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Self-reported health status of vietnamese and non-Hispanic white older adults in california

TitleSelf-reported health status of vietnamese and non-Hispanic white older adults in california
Publication TypeJournal Article
Year of Publication2008
AuthorsSorkin, D, Tan, AL, Hays, RD, Mangione, CM, Ngo-Metzger, Q
JournalJ Am Geriatr SocJ Am Geriatr Soc
Volume56
Pagination1543-8
Date PublishedAug
ISBN Number1532-5415 (Electronic)<br/>0002-8614 (Linking)
Accession Number18637981
KeywordsAcculturation, Activities of Daily Living/classification, Age Factors, Aged, Aged, 80 and Over, Asian Americans/ statistics & numerical data, California, Chronic Disease/epidemiology/ ethnology, Cross-Cultural Comparison, Cross-Sectional Studies, Emigrants and Immigrants/ statistics & numerical data, European Continental Ancestry Group/ statistics & numerical data, Female, Health Status Indicators, Humans, Insurance Coverage/statistics & numerical data, Male, Mental Disorders/epidemiology/ethnology, Middle Aged, Outcome Assessment (Health Care)/statistics & numerical data, Patient Acceptance of Health Care, Questionnaires, Refugees/ statistics & numerical data, Risk Factors, Socioeconomic Factors, Vietnam/ethnology
AbstractVietnamese Americans are a rapidly growing minority group in the United States, yet little is known about their health status. Chronic medical conditions and self-rated health of older Vietnamese Americans were compared with those of non-Hispanic white adults living in California using the 2001 and 2003 California Health Interview Surveys (CHISs). The CHIS employed a random-digit-dial telephone survey, and its sample is representative of California's noninstitutionalized population. The sample included 359 Vietnamese and 25,177 non-Hispanic white adults aged 55 and older. Vietnamese and non-Hispanic white adults were compared in terms of limitations in activities of daily living, chronic medical conditions (diabetes mellitus, hypertension, heart disease, asthma), mental health care, and self-reported health, adjusting for age, sex, and education. Vietnamese were more likely than white participants to report needing help for mental health problems (adjusted odds ratio (aOR)=2.1, 95% confidence interval (CI)=1.4-3.1) but less likely to have had their medical providers discuss their mental health problems with them (aOR=0.3, 95% CI=0.1-0.5). In addition, Vietnamese participants reported significantly worse health than white adults on five of eight domains of the Medical Outcomes Survery 12-item Short Form survey (P<.006 clinicians="" caring="" for="" older="" vietnamese="" individuals="" should="" be="" aware="" of="" the="" high="" risk="" mental="" health="" needs="" in="" this="" population="" and="" initiate="" discussions="" about="" with="" their="" patients.="" further="" research="" is="" needed="" to="" better="" understand="" why="" americans="" are="" at="" higher="" worse="" self-reported="" than="" white="" adults.="">