium will build an integrative resilience model for older Asian Americans.

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Otilingam, Poorni, and Margaret Gatz. "Perceptions of Dementia among Asian Indian Americans." Aging 6, no. 2 (2008): 45–65. http://dx.doi.org/10.36650/nexus6.2_45-65_otilingametal.

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We surveyed a convenience sample of 255 Asian Indian Americans (AIAs) aged 18-81 years assessing perceptions of dementia etiology, help-seeking, and treatment, and knowledge of symptoms of Alzheimer’s disease (AD). In response to a vignette describing the early stages of AD, participants indicated a substantial willingness to seek help. Most participants knew that memory loss was the key symptom of dementia, yet most knowledge items were correctly answered by fewer than half of the sample. Participants who had more knowledge of AD were more likely than those with less knowledge of AD to state that they would seek help for an elderly relative showing symptoms of dementia. Relative to other psychosocial factors, loneliness was highly rated as an etiological factor and keeping mentally active was highly rated as a treatment. This study is the first to document dementia beliefs among AIAs, illustrating the need for culturally-tailored dementia education and care for the AIA population.

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Lee, Jee Hyang, Nanseol Heo, Junfei Lu, and Tarrell Awe Agahe Portman. "Qualitative Exploration of Acculturation and Life-Span Issues of Elderly Asian Americans." Adultspan Journal 12, no. 1 (April 2013): 4–23. http://dx.doi.org/10.1002/j.2161-0029.2013.00012.x.

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Lee, Minsun, Jin-Hyeok Nam, Elizabeth Yi, Aisha Bhimla, Julie Nelson, and Grace X. Ma. "Differences in Subjective Memory Impairment, Depressive Symptoms, Sleep, and Physical Activity in African American and Asian American Elderly." Brain Sciences 11, no. 9 (August 31, 2021): 1155. http://dx.doi.org/10.3390/brainsci11091155.

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Background: Subjective memory impairment (SMI) is associated with negative health outcomes including mild cognitive impairment and Alzheimer’s disease. However, ethnic differences in SMI and disparities in risk factors associated with SMI among minority populations are understudied. The study examined the ethnic differences in SMI, whether SMI was associated with depressive symptoms, sleep, and physical activity (PA), and whether the associations vary across racial/ethnic groups. Methods: Participants included 243 African and Asian Americans (including Chinese, Vietnamese, and Korean Americans) aged 50 or older. Demographic information, SMI, depressive symptoms, daily sleeping hours, and PA levels were assessed. Results: Vietnamese Americans reported the highest SMI score. Depressive symptoms, sleeping hours, and PA levels were significantly associated with SMI. Depressive symptoms were the only significant factor across all ethnic groups. Significant interaction effects were found between ethnicity and health behaviors in predicting SMI. In particular, Vietnamese American participants with greater depressive symptoms and physical inactivity were significantly more likely to experience SMI compared to other ethnic groups Conclusions: Our findings demonstrate ethnic differences in SMI and its association with depressive symptoms, sleep, and PA, which highlight the importance of considering the unique cultural and historical backgrounds across different racial/ethnic groups when examining cognitive functioning in elderly.

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Singhal, Shashideep, Puneet S. Basi, Siddharth Mathur, Manpreet Singh, Mojdeh Momeni, and Sury Anand. "894 Outcome Analysis of Colonoscopy in Elderly African American, Hispanic and Asian Americans Above Age 85." Gastroenterology 138, no. 5 (May 2010): S—126. http://dx.doi.org/10.1016/s0016-5085(10)60579-3.

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13

Liu, Longjian, Jana M. Mossey, and Howard J. Eisen. "P-232 Social Connection Disadvantage, Cardiometabolic Conditions and Mortality Among Elderly Asian Americans, White and African Americans." CVD Prevention and Control 4 (May 2009): S117—S118. http://dx.doi.org/10.1016/s1875-4570(09)60424-1.

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14

Arnsberger, Pamela. "Best Practices in Care Management for Asian American Elders: The Case of Alzheimer’s Disease." Care Management Journals 6, no. 4 (December 2005): 171–77. http://dx.doi.org/10.1891/cmaj.6.4.171.

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This article addresses practice concerns and special issues for professionals doing case management for older Asian Americans using Alzheimer’s disease as the case example. Highlighted are cross-cultural issues in assessment for depression in this population, as well as caregiving and community service utilization issues. The research is based on the author’s own work and the literature, as well as results from a population-based study of caregivers of the elderly in California.

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Kao, Grace. "WHERE ARE THE ASIAN AND HISPANIC VICTIMS OF KATRINA?: A Metaphor for Invisible Minorities in Contemporary Racial Discourse." Du Bois Review: Social Science Research on Race 3, no. 1 (March 2006): 223–31. http://dx.doi.org/10.1017/s1742058x06060152.

