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Health-Seeking Behaviors of Elderly Chinese Americans: Shifts in Expectations

TitleHealth-Seeking Behaviors of Elderly Chinese Americans: Shifts in Expectations
Publication TypeJournal Article
Year of Publication2003
AuthorsPang, EC, Jordan-Marsh, M, Silverstein, M, Cody, M
JournalThe GerontologistThe Gerontologist
Volume43
Pagination864-874
Date PublishedDec
ISBN Number0016-9013<br/>1758-5341
Accession NumberPeer Reviewed Journal: 2004-10180-007
Keywords*Chinese Cultural Groups, *Expectations, *Family, *Health Care Seeking Behavior, *Immigration, Cross Cultural Differences, Health, health-seeking behaviors, immigrant experience, elderly Chinese Americans, family network, cultural values, health resources utilization, health care barriers, self treatment, Eastern medicine, Human Male Female Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older), Promotion & Maintenance of Health & Wellness [3365], Racial and Ethnic Differences, Treatment Barriers, us, Values
AbstractPurpose: This study reported a qualitative analysis of health-seeking behaviors of community-dwelling elderly Chinese Americans on the influences of family network, cultural values, and immigrant experience in their use of health resources. Barriers to health care, pathway of health care, and adaptation of health care by use of self-treatment and Eastern and Western medicines were also examined. Design and Methods: The investigators used content analysis to obtain themes and key points of focus group interview data (N = 25) to explore the elderly participants' attitudes, values, and practices in their use of health resources. Survey questionnaires in Chinese were used to compile demographic data. Results: Findings suggested a shift from traditional expectations of filial piety to more dependence on neighbors and friends, and a genuine adaptability to combining Eastern and Western health care modalities. Immigration was not proposed by these Chinese elders as an explanation of shifts in expectations for family support or values. Implications: This study has implications for research, service delivery, and policy making for health care of ethnic elderly persons, particularly in addressing structural and cultural issues in access and compliance. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract).
Ethno Med: