The Influence of Smoking Status on the Health Profiles of Older Chinese American Men

2019 ◽  
Vol 67 (S3) ◽  
Author(s):  
Chien‐Ching Li ◽  
Alicia K. Matthews ◽  
XinQi Dong ◽  
Melissa Simon
Keyword(s):  
Smoking Status ◽  
Chinese American ◽  
Older Chinese ◽  
Health Profiles

scholarly journals SOCIOCULTURAL DETERMINANTS IN PAIN PERCEPTION AND MANAGEMENT AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S713-S714
Author(s):  
Simona Kwon ◽  
Jazmine Wong ◽  
Janet Pan ◽  
Andrew Rosenberg ◽  
Germaine Cuff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pain Management ◽  
Asian American ◽  
Chinese American ◽  
Chinese Americans ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
Management Interventions ◽  
Older Chinese ◽  
Older Chinese Americans

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.

scholarly journals Health Services Utilization Among Chinese American Older Adults: Moderation of Social Support With Functional Limitation

2018 ◽  
Vol 39 (5) ◽  
pp. 481-489 ◽  
Author(s):  
Jinjiao Wang ◽  
Dexia Kong ◽  
Benjamin C. Sun ◽  
XinQi Dong
Keyword(s):  
Social Support ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Secondary Analysis ◽  
Chinese American ◽  
The United States ◽  
Lower Odds ◽  
Ed Visits ◽  
Older Chinese ◽  
Relationship Of

In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism. This was a secondary analysis of data from the Population Study of Chinese Elderly (July 2011-June 2013; N = 3,157). After adjusting for demographic, clinical, and functional covariates in logistic regression analyses, significant interaction between social support from spouse and the number of functional limitations in (instrumental) activities of daily living was related to lower odds of hospitalization (odds ratio [OR] = 0.97 [0.95-0.99]) and ED visits (OR = 0.98 [0.96-0.99]). This finding suggests that among older Chinese American adults with functional limitations, more spousal support was related to lower odds of hospitalizations and ED visits. Future studies should comprehensively measure social support (e.g., content, amount) from other sources and investigate how unnecessary acute health service utilization in this population may be reduced by social support interventions.

Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference?

2019 ◽  
Author(s):  
Weiyu Mao ◽  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
Xinqi Dong
Keyword(s):  
Oral Health ◽  
Chinese American ◽  
Health Problems ◽  
Stepwise Logistic Regression ◽  
Ethnic Enclaves ◽  
Neighborhood Cohesion ◽  
Logistic Regression Models ◽  
Older Chinese ◽  
The Relationship ◽  
Chinese American Immigrants

Abstract Background and Objectives Despite an increasing, yet still limited amount of research on social determinants of oral health, the influences of neighborhood characteristics remain understudied, especially within the context of immigration. Acculturation is multidimensional, and its influences on the oral health of immigrants vary across age and ethnic groups. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants, and whether and to what extent acculturation indicators moderate the relationship between such cohesion and oral health. Methods The research design and working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Neighborhood cohesion was measured by a six-item scale. Oral health problems were measured by the presence or absence of such problems. Acculturation included residence in ethnic enclaves, length of stay, and behavioral acculturation. Stepwise logistic regression models with interaction terms (Neighborhood cohesion × Acculturation) were conducted to examine the association between neighborhood cohesion and oral health problems, accounting for sociodemographics, health conditions, and health behaviors. Results Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. Discussion and Implications To promote optimal oral health, interventions need to account for individuals’ perceptions and levels of integration into their neighborhoods and communities.

Affordable Care Act Knowledge and Publicity in the Older Chinese-American Population

2014 ◽  
Vol 62 (11) ◽  
pp. 2219-2221 ◽  
Author(s):  
John T. H. Tsiang ◽  
Hei Tong Lam ◽  
Benjamin K. P. Woo
Keyword(s):  
Affordable Care Act ◽  
Chinese American ◽  
American Population ◽  
Older Chinese

scholarly journals Glycaemia and hand grip strength in aging people: Guangzhou Biobank Cohort Study

2020 ◽  
Author(s):  
Xue Liang ◽  
Chao Qiang Jiang ◽  
Wei Sen Zhang ◽  
Feng Zhu ◽  
Ya Li Jin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Muscle Strength ◽  
Grip Strength ◽  
Fasting Glucose ◽  
Smoking Status ◽  
Inverse Association ◽  
Fat Percentage ◽  
Glycemic Status ◽  
Older Chinese ◽  
Diagnosed Diabetes

Abstract BackgroundThere is a link between hyperglycemia and mechanical functions of muscle. However, existing evidence of the association between hyperglycemia and weaker muscle strength is limited and inconsistent. We examined whether glycemic status was associated with relative grip strength (RGS) in older Chinese.MethodsIn 2008-2012, 9180 participants (2516 men and 6664 women) from the Guangzhou Biobank Cohort Study had fasting and 2-hour post-load glucose measured. Glycemic status was categorized as normoglycaemia, prediabetes (i.e., impaired fasting glucose and/or impaired glucose tolerance) and diabetes. RGS was assessed using a Jamar Hydraulic Hand Dynamometer divided by body mass index. General linear model was used to assess the association of glycemic status with RGS.ResultsAfter adjusting for age, smoking status, alcohol use, physical activity, health status, body fat percentage and waist circumference, in men, hyperglycemia was associated with a lower RGS, with the RGS being 1.38 (95% confidence interval (CI)=1.34, 1.42) in normoglycaemia, 1.35 (95% CI=1.30, 1.39) in prediabetes, 1.33 (95% CI=1.29, 1.38) in newly diagnosed diabetes and 1.32 (95% CI=1.27, 1.37) in known diabetes (P for trend <0.001). The association of glycemic status with RGS was non-significant in women. Among the normoglycaemic group, no association was found between fasting glucose and RGS in men, whereas a significantly inverse association was found in women, with adjusted β for RGS per mmol/l increase in fasting glucose being -0.05 to -0.04 (P values from 0.002 to 0.03).ConclusionsHigher fasting glucose was associated with reduced grip strength in a dose-response manner, and the association was significant even in women with normoglycaemia. Our findings suggest that lowering glucose across the whole range might be important in preserving muscle strength, especially in aging women.

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