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Hurricane Katrina, which hit the Central Gulf Coast in August 2005, was undoubtedly one of the worst natural disasters to strike the United States in the age of round-the-clock media journalism. Television coverage of Hurricane Katrina brought to the forefront the costs of disadvantage along racial and class lines. Needless to say, the victims left behind were disproportionately African American, elderly, and impoverished residents of the area. While the focus of media discussions centered around whether African Americans were abandoned by governmental agencies or if they were to blame for not heeding the call to evacuate, there was a complete absence of coverage and discussion of Hispanic and Asian American residents of the area, who are also disproportionately poor and many of whom lacked English skills to navigate the little help available to residents. This essay briefly discusses the few newspaper articles that examined these populations; Hispanic and Asian American journalists wrote almost all of these articles. I then examine how the lack of attention to these populations shapes our common understandings of race and why this may be problematic both in the United States and in a global environment.

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Kamar, Amanda J., Meghana Doniparthi, Nhan Nhan, Ying Zhou, James A. Colton, and Eli D. Ehrenpreis. "445. Correlative Factors for State to State Differences in the Prevalence and Case Fatality Rates of SARS-CoV-2, COVID-19 Infections in the United States of America." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S290—S291. http://dx.doi.org/10.1093/ofid/ofaa439.638.

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Abstract Background Individual States of the USA have ethnic, economic, community health and education differences that influence the prevalence and outcomes of COVID-19 infection. We hypothesized that Statewide differences in the prevalence and fatality rates of COVID-19 infections are dependent on factors that may be determined by mathematical modeling. Methods Two separate statistical regression models were developed using COVID-19 case prevalence and case fatality rates functioning as dependent variables. We obtained data from the prevalence and deaths from COVID-19 cases for each state in the USA that was posted at 4 PM Central Standard Time on April 29, 2020 from the Worldometer website. Publicly available databases were utilized to obtain data for the independent variables in the model. Results Models are represented as follows: Statewide COVID-19 Prevalence Model Log (Statewide COVID_19 case prevalence) = 1.847* (100–250 individuals/mile2) +3.0025*(250+ individuals/mile2) + 1.021* (% African American population) +1.029* (% Hispanic American population +2.164 *(% adults aged 85+) Model results are shown in Table 1. Statewide COVID-19 Case Fatality Rate Model Log (Statewide COVID_19 case fatality rate) =2.194* (100–250 individuals/mile2) +2.758* (250+ individuals/mile2) +1.031* (% African American population) + 1.032* (% Hispanic American population) + 0.942 (% Native American population)+ 1.108 (% Asian American population) + 2.275 (% adults aged 85+) Model results are shown in Table 2. Table 1: COVID-19 Statewide Prevalence Model Table 2: COVID-19 Statewide Case Fatality Model Conclusion Higher State population density (See Figure 1 and Figure 2) and higher State populations of elderly persons correspond to increased prevalence and case-fatality rates of COVID-19 infections. Statewide data also shows health disparities for COVID-19 infections in Hispanic Americans, African Americans, and Asian Americans. Paradoxically, States with larger populations of Native Americans who have known poor outcomes from COVID-19 infection demonstrate a decrease in case-fatality rates, suggesting a large effect of healthcare inequality in this population. Figure 1: ANOVA one-way analysis of the association between COVID-19 prevalence and population density Figure 2: ANOVA one-way analysis of the association between COVID-19 death prevalence and population density Disclosures Eli D. Ehrenpreis, MD, FACG, AGAF, E2Bio Consultants (Board Member, Chief Executive Officer)E2Bio Life Sciences (Shareholder, Chief Executive Officer)Level Ex, Inc. (Consultant)

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Li, Mengting, Man Guo, Meredith Stensland, and XinQi Dong. "ASSOCIATION BETWEEN FAMILY TYPOLOGY AND COGNITIVE FUNCTION AMONG OLDER ADULTS IN THE US? FINDINGS FROM THE PINE STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S377. http://dx.doi.org/10.1093/geroni/igz038.1384.

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Abstract A broad literature has explored racial and ethnic disadvantages in cognitive aging. Migration and acculturation created additional challenges on cognitive aging of minority older immigrants. Asian Americans are the fastest growing minority group in the United States. Chinese Americans constitute the largest segment of Asian Americans. Family is a core social value in Chinese culture. Less is known regarding the impact of family relationship on cognitive function for US Chinese older immigrants. Data were derived from the Population Study of Chinese Elderly (PINE), a community-engaged, population-based epidemiological study of 3,157 US Chinese older adults aged 60 and above in the greater Chicago area from 2011-2013. A typology approach is a useful tool to operationalize multifaceted family relationships. Our prior study used Latent Class Analysis to cluster family typologies, evaluating structural, associational, affectual, functional and normative aspects of family relationship. Cognitive function was evaluated by global cognition, episodic memory, executive function, working memory, and Chinese Mini-Mental State Examination (C-MMSE). Linear regression and quantile regression were used. The findings showed detached and commanding conflicted typologies were associated with lower global cognitive function compared with unobligated ambivalent typology. Wish respect to cognitive domains, detached, commanding conflicted, and tight-knit typologies were associated with lower episodic memory, working memory, and C-MMSE than unobligated ambivalent typology, respectively. Commanding conflicted typology, featured by high intergenerational conflicts, was associated with lowest cognitive function among all typologies. Health care professionals and social service providers should focus on older adults with commanding conflicted typology and prevent them from cognitive impairment.

