To see the other types of publications on this topic, follow the link: Older Asian Americans – Health and hygiene.
Journal articles on the topic 'Older Asian Americans – Health and hygiene'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Older Asian Americans – Health and hygiene.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Kim, Giyeon, David A. Chiriboga, Yuri Jang, Seungah Lee, Chao-Hui Huang, and Patricia Parmelee. "Health Status of Older Asian Americans in California." Journal of the American Geriatrics Society 58, no. 10 (October 2010): 2003–8. http://dx.doi.org/10.1111/j.1532-5415.2010.03034.x.
Full text
2
Jang, Y., H. Yoon, N. S. Park, and D. A. Chiriboga. "ORAL HEALTH AND DENTAL CARE IN OLDER ASIAN AMERICANS." Innovation in Aging 1, suppl_1 (June 30, 2017): 119. http://dx.doi.org/10.1093/geroni/igx004.490.
Full text
3
Min, Jong, Siyon Rhee, Phu Phan, Jessica Rhee, and Thanh Tran. "Health of Older Asian Americans in California: Findings from the California Health Interview Survey." Aging 6, no. 2 (2008): 17–44. http://dx.doi.org/10.36650/nexus6.2_17-44_wonetal.
Full textAbstract:
Health studies on older Asian Americans based on national and statewide representative data are scarce. This study examined subgroup differences in demographic, socioeconomic and general health status, health conditions, and access to health care services among five groups of Asian Americans aged 60 or older (Chinese, Filipino, Japanese, Korean, and Vietnamese), using data from the 2001 California Health Interview Survey. Significant differences in demographic and socioeconomic characteristics, health status, chronic conditions, and coverage and use of health care services were found in the five groups, indicating the complexity, diversity, and heterogeneity of older Asian American populations. Practice and research implications are discussed.
4
Burt, Brian A., Amid I. Ismail, and Stephen A. Eklund. "Periodontal disease, tooth loss, and oral hygiene among older Americans." Community Dentistry and Oral Epidemiology 13, no. 2 (April 1985): 93–96. http://dx.doi.org/10.1111/j.1600-0528.1985.tb01684.x.
Full text
5
Wu, Bei, Jersey Liang, Lawrence Landerman, and Brenda Plassman. "Trends of Edentulism Among Middle-Aged and Older Asian Americans." American Journal of Public Health 103, no. 9 (September 2013): e76-e82. http://dx.doi.org/10.2105/ajph.2012.301190.
Full text
6
Flatt, Jason, Rachel Whitmer, and Paola Gilsanz. "Exploring the Risk and Protective Factors for the Mental Health of Sexual Minority Asian Americans." Innovation in Aging 4, Supplement_1 (December 1, 2020): 624. http://dx.doi.org/10.1093/geroni/igaa057.2127.
Full textAbstract:
Abstract This study characterizes the mental health of Asian American older adults (aged 60+) who identify as sexual minorities (SM or lesbian, gay, bisexual) and compare to their non-Asian American and non-SM counterparts. Data were from the Research Program on Genes, Environment and Health (Aged 60+; N=185,478), a representative sample of healthcare members from Northern California. It includes SM (N=447) and heterosexual/non-SM (N=15,772) older adults who identify as Asian American (Chinese, Japanese, Filipino, and South Asian) and non-Asian American SM (N=3,890). Rates of dementia, anxiety, and PTSD were similar for both SM and non-SM Asian Americans. However, older lesbian and gay Asian Americans were more likely to have a depression diagnosis (30% vs. 18%, p=0.002) compared to non-SM. Overall, mental health outcomes were lower for Asian American SM compared to non-Asian American SM. We discuss need for understanding protective factors for mental health and implications for future interventions.
7
Park, Nan Sook, Yuri Jang, David A. Chiriboga, and Soondool Chung. "Social network types, health, and well-being of older Asian Americans." Aging & Mental Health 23, no. 11 (October 22, 2018): 1569–77. http://dx.doi.org/10.1080/13607863.2018.1506751.
Full text
8
Lee, Minsun, Wenyue Lu, Tyrell Mann-Barnes, Jin-Hyeok Nam, Julie Nelson, and Grace X. Ma. "Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults." Brain Sciences 11, no. 5 (May 5, 2021): 597. http://dx.doi.org/10.3390/brainsci11050597.
Full textAbstract:
Older African Americans and Asian Americans in the U.S. underuse mental health services, despite their vulnerability to diverse mental health problems. This study examined their perspectives on the importance of various mental health problems, mental health treatment, and provider type preference. A total of 243 participants residing in Philadelphia were recruited through community-based organizations. Chi-square, ANOVA, and logistic regression were conducted to examine ethnic differences in demographic characteristics, mental health screening needs, and treatment preferences. African Americans were more likely to endorse the screening needs for depression (AOR: 3.77; 95% CI: 1.19–11.93, p < 0.05) and less likely to endorse the screening needs for suicide (AOR: 0.24; 95% CI: 0.08–0.76, p < 0.05) compared to Asian Americans. For treatment preferences, African Americans were more likely to seek help from primary care physicians (AOR: 8.26; 95% CI: 1.71–32.86, p < 0.01) and less likely to prefer medication as a treatment option (AOR: 0.36; 95% CI: 0.09–0.79, p < 0.05) than Asian Americans. African Americans and Asian Americans prioritized mental health screening needs differently and had different treatment preferences, indicating that matching community needs and preferences regarding mental health services is critical to improve mental service utilization rates in the targeted populations.
9
Park, Nan Sook, David Chiriboga, and Barbara Yee. "Understanding Mental Health, Vulnerabilities, and Coping in Older Koreans and Older Korean Americans." Innovation in Aging 4, Supplement_1 (December 1, 2020): 633. http://dx.doi.org/10.1093/geroni/igaa057.2167.
Full textAbstract:
Abstract Although significant progress has been made in understanding mental health issues, racial/ethnic minorities are disadvantaged in terms of knowledge, attitude/stigma toward mental illness, and access to treatment. Older Koreans and Korean Americans are high-risk groups with great prevalence of stigma and limited access to mental services. The two groups share similarities as well as differences. For example, Older Korean Americans, a first-generation immigrant group, tend to share traditional values and beliefs with older Koreans. However, differences in social and cultural contexts, availability of social networks and resources, and access to health care systems present unique challenges and strategies. The purpose of this symposium is to enhance the understanding of critical issues in mental health among older Koreans and Korean Americans and identify challenges and strategies to promote mental health and well-being. Five studies conducted in Korea and the US will explore a variety of personal, social, and cultural factors related with mental health, based on quantitative and qualitative approaches. The diverse topics cover the mediating role of self-esteem in the relationship of stigma to emotional well-being, the effect of stress and coping on well-being, loneliness and negative family interactions, the relationship of life stressors and social capital on mental distress among older Korean Americans compared with other older Asian Americans, and community leaders’ attitude toward depression. The issues of vulnerabilities and resources will be discussed from the cultural perspectives as well as implications for future research and practice.
