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Abdi N, Flores M, Hara-Hubbard KK, Turner AM, Gudino J, Jafry S, Harris JR, Hannon PA, Baquero B, Meischke H. Bridging Culture and Language: Encouraging Bilingual/Multicultural Individuals to Act as Information Navigators for Their Loved-Ones and Communities during the COVID-19 Pandemic. JOURNAL OF HEALTH COMMUNICATION 2024; 29:34-48. [PMID: 37961888 DOI: 10.1080/10810730.2023.2279670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
Linguistically diverse communities face barriers to receiving appropriate health information. COVID-19 exacerbated these health-communication inequities. University of Washington researchers surveyed bilingual staff, students, and medical interpreters - desiring training to become effective communicators of COVID-19 information to their social networks and language communities. In response, the COVID-19 Information Navigator Training was developed and pre-tested with professional networks and members of the target audience. The final training comprised three interactive modules and short quizzes. Evaluation surveys measured Information Navigators' confidence in providing COVID-19 information to their social networks. Surveys included questions on the participants' language or cultural community, the perceived value of the training, and their ability to communicate COVID-19 information. Among 393 participants who enrolled in the training, 284 completed the survey. Significant differences in confidence before and after the course were found in detecting COVID misinformation in the news and social media (pre-course mean: 3.83, post-course mean: 4.63; absolute mean difference was 0.82 points higher in the post-evaluation on the 5-point likert scale, 95% CI: 0.70-0.93, p < .01). Training multicultural volunteers to disseminate information to their social networks is a promising strategy for reaching linguistically diverse communities with up-to-date information during health emergencies.
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Affiliation(s)
- Najma Abdi
- School of Public Health, University of Washington, Seattle, Washington, USA
| | - Miriam Flores
- School of Public Health, University of Washington, Seattle, Washington, USA
| | | | - Anne M Turner
- School of Public Health, University of Washington, Seattle, Washington, USA
- School of Medicine, University of Washington, Seattle, Washington, USA
| | - Juan Gudino
- School of Public Health, University of Washington, Seattle, Washington, USA
| | - Sheharbano Jafry
- College of Arts and Sciences, University of Washington, Seattle, Washington, USA
| | - Jeffrey R Harris
- School of Public Health, University of Washington, Seattle, Washington, USA
| | - Peggy A Hannon
- School of Public Health, University of Washington, Seattle, Washington, USA
| | - Barbara Baquero
- School of Public Health, University of Washington, Seattle, Washington, USA
| | - Hendrika Meischke
- School of Public Health, University of Washington, Seattle, Washington, USA
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Baek J, Kim B, Park S, Ryu B. Loneliness Among Low-Income Older Immigrants Living in Subsidized Senior Housing: Does Perceived Social Cohesion Matter? JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2024; 67:80-95. [PMID: 37246421 DOI: 10.1080/01634372.2023.2216741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 05/18/2023] [Indexed: 05/30/2023]
Abstract
This study compared the level of loneliness among older immigrants residing in subsidized senior housing with that of non-immigrant residents. The study also sought to examine the differential influence of perceived social cohesion on loneliness among these groups. 231 study participants were recruited from subsidized senior housing in St. Louis and the Chicago area. Multiple regression analyses showed that there was a significant difference in loneliness between immigrants and non-immigrants (b = .3, SE = 0.150, p < .05). Also, perceived social cohesion was negatively associated with loneliness (b=-.102, SE = .022, p < .001). Furthermore, immigration status moderated the relationship (b=-.147, SE = .043, p < .01), showing immigrants may benefit more from higher perceived social cohesion in terms of loneliness. The results suggest that perceived social cohesion may act as an important community-level protective factor against loneliness, particularly for older immigrants residing in subsidized senior housing. Creating socially cohesive environments, particularly for this subgroup, could be a crucial strategy for mitigating loneliness. .