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Harris, Susan S., Elpidoforos Soteriades, Jo Anna Stina Coolidge, Sharmilla Mudgal, and Bess Dawson-Hughes. "Vitamin D Insufficiency and Hyperparathyroidism in a Low Income, Multiracial, Elderly Population1." Journal of Clinical Endocrinology & Metabolism 85, no. 11 (November 1, 2000): 4125–30. http://dx.doi.org/10.1210/jcem.85.11.6962.

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This report examines the wintertime vitamin D and PTH status of 308 participants in the Boston Low Income Elderly Osteoporosis Study of noninstitutionalized low income elderly men and women (age, 64–100 yr) living in subsidized housing in Boston, MA. Twenty-one percent of the 136 black subjects and 11% of the 110 whites had very low plasma 25-hydroxyvitamin D (25OHD) concentrations (<25 nmol/L), and 73% of the blacks and 35% of the whites had 25OHD concentrations less than 50 nmol/L. The mean 25OHD levels of the smaller Hispanic and Asian subsets were generally similar to those of the white subjects. In addition to race, significant predictors of 25OHD included vitamin D intake (positive association) and smoking (inverse association), but not sex or age. Low 25OHD concentrations were associated with increased PTH and reduced serum calcium. The PTH level in the black subjects was substantially higher than that in the white subjects, and this difference was only partially explained by the racial difference in 25OHD. Elderly individuals who live in northern areas, particularly African-Americans, should be strongly encouraged to increase their vitamin D intake, especially in winter.

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Leung, Cindy W., David R. Williams, and Eduardo Villamor. "Very low food security predicts obesity predominantly in California Hispanic men and women." Public Health Nutrition 15, no. 12 (April 2, 2012): 2228–36. http://dx.doi.org/10.1017/s1368980012000857.

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AbstractObjectiveA high prevalence of food insecurity has persisted in the USA for the past two decades. Previous studies suggest that the association between food insecurity and obesity may vary by gender and race/ethnicity. We examined whether food insecurity was associated with BMI and obesity within gender and racial/ethnic groups in a large, diverse sample of low-income adults.DesignA cross-sectional analysis of a large population-based health survey. We compared the distribution of BMI and obesity by food security levels within gender and racial/ethnic categories.SettingData were derived from the 2003–2009 waves of the California Health Interview Survey.SubjectsThe study sample included 35 747 non-elderly adults with households ≤200 % of the federal poverty level.ResultsAmong Hispanic men, very low food security was associated with a 1·0 kg/m2 higher BMI (95 % CI 0·3, 1·7 kg/m2) and a 36 % higher prevalence of obesity (95 % CI 17, 58 %) after multivariate adjustment. Among Hispanic women, very low food security was associated with a 1·1 kg/m2 higher BMI (95 % CI 0·4, 1·9 kg/m2) and a 22 % higher prevalence of obesity (95 % CI 8, 38 %). Positive associations were also observed for Asian women and multi-racial men. No significant associations were observed for non-Hispanic whites, African Americans, Asian men or multi-racial women.ConclusionsOur results suggest that the association of food insecurity and obesity is limited to individuals of certain low-income, minority racial/ethnic groups. Whether targeted interventions to address food insecurity in these individuals may also decrease obesity risk deserves further investigation.

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Cheung, Ethan Siu Leung, and Ada Mui. "Gender, Cognitive Status, and Depressive Symptoms: Findings From the National Social Life, Health, and Aging Project." Innovation in Aging 4, Supplement_1 (December 1, 2020): 62. http://dx.doi.org/10.1093/geroni/igaa057.203.

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Abstract This secondary research is based on the Wave 3 National Social Life, Health and Aging Project (n = 3,104). The association between cognition, gender, and depressive symptomatology were examined. Findings indicate that 54% of the sample were women and the mean age was 72.95 (SD=8.29). Bivariate analyses suggest that there were no gender differences in cognitive status (Mean of MoCA Short Form = 9.73; SD = 3.26), age, and stress (Mean of PSS = 7.69; SD = 3.90). There were significant gender differences in terms of marital status, income, education, stressors, social participation, and social support. Compared to older men, older women reported a significantly lower level of both education and income. Multiple regression results show that gender has an independent effect and a joint effect with stressors in explaining depressive symptoms. Parallel regression analyses for each gender group were conducted and models were significant (P < .0001). The only common predictor for depressive symptoms was ADL impairment, and the impact of this was stronger for males (b=.32) than for females (b=.17). For older men, unique correlates of depressive symptoms were being not married, more ADL and cognitive impairments, and higher stress. For older women, a higher level of depressive symptoms was associated with being younger, lower-income, a higher level of ADL and IADL impairments. In addition, white elderly women reported a higher level of depressive symptoms than Asian elderly women. Findings suggest gender and racial differences in depressive symptoms experienced among older Americans living in the community.

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Lee, Jik-Joen. "Asian American Elderly:." Journal of Gerontological Social Work 9, no. 4 (February 26, 1987): 103–16. http://dx.doi.org/10.1300/j083v09n04_08.

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MCBRIDE, MELEN R., and RENE D. LEWIS. "African American and Asian American Elders: An Ethnogeriatric Perspective." Annual Review of Nursing Research 22, no. 1 (January 2004): 161–214. http://dx.doi.org/10.1891/0739-6686.22.1.161.

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By 2030, ethnic minority elders are expected to increase by 12%. Research about this highly diverse population is gaining momentum. This chapter summarizes selected research articles published after 1996 on access and utilization of services and resources by African American and Asian American elders. Computerized searches were made using PubMed and CINAHL (Cumulative Index of Nursing and Allied Health Literature) with the following terms used individually or combined: health care, aging, older adults, ethnicity, access, disparities, chronic illness, community health care, health beliefs, health practices, and ethnogeriatrics. Citations for 456 articles on two ethnic groups were retrieved; 155 were reviewed, and 84 citations were used for this chapter. The publications focus on African Americans (45%), Asian Americans (41%), and both groups (14%). Descriptive, exploratory, cross-sectional studies dominate the research effort, identifying unmet needs, and a limited number are on culturally appropriate and acceptable interventions. Results are discussed in the context of ethnogeriatrics, and recommendations for future studies are proposed.

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Kurzeja, Paul L., Soon D. Koh, Tong-He Koh, and William T. Liu. "Ethnic Attitudes of Asian American Elderly." Research on Aging 8, no. 1 (March 1986): 110–27. http://dx.doi.org/10.1177/0164027586008001006.

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Rangoonwala, Hussain I., Jonathan Gootee, and Peter T. Silberstein. "Epidemiology and Survival Outcomes in Elderly Acute Myeloid Leukemia Patients: An NCDB Study." Blood 134, Supplement_1 (November 13, 2019): 3840. http://dx.doi.org/10.1182/blood-2019-131233.

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Background: Recent data suggests that more elderly AML patients are receiving treatment today compared to no treatment. With this in mind, there have been no recent studies looking at prognostic variables and survival outcomes in this patient population. We are conducting this retrospective study utilizing the National Cancer Database to help better prognosticate these patients and improve clinical outcomes. Methods: A total of 43,270 patients with AML over the age of 60 were identified utilizing the National Cancer Database. Patients were identified by the histology codes 9840, 9861, 9867, 9871-4, 9896, 9897, and 9920. Survival tables and Kaplan-Meier curves were utilized to calculate both 1- and 3-year survival probabilities with log-rank analysis to compare the variables. Variables analyzed include cytogenetics, sex, facility type, race, insurance status, income and education quartiles, and treatment including adjuvant therapies to chemotherapy and type of bone marrow transplant. Results: Approximately 55.3% of the cohort was male and Caucasian patients represented 88.1% of the cohort. The median age for the cohort was 73 years of age. The most common insurance was Medicare at 71.8% of the cohort followed by private insurance at 20.3%, Medicaid at 2.8%, and not insured at 1.7%. Approximately 34% of the cohort lived in zip codes with incomes of >$63,333, followed by 23.4% living in $50,354-63,332, 23.1% living in $40,227-50,353, and 17.9% living in <$40,227. The majority (43.5%) elected to receive treatment at academic and research programs followed by 37.5% at comprehensive community cancer programs, 11.9% at integrated network cancer programs and 7.1% at community cancer programs. Approximately 68% of the cohort elected to have chemotherapy with 1,897 patients electing to have an adjuvant bone marrow transplant and 229 patients elected to receive adjuvant immunotherapy. The overall 1- and 3-year survival probabilities for the cohort was 29.0% and 11.3%, respectively. Asian patients had the best survival outcomes, followed by Caucasians and African Americans. The type of AML resulted in significant difference in survival outcomes with AML with abnormal marrow eosinophils having the best 1- and 3- year survival probabilities of 48.7% and 29.5%, respectively, while acute myelomonocytic leukemia had the worst 1-year survival at 27.2% and AML with minimal differentiation had the worst 3-year survival at 9.4%. Patient that received treatment at academic or research centers had the best 1- and 3-year survivals of 35.6% and 14.4%, respectively. Patients that received treatment at community cancer programs had the worst survival outcomes (1-year:22.3% and 3-year:8.3%). Patients with private insurance had the highest 1- and 3-year survival probabilities of 41.8% and 20.4% followed by Medicaid (1-year:36.7% and 3-year:16.5%), not insured (1-year:33.9% and 3-year:17.4%), and Medicare (1-year:24.8% and 3-year:8.3%). As income and education levels increased, the probability of survival also increased. Patients that received an adjuvant bone marrow transplant to chemotherapy had the highest survival probability (1-year:76.3% and 3-year:46.7%) followed by adjuvant immunotherapy (1-year:53.8% and 3-year:18.8%), and chemotherapy alone (1-year:38.5% and 3-year:15.0%). Patients that didn't receive chemotherapy had 1- and 3-year survival probabilities of 9.6% and 3.5%, respectively. Conclusion: To date, this is the largest study on the prognostic factors in patients over 60 years of age with AML. Major prognostic factors include type of AML, facility type, race, insurance status, median income quartile, educational level, and adjuvant therapy. Disclosures No relevant conflicts of interest to declare.

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Wang, Yi, Man Guo, Jinyu Liu, and Kara Carter. "Understanding the Pathways of Neighborhood Environmental Influences on Health Among U.S. Chinese Older Immigrants." Innovation in Aging 4, Supplement_1 (December 1, 2020): 110–11. http://dx.doi.org/10.1093/geroni/igaa057.364.

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Abstract Neighborhood environment has proven to be consequential for older Americans’ physical, mental and cognitive health. However, this topic is much less studied among older Asian immigrants, a fast growing immigrant group who embrace values of collectivism and community connections. The current study used the first wave data (N=2920) of the Population Study of Chinese Elderly (PINE), the largest population-based sample of Chinese older adults in the U.S., 1) to examine the direct associations between neighborhood environment (social cohesion, physical disorder) and health outcomes (self-rated health, depression, and cognitive health); and 2) to identify possible mediators at intrapersonal (sense of hopelessness, sense of mastery) and interpersonal levels (social engagement, cognitive engagement) through which neighborhood environment influences health. The results of Sobel tests from path analysis showed that neighborhood social cohesion was associated with better health outcomes on all the domains: self-rated health (b= 0.050, p<.01), depression (b= -0.202 p<.001), and cognitive health (b=0.092, p<.001), whereas neighborhood physical disorder was associated with poorer self-rated health (b= -0.069, p<.01) and more depressive symptoms (b=0.174, p<.001). Full and partial mediations were detected. For example, neighborhood physical disorder influences depression completely through intrapersonal traits, higher sense of hopelessness (b=1.879, p<0.001) and reduced sense of mastery (b= -2.656, p<0.001). Neighborhood social cohesion contributes to better cognitive health partially through increased social engagement (b=1.696, p<0.001) as well as cognitive activities (b=1.392, p<0.001). The findings identified the ecological component in resilience building processes, and provide evidence for mezzo-level intervention to improve health among aging U.S. Chinese immigrants.

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Jones, Patricia S. "Asian American Women Caring for Elderly Parents." Journal of Family Nursing 2, no. 1 (February 1996): 56–75. http://dx.doi.org/10.1177/107484079600200104.

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Glicksman, Allen, Lauren Ring, and Sandra Torres. "LINKING ETHNIC MINORITY ELDERS TO PROGRAMS AND SERVICES: CHALLENGES TO BUILDING NETWORKS." Innovation in Aging 3, Supplement_1 (November 2019): S228. http://dx.doi.org/10.1093/geroni/igz038.839.

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Abstract Building networks that are effective in linking older adults to supportive programs and services often involves challenges related to access, eligibility requirements, the elder's ability to understand enrollment processes, and lack of trust in service providers. For ethnic minority elders these challenges are often greater due to additional linguistic and cultural barriers. The four presentations on this panel address challenges to building effective service networks for ethnic minority elders using data derived from focus groups with members of these communities and those tasked with providing their care. The first presentation (Graham and Tseng) examines the Village model, a model designed to empower older adults, and asks why more Latino, African American and Asian elders do not participate. The second paper (Ågård) looks at communication difficulties as a source for understanding the nature of cross-cultural discussions around end of life issues with ethnic minority patients. The third paper (Ajrouch, Janevic, and Antonucci) explores how caregiving programs for Alzheimer’s Disease patients can be modified to better serve Arabic speaking caregivers. The final paper (Ring, Liebman, Glicksman and Rodriguez) uses data collected among Spanish and Chinese (Mandarin) speaking elders to design a conceptual model which describes how ethnic minority and other elderly navigate the Long Term Care Services and Supports network. Our respondent will place these papers within the growing theoretical work on diversity and care support.

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Lauderdale, D. S., S. J. Jacobsen, S. E. Furner, P. S. Levy, J. A. Brody, and J. Goldberg. "Hip Fracture Incidence among Elderly Asian-American Populations." American Journal of Epidemiology 146, no. 6 (September 15, 1997): 502–9. http://dx.doi.org/10.1093/oxfordjournals.aje.a009304.

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Choi, Namkee G. "Asian American Elderly Participants in Congregate Dining Programs." Journal of Nutrition For the Elderly 21, no. 3 (March 2002): 1–13. http://dx.doi.org/10.1300/j052v21n03_01.