10
Jang, Yuri, Hyunwoo Yoon, Nan Sook Park, and David A. Chiriboga. "Oral Health and Dental Care in Older Asian Americans in Central Texas." Journal of the American Geriatrics Society 65, no. 7 (May 26, 2017): 1554–58. http://dx.doi.org/10.1111/jgs.14832.
Full text
11
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.
Full textAbstract:
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.
12
Yoon, Hyunwoo, Hyunwoo Yoon, Yuri Jang, and Kwangyul Choi. "FACTORS ASSOCIATED WITH UNMET HEALTHCARE NEEDS IN OLDER ASIAN AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S31. http://dx.doi.org/10.1093/geroni/igz038.120.
Full textAbstract:
Abstract Older Asian Americans are the fast-growing but understudied population in health disparities research. Using a sample that reflects cultural/linguistic diversity, the present study explored general (health insurance, usual place for care, income) and immigrant-specific (nativity, length of stay in the US, English proficiency, acculturation) risk factors of unmet healthcare needs in older Asian Americans. Data were drawn from the Asian American Quality of Life survey (N = 533). With the inclusion of a considerable number of non-English-speaking individuals, the present sample presented a high rate of unmet healthcare needs. Those with a shorter stay in the US, limited English proficiency, and lower level of acculturation had increased odds of having unmet healthcare needs than their counterparts after controlling for background characteristics. Challenging the myth of model minority, findings highlight the importance of immigrant-specific factors in identifying risk groups of unmet healthcare needs and demonstrate vulnerability in access to healthcare.
13
Yoon, Hyunwoo, Yuri Jang, and Seoyoun Kim. "Physical Health Constraints and Psychological Distress in Older Asian Americans: The Role of Perceived Health." Innovation in Aging 4, Supplement_1 (December 1, 2020): 336–37. http://dx.doi.org/10.1093/geroni/igaa057.1080.
Full textAbstract:
Abstract Given the importance of understanding the underlying dynamics of physical and mental health in old age, the present study explored the roles of physical health constraints in predicting subjective health perception and psychological distress among older Asian Americans. Guided by the Health Belief Model, we also examined whether subjective health perception would function as a mediator in the link between physical health constraints and psychological distress. Using data from 533 Asian Americans aged 60 and over (mean age=69.4, SD=6.88) in the 2016 Asian American Quality of Life Study, the direct and indirect effect models were tested with multivariate linear regressions and the PROCESS macro. Advanced age, unmarried status, lower levels of acculturation, and more chronic physical conditions were significant predictors of psychological distress. When subjective health perception was added to the model, an additional 5% of the variance was accounted for, resulting in 25% of the total variance explained by the estimated model. Negative health perception was a significant predictor of increased level of psychological distress. Supporting the mediation hypothesis, all direct paths among physical health constraints, subjective health perception, and psychological distress were significant. The indirect effect of physical health constraints on psychological distress through subjective health perception status was significant, as evidenced by the 95% bootstrap confidence interval for the indirect effect not containing zero (.07, .28). The findings not only help better understand the psychological mechanisms that underlie physical health constraints and psychological distress but also suggest avenues for interventions.
14
Li, Chien-Ching, Alicia Matthews, and XinQi Dong. "Psychological Distress Among Older LGBT and Non-LGBT Asian Americans: The Influence of Minority Stress." Innovation in Aging 4, Supplement_1 (December 1, 2020): 624. http://dx.doi.org/10.1093/geroni/igaa057.2125.
Full textAbstract:
Abstract Emerging data from epidemiological studies have confirmed elevated prevalence rates for mental health conditions among the lesbian, gay, bisexual and transgender (LGBT) populations. An estimated 2.8% of Asian Americans identify as LGBT and 26% of Asian LGBT are 40 years or older. This study analyzed the California Health Interview Survey to examine differences in psychological distress between LGBT and non-LGBT older Asian Americans, and further evaluated the role of discrimination in medical care and intimate violence on psychological distress. Regression results showed older LGBT Asians had a higher psychological distress score compared to non-LGBT Asians. After adjusting for discrimination or violence, this association no longer existed. Experiencing discrimination in medical care and intimate violence were associated with higher levels of psychological stress. This study increases our knowledge of mental health among older Asian LGBT, enhancing our ability to design culturally-targeted and trauma-informed psychosocial interventions to improve outcomes in this population.
15
Chan, Keith. "The Association of Acculturation with Overt and Covert Perceived Discrimination for Older Asian Americans." Social Work Research 44, no. 1 (March 2020): 59–71. http://dx.doi.org/10.1093/swr/svz023.
Full textAbstract:
Abstract Asian older adults are a fast-growing population in the United States. Because Asian older adults are a largely immigrant population, acculturation has an impact on their perceived discrimination, which is negatively associated with health and mental health. Discrimination can be overt, characterized by distrust and direct messages that are hostile and exclusionary, or covert, characterized by unfair treatment and messages that are negative and degrading. This study investigates the association of acculturation with perceived overt and covert discrimination, measured by the Everyday Discrimination Scale, with a sample of 348 foreign-born older Asian Americans from the National Latino and Asian American Study. Acculturation was measured by English-speaking ability, immigration-related variables, and ethnic identity. Results indicated that perceived covert discrimination was more prevalent than overt discrimination among older Asians. Among acculturation variables, only citizenship was associated with higher perceived covert and overt discrimination. Identifying with the same race was associated with higher covert discrimination. Findings suggest that higher acculturation is associated with greater exposure to discrimination for Asian older adults. Efforts to increase access and utilization of social and health-related services should consider the context of older Asians’ experiences as a discriminated immigrant group in the United States.
16
Ownbey, Shiretta F., and Patricia E. Horridge. "THE SUINN-LEW ASIAN SELF-IDENTITY ACCULTURATION SCALE: TEST WITH A NON-STUDENT, ASIAN-AMERICAN SAMPLE." Social Behavior and Personality: an international journal 26, no. 1 (January 1, 1998): 57–68. http://dx.doi.org/10.2224/sbp.1998.26.1.57.
Full textAbstract:
Ethnic diversity is a major trend in the United States with Asian Americans constituting a rapidly growing percentage of the population. Consequently, acculturation among Asian-Americans is an important issue since ethnic diversity both offers cultural richness and contributes to challenges for educational systems, public health services, and entities concerned with consumer practices. The Suinn-Lew Asian Self-Identity Acculturation (SL-ASIA) Scale was tested with a non-student, random sample (N = 124) comprised of Chinese- and Filipino-Americans 18 years old and older who lived in San Francisco. Resulting data confirmed results of an initial study of the SL-ASIA; the test scores resulted in acceptable reliability measures and the instrument contains items which are promising for accurate measurement of acculturation level among Asian-American populations.
17
Kwon, Simona, Deborah Min, and Stella Chong. "Asian American Older Adults and Social Isolation: A Systematic Literature Review." Innovation in Aging 4, Supplement_1 (December 1, 2020): 328. http://dx.doi.org/10.1093/geroni/igaa057.1051.