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Affiliation(s)
- Jihye Baek
- Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA
| | - BoRin Kim
- Department of Social Work, College of Health and Human Services, University of New Hampshire, Durham, New Hampshire, USA
| | - Sojung Park
- Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Byeongju Ryu
- School of Social Work, Boston College, Chestnut Hill, Massachusetts, USA
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Ho ISS, McGill K, Malden S, Wilson C, Pearce C, Kaner E, Vines J, Aujla N, Lewis S, Restocchi V, Marshall A, Guthrie B. Examining the social networks of older adults receiving informal or formal care: a systematic review. BMC Geriatr 2023; 23:531. [PMID: 37653368 PMCID: PMC10470175 DOI: 10.1186/s12877-023-04190-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 07/23/2023] [Indexed: 09/02/2023] Open
Abstract
PURPOSE To address the care needs of older adults, it is important to identify and understand the forms of care support older adults received. This systematic review aims to examine the social networks of older adults receiving informal or formal care and the factors that influenced their networks. METHODS A systematic review was conducted by searching six databases from inception to January 31, 2023. The review included primary studies focusing on older adults receiving long-term care, encompassing both informal and formal care. To assess the risk of bias in the included studies, validated appraisal tools specifically designed for different study types were utilized. Network analysis was employed to identify the grouping of study concepts, which subsequently formed the foundation for describing themes through narrative synthesis. RESULTS We identified 121 studies relating to the formal and informal care of older adults' networks. A variety of social ties were examined by included studies. The most commonly examined sources of care support were family members (such as children and spouses) and friends. Several factors were consistently reported to influence the provision of informal care, including the intensity of networks, reciprocity, and geographical proximity. In terms of formal care utilization, older age and poor health status were found to be associated with increased use of healthcare services. Additionally, physical limitations and cognitive impairment were identified as factors contributing to decreased social engagement. CONCLUSION This review found that older people were embedded within a diverse network. The findings of this review emphasize the importance of recognizing and incorporating the diversity of social networks in care plans and policies to enhance the effectiveness of interventions and improve the overall well-being of older adults.
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Affiliation(s)
- Iris Szu-Szu Ho
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK.
- School of Informatics, University of Edinburgh (Informatics Forum, 10 Crichton St, Newington, Edinburgh, EH8 9AB, UK.
- , 47 Potterow, Bayes Centre, Edinburgh, EH8 9BT, UK.
| | - Kris McGill
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
| | - Stephen Malden
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- School of Health in Social Science, Medical School, University of Edinburgh, Doorway 6, Teviot Place, Edinburgh, EH8 9AG, UK
| | - Cara Wilson
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- Institute for Education, Community and Society, University of Edinburgh, Old Moray House, Holyrood Road, Edinburgh, EH8 8AQ, UK
| | - Caroline Pearce
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- Edinburgh College of Art, University of Edinburgh, 74 Lauriston Pl, Edinburgh, EH3 9DF, UK
| | - Eileen Kaner
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- Population Health Science Institute, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, NE2 4AX, UK
| | - John Vines
- School of Informatics, University of Edinburgh (Informatics Forum, 10 Crichton St, Newington, Edinburgh, EH8 9AB, UK
| | - Navneet Aujla
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- Population Health Science Institute, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, NE2 4AX, UK
| | - Sue Lewis
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
- School of Health in Social Science, Medical School, University of Edinburgh, Doorway 6, Teviot Place, Edinburgh, EH8 9AG, UK
| | - Valerio Restocchi
- School of Informatics, University of Edinburgh (Informatics Forum, 10 Crichton St, Newington, Edinburgh, EH8 9AB, UK
| | - Alan Marshall
- School of Social and Political Science, University of Edinburgh, 15a George Square, Edinburgh, EH8 9LD, UK
| | - Bruce Guthrie
- Advanced Care Research Centre, Usher Institute, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 13 Little France Road, Edinburgh, EH16 4UX, UK
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Understanding the information journeys of late-life migrants to inform support design: Information seeking driven by a major life transition. Inf Process Manag 2023. [DOI: 10.1016/j.ipm.2022.103172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wang X, Bergren S, Dong X. Association Between Social Support and Depression Help-Seeking Behaviors Among U.S. Chinese Older Adults. J Aging Health 2023; 35:83-93. [PMID: 35694797 DOI: 10.1177/08982643221106870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Objectives: Depression has become one major mental health concern among Asian older adults. Yet, less is known about the role of social support on depression help-seeking among this population. This study examined the association between positive (i.e., open up to, rely on) and negative (i.e., too many demands, criticism) social support and depression help-seeking among U.S. Chinese older adults. Methods: Data were derived from the Population Study of Chinese Elderly in Chicago (PINE). Study sample consisted of 994 U.S. Chinese older adults with depressive symptoms. Results: Stepwise logistic regression results indicated that greater positive social support was associated with increased likelihood of both formal and informal help-seeking behaviors, whereas negative support was not a significant predictor. Discussion: Findings highlight the key role of positive social support in influencing U.S. Chinese older adults' depression help-seeking behaviors. Tailored strategies are recommended to better meet the mental health needs of this vulnerable population.
