Health care and social service use among Chinese Immigrant elders

Aroian, Karen J.; Wu, Bei; Tran, Thanh V.

doi:10.1002/nur.20069

Cited by 95 publications

(81 citation statements)

References 26 publications

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“…These factors, for the most part, are consistent with the variables used in the Andersen model [19, 20]. Other factors we noted are unique to the racial and ethnic minority populations [22, 23]. …”

Section: Discussionsupporting

confidence: 75%

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Lin

Brown

et al. 2014

J Immigrant Minority Health

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Guangzhou, one of China's largest cities and a main trading port in South China, has attracted many African businessmen and traders migrating to the city for financial gains. Previous research has explored the cultural and economic roles of this newly emerging population; however, little is known about their health care experiences while in China. Semi-structured interviews and focus groups were used to assess health care experiences and perceived barriers to health care access among African migrants in Guangzhou, China. Overall, African migrants experienced various barriers to accessing health care and were dissatisfied with local health services. The principal barriers to care reported included affordability, legal issues, language barriers, and cultural differences. Facing multiple barriers, African migrants have limited access to care in Guangzhou. Local health settings are not accustomed to the African migrant population, suggesting that providing linguistically and culturally appropriate services may improve access to care for the migrants.

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Section: Discussionsupporting

confidence: 75%

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Lin

Brown

et al. 2014

J Immigrant Minority Health

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“…The finding of underuse of the health service by the Chinese migrant community is in line with the extant literature 25,26,41–45. Further, immigrants tend to use emergency services rather than attending specialists or using preventive services 43…”

Section: Discussionsupporting

confidence: 88%

Effects of acculturation, coping strategies, locus of control, and self-efficacy on chronic pain: study of Chinese immigrant women in Italy – insights from a thematic field analysis

Re¹,

Bragazzi²,

Siri³

et al. 2017

JPR

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Chronic pain represents a common public health concern worldwide. It is a complex phenomenon, owing to the interaction of different factors, including biological, physiological, psychological, environmental, and social variables. Some groups, such as women and immigrants, are particularly vulnerable. However, little is known about how Chinese women in Italy live with and face chronic pain. The present study aimed at filling this knowledge gap by examining the burden of chronic pain in Chinese immigrants in Italy in terms of acculturation processes, perceived control over disease, social networks, and coping strategies. A qualitative approach was used, performing a thematic field analysis. We interviewed 82 Chinese women from different Italian towns (Genoa, Milan, Turin, Bologna, Florence, and Prato) in depth. The sense of belonging to the host culture was strong in our sample. However, this did not simply reflect or translate into a linear engagement with medical systems, as health care pathways were more complex and dual (both Chinese and Western). Chinese women who felt deeply rooted in the Italian environment did not discontinue the use of traditional Chinese medicine. Chronic pain extensively and adversely affected daily life, particularly interfering with work. Coping strategies were mainly adaptive behaviors, being problem focused or maladaptive, relying upon “cope and avoid” mechanisms. Chinese women preferred to use traditional Chinese remedies rather than conventional medicine, while using the Italian system in emergencies. Perceived control over chronic pain was usually external. Finally, Chinese women with chronic pain benefit from social networks and support, which were mainly composed of Chinese peers. In conclusion, our findings underline the tremendous burden of chronic pain affecting all aspects of Chinese women’s lives. Health care workers and providers should be aware of the complexity of chronic pain Therefore, a holistic approach, involving different stakeholders, should be adopted when managing chronic pain and approaching immigrant patients.

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“…Mammography screening rates among older Chinese American women are 23% lower than in the general older population (Yu and Wu 2005). Research suggests stigma associated with certain illnesses, particularly mental illness, may cause Chinese Americans to avoid health research studies, and to underutilize health services in general (Aroian et al 2005;Guo et al 2000;Ho et al 2000). Thus, Chinese American women may have higher rates of certain cancers; underutilize preventive screenings; and have significant unmet medical and social service needs due to stigma.…”

mentioning

confidence: 92%

Native-born Chinese Women’s Experiences in Medical Encounters in the U.S.

2008

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Native-born Chinese women's experiences with medical help seeking in the U.S. is poorly understood, including how life phase affects it. Focus groups with middleaged and older immigrant Chinese women explored: a) behaving assertively with doctors, b) strategies for assertiveness, c) characteristics of "ideal" doctors. Assertiveness was described as a reciprocal behavioral process between patient and doctor. Responsibility for initiating the process was seen as resting with doctors. Patient assertiveness goals included obtaining information and referrals. Strategies for achieving goals included not mentioning low-priority medical concerns in order to increase odds of obtaining referrals, and switching doctors when dissatisfied with communication. Older women reported refusing medical treatment due to language barriers. Cultural values, reported to be rooted in Confucianism, were identified by participants as shaping their help seeking. "Ideal" doctors were described as unhurried, and fully responsive to patient symptoms. Older women viewed "direct speaking" by doctors as always desirable around general information, and sometimes desirable around serious diagnoses. Older women perceived cultural differences with American-born Chinese providers. Findings are discussed in relation to continuity of care issues.

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Health care and social service use among Chinese Immigrant elders

Cited by 95 publications

References 26 publications

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Effects of acculturation, coping strategies, locus of control, and self-efficacy on chronic pain: study of Chinese immigrant women in Italy – insights from a thematic field analysis

Native-born Chinese Women’s Experiences in Medical Encounters in the U.S.

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Health care and social service use among Chinese Immigrant elders

Cited by 95 publications

References 26 publications

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Effects of acculturation, coping strategies, locus of control, and self-efficacy on chronic pain: study of Chinese immigrant women in Italy &ndash; insights from a thematic field analysis

Native-born Chinese Women’s Experiences in Medical Encounters in the U.S.

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Effects of acculturation, coping strategies, locus of control, and self-efficacy on chronic pain: study of Chinese immigrant women in Italy – insights from a thematic field analysis