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Lightfoot, Elizabeth, and Hee Yun Lee. "Elder Mistreatment among Asians and Asian Americans: New Directions Toward Prevention, Intervention, and Policy." Journal of Aggression, Maltreatment & Trauma 23, no. 1 (January 2, 2014): 1–4. http://dx.doi.org/10.1080/10926771.2014.865150.

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31

Kim, Paul, and Jung-Sup Kim. "Curriculum Development for Social Work with Asian-American Elderly." Gerontology & Geriatrics Education 10, no. 2 (March 30, 1990): 89–98. http://dx.doi.org/10.1300/j021v10n02_07.

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32

Nouri, Keyvan, Paolo Romanelli, Jennifer T. Trent, Roya Javid, and Gloria Jimenez. "Rare Presentations of Basal Cell Carcinoma." Journal of Cutaneous Medicine and Surgery 6, no. 3 (May 2002): 226–28. http://dx.doi.org/10.1177/120347540200600306.

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Background: Even though basal cell carcinomas (BCC) are the most common skin cancers in the world, they rarely appear in the African–American, Hispanic, and Asian populations. BCCs most commonly present on the head and neck of elderly, light-skinned individuals who have received an excessive amount of sun exposure. However, it has been hypothesized that the development of BCCs in unusual populations is a result of an alteration in tumor surveillance or an impairment in cellular immunity. Objective: We present two cases of BCC, one in an Asian woman and one in an African–American woman. Neither of these patients had any history of genodermatoses or were immunocompromised. Conclusion: BCCs can occur in Asian and African–American patients. Clinicians should include the diagnosis of BCC in their differential for these patients despite their rare presentations.

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Spector, Jordan, and Niels K. Rathlev. "Pertussis in an Elderly Asian-American Man: A Case Report." Journal of Emergency Medicine 38, no. 4 (May 2010): 434–38. http://dx.doi.org/10.1016/j.jemermed.2007.07.024.

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Lee, Othelia E., and Seungah Ryu. "Content and Intensity of Pride and Regret Among Asian American Immigrant Elders." Illness, Crisis & Loss 25, no. 4 (August 1, 2017): 309–22. http://dx.doi.org/10.1177/1054137317723103.

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Pride and regret are self-conscious emotions that develop later in life and become a source of emotional struggle. This study examines the content of regret and pride among Asian American elders. Among a convenience sample of 118 Asian American older adults, the researchers examined the contents and intensities of both regret and pride felt over events in life. Across three groups of Asian American immigrants, older adults in this study reported a variety of regrets and pride in the areas of college education, marital relationship, children’s problems, career aspirations, financial difficulty, immigration, and grief or losses that they have experienced in life courses. Findings further explored culture-specific sources of self-conscious emotions, and the intensities of regrets may be strongly influenced by cultural context.

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Moon, Ailee, Susan K. Tomita, and Staci Jung-Kamei. "Elder Mistreatment Among Four Asian American Groups." Journal of Gerontological Social Work 36, no. 1-2 (April 23, 2002): 153–69. http://dx.doi.org/10.1300/j083v36n01_09.

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Patel, Rajendrakumar, Rajendrakumar Patel, J. M. Thakar, Sumir Sahgal, and Roy J. Goldberg. "Asian Indian American Elderly: Addressing the Need for Long Term Care." Journal of the American Medical Directors Association 13, no. 3 (March 2012): B11. http://dx.doi.org/10.1016/j.jamda.2011.12.049.

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Rodriguez, Beatriz L., Robert D. Abbott, Samir H. Mody, Kamal Masaki, Bradley Willcox, Helen Petrovitch, Webster Ross, et al. "The Impact of Hemoglobin on Total Mortality in Elderly Asian-American Men: The Honolulu Heart Program." Blood 106, no. 11 (November 16, 2005): 587. http://dx.doi.org/10.1182/blood.v106.11.587.587.