Full textAbstract:
Abstract Asian Americans are the fastest growing racial and ethnic minority group in the United States, whose population is aging considerably. Previous studies indicate that social isolation and loneliness disproportionately affects older adults and predicts greater physical, mental, and cognitive decline. A systematic literature review using PRISMA guidelines was conducted to address this emerging need to understand the scope of research focused on social isolation and loneliness among the disparity population of older Asian Americans. Four interdisciplinary databases were searched: PubMed, CINAHL, PsycINFO, and AgeLine; search terms included variations on social isolation, loneliness, Asian Americans, and older adults. Articles were reviewed based on six eligibility criteria: (1) research topic relevance, (2) study participants aged >60 years, (3) Asian immigrants as main participants, (4) conducted in the United States, (5) published between 1995-2019, and (6) printed in the English language. The search yielded 799 articles across the four databases and 61 duplicate articles were removed. Abstracts were screened for the 738 remaining studies, 107 of which underwent full-text review. A total of 56 articles met the eligibility criteria. Synthesis of our review indicates that existing research focuses heavily on Chinese and Korean American immigrant communities, despite the heterogeneity of the diverse Asian American population. Studies were largely observational and employed community-based sampling. Critical literature gaps exist surrounding social isolation and loneliness in Asian American older adults, including the lack of studies on South Asian populations. Future studies should prioritize health promotion intervention research and focus on diverse understudied Asian subgroups.
18
Nguyen, Duy D. "Older Asian Americans' Primary Care Use: Examining the Effect of Perceived Mental Health Need." Social Work in Mental Health 10, no. 2 (March 2012): 89–103. http://dx.doi.org/10.1080/15332985.2011.597312.
Full text
19
Paek, Min-So, Suhyeon Seo, and David Choi. "Factors affecting psychological distress among Asian American and non-Hispanic White older adults." Social Behavior and Personality: an international journal 47, no. 8 (August 7, 2019): 1–10. http://dx.doi.org/10.2224/sbp.8315.
Full textAbstract:
We examined factors affecting psychological distress in non-Hispanic White (n = 9,170) and Asian American (n = 1,417) older adults, using 2015–2016 California Health Interview Survey data. Multivariate logistic regression analyses revealed that disability, poor/fair health, and neighborhood environmental factors, such as unsafe neighborhoods and low social cohesion, were significantly associated with psychological distress in both ethnic groups. People aged between 65 and 69 years, women, nonhomeowners, and those living at less than 200% of the federal poverty level had increased odds of psychological distress among the non-Hispanic Whites. For Asian Americans, physical inactivity was associated with an increased rate of psychological distress. These findings indicate that multiple risk factors increase the probability of psychological distress in older adults. Further, important similarities and differences exist between older Asian Americans and non-Hispanic Whites, which have implications in screening and development of interventions for these ethnic groups.
20
Cho, Soyeon. "DIABETES, SELF-EFFICACY TOWARD DIABETES PREVENTIVE BEHAVIORS, AND DEPRESSIVE SYMPTOMS AMONG KOREAN AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S711. http://dx.doi.org/10.1093/geroni/igz038.2612.
Full textAbstract:
Abstract Type 2 diabetes is a largely preventive chronic disease, which requires persevering self-management by maintaining healthy life style. Prevalence of Type 2 diabetes among Asian Americans are rapidly increasing, yet little is known about Asian Americans’ self-efficacy towards diabetes preventive behaviors. Thus, the present study examined self-efficacy on diabetes preventive behaviors (DPB) as a potential mediator in the association between diabetes and depressive symptoms among older Korean Americans. Data were driven from a cross-sectional study of 235 community-dwelling Korean American older adults (aged 60 and older) in 2013. The direct significant relation between diabetes and depressive symptoms became insignificant after self-efficacy on DPB was introduced, which demonstrates a full mediation effect of self-efficacy on DPB. Results suggest that even in the presence of diabetes, mental well-being such as depression of older adults can be maintained by having competence in self-management of their own health.
21
Dallo, Florence J., Jason Booza, and Norma D. Nguyen. "Functional Limitations and Nativity Status Among Older Arab, Asian, Black, Hispanic, and White Americans." Journal of Immigrant and Minority Health 17, no. 2 (October 29, 2013): 535–42. http://dx.doi.org/10.1007/s10903-013-9943-0.
Full text
22
Villatoro, Alice P., Vickie M. Mays, Ninez A. Ponce, and Carol S. Aneshensel. "Perceived Need for Mental Health Care: The Intersection of Race, Ethnicity, Gender, and Socioeconomic Status." Society and Mental Health 8, no. 1 (August 1, 2017): 1–24. http://dx.doi.org/10.1177/2156869317718889.
Full textAbstract:
Racial/ethnic minority populations underutilize mental health services, even relative to psychiatric disorder, and differences in perceived need may contribute to these disparities. Using the Collaborative Psychiatric Epidemiology Surveys, we assessed how the intersections of race/ethnicity, gender, and socioeconomic status affect perceived need. We analyzed a nationally representative sample of U.S. adults (18years or older; N= 14,906), including non-Latino whites, Asian Americans, Latinos, African Americans, and Afro-Caribbeans. Logistic regressions were estimated for the total sample, a clinical need subsample (meets lifetime diagnostic criteria for a psychiatric disorder), and a no disorder subsample. Perceived need varies by gender and nativity, but these patterns are conditional on race/ethnicity. Men are less likely than women to have a perceived need, but only among non-Latino whites and African Americans. Foreign-born immigrants have lower perceived need than U.S.-born persons, but only among Asian Americans. Intersectional approaches to understanding perceived need may help uncover social processes that lead to disparities in mental health care.
23
Rhee, Min Kyoung, Yuri Jang, Mona Liu, William E. Haley, and Susan Enguidanos. "UNDERSTANDING BARRIERS TO PALLIATIVE CARE USE AMONG ASIAN AMERICANS: A SYSTEMATIC REVIEW." Innovation in Aging 3, Supplement_1 (November 2019): S977—S978. http://dx.doi.org/10.1093/geroni/igz038.3542.
Full textAbstract:
Abstract Despite the well-documented clinical and public health impacts of palliative care on older patients’ end of life experiences, racial and ethnic disparities in palliative care use still remain. However, empirical evidence on the sources of disparities is lacking, particularly for Asian Americans. Given the rapid growth and increasing cultural diversity of the older Asian population in the United States, a systematic review was conducted to provide a comprehensive overview of the best available evidence on the barriers to palliative care use among Asian Americans. Search was conducted using six electronic databases (PubMed, CINAHL, PsycINFO, EMBASE, Cochrane Library, and Google Scholar), and all procedures of the study have been guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P). A total of 23 studies published in the U.S. since 1998 were included. Individual level barriers to palliative care service use among Asian Americans identified by the study included lack of palliative care knowledge, lack of insurance, cultural beliefs, language barrier, attitude toward death, family centered decision-making. Provider level barriers included lack of training and experience about palliative care, patient-provider discordance in language and culture, and absence of policy or guidance for providers. Although racial disparities in palliative care for Asian Americans were evident, Asian Americans were underrepresented in palliative research. Future research effort should be directed toward the development of culturally sensitive palliative care services and policies that reduce racial and ethnic specific barriers.
