Health Status of Older Asian Americans in California
Health Status of Older Asian Americans in California
复制标题
DOI：
10.1111/j.1532-5415.2010.03034.x
复制
发表时间：
2010-10-01
影响因子：
6.3
通讯作者：
Parmelee, Patricia
中科院分区：
文献类型：
--
作者：
Kim, Giyeon;Chiriboga, David A.;Parmelee, Patricia
鉴于缺乏对代表许多亚裔美国人亚类的老年人之间差异的研究，本研究探讨了60岁及以上亚裔美国人的五个亚类的身心健康状况：中国人，日本人，韩国人，越南人和菲律宾人。数据来自2007年加州健康访谈调查（CHIS）。背景特征和身心健康状况进行了比较，结果显示，五个亚类的老年亚裔美国人之间的差异。在慢性病、疾病合并症和残疾率中确定了特定模式。越南人和菲律宾人的身体健康状况往往比中国人、日本人和韩国人差。最差的自测健康和最高的残疾率被发现在老年越南人。菲律宾人还表现出最多的慢性病，包括哮喘，高血压和心脏病的发病率最高。虽然韩国人有最少的自我报告的慢性疾病和最少的疾病合并症的证据，他们也有最高的心理困扰。日本老年人的心理压力最低。研究结果表明，从一个特定的亚洲类别或从一个总的亚洲类别的一般化的结果可能是有问题的，可能无法反映在特定的亚洲类别的健康负担的准确图片。了解这些背景和健康特征的差异可能有助于提供者更好地为亚洲老年客户提供服务。
Given the paucity of research on differences between older adults representing the many Asian-American subcategories, the present study explored physical and mental health status in five subcategories of Asian Americans aged 60 and older: Chinese, Japanese, Korean, Vietnamese, and Filipino. Data were drawn from the 2007 California Health Interview Survey (CHIS). Background characteristics and physical and mental health conditions were compared, with results showing differences cross the five subcategories of older Asian Americans. Specific patterns were identified in chronic diseases, disease comorbidity, and disability rates. Vietnamese and Filipinos tended to have poorer physical health than Chinese, Japanese, and Koreans. The poorest self-rated health and the highest disability rate were found in the older Vietnamese. Filipinos also exhibited the greatest number of chronic diseases, including the highest rates of asthma, high blood pressure, and heart disease. Although Koreans had the fewest self-reported chronic diseases and the least evidence of disease comorbidity, they also had the highest psychological distress. The lowest psychological distress was found in older Japanese. Findings suggest that generalizing findings from one particular Asian category or from an aggregate Asian category may be problematic and may not reflect an accurate picture of the burden of health in specific Asian categories. Being aware of these differences in background and health characteristics may help providers to better serve older Asian clients.