Vulnerability of Older Latino and Asian Immigrants with Limited English Proficiency

Kim, Giyeon; Worley, Courtney B.; Allen, Rebecca S.; Vinson, Latrice; Crowther, Martha R.; Parmelee, Patricia A.; Chiriboga, David A.

doi:10.1111/j.1532-5415.2011.03483.x

Cited by 126 publications

(87 citation statements)

References 26 publications

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“…Prior studies in non-CKD populations have described suboptimal processes of care among adults with limited English proficiency such as poorer glycemic control among patients with diabetes. 26,27 In our study, we found no evidence to suggest that non-English speakers were at higher risk for progressing to ESRD compared with English speakers. The CHN provides a wide range of interpreter services and health information in several foreign languages, and it is possible that these services reduced linguistic barriers to care in our diverse patient population.…”

Section: Discussioncontrasting

confidence: 85%

Predictors of End-stage Renal Disease in the Urban Poor

Hall¹,

Choi²,

Xu³

et al. 2013

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We sought to examine the influence of social and clinical factors on risk of progression of chronic kidney disease (CKD) to end-stage renal disease (ESRD) in the urban poor. We studied 15,353 individuals with moderate-to-advanced CKD who received ambulatory care within a large public health system during 1996–2005. The primary outcome was progression to ESRD. Overall, 559 cases of ESRD occurred over a median follow-up of 2.8 years. Among traditional predictors of ESRD, younger age, male sex, non-White race/ ethnicity, public health insurance coverage, diabetes, lower kidney function, higher proteinuria, lower hemoglobin level, and lower serum albumin concentration were significantly associated with a higher adjusted ESRD risk (p < .001 for all). There was no significant association between HIV/AIDS (p=.07), viral hepatitis (p=.11), or non-English language (p=.27) and ESRD risk. Our results highlight the importance of addressing traditional risk factors for progressive CKD to reduce the disproportionate burden of ESRD among disadvantaged populations.

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Section: Discussioncontrasting

confidence: 85%

Predictors of End-stage Renal Disease in the Urban Poor

Hall¹,

Choi²,

Xu³

et al. 2013

hpu

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“…The chronic illness variable was based on the presence of only four chronic diseases. As was suggested in previous research using CHIS data (Kim et al, 2010(Kim et al, , 2011, this is limiting as some important geriatric conditions were not included. There are also geographic limitations of the study as the data were collected from residents of California.…”

Section: Aging and Mental Healthmentioning

confidence: 94%

Racial/ethnic differences in prevalence and correlates of binge drinking among older adults

Bryant

Kim

2012

Aging & Mental Health

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“…Most Asian Americans (74%) are foreign born, and half (48%) have limited English proficiency (LEP) (Pew Social & Demographic Trends, 2012), defined as speaking English less than “very well” (Agency for Healthcare Research and Quality, 2010). Among older Asian Americans, in addition to the known determinants of poor self-rated health such as advancing age, low levels of education, low income, and multiple chronic health conditions (Todorova et al, 2013; Zack, 2013), LEP is independently associated with disparities in both healthcare access and health status (Kim et al, 2011; Ponce, Hays, & Cunningham, 2006). …”

Section: Introductionmentioning

confidence: 99%

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

et al. 2016

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Older Chinese immigrants are a growing population in the United States who experience multiple healthcare communication barriers such as limited English proficiency and low health literacy. Each of these obstacles has been associated with poor health outcomes but less is known about their effects in combination. This study examined the association between healthcare communication barriers and self-rated health among older Chinese immigrants. Cross-sectional survey data were obtained from 705 Chinese American immigrants ages 50-75 living in San Francisco, California. Communication barriers examined included spoken English proficiency, medical interpreter needs, and health literacy in written health information. The study sample (81% females, mean age = 62) included 67% who spoke English poorly or not at all, 34% who reported needing a medical interpreter, and 37% who reported “often” or “always” needing assistance to read health information. Two-thirds (66%) reported poor self-rated health; many reported having access to racial-concordant (74%) and language-concordant (86%) healthcare services. Both poor spoken English proficiency and low health literacy were associated with poor self-rated health, independent of other significant correlates (unemployment, chronic health conditions, and having a primary doctor who was ethnic Chinese). Results revealed that spoken English proficiency and print health literacy are independent communication barriers that directly associated with the health status among elderly Chinese American immigrants. Access to racial- or language-concordant health care services did not appear to resolve these barriers. These findings underscore the importance of addressing both spoken and written healthcare communication needs among older Chinese American immigrants.

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Vulnerability of Older Latino and Asian Immigrants with Limited English Proficiency

Cited by 126 publications

References 26 publications

Predictors of End-stage Renal Disease in the Urban Poor

Predictors of End-stage Renal Disease in the Urban Poor

Racial/ethnic differences in prevalence and correlates of binge drinking among older adults

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

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