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Affiliation(s)
- Xiaochuan Wang
- School of Social Work, 6243University of Central Florida, Orlando, FL, USA
| | - Stephanie Bergren
- 242612Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA
| | - XinQi Dong
- 242612Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA
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6
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The Use of Information and Communication Technology Among Older Immigrants in Need of Home Care: a Systematic Literature Review. AGEING INTERNATIONAL 2021. [DOI: 10.1007/s12126-021-09417-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
AbstractBetter home care and home care technologies are no longer requested solely by nonimmigrant older adults but also by members of the fast-growing older adult immigrant population. However, limited attention has been given to this issue, or to the use of technology in meeting the needs of aging populations. The objective of this review is to map existing knowledge of older adult immigrants' use of information and communication technologies for home care service published in scientific literature from 2014 to 2020. Twelve studies met the established eligibility criteria in a systematic literature search. The results showed older adult immigrants faced similar barriers, which were independent of their ethnic backgrounds but related to their backgrounds as immigrants including lower socioeconomic status, low language proficiency, and comparatively lower levels of social inclusion. Technology use could be facilitated if older adult immigrants received culturally-tailored products and support from family members and from society. The results imply that the included studies do not address or integrate cultural preferences in the development of information and communication technology for home care services. Caregivers might provide an opportunity to bridge gaps between older immigrants' cultural preferences and technology design. This specific research field would also benefit from greater interest in the development of novel methodologies.
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"Mental Health Is for Crazy People": Perceptions and Barriers to Mental Health Service Use among Refugees from Burma. Community Ment Health J 2021; 57:965-972. [PMID: 32840690 DOI: 10.1007/s10597-020-00700-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 08/12/2020] [Indexed: 10/23/2022]
Abstract
Good mental health is essential to successful integration for refugee populations that resettle in the U.S. We explored perceptions of mental illnesses and barriers to mental health service use as well as solutions to current mental health problems from the perspective of refugees. The interviews with a convenience sampling of 11 community leaders (6 men and 5 women) from various Burmese ethnic communities revealed three major categories, including sources of mental illnesses (e.g. traumatic experiences and post-resettlement challenges), barriers to service use (e.g. lack of understanding about mental health, linguistic challenges, cultural stigma, alternative treatments, and unresponsive system), and proposed community solutions (e.g. community education, culturally-competent providers, and beyond mental health treatment). The findings suggest that the ethnic community can be a source of potential solutions to mitigate barriers to mental health service use.
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8
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Cao Q, Dabelko-Schoeny HI, White K, Maleku A, Sheldon M. I Wanna help, but my Hands can be a Little Tied: The Challenges and Benefits of Formal Volunteering among Low-Income Diverse Older Adults. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2021; 64:388-404. [PMID: 33685370 DOI: 10.1080/01634372.2021.1897723] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 02/24/2021] [Accepted: 02/26/2021] [Indexed: 06/12/2023]
Abstract
Volunteering is often considered an important component of productive and active aging. Although there is a rich body of literature on the predictors and outcomes of volunteering among the general older adults in the United States (U.S.), few studies have explored the unique volunteering experiences of culturally and linguistically diverse older adults. Given the growing number of diverse older adults and the importance of optimizing their contributions to society, this study investigates the challenges and benefits of volunteering among low-income diverse older adults. We conducted eight 90-minute focus groups in six languages (English, Nepali, Khmer, Somali, Russian, and Chinese) with 70 older volunteers attending a Senior Companions monthly training in a U.S. Midwestern metropolitan area. Data analysis followed the Rapid and Rigorous Qualitative Data Analysis (RADaR) technique and thematic analysis through an interactive team approach. Three overarching themes highlighted the challenges of volunteering: (1) transportation, (2) community emergencies and workload, and (3) family caregiving; and three themes reflected the benefits of volunteering: (1) stress-relief, (2) training and information, and (3) peer support and socialization. Study findings shed light on diverse older adults' unique volunteering experiences with implications for recruitment and retention.