24
Sun, Kai Sing, Tai Pong Lam, Wai Sin Tang, Hoi Yan Chan, Kwok Fai Lam, Enoch Ching Yeung Chow, Dan Wu, Xu Dong Zhou, Jia Yao Xu, and Pak Leung Ho. "Improving Public Toilet Environment and Hygiene Practices in an Asian City: Voices From Hong Kong Residents." Asia Pacific Journal of Public Health 33, no. 4 (February 16, 2021): 378–87. http://dx.doi.org/10.1177/1010539521993685.
Full textAbstract:
Toilet hygiene is an important preventive measure for infectious diseases, including severe acute respiratory syndrome (SARS) and COVID-19. This study explored public’s opinions on improving toilet environment and hygiene practices in Hong Kong. A mixed-method approach was applied. We conducted 4 focus groups plus 3 individual interviews among the Hong Kong Chinese, followed by a questionnaire survey with 300 respondents recruited from various districts. Difference in response distributions between groups with different demographics was tested by Pearson χ2 test. Instead of advocating for advanced toilet facilities, respondents were mostly concerned about basic hygiene issues. Malfunctioning facilities resulting from poor toilet management, such as clogged toilets, stained facilities, and problematic flushing systems, were most cited as barriers to toilet hygiene practices. Three quarters of the survey respondents expressed concerns over worn and poorly maintained toilets, shortage of janitors, and cleansing supplies. However, respondents who were older ( P < .001), less educated ( P < .001), and had lower income ( P = .001) were significantly more likely to find hygiene conditions in public toilets satisfactory. The findings reflected the substandard of the current provisions as a developed city in Asia. Enhanced efforts by the government to maintain basic toilet supplies and facilities is the key to improving public compliance to toilet hygiene practices.
25
Sorkin, Dara H., and Quyen Ngo-Metzger. "The Unique Health Status and Health Care Experiences of Older Asian Americans: Research Findings and Treatment Recommendations." Clinical Gerontologist 37, no. 1 (November 27, 2013): 18–32. http://dx.doi.org/10.1080/07317115.2013.847513.
Full text
26
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.
Full textAbstract:
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.
27
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.
Full textAbstract:
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.
28
Lange Maia, Brittney S., Emily Laflamme, Fernando DeMaio, and Raj C. Shah. "OLDER ADULT HEALTH IN THE CITY OF CHICAGO." Innovation in Aging 3, Supplement_1 (November 2019): S246—S247. http://dx.doi.org/10.1093/geroni/igz038.925.
Full textAbstract:
Abstract In 2012, Chicago was designated as an Age Friendly City. However, city-wide data on the health and health disparities experienced by older adults have been scarce. In order to address this knowledge gap, the Chicago Department of Public Health (CDPH) partnered with the Center for Community Health Equity at Rush and DePaul Universities to create a report describing health status among adults age 65+. Data were from the Healthy Chicago Survey—a population-based health survey conducted by CDPH, the American Community Survey, Hospital Discharge Data, and State Vital Records. The report highlights considerable racial/ethnic diversity in Chicago, as 38% of older adults are white, 37% black, 18% Latinx, and 7% are Asian. Encouraging results exist regarding healthcare access; 96% have a personal health care provider and 89% report being able to get care needed through their health plan. Several areas of improvement are needed regarding root causes of health. More older adults live below the federal poverty level (15.9%) compared to the overall U.S (9.3%), and 45.8% would be unable to pay for an unexpected $400 expense. Disparities were evident as life expectancy at age 65 is 2.5 years longer for Latinx and white older adults (age 85) compared to African Americans (age 82.4). African American and Latinx older adults had higher rates of preventable hospitalizations per 10,000 (801.1 and 678.9, respectively) compared to white (492.4) and Asian (374.1) older adults. Findings from this report will spur Chicago’s continued progress as an Age-Friendly City for all its residents.
29
Nguyen, Peter, Rosalie Corona, Matthew Peter DeCarlo, Anna Yaros, Anh Thuy Le, and Kimberly Compton. "Help Seeking Behavior in a Diverse Sample of Asian American Adults." Journal of Ethnic and Cultural Studies 5, no. 2 (December 9, 2018): 1. http://dx.doi.org/10.29333/ejecs/124.
Full textAbstract:
We sought to characterize the help-seeking behavior of Asian Americans living in a Southeastern community in the U.S. by examining different types of services sought, help-seeking preferences, and how demographic characteristics and mental health problems (including domestic violence) predicted these behaviors. 610 Asian Americans (mean age = 39.43 years; 59.6% female; 75% immigrants) completed an anonymous, community survey that included measures of different types of help-seeking behaviors and preferences, mental health symptoms, and exposure to domestic violence. The two most-frequently help-seeking behaviors included seeking advice from friends, family members, or relatives (66.7%), and visiting a medical doctor (46.4%). In logistic regression models, older age, sex, immigrant status and symptomatic depression predicted different types of help-seeking behaviors and preferences. Neither domestic violence experience or symptomatic anxiety significantly predicted help-seeking.
30
Jang, Yuri, Min-Kyoung Rhee, Jeong Chung Hyeon, Eun Young Choi, Juyoung Park, and Nan Sook Park. "Oral Health and Dental Care in Older Korean Immigrants: A Qualitative Study." Innovation in Aging 4, Supplement_1 (December 1, 2020): 336. http://dx.doi.org/10.1093/geroni/igaa057.1079.
Full textAbstract:
Abstract Many segments of the U.S. population continue to experience a disproportionate burden of oral disease and inequities in dental care, and older Asian immigrant populations are among those at high risk. Responding to the needs to attend to ethnic and geographic variations among older Asian Americans and to better understand contextual factors that shape their experiences of oral health and dental care, the present study conducted in-depth interviews with eighteen older Korean immigrants in the Los Angeles Greater area. The qualitative inquiries were theoretically guided by the three core categories of the Andersen’s (1968, 1997) health service model: oral health needs, service barriers, and service outcomes. Using the constant comparison method, themes and sub-themes within each category were derived. The eight themes emerged from the qualitative data were: (1) oral health problems, (2) perceived need, (3) insurance and finance, (4) language barriers, (5) social support, (6) knowledge and belief, (7) satisfaction with service, and (8) areas of improvement. The findings demonstrated varied experiences associated with oral health and dental care of older Korean immigrants and informed the development of services and programs responsive to the identified needs and barriers.
