Factors affecting psychological distress among Asian American and non-Hispanic White older adults

2019 ◽  
Vol 47 (8) ◽  
pp. 1-10
Author(s):  
Min-So Paek ◽  
Suhyeon Seo ◽  
David Choi
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Ethnic Groups ◽  
Asian Americans ◽  
Asian American ◽  
California Health Interview Survey ◽  
Poverty Level ◽  
Factors Affecting ◽  
Interview Survey ◽  
Hispanic White

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.

scholarly journals Association between Acculturation and Binge Drinking among Asian-Americans: Results from the California Health Interview Survey

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Monideepa B. Becerra ◽  
Patti Herring ◽  
Helen Hopp Marshak ◽  
Jim E. Banta
Keyword(s):  
Binge Drinking ◽  
South Asian ◽  
Asian Americans ◽  
Asian American ◽  
First Generation ◽  
South Asians ◽  
California Health Interview Survey ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey

Objective. Evaluate the association between acculturation and binge drinking among six Asian-American subgroups.Methods. A cross-sectional analysis of public access adult portion of 2007, 2009, and 2011/2012 California Health Interview Survey data was conducted. Univariate and multivariable logistic regression analyses were utilized with any binge drinking in the past year as the outcome variable and language spoken at home and time in USA as proxy measures of acculturation.Results. A total of 1,631 Asian-Americans (N=665,195) were identified as binge drinkers. Binge drinking was positively associated with being first generation South Asian (OR=3.05, 95%CI=1.55, 5.98) and monolingual (English only) Vietnamese (OR=3.00; 95%CI=1.58, 5.70), especially among females. Other factors associated with increased binge drinking were being female (Chinese only), not being current married (South Asian only), and being an ever smoker (all subgroups except South Asians).Conclusion. First generation South Asians and linguistically acculturated Vietnamese, especially females, are at an increased risk of binge drinking. Future studies and preventive measures should address the cultural basis of such health risk behaviors among Asian-American adults.

scholarly journals The Overlooked Burden of Food Insecurity among Asian Americans: Results from the California Health Interview Survey

2018 ◽  
Vol 15 (8) ◽  
pp. 1684 ◽  
Author(s):  
Monideepa Becerra ◽  
Salome Mshigeni ◽  
Benjamin Becerra
Keyword(s):  
Food Insecurity ◽  
Asian Americans ◽  
Asian American ◽  
English Language ◽  
The United States ◽  
California Health Interview Survey ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
At Home

Objective: Food insecurity remains a major public health issue in the United States, though lack of research among Asian Americans continue to underreport the issue. The purpose of this study was to evaluate the prevalence and burden of food insecurity among disaggregated Asian American populations. Methods: The California Health Interview Survey, the largest state health survey, was used to assess the prevalence of food insecurity among Asian American subgroups with primary exposure variable of interest being acculturation. Survey-weighted descriptive, bivariate, and multivariable robust Poisson regression analyses, were conducted and alpha less than 0.05 was used to denote significance. Results: The highest prevalence of food insecurity was found among Vietnamese (16.42%) and the lowest prevalence was among Japanese (2.28%). A significant relationship was noted between prevalence of food insecurity and low acculturation for Chinese, Korean, and Vietnamese subgroups. Language spoken at home was significant associated with food insecurity. For example, among Chinese, being food insecure was associated with being bilingual (prevalence ratio [PR] = 2.51) or speaking a non-English language at home (PR = 7.24), while among South Asians, it was associated with speaking a non-English language at home was also related to higher prevalence (PR = 3.62), as compared to English speakers only. Likewise, being foreign-born also related to being food insecure among Chinese (PR = 2.31), Filipino (PR = 1.75), South Asian (PR = 3.35), Japanese (PR = 2.11), and Vietnamese (PR = 3.70) subgroups, when compared to their US-born counterparts. Conclusion: There is an imperative need to address food insecurity burden among Asian Americans, especially those who have low acculturation.

scholarly journals Going flat: examining heterogeneity in the soda–obesity relationship by subgroup and place of birth among Asian Americans

2017 ◽  
Vol 20 (8) ◽  
pp. 1380-1387 ◽  
Author(s):  
Héctor E Alcalá ◽  
Mienah Z Sharif
Keyword(s):  
Asian Americans ◽  
Asian American ◽  
Population Based ◽  
California Health Interview Survey ◽  
Future Research ◽  
Place Of Birth ◽  
Acculturation Theory ◽  
Interview Survey ◽  
Soda Consumption ◽  
Using Data

AbstractObjectiveTo determine if the association between soda consumption and obesity is uniform among Asian-American population subgroups.DesignWe conducted multivariate logistic regression analyses on odds of being obese among seven Asian subgroups and by place of birth using data from the 2009 California Health Interview Survey.SettingAn omnibus population-based health survey.SubjectsNon-institutionalized adults, aged 18 years or over, residing in California (n 36 271).ResultsDespite low levels of soda consumption in several Asian-American ethnic groups, soda consumption increased the odds of being obese among Chinese, Koreans and Other Asians but not for Whites. Obesity risk varied across Asian subgroups and by place of birth within these subgroups.ConclusionsMore public health efforts addressing soda consumption in Asian-American communities are needed as a strategy for not only preventing chronic diseases but also disparities, considering the varying levels of soda intake across subgroups. Results support the growing body of literature critiquing acculturation theory in immigrant health research by documenting inconsistent findings by place of birth. Future research should take into account the heterogeneity among Asian Americans to advance our understanding of health outcomes and disparities.

