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Health needs of Vietnamese American elder

TitleHealth needs of Vietnamese American elder
Publication TypeJournal Article
Year of Publication2011
AuthorsChu, N
JournalSouthern Online Journal of Nursing ResearchSouthern Online Journal of Nursing Research
ISBN Number1538-0696
KeywordsAdult, Aged, Aged, 80 and Over, Asians -- Midwestern United States, Attitude to Illness, Audiorecording, Conceptual Framework, Cultural Sensitivity, Data Analysis Software, Dementia, Demography, Depression, Descriptive Research, Descriptive Statistics, Diabetes Mellitus, Ethnographic Research, Female, Health Beliefs, Health Resource Allocation -- In Old Age, Health Services Accessibility -- In Old Age, Human, Hypertension, Interview Guides, Male, Middle Age, Midwestern United States, Neoplasms, Purposive Sample, Semi-Structured Interview, Thematic Analysis, Urban Areas, Vietnam
AbstractVietnamese Americans were the fourth largest immigrant group in 2000 and one of the minority populations that reported disparities in health status and barriers to care. Most research focuses on Vietnamese in large urban areas. Little has been reported regarding Vietnamese elders' access to care in smaller communities. The purpose of this descriptive ethnographic study was to describe the barriers and facilitators to health care access and utilization for Vietnamese-American elders in a medium size urban area in the Midwest. The sample was a purposive sampling of n = 57 participants (27 Vietnamese elders ages 65 and over; 11 Vietnamese middle aged adults; and 19 community leaders and providers). Data collection included ethnographic interview, field notes and participant observation. The face-to-face interview was conducted in the language preferred by the respondent (Vietnamese, Chinese or English) and audio taped. Transcribed data was analyzed using NVivo 8 software. Results revealed low health literacy among elders in diabetes, cancer, hypertension and mental health issues. Undergirding themes included acceptability and affordability of care, and patient- provider communication. Elders' preference to receive health information was also elicited. Information gained will be important in designing and planning community-based health literacy interventions in this community and other minority populations.