31
Lai, Sonia, Deborah Huang, Indraneil Bardhan, and Mijung Park. "Associations Between Food Insecurity and Depression among Diverse Asian Americans." Asian/Pacific Island Nursing Journal 5, no. 4 (March 24, 2021): 188–98. http://dx.doi.org/10.31372/20200504.1114.
Full textAbstract:
Background: Proper nutrition is an essential component to both physical and emotional health. Food insecurity (FI) is a potentially critical public health problem. The link between FI and elevated risk for depression has been well documented. Yet, it is largely unknown how diverse older adult populations experience FI differently. Therefore, the aims of this study were to examine how gender, race/ethnicity, and nativity may impact the magnitude of the association between FI and depression. Methods: We used a nationally representative sample of the Asian American population from the National Latino and Asian American Study (NLAAS). We built logistic regression models with major depression in the past 12 months as the dependent variable, and FI as the independent variable. Several demographic and socioeconomic characteristics were added to the models to control for potential biases. All statistical estimates were weighted, using the recommended NLAAS sampling weight, to ensure representativeness of the US population. Results: About 35% (weighted adjusted 95% CI: 29.49–39.00) of Asian Americans experienced some level of FI at the time of survey. Experiencing FI over the past 12 months increased the likelihood of having clinical depression (weighted adjusted odds ratio: 1.44, weight adjusted confidence interval: 0.79–2.10). The magnitude of associations between FI and depression varied by race/ethnicity (F (7, 47) = 6.53, p (3, 41) = 10.56, p (3, 41) = 9.85). Conclusions: Food insecurity significantly increases the likelihood of clinical depression among Asian Americans. Greater attention is needed towards food-insecure Asian Americans and their mental health.
32
Li, Chien-Ching, Kelsey Choi, Alicia Matthews, and Raj Shah. "ELIGIBILITY FOR LOW-DOSE COMPUTED TOMOGRAPHY LUNG CANCER SCREENING IN OLDER ASIAN AMERICAN SMOKERS." Innovation in Aging 3, Supplement_1 (November 2019): S189. http://dx.doi.org/10.1093/geroni/igz038.679.
Full textAbstract:
Abstract Lung cancer is the leading cause of cancer-related deaths in Asian Americans. Low-dose computed tomography lung cancer (LDCT) screening is an effective way to decrease lung cancer mortality. This study aimed to examine the difference in LDCT screening eligibility among Asian American subgroups. The National Health Interview Survey data (2006-2016) was analyzed. The U.S. Preventive Services Task Force guideline was used to determine the LDCT eligibility. A higher and statistically significant proportion of current Filipino smokers (35.4%) met LDCT screening eligibility criteria compared to Chinese (26.5%) and other Asian smokers (22.7%) (p=0.02). Hierarchical logistic regression results further showed that Filipino were more likely to meet LDCT screening criteria than other Asian while adjusting demographics (OR=1.87; p=0.01). The differences in LDCT screening eligibility no longer existed after additionally adjusting socioeconomic factors as well as perceived health status. Future targeted outreach and intervention research is needed for Filipinos with lower socioeconomic status.
33
Jasti, Sunitha, and Pooja Suganthan. "Acculturation, Food Label Literacy and Use Among South Asian Americans." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 210. http://dx.doi.org/10.1093/cdn/nzaa043_061.
Full textAbstract:
Abstract Objectives To examine the level of acculturation and its association with food label literacy and use among South Asian Americans. Methods Data were collected using an online cross-sectional survey of 269 South Asian Americans living across the United States, recruited via social media and snow-ball sampling method. The Short Acculturation Scale for Hispanics was adapted to measure acculturation amongst South Asian adults. The Newest Vital Sign health literacy assessment tool was used to measure food label literacy. Results In this sample of 196 South Asian Americans with complete data, mean age was 36 ± 11.4 y, the majority were born outside the U.S (84%), women (69%), married (69%), overweight/obese (65%) and had college degrees (86%). While most (82%) reported using food labels at least sometimes when purchasing a food product for the first time (82%), and that food labels influenced their purchase decisions (75%), only 35% demonstrated food label literacy (with maximum food label literacy score). Older (age ≥ 36y) South Asian Americans were more likely to be food label users (89.4% vs 73.6%, P = .006) and to report that food labels influence their food purchases (82.8% vs 69%, P = .034) than their younger counterparts. Mean acculturation was 3.14 ± 0.78 (scale 1 – 5). Higher acculturation (score >median) was not associated with food label use, but was significantly associated with food label literacy (43.6% vs 27.3%, P = 0.018). The association between higher acculturation and food label literacy remained significant after controlling for age, sex and education (adj OR = 2.22; 95% CI: 1.18, 4.14). Conclusions Nutrition education interventions are needed to improve food label literacy among South Asian Americans. Funding Sources None.
34
Cheung, Ethan Siu Leung, Ada Mui, and Seth Hoffman. "The Correlates of Cognitive Status Among Older Americans Living in the Community: Does Gender Make a Difference?" Innovation in Aging 4, Supplement_1 (December 1, 2020): 63. http://dx.doi.org/10.1093/geroni/igaa057.206.
Full textAbstract:
Abstract Utilizing the data in National Social Life, Health and Aging Project (n = 3,104; 54% female), the study examined the predictors of cognitive impairments in terms of community harmony, community safety, frequency of neighbor contacts, depression, and demographic factors. Bivariate analyses suggest that there were no gender differences in cognitive status (Mean of MoCA Short Form = 9.89; SD = 3.33); nor were there gender differences in age (mean age = 72.95; SD=8.29), ethnic composition (76.1% whites; 15.3% Blacks, 8.6% Asian), community harmony, community safety, frequency of neighbor contacts. On the other hand, men had more education and income than women. Psychologically, older women reported higher level of stress and depression scores than older men. Multiple regression results show that gender has a significant independent effect and joint effects with stressors and community factors in explaining cognitive impairments. Parallel regression analyses for each gender group were conducted and models were significant (P < .0001). There were common predictors of cognitive impairments for the two groups but variables had differential impacts on older men and older women. Specifically, IADL had stronger effect on older men than on older women in predicting cognitive impairments (b = -.23 vs. b=-.10); perceived community harmony had stronger impact on older women in explaining their cognitive status (b = .26 vs. b=.22); older women’s cognitive status benefitted more from perceived community safety than older men (b = .61 vs. b=.43). Regardless of gender, older Whites scored higher than Black and Asian elders in their cognition scores.
35
Kwon, Simona, Jazmine Wong, Janet Pan, Andrew Rosenberg, Germaine Cuff, and Myint Aye. "SOCIOCULTURAL DETERMINANTS IN PAIN PERCEPTION AND MANAGEMENT AMONG OLDER CHINESE AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S713—S714. http://dx.doi.org/10.1093/geroni/igz038.2619.