Health of Older Asian Americans in California: Findings from the California Health Interview Survey

2008 ◽  
Vol 6 (2) ◽  
pp. 17-44
Author(s):  
Jong Min ◽  
Siyon Rhee ◽  
Phu Phan ◽  
Jessica Rhee ◽  
Thanh Tran
Keyword(s):  
Health Care ◽  
Health Status ◽  
Asian Americans ◽  
Asian American ◽  
Health Care Services ◽  
California Health Interview Survey ◽  
Health Interview Survey ◽  
Care Services ◽  
Health Interview ◽  
Interview Survey

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.

scholarly journals Ethnic Group Differences in Health Outcomes Among Asian American Men in California

2016 ◽  
Vol 11 (5) ◽  
pp. 1406-1414 ◽  
Author(s):  
Paulani Mui ◽  
Janice V. Bowie ◽  
Hee-Soon Juon ◽  
Roland J. Thorpe
Keyword(s):  
Ethnic Groups ◽  
Asian Americans ◽  
Asian American ◽  
White Men ◽  
California Health Interview Survey ◽  
Health Related ◽  
Asian American Men ◽  
Outcome Differences ◽  
Using Data ◽  
Diverse Groups

The numbers of Asian American men are continually increasing, yet limited research exists on this understudied population. Addressing this lack of research is necessary to better inform how best to improve quality of care. This study examined health outcome differences across ethnically diverse groups of Asian American men in California, compared with non-Hispanic White men. Using data from the 2007, 2009, and 2011-2012 California Health Interview Survey, distributions of health status and health-related characteristics across ( n = 43,030) racial/ethnic groups of men (Chinese, Japanese, Korean, Filipino, Vietnamese, Other Asian Americans, and non-Hispanic Whites) were calculated. Compared with non-Hispanic Whites, odds of reporting fair or poor health were higher among Vietnamese, while odds of diabetes were higher among Korean, Filipino, and Other Asian Americans. Odds of high blood pressure were higher among Filipino and Vietnamese but lower among Other Asian Americans, while odds of disability were lower across all ethnic groups except Filipino and Vietnamese. This study’s findings highlight the importance of understanding ethnic heterogeneity to develop culturally appropriate health interventions for Asian American men.

scholarly journals Asian American Older Adults and Social Isolation: A Systematic Literature Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 328-328
Author(s):  
Simona Kwon ◽  
Deborah Min ◽  
Stella Chong
Keyword(s):  
United States ◽  
Older Adults ◽  
Literature Review ◽  
Social Isolation ◽  
Asian Americans ◽  
Systematic Literature Review ◽  
Asian American ◽  
Minority Group ◽  
The United States ◽  
Eligibility Criteria

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.

scholarly journals Racial and Ethnic Difference in Falls Among Older Adults: Results from the California Health Interview Survey

2017 ◽  
Vol 5 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Simona C. Kwon ◽  
Benjamin H. Han ◽  
Julie A. Kranick ◽  
Laura C. Wyatt ◽  
Caroline S. Blaum ◽  
...  
Keyword(s):  
Older Adults ◽  
Ethnic Difference ◽  
California Health Interview Survey ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey

scholarly journals Context Diversity Predicts the Extent to Which the American Identity Is Implicitly Associated with Asian Americans and European Americans

2021 ◽  
Author(s):  
Thierry Devos ◽  
Melody Sadler
Keyword(s):  
Ethnic Groups ◽  
Asian Americans ◽  
Asian American ◽  
Ethnic Diversity ◽  
Metropolitan Areas ◽  
Structural Characteristics ◽  
American Identity ◽  
Minority Representation ◽  
European Americans ◽  
Using Data

Prior research documents that Asian Americans are implicitly seen as less American than European Americans (implicit American = White effect). The aim of the present research was to test whether this effect is weaker in more ethnically diverse metropolitan areas. Data from the 2010 U.S. Census were utilized to compute three indicators of context ethnic diversity: minority representation, variety, and integration. Implicit ethnic-American associations were assessed using data collected through Project Implicit. A total of 304 metropolitan areas were included in the analyses. The sample (N = 271,006) included 44.8% White and 31.7% Asian participants; it was composed mostly of relatively young adults (M = 26.54, SD = 11.16) and included more women (60.9%) than men. Respondents completed an Implicit Association Test measuring associations between the concepts “American” vs. “foreign” and two ethnic groups (“Asian American” vs. “European American”). Data were analyzed using multilevel modeling. The implicit American = White effect was less pronounced in metropolitan areas characterized by higher proportions of Asian Americans (minority representation). The presence of multiple ethnic groups (variety) was associated with a weaker implicit American = White effect only when minority representation was high. Greater dispersion of ethnic groups at the neighborhood level (integration) was not a source of reliable variation in implicit ethnic-American associations. These findings highlight the value of a multi-faceted perspective on context ethnic diversity. The extent to which the American identity is implicitly associated with Asian Americans and European Americans fluctuates as a function of socio-structural characteristics of local contexts.

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