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Affiliation(s)
- Qiuchang Cao
- College of Social Work, the Ohio State University, 1947 College Rd, Columbus, Ohio, United States
| | - Holly I Dabelko-Schoeny
- College of Social Work, the Ohio State University, 1947 College Rd, Columbus, Ohio, United States
| | - Katie White
- Age Friendly Columbus and Franklin County, Blackburn Community Recreation Center, Columbus, Ohio, United States
| | - Arati Maleku
- College of Social Work, the Ohio State University, 1947 College Rd, Columbus, Ohio, United States
| | - Marisa Sheldon
- Age Friendly Columbus and Franklin County, Blackburn Community Recreation Center, Columbus, Ohio, United States
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9
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Ma M, Joshi G. Unpacking the Complexity of Migrated Older Adults' Lives in the UK through an Intersectional Lens: A Qualitative Systematic Review. THE GERONTOLOGIST 2021; 62:e402-e417. [PMID: 33693592 DOI: 10.1093/geront/gnab033] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The intersection of population ageing and international migration increases the ethnic and cultural diversity of the UK's older population, which has significant implications for health and care services and requires social inclusion and equal access to welfare. This review aimed to explore the complexity of migrated older adults' lives and analyse how their multiple identity markers interweave and affect their lived experiences. RESEARCH DESIGN AND METHODS This review is a qualitative systematic review. Intersectionality was applied as a theoretical scaffold to inform the qualitative thematic synthesis of the data. RESULTS A total of 29 studies in the period 2000-2020 were included. Three themes- language barriers, racism and discrimination, negotiating cultural influences, were identified as common challenges faced by migrated older adults. However, the degree of these challenges and the resources to buffer their effects vary dramatically given the significant differences in older migrated adults' gender, socio-economic status (SES), cultural backgrounds and migration pathways. DISCUSSION AND IMPLICATIONS Rather than focusing on any single factor, it is required to consider the intersection of age, race, ethnicity, gender, SES, and migration status when understand and address inequality not only between migrated older adults and native older adults, among different migrated older adult groups but also within any certain group. This review calls for the acknowledgment and awareness of policymakers, care and service practitioners and academics on the heterogeneity of migrated older adults.
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Affiliation(s)
- Mengxing Ma
- Department of Geography, University of Sheffield, Sheffield, South Yorkshire, UK.,Department of Social Work, University of Melbourne, Melbourne, Victoria, Australia
| | - Gaurav Joshi
- University of Chinese Academy of Sciences, Beijing, China
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10
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Zhang L, Ding D, Neubeck L, Gallagher R. Health literacy as a predictor of emergency department visits and self-rated health among Chinese immigrants: findings from an Australian survey. PATIENT EDUCATION AND COUNSELING 2020; 103:2353-2360. [PMID: 32456982 DOI: 10.1016/j.pec.2020.04.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 04/09/2020] [Accepted: 04/16/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES Our objectives were to examine health literacy among first-generation Chinese immigrants living in Australia, identifying health literacy domains associated with emergency department (ED) visits and self-rated health (SRH). METHODS Chinese immigrants (n = 362, mean age = 59) were recruited from communities across New South Wales and surveyed for health literacy, ED visits in the past 12 months, and SRH using the Health Literacy Questionnaire (simplified Chinese version). RESULTS More than 70% of participants experienced health literacy difficulties. Health literacy was significantly lower among the following participants: older, migration at older age, recent immigrants, and those without university level education or proficient English. ED visits were independently associated with the health literacy domains lacking 'social support for health' (OR: 1.80; p = .031) and 'ability to appraise health information' (OR: 2.22; p = .005). Poor SRH was associated with the health literacy domains 'insufficient health information' (OR: 1.81; p = .025), 'inactively managing health' (OR: 1.72; p = .048), and 'lacking ability to appraise health information' (OR: 1.70; p = .048). CONCLUSIONS Inadequate health literacy was identified in the majority of first-generation Chinese immigrants and it had significantly association with higher prevalence of ED use and poorer SRH. PRACTICE IMPLICATIONS Early screening and support for health literacy is critical in Chinese immigrants.