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Abstract Anemia in the elderly is frequently unrecognized and untreated. Anemia prevalence increases with age and has been reported to occur in >20% of elderly persons. Anemia has also been shown to be a significant and independent predictor of mortality. There are no published data, however, regarding prevalence of anemia or its association with mortality in an elderly Asian-American population. In this study, we examined the relationship between hemoglobin (Hb) and mortality in elderly Asian-American men in the Honolulu Heart Program (HHP). The HHP began in 1965 following a cohort of 8006 Asian-American men aged 45-68 living on Oahu, Hawaii. These men have been followed for over 40 years(y). The present analysis is based on 14 years of follow-up for mortality events beginning at examinations that were given from 1991–1993 when the men were aged 71-93y. Anemia (Hb<13g/dL) and borderline anemia (Hb:13-13.9 g/dL) were defined using WHO criteria. Age-adjusted mortality rates in person-years(y) of follow-up were calculated across ranges of Hb using logistic regression and standard analysis of covariance methods. Statistical tests for an association between Hb and mortality were based on proportional hazards regression models with adjustments for age, total cholesterol, alcohol intake, HDL cholesterol, fibrinogen, BMI, forced expiratory volume, physical activity, diabetes, hypertension, cigarette smoking, and a history of cancer and CVD. Linear and nonlinear relationships were examined along with efforts to identify ranges of Hb that were associated with the lowest incidence of mortality. In the latter instance, differential calculus yielded a combination of regression coefficients that resulted in a single Hb value that was associated with the lowest mortality. Bootstrap sampling further provided a corresponding 95% CI. Of the total subjects, 9.1% had anemia with 14.7% having borderline anemia. Anemia prevalence increased from 4.3% in men 71-75y to 27.2% in those ≥86y (p<0.001). In 14 years of follow-up, there were 2,311 deaths (6.7/100 person-y). The mortality rate in those with anemia was 11.8/100 person-y vs 6.4/100 person-y in those without anemia (p<0.001). The association persisted for men with and without cancer and cardiovascular disease, across age strata, for deaths that occurred <1y, 1-5y and >5y and after adjustment for other risk factors. There was a significant (p<0.001) inversed J-shaped relationship with a minimum in mortality incidence occurring when Hb was 15.5g/dL. The corresponding 95% CI (15–15.9g/dL) was used as a reference for comparing rates of mortality with other Hb ranges. Compared to this latter group, there was a 2.4-fold excess in mortality (95% CI, 1.8–3.1) in men with a Hb<12g/dL (p<0.001). For men with Hb ≥17g/dL, there was a 1.3–fold excess (95% CI, 1.2–1.6). The latter, however, was not significant after excluding former and current smokers. These results are the first to describe prevalence of anemia in elderly Asian-American men. These findings indicate anemia is a strong independent predictor of mortality in this elderly population with the risk similar to that reported from other studies of the elderly.

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Lee, Jik-Joen, Michael A. Patchner, and Pallassana R. Balgopal. "Essential Dimensions for Developing and Delivering Services for the Asian American Elderly." Journal of Multicultural Social Work 1, no. 3 (October 29, 1991): 3–12. http://dx.doi.org/10.1300/j285v01n03_02.

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Liu, William T., and Elena Yu. "Asian/Pacific American Elderly: Mortality Differentials, Health Status, and Use of Health Services." Journal of Applied Gerontology 4, no. 1 (September 1985): 35–64. http://dx.doi.org/10.1177/073346488500400105.

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Weng, Suzie S., and Peter V. Nguyen. "Factors Affecting Elder Caregiving in Multigenerational Asian American Families." Families in Society: The Journal of Contemporary Social Services 92, no. 3 (July 2011): 329–35. http://dx.doi.org/10.1606/1044-3894.4133.

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Wong, Shyh S., Elaine M. Heiby, Velma A. Kameoka, and Joan P. Dubanoski. "Perceived Control, Self-Reinforcement, and Depression Among Asian American and Caucasian American Elders." Journal of Applied Gerontology 18, no. 1 (March 1999): 46–62. http://dx.doi.org/10.1177/073346489901800103.

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42

Wilmoth, Janet M., Gordon F. De Jong, and Christine L. Himes. "IMMIGRANT AND NON‐IMMIGRANT LIVING ARRANGEMENTS AMONG AMERICA'S WHITE, HISPANIC, AND ASIAN ELDERLY POPULATION." International Journal of Sociology and Social Policy 17, no. 9/10 (September 1997): 57–82. http://dx.doi.org/10.1108/eb013325.

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Lauderdale, Diane S., and Bert Kestenbaum. "Mortality Rates of Elderly Asian American Populations Based on Medicare and Social Security Data." Demography 39, no. 3 (August 2002): 529. http://dx.doi.org/10.2307/3088330.

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44

Lauderdale, Diane S., and Bert Kestenbaum. "Mortality Rates of Elderly Asian American Populations Based on Medicare and Social Security Data." Demography 39, no. 3 (2002): 529–40. http://dx.doi.org/10.1353/dem.2002.0028.

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45

Le, Thanh-Thao Adriana, Sumu Simon, Jagjit Gilhotra, and Pravin Hissaria. "Vogt-Koyanagi-Harada syndrome presenting with bilateral optic disc swelling and leptomeningeal enhancement." BMJ Case Reports 12, no. 5 (May 21, 2019): e229719. http://dx.doi.org/10.1136/bcr-2019-229719.

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Vogt-Koynagi-Harada (VKH) disease is a clinical syndrome with classical ocular and extraocular findings that is not uncommonly described in Asian, Middle-Eastern and South American populations. We describe a case of VKH in an elderly Polish-Australian distinguished by prominent bilateral disc swelling rather than uveitis and marked leptomeningeal enhancement on MRI which led to extensive investigation including brain biopsy. Both disc oedema and MRI abnormalities improved dramatically with systemic steroid therapy. VKH disease is an important differential to consider in older patients with an uveo-meningeal picture and atypical eye findings where other causes have been excluded.