Full textAbstract:
Abstract Background: Chinese Americans make up the largest Asian American subgroup in the US. Data from a large health system indicate that older Chinese Americans experience lower satisfaction in pain management after surgery compared to all other racial/ethnic groups. Objective: To understand pain experience among older Chinese American patients to improve pain satisfaction strategies Methods: A mixed methods study was conducted, including: 1. A scoping review of the peer-reviewed published literature; 2) face-to-face survey; and 3) qualitative interviews. 14 Chinese American postsurgical patients >65 years of age were recruited for the survey and interview with a trained bilingual Community Health Worker. Questions from the Survey on Disparities in Quality of Healthcare and Kleinman’s Explanatory Model of Illness guided the data collection tools. Results: The 31 studies identified in the review were largely observational; none assessed pain control or management interventions for older Chinese Americans. Most participants reported experiencing a language barrier that hindered healthcare staff communication during hospital stay. Even with an interpreter, limited English proficient patients reported lower understanding of health information compared to those who did not need interpretation. Ideas of “pushing through” pain, perceiving physicians as “busy people,” and mismatch in pain assessment tools contributed to pain attendance delay. Facilitators to care included family support, culturally and linguistically-tailored tools, and availability of cultural remedies. Conclusions: This mixed-methods study identified key themes including socio-cultural barriers and facilitators to effective pain care and management. Findings will inform tools and resources to better capture and address pain management in Chinese Americans.
36
Holttum, Sue. "Ethnic minority membership and depression in the UK and America." Mental Health and Social Inclusion 21, no. 1 (February 13, 2017): 5–12. http://dx.doi.org/10.1108/mhsi-12-2016-0037.
Full textAbstract:
Purpose The purpose of this paper is to discuss two recent studies on depression in members of ethnic minorities, one based in the UK with older people, and one in the USA. The aim was to examine what might lead to depression in these groups, and what might protect people from it. Design/methodology/approach The UK-based study examined depression and physical health in older members of the two largest ethnic minority groups in the UK: African Caribbean and South Asian. The US-based study examined whether a sense of belonging to the population group African Americans protected people from depression, as one social theory might predict, or whether racism prevented this protection, as predicted by another theory. Findings In London-based older South Asians, depression was explained by their poorer physical health compared to white Europeans. In older people of black Caribbean origin, depression was linked to their social disadvantage. The researchers did not measure people’s experience of discrimination, and other research suggests this can explain both physical illness and depression. The US-based study reported better well-being for people who identified with other African Americans, but not if they also felt negative about African Americans. However, these were weak links, so other things may affect well-being more, such as day-to-day relationships and a range of group memberships. Originality/value The London-based study was new in studying depression in older people belonging to the two largest ethnic minority groups in the UK and in white Europeans. The US study tested two competing social theories with different predictions about depression in relation to belonging to an ethnic minority. Both studies highlight the need for more research on discrimination and how to reduce it and its negative effects on both mental and physical health.
37
Chang, Pei-Shiun, Yvonne Lu, Susan Ofner, and Chi Nguyen. "Qigong Exercise in Frailty, Psychological Health, and Spiritual Well-Being of Middle-Aged and Older Blacks." Innovation in Aging 4, Supplement_1 (December 1, 2020): 178. http://dx.doi.org/10.1093/geroni/igaa057.575.
Full textAbstract:
Abstract Interventions are needed to address the frailty and psychological health in middle-aged and older African Americans. Qigong, a traditional medicine exercise, consists of gentle body movements, breathing exercise, and meditation. The benefits of Qigong exercise have been widely reported in Asian adults but there have been no known studies testing Qigong exercise in the African American population. The purpose of this pilot study was to evaluate the potential benefits of an 8-week Qigong exercise in physical and functional ability, balance, frailty, depression and anxiety, and spiritual well-being in community-dwelling middle-aged African Americans using a single group design. Fifteen African Americans aged 45 to 85 years were recruited to receive Qigong exercise over 16 bi-weekly, one-hour sessions. The Layers Module that unfolds the complex multidimensional benefits of Qigong exercise on physical, mental, and spiritual dimensions was used to guide the outcome measures. Data were collected at baseline and 14 days post intervention. Results showed positive trends in repeat chair stands, physical function, and spiritual well-being (p<0.05) with effect sizes ranging from 0.45 to 0.87. Despite no significance, over 52% of the participants showed improved depression scores, fast gait speed, and standing balance than baseline. Nearly 42% demonstrated some levels of frailty improvement than the baseline. No adverse events related to Qigong exercise intervention was reported. Qigong exercise is a potentially promising intervention which needs further testing in a randomized clinical trial.
38
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.
Full textAbstract:
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.
39
Sadarangani, Tina, Chau Trinh-Shevrin, and Abraham Brody. "BARRIERS AND FACILITATORS TO DELIVERING PERSON-CENTERED NUTRITION FOR ASIAN AMERICANS IN ADULT DAY HEALTH SETTINGS." Innovation in Aging 3, Supplement_1 (November 2019): S227. http://dx.doi.org/10.1093/geroni/igz038.835.
Full textAbstract:
Abstract Malnutrition is a growing problem in community-based long-term care settings. Delivering person-centered nutrition is particularly important in congregate settings serving ethnically diverse older adults who have strong culturally-derived preferences around food. We conducted in-depth semi-structured multi-stakeholder interviews (N = 13) in an adult day health center (ADHC) serving Asian immigrants to explore the ADHC’s capacity to deliver person-centered nutrition interventions. Thematic analysis showed ADHCs successfully promoted social interaction at meal-time. However, participants had limited choice and restrictions on additives, like sodium, making it difficult to honor participants’ cultural preferences. Lack of flavor, limited choice, and rushed mealtimes, driven by center policies and procedures, disproportionately affected persons with dementia. Among those with dementia, clinicians disagreed whether nutrition should be used to manage chronic illness or whether a more palliative approach was warranted. One potential way to address this challenge would be to enable greater choice within a supportive ADHC mealtime environment.
40
Dallo, Florence, and Tiffany Kindratt. "THE EPIDEMIOLOGY OF ALZHEIMER’S DISEASE AND RELATED DEMENTIAS AMONG ARAB AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S463. http://dx.doi.org/10.1093/geroni/igz038.1731.
Full textAbstract:
Abstract In the United States (U.S.), Alzheimer’s Disease and Related Dementias (ADRD) afflict over 4.7 million individuals ages 65 or older. Most studies compare the prevalence of ADRD between minorities and whites. Arab Americans are a subgroup of whites, and ADRD is not understood among Arab Americans. The overall goal of this study is to estimate the prevalence of and risk factors for ADRD among Arab Americans ages 45 or older compared to non-Hispanic whites, non-Hispanic blacks, Hispanics and Asian Americans. Data for 2000-2017 from the National Health Interview Survey (NHIS) using the region of birth question was be used (N=222,219). Percents, chi-square and logistic regression will be estimated. Age- and sex-adjusted prevalence of ADRD was 10.3% for foreign-born Arab Americans compared to approximately 7.5% for US-born non-Hispanic whites (NHW), blacks and Asians. The prevalence of ADRD was 8.6% for Hispanics (all p-values <.0001). When controlling for age and sex, Arab Americans were 1.4 times (OR=1.02,1.93) more likely to have ADRD compared to US-born NHW. This is the first study to focus on ADRD among Arab Americans and the findings suggest ADRD is a burden in this population. Future studies should capture other generations of Arab Americans to better understand the trend of ADRD among this understudied, often invisible population.