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Affiliation(s)
- Ling Zhang
- Susan Wakil School of Nursing and Midwifery / Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia; The Charles Perkins Centre, The University of Sydney, Camperdown, Australia.
| | - Ding Ding
- The Charles Perkins Centre, The University of Sydney, Camperdown, Australia; Sydney School of Public Health, The University of Sydney, Camperdown, Australia
| | - Lis Neubeck
- Susan Wakil School of Nursing and Midwifery / Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia; The Charles Perkins Centre, The University of Sydney, Camperdown, Australia; School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Robyn Gallagher
- Susan Wakil School of Nursing and Midwifery / Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia; The Charles Perkins Centre, The University of Sydney, Camperdown, Australia
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11
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Wei L, Walters J, Guo Q, Fetherston C, O'Connor M. Meaningful and culturally appropriate palliative care for Chinese immigrants with a terminal condition: a qualitative systematic review protocol. ACTA ACUST UNITED AC 2019; 17:2499-2505. [PMID: 31135655 DOI: 10.11124/jbisrir-2017-003867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE This review aims to identify and synthesize the best qualitative evidence on the experiences of Chinese immigrants receiving palliative care in their country of residence where the culture is predominantly Western, and the experiences of their family carers. INTRODUCTION The recent increase in international immigration has led to challenges in providing culturally appropriate palliative care. Chinese populations have particular beliefs, values and practices surrounding death and filial piety. These differ considerably from those in Western cultures and have significant implications for palliative care service provision. This review will explore the experiences and perceptions of Chinese immigrants and how their cultural beliefs shape their acceptance and decision making related to palliative care. INCLUSION CRITERIA The review will include studies on the experiences of Chinese immigrants over 18 years of age with a terminal medical condition receiving palliative care in outpatient units, hospitals, hospices, specialist palliative care units, homes and community settings in their country of residence where the culture is predominantly Western. METHODS Eligible studies will be studies with qualitative data including designs such as phenomenology, grounded theory, ethnography, narrative research, qualitative description, action research and feminist research published in English and Chinese. CINAHL, PsycINFO, MEDLINE, Scopus and Web of Science Core Collection will be used and grey literature will be searched using ProQuest Dissertations and Theses, OpenGrey and Caresearch. Appraisal of selected studies will be done with the Joanna Briggs Institute Qualitative Assessment and Review tool. Findings will be synthesized through a meta-aggregative approach to produce a comprehensive set of synthesized findings that can be used as a basis for evidence-based practice.
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Affiliation(s)
- Li Wei
- School of Health Professions, Murdoch University, Perth, Australia
| | - Jennifer Walters
- School of Health Professions, Murdoch University, Perth, Australia
| | - Qiaohong Guo
- School of Nursing, Capital Medical University, Beijing, People's Republic of China
| | | | - Moira O'Connor
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Australia.,The Western Australian Group for Evidence Informed Healthcare Practice: a Joanna Briggs Institute Centre of Excellence
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12
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Sadarangani TR, Trinh-Shevrin C, Chyun D, Yu G, Kovner C. Cardiovascular Risk in Middle-Aged and Older Immigrants: Exploring Residency Period and Health Insurance Coverage. J Nurs Scholarsh 2019; 51:326-336. [PMID: 30834719 DOI: 10.1111/jnu.12465] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2018] [Indexed: 11/28/2022]
Abstract
PURPOSE It is reported that while immigrants are, initially, healthier than the native-born upon resettlement, this advantage erodes over time. In the United States, uninsured aging immigrants are increasingly experiencing severe complications of cardiovascular disease (CVD). The purpose of this study was to compare overall CVD risk and explore the importance of health insurance coverage on CVD risk relative to other health access barriers, from 2007 to 2012, in recent and long-term immigrants >50 years of age. METHODS This study was based on secondary cross-sectional analysis of the National Health and Nutrition Examination Survey (N = 1,920). The primary outcome, CVD risk category (high or low), was determined using the American College of Cardiology and American Heart Association Pooled Cohort equation. Differences between immigrant groups were examined using independent-samples t tests and chi-square analysis. The association between insurance and CVD risk was explored using a hierarchical block logistic regression model, in which variables were entered in a predetermined order. Changes in pseudo R2 measured whether health insurance explained variance in cardiac risk beyond other variables. RESULTS Recent immigrants had lower overall CVD risk than long-term immigrants but were twice as likely to be uninsured and had higher serum glucose and lipid levels. Based on regression models, being uninsured contributed to CVD risk beyond other health access determinants, and CVD risk was pronounced among recent immigrants who were uninsured. CONCLUSIONS Health insurance coverage plays an essential part in a comprehensive approach to mitigating CVD risk for aging immigrants, particularly recent immigrants whose cardiovascular health is susceptible to deterioration. CLINICAL RELEVANCE Nurses are tasked with recognizing the unique social and physical vulnerabilities of aging immigrants and accounting for these in care plans. In addition to helping them access healthcare coverage and affordable medication, nurses and clinicians should prioritize low-cost lifestyle interventions that reduce CVD risk, especially diet and exercise programs.