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Silva, Vanessa de Lima, Eduarda Ângela Pessoa Cesse, and Maria de Fátima Pessoa Militão de Albuquerque. "Social determinants of death among the elderly: a systematic literature review." Revista Brasileira de Epidemiologia 17, suppl 2 (2014): 178–93. http://dx.doi.org/10.1590/1809-4503201400060015.

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OBJECTIVE: This study aims at working on a systematic review of articles published on social determinants associated with the elderly mortality. METHODS: We searched articles published in Portuguese, English and Spanish language periodicals from January 1st 2007 to December 31st 2009, by means of Lilacs and Pubmed databases. Twenty cohort studies were identified, having most of them been developed in European, North-American and Asian countries. RESULTS: The articles analysed provided determinant social factors significantly associated with the elderly mortality: urban/rural and intercontinental variation, be part of ethnic minorities, financial stress, living conditions, schooling, social participation, gender and race discrimination, smoking, alcoholism, physical activities, instrumental activities of daily living, leisure, marital status, equality and healthy lifestyle. CONCLUSION: Mortality amongst the elderly is influenced by social determinants in many levels of reach, from determinants linked to lifestyle to socioeconomic macro-determinants. The actions on these determinants must be guided by the intersectorial perspective and regarded as a priority in the health sector, seeking to provide extended longevity with good quality of life for the population.

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Yeo, Gwen. "Family Caregiving for Elders with Dementia in Three Asian American Populations." Hallym International Journal of Aging 10, no. 2 (January 1, 2008): 85–89. http://dx.doi.org/10.2190/ha.10.2.b.

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48

Sentell, Tetine, Hyeong Jun Ahn, Jill Miyamura, and Deborah A. Taira. "Thirty-Day Inpatient Readmissions for Asian American and Pacific Islander Subgroups Compared With Whites." Medical Care Research and Review 75, no. 1 (November 11, 2016): 100–126. http://dx.doi.org/10.1177/1077558716676595.

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Asian and Pacific Islander (API) 30-day potentially preventable readmissions (PPRs) are understudied. Hawaii Health Information Corporation data from 2007-2012 statewide adult hospitalizations ( N = 495,910) were used to compare API subgroup and White PPRs. Eight percent of hospitalizations were PPRs. Seventy-two percent of other Pacific Islanders, 60% of Native Hawaiians, and 52% of Whites with a PPR were 18 to 64 years, compared with 22% of Chinese and 21% of Japanese. In multivariable models including payer, hospital, discharge year, residence location, and comorbidity, PPR disparities existed for some API subpopulations 65+ years, including Native Hawaiian men (odds ratio [OR] = 1.14; 95% confidence interval [CI] = 1.04-1.24), Filipino men (OR = 1.19; 95% CI = 1.04-1.38), and other Pacific Islander men (OR = 1.30; 95% CI = 1.19-1.43) and women (OR = 1.23; 95% CI = 1.02-1.51) compared with Whites, while many API groups 18 to 64 years had significantly lower PPR odds. Distinct PPR characteristics across API subpopulations and age groups can inform policy and practice. Further research should determine why elderly API have higher PPR rates, while nonelderly rates are lower.

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Iwamasa, G. "Depression and anxiety among asian american elders A review of the literature." Clinical Psychology Review 19, no. 3 (April 1999): 343–57. http://dx.doi.org/10.1016/s0272-7358(98)00043-9.

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50

Devarajan, Arthi. "Dancing Krishna in the suburbs: Kinaesthetics in the South Asian American diaspora." Studies in South Asian Film & Media 4, no. 2 (October 1, 2012): 167–77. http://dx.doi.org/10.1386/safm.4.2.167_1.

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This article explores kinaesthesia as a central aspect of religious pedagogy in a transnational Hindu community, through ethnographic observation of American practitioners of Bharatanatyam (classical Indian dance).1 The Natyanjali School of Dance (Andover, Massachusetts, United States) is a small, multigenerational community, comprised of dance teacher Jeyanthi Ghatraju, a group of South Indian first-generation immigrant IT professionals, and their American-born children. Through Bharatanatyam, pedagogical practices of physical training, repetition and constructions of body comportment, students learn South Asian languages, culture and Hindu religious narratives. Additionally, they absorb practices of social organization and moral knowledge through interactions with their teacher, elders and peers. Although studies of kinaesthesia attend to the physical body and its faculties of movement, sense, socialization and cognitive knowledge, the processes by which kinaesthetics inform the construction of religious experience, value, belief and identity remain relatively unexplored. This article examines the construction of Hindu and Indian identity, personal religiosity and morality, through the kinaesthetic pedagogies of basic step (adavu) repetition, the embodied and discursive pedagogies of dramatic gestural narration of sacred stories (natya), and the interpretive and devotional conjuring of expression (abhinaya) inherent in Bharatanatyam.

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