41
Wu, B., W. Mao, X. Qi, and Y. Pei. "Immigration and Oral Health in Older Adults: An Integrative Approach." Journal of Dental Research 100, no. 7 (February 4, 2021): 686–92. http://dx.doi.org/10.1177/0022034521990649.
Full textAbstract:
The aim of this study was to develop an integrative framework on aging, immigration, and oral health. The methodology was a critical review that used immigration as a social determinant framework through which to evaluate its impact on the oral health of older immigrants. We reviewed recent empirical evidence on factors related to oral health in older immigrants. In a systematic search across multiple databases, we identified 12 eligible studies in this review. Among the eligible studies, most were conducted among East Asian immigrants (8 articles), followed by non-Hispanic White/European origin (2 articles), Mexican origins (1 article), and Iran and other Middle East regions (1 article). The research revealed knowledge gaps in the evidence base, including the dynamic relationship between acculturation and oral health, the role of environmental factors on oral health for immigrants, psychosocial stressors and their relationship with oral health, and oral health literacy, norms, and attitude to dental care utilization and oral hygiene practices. The development of the integrative framework suggests the pathways/mechanisms through which immigration exerts influences on oral health in later life. This provides opportunities for researchers, practitioners, and policy makers to gain greater insights into the complex associations between immigration and oral health among older adults.
42
Cho, Soyeon. "Self-Efficacy Among Caregivers of People With Dementia and Its Impact on Caregivers’ Health." Innovation in Aging 4, Supplement_1 (December 1, 2020): 359. http://dx.doi.org/10.1093/geroni/igaa057.1155.
Full textAbstract:
Abstract Self-efficacy is construct which is associated with positive thinking. It has been examined in caregiving studies to alleviate caregivers’ negative health outcomes. However, little is known about Asian American caregivers’ self-efficacy on their psychological and physical outcomes, especially caregivers with people with dementia. Thus, the present study examined self-efficacy of caregivers as a potential mediator in the association between caregiving role captivity and depressive symptoms among older Korean Americans. Data were driven from a cross-sectional study of 175 community-dwelling Korean American older adults (aged 60 and older) in 2019. The direct significant relation between caregiving role captivity and depressive symptoms became insignificant after self-efficacy was introduced, which demonstrates a full mediation effect of self-efficacy. Results suggest that even in the presence of caregiving role captivity, mental well-being such as depression of caregivers can be maintained by having competence in self-management of their own health.
43
Andersen, R. M., P. L. Davidson, and T. T. Nakazono. "Oral Health Policy and Programmatic Implications: Lessons From ICS-II." Advances in Dental Research 11, no. 2 (May 1997): 291–303. http://dx.doi.org/10.1177/08959374970110021201.
Full textAbstract:
The conceptual model used in the ICS-II USA Ethnicity and Aging project helps to identify who among the elderly should be targeted for oral health promotion initiatives and the kinds of initiatives most likely to promote positive oral health outcomes. Outcomes have been measured in this study as perceived by the individual and as clinically assessed by the oral epidemiologists. For policy purposes, achieving both types of outcomes is important. A typology of oral health promotion priorities is used to rank the diverse racial-ethnic groups. In the analysis, groups with both low perceived and low evaluated oral health status receive highest priority. By these criteria, the older Native American populations have the highest priority, followed, in order, by Hispanics. African-Americans, and non-Hispanic Whites. Policy implications of the empirical analyses presented in earlier articles are discussed by use of the conceptual model and the typology of oral health promotion priorities. Having a usual source of care and/or regular dental visits appears to be a promising avenue for the promotion of better-perceived oral health status among most older ethnic groups. Improved oral hygiene practices, as represented by both regular toothbrushing and dental floss use, promote better clinically evaluated oral health status among many older ethnic groups.
44
Bellizzi, Keith M., Noreen M. Aziz, Julia H. Rowland, Kathryn Weaver, Neeraj K. Arora, Ann S. Hamilton, Ingrid Oakley-Girvan, and Gretchen Keel. "Double Jeopardy? Age, Race, and HRQOL in Older Adults with Cancer." Journal of Cancer Epidemiology 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/478642.
Full textAbstract:
Understanding the post-treatment physical and mental function of older adults from ethnic/racial minority backgrounds with cancer is a critical step to determine the services required to serve this growing population. The double jeopardy hypothesis suggests being a minority and old could have compounding effects on health. This population-based study examined the physical and mental function of older adults by age (mean age = 75.7, SD = 6.1), ethnicity/race, and cancer (breast, prostate, colorectal, and gynecologic) as well as interaction effects between age, ethnicity/race and HRQOL. There was evidence of a significant age by ethnicity/race interaction in physical function for breast, prostate and all sites combined, but the interaction became non-significant (for breast and all sites combined) when comorbidity was entered into the model. The interaction persisted in the prostate cancer group after controlling for comorbidity, such that African Americans and Asian Americans in the 75–79 age group report lower physical health than non-Hispanic Whites and Hispanic Whites in this age group. The presence of double jeopardy in the breast and all sites combined group can be explained by a differential comorbid burden among the older (75–79) minority group, but the interaction found in prostate cancer survivors does not reflect this differential comorbid burden.
45
Li, Chien-Ching, Alicia K. Matthews, Pei-Shan Yen, Yi-Fan Chen, and XinQi Dong. "Intimate partner violence and Its Relationship with Psychological Distress Among Older Asian Americans: Results from the California Health Interview Survey." Asian Journal of Psychiatry 63 (September 2021): 102798. http://dx.doi.org/10.1016/j.ajp.2021.102798.
Full text
46
Masias, Camila, and Theresa H. Shao. "Breast cancer subtypes in Chinese Americans: A study from the Mount Sinai Health System." Journal of Clinical Oncology 32, no. 26_suppl (September 10, 2014): 39. http://dx.doi.org/10.1200/jco.2014.32.26_suppl.39.