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Affiliation(s)
- Tina R Sadarangani
- Upsilon, Assistant Professor/Faculty Fellow, New York University Rory Meyers College of Nursing, New York, NY, USA
| | - Chau Trinh-Shevrin
- Associate Professor, Department of Population Health, New York University School of Medicine, New York, NY, USA
| | - Deborah Chyun
- Upsilon, Dean and Professor, University of Connecticut School of Nursing, Storrs, CT, USA
| | - Gary Yu
- Associate Research Scientist, New York University Rory Meyers College of Nursing, New York, NY, USA
| | - Christine Kovner
- Upsilon, Mathy Mezey Professor of Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, NY, USA
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"It's Not Officially Gambling": Gambling Perceptions and Behaviors Among Older Chinese Immigrants. J Gambl Stud 2019; 35:1317-1330. [PMID: 30778814 DOI: 10.1007/s10899-019-09841-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Personal and media accounts have suggested that Chinese communities engage in high rates of gambling, which is reflected in the fact that casinos are specifically targeting Chinese communities through advertisements and promotions. However, not much is actually known about older Chinese immigrants' experiences and perceptions of gambling in the U.S. This study seeks to explore how older Chinese immigrants define and describe gambling and their own gambling behaviors. Thematic analysis was used to identify major themes across in-depth interviews of 25 older Chinese immigrants living in New York City. Our analysis identified three avenues in defining gambling. First, they differentiated "gambling" from "playing." Second, they equated "gambling" with "problem gambling." Last, they associated "gambling" with major losses. In describing their own motivations for gambling and playing, participants indicated that there were many positive reasons for playing. The analyses revealed four themes under which participants described their motivations: gambling as a coping strategy; gambling as a form of socialization; gambling to improve health; and gambling to prove their luck or skill. Identifying older Chinese immigrants' perceptions and motivations around gambling can better equip us to address their needs.
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Montayre J, De-Arth J, Shrestha-Ranjit J, Neville S, Holroyd E. Challenges and adjustments in maintaining health and well-being of older Asian immigrants in New Zealand: An integrative review. Australas J Ageing 2019; 38:154-172. [DOI: 10.1111/ajag.12616] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 11/15/2018] [Accepted: 12/12/2018] [Indexed: 01/21/2023]
Affiliation(s)
- Jed Montayre
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Jaden De-Arth
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Jagamaya Shrestha-Ranjit
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Stephen Neville
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
| | - Eleanor Holroyd
- Faculty of Health and Environmental Sciences; School of Clinical Sciences; Auckland University of Technology; Auckland New Zealand
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Guo M, Steinberg NS, Dong X, Tiwari A. Is family relations related to health service utilisation among older immigrants: Evidence from Chinese elderly in the United States. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:215-225. [PMID: 30151956 PMCID: PMC6289785 DOI: 10.1111/hsc.12642] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 07/26/2018] [Accepted: 07/31/2018] [Indexed: 05/17/2023]
Abstract
The family is the key for survival and success of the 4.6 million older immigrants in the United States. It is also an overlooked context to understand older immigrants' health service utilisation. Most prior studies on this topic either focus on individual or institutional factors that affect how older immigrants use formal health services. Using data from 2011 Population Study of Chinese Elderly in Chicago (N = 3,159), this study examined potential linkages between family relationships and health service utilisation among US Chinese elderly. Negative binomial and logistic regressions were carried out to investigate whether health service use of these older immigrants are related to positive family relations, negative family relations, and health-related communications among family members. The findings showed that positive spousal or family relations were not associated with either physician visits or hospital stays. However, respondents with more negative family relations had more doctor visits (β = 0.065, p < 0.05) and were marginally more likely to use inpatient services (OR = 1.15, CI: 0.88-1.04, p = 0.08). Respondents who talked to their spouse for medical concerns were less likely to use inpatient services (OR = 0.68, CI: 0.46-0.99, p < 0.05). The findings showed that family relations play a role in Chinese older immigrants' health service use. In addition, family conflict seems to be more influential than close family relations in predicting service use. Practitioners need to thoroughly assess family dynamics to fully understand the resources and barriers for health service utilisation among the older immigrant populations.
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Affiliation(s)
- Man Guo
- University of Iowa, School of Social Work
| | | | - Xinqi Dong
- Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, New Jersey
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Arora S, Bergland A, Straiton M, Rechel B, Debesay J. Older migrants’ access to healthcare: a thematic synthesis. INTERNATIONAL JOURNAL OF MIGRATION HEALTH AND SOCIAL CARE 2018. [DOI: 10.1108/ijmhsc-05-2018-0032] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to synthesise data from the existent literature on the experiences of non-western older migrants in Europe in accessing and using healthcare services.
Design/methodology/approach
In total, 1,606 records were reviewed and 12 studies were selected. A thematic synthesis using Thomas and Harden’s approach was conducted.
Findings
The findings resulted in the three overarching themes: traditional discourses under new circumstances; predisposed vulnerabilities of older migrants and the healthcare system; and the conceptualization of health and the roles of healthcare professionals. The authors found that older migrants’ experience of accessing healthcare is influenced by many factors, such as health literacy, differences in healthcare beliefs and language barriers, and is not limited to cultural and traditional discourses of care. Findings reveal that there is a limited body of knowledge on barriers experienced by older migrant women.
Research limitations/implications
The geographical scope of the study and subsequent type of healthcare systems should be taken into account while understanding barriers to care. Another limitation is that although we studied different migrant groups, the authors synthesised barriers experienced by all. Future research could study migrants as separate groups to better understand how previous experiences with healthcare in their home country and specific social, cultural and economic circumstances shape them.
Originality/value
This paper provides a synthesis of the experiences of migrants from non-western countries who moved to a host country with a very different language, culture and healthcare system.
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Hong M, De Gagne JC, Shin H. Social networks, health promoting-behavior, and health-related quality of life in older Korean adults. Nurs Health Sci 2017; 20:79-88. [PMID: 29178182 DOI: 10.1111/nhs.12390] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Revised: 07/20/2017] [Accepted: 08/30/2017] [Indexed: 11/29/2022]
Abstract
In this cross-sectional, descriptive study, we compared the sociodemographic characteristics, social networks, health-promoting behavior, and the health-related quality of life of older Korean adults living in South Korea to those of older Korean adult immigrants living in the USA. A total of 354 older adults, aged 65 years or older, participated. Data were collected through self-directed questionnaires, and analyzed using a two way analysis of variance, t-tests, χ2 -tests, and Pearson's correlation coefficient. The association between four sociodemographic characteristics and health-related quality of life was significantly different between the two groups. For the older Korean adults living in South Korea, positive correlations existed between a measure of their social networks and both health-promoting behavior and health-related quality of life. For the older Korean immigrants, the findings revealed a positive correlation only between social networks and health-promoting behavior. The study findings support the important association social networks can have with health-related quality of life, and their possible relationship to health-promoting behaviors of older Korean adults. We suggest that health policy-makers and healthcare providers develop comprehensive programs that are designed to improve older adults' social networks.
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Affiliation(s)
- Minjoo Hong
- Department of Nursing, Gyeongnam National University of Science and Technology, Jinju, Korea
| | | | - Hyewon Shin
- School of Nursing, Clemson University, Clemson, South Carolina, USA
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