Full textAbstract:
39 Background: Breast cancer has been increasing in many Asian countries, as well as among Asian Americans. While many studies have examined breast cancer subtypes in African American and Caucasian populations, few have looked at tumor subtypes in the Asian population. We aimed to examine breast cancer subtypes in Chinese Americans. Methods: We identified all Chinese patients diagnosed with invasive breast cancers between 2005 and 2012 from the Cancer Registry of Mount Sinai Beth Israel, Mount Sinai St. Luke’s, and Roosevelt Hospitals. The following clinical data were collected for each patient: age at diagnosis, year of diagnosis, largest tumor size (cm), lymph node status, estrogen receptor (ER), progesterone receptor (PR) and HER2 status. Based on ER, PR, and HER2, patients were categorized into three molecular subtypes: 1) Hormone receptor (HR)+ (ER and/or PR positive, HER2 negative), HER2+ and triple negative (TN) (ER, PR, and HER2 negative). Descriptive variables were analyzed using one-way Anova test. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated from logistic regression models. Results: There were 175 Chinese patients diagnosed with invasive breast cancers from 2005 to 2012. Median age at diagnosis was 54 (range 27-90). One hundred fourteen (65%) were HR+, 41 (23%) were HER2+, and 20 (11%) were TN. There were 59 (34%) patients diagnosed at age ≤ 50 and twelve patients (7%) were diagnosed at age < 40. There were more HER2+ and TN breast cancers diagnosed in women age ≤ 50 compared to age > 50, but the difference was not statistically significant. Women in the HR+ group were diagnosed at an older age compared to the other two subgroups (57 ± 12, 52 ± 8, and 52 ± 10 for HR+, HER2+, and TN, respectively, p = 0.036). Patients with TN breast cancers were more likely to have lymph node involvement compared to HR+ or HER2+ patients (p = 0.02). There was a trend of increasing prevalence of HER2+ breast cancer observed in recent years: 18.5% in 2005-2006, 23.8% in 2007-2008, 18.4% in 2009-2010, and 29.8% in 2011-2012. Conclusions: We observed a high proportion of breast cancer among young Chinese Americans as well as an increasing prevalence of HER2+ breast cancer in this population in recent years. Further studies are warranted.
47
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.
Full textAbstract:
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.
48
Kim, Jung Ki, and Eileen Crimmins. "How Age Affects Personal and Social Reactions to COVID-19: Results from the National Understanding America Survey." Innovation in Aging 4, Supplement_1 (December 1, 2020): 948. http://dx.doi.org/10.1093/geroni/igaa057.3470.
Full textAbstract:
Abstract The pandemic of COVID-19 has had tremendous impact on Americans’ lives including their personal and social behaviors. While everyone is affected in some way by the pandemic, older persons have been far more likely to suffer the most severe health consequences. For this reason, how people have responded to the COVID-19 outbreak may differ by age. Using a nationally representative sample from the Understanding America Study (UAS), we examined differentials in behavioral responses to COVID-19 by age and how they change over time. At the beginning of the pandemic (March, 2020), older people were less likely than younger ones to engage in preventive behaviors. As the pandemic progressed, however, older people have adopted healthy behavioral changes more than younger people, such that about two months after the pandemic started, older people were more likely to comply with suggested and regulated behaviors including practicing better hygiene, quarantining, and social distancing. Even when considering other potential influences on behavioral responses, older age was significantly related to performing more preventive behaviors, and gender, racial/ethnic minority status, perceived risk for infection and dying and political orientation were also found to be related to people’s behavioral responses.
49
Shon, En-Jung, and Anjanette Wells. "Effects of Patient-Centered Communication on Influenza Vaccination and Self-Reported General Health Status among Asian Americans: A Comparison Model for Young/Middle-Aged and Older Adults." Journal of Aging and Health 32, no. 10 (June 4, 2020): 1409–18. http://dx.doi.org/10.1177/0898264320930888.
Full textAbstract:
Objectives: Asian American subgroups’ influenza vaccination is still below the US standards. This study examined the effects of patient-centered communication (PCC) on influenza vaccination and the general health (GH) of Chinese, Vietnamese, and Korean Americans. A group difference between younger and older adults was investigated. Methods: The 2014–2016 California Health Interview Surveys were merged (Chinese [ N = 1,680], Korean [ N = 514], and Vietnamese [ N = 644]; age 18+; younger = 1,629 and older = 1,209). Two path models (PCC [measured by physicians’ careful listening], vaccination, and GH; PCC [measured by physicians’ clear explanation], vaccination, and GH) were evaluated. Regression maximum likelihood was applied for missing values. Results: Both the first and second models showed good model fit scores (comparative fit index [CFI] = .95, root mean square error of approximation [RMSEA] = .04, and standardized root mean residual [SRMR] = .03; CFI = .93, RMSEA = .04, and SRMR = .03). There were direct effects of PCC on vaccination among younger adults. PCC directly influenced GH for both age-groups. Discussion: A PCC manual for physicians in local or community health centers could enhance both younger and older adults’ influenza vaccination.
50
Hess, Julie, Christopher Cifelli, and Victor III Fulgoni. "Differences in Dairy Intake Among Americans by Ethnicity and Age: NHANES 2015–2018." Current Developments in Nutrition 5, Supplement_2 (June 2021): 1042. http://dx.doi.org/10.1093/cdn/nzab053_035.
Full textAbstract:
Abstract Objectives Consuming dairy foods helps Americans meet recommendations for calcium, vitamin A, vitamin D, and protein. The Healthy U.S.-Style Dietary Pattern in the 2020 Dietary Guidelines for Americans (DGA) recommends 3 daily servings of low-fat or fat-free milk, cheese, and yogurt for those 9 years and older, 2.5 servings for children 4–8 years and 2 servings for children 2–3 years. The objective of this study was to assess dairy consumption by Americans 2 years of age and older to identify population groups at higher risk for underconsumption. Methods Using data from the National Health and Nutrition Examination Survey (NHANES) 2015–2016 and 2017–2018, we evaluated the daily intake of total dairy foods, milk (total, white, flavored), cheese (total and cottage cheese separately), yogurt (regular and Greek), and milk substitutes (soy, rice, almond and others) by Americans, separating into groups by age (2 + years, 2–4 years, 4–8 years, 9–13 years, 14–18 years, 19 + years) and ethnicity (Asian, Hispanic, non-Hispanic Black, non-Hispanic White). Dairy serving amounts were defined as MyPlate serving size cup-equivalents. Results Regardless of age or ethnicity, Americans did not meet the DGA's dairy intake recommendations. Average total daily dairy intake for Americans ages 2 + was 1.57 ± 0.03 cup-equivalents, with 0.73 servings coming from milk and 0.73 from cheese. Children ages 2–4 and 4–8 years came the closest to meeting recommendations, consuming an average of 1.93 ± 0.06 and 1.93 ± 0.05 servings, respectively, of dairy foods daily. Intake fell to 1.83 ± 0.06 daily servings among children ages 9–13, more than 30% below the recommendation that children begin consuming 3 daily servings at age 9. Daily dairy intake continued to decrease among those 14–18 years (1.75 ± 0.07 servings) and among adults 19+ (1.48 ± 0.03 servings). Among those ages 2 and older, non-Hispanic Black Americans had the lowest average intake (1.18 ± 0.04 servings daily) and non-Hispanic White Americans (1.67 ± 0.03) had the highest. Across all ethnic groups, plain milk was consumed in greater quantities than any other dairy food. Conclusions Both age and ethnic disparities exist in dairy intake for Americans. Improving adherence to dairy recommendations from the DGA could help Americans move closer to nutrient recommendations and overall healthy dietary patterns. Funding Sources National Dairy Council.