Pathway to Health Literacy in Korean American Immigrants: The Mediating Role of English Proficiency

Lee, Hee Yun; Choi, Jeong Kyun

doi:10.1080/10911359.2012.655568

Cited by 20 publications

(21 citation statements)

References 27 publications

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“…Study participants with more education were more likely to have higher levels of mental health literacy. This finding mirrors previous studies on health literacy topics, including cancer literacy (Howard, Sentell, & Gazmararian, ; Lee & Choi, ; Lee et al., , ; Wister et al., ). For example, Lee et al.…”

Section: Discussionsupporting

confidence: 89%

Mental health literacy in korean older adults: A cross‐sectional survey

Kim

Lee

et al. 2017

Psychiatric Ment Health Nurs

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Introduction Korea is experiencing rapid population ageing, spurring an increased need for mental health services for the elderly. Approximately one-third of Korean older adults experience depressive symptoms, and Korea has the highest elder suicide rate among 34 developed nations. Mental health literacy is an important component of promoting mental health, yet studies on the concept have been conducted in few countries. Aim This study examines the level of mental health literacy among Korean older adults and identifies factors associated with their mental health literacy. Method A cross-sectional survey was conducted with 596 community-dwelling Korean adults aged 65 and older. Andersen's Behavioral Model of Health Services Use framed the study. Results Overall, participants displayed low levels of mental health literacy. They had difficulty recognizing their mental health issues and had limited knowledge about self-help strategies. Mental health literacy was positively associated with education, social support, social network and health status. Discussion and Implications This study highlights a need for efforts to increase mental health literacy among Korean older adults. Strategies that have the potential to empower this population to proactively attend to their mental health include community-based education and national mental health campaigns.

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Section: Discussionsupporting

confidence: 89%

Mental health literacy in korean older adults: A cross‐sectional survey

Kim

Lee

et al. 2017

Psychiatric Ment Health Nurs

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“…Studies that do exist have typically focused on a single immigrant population group with a single health outcome variable. For example, one study that investigated predictors of and pathways to health literacy 16 included only Korean Americans. In this study, a higher level of education and having health insurance were found to be strongly associated with a higher level of health literacy.…”

mentioning

confidence: 99%

Health Literacy as a Social Determinant of Health in Asian American Immigrants: Findings from a Population-Based Survey in California

et al. 2015

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“…The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. (p. 4) Lee and Choi (2012) investigated predictors of and pathways to health literacy among Korean American immigrants residing in New York City, and they found that education and English proficiency were the most significant predictors of health literacy. Healthcare providers should consider adding ancillary services to their practices, such as trained interpreters and better multilingual communication (e.g.…”

Section: Discussionmentioning

confidence: 99%

The healthcare experiences of Koreans living in North Carolina: a mixed methods study

Gagné

et al. 2014

Health Soc Care Community

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This study examined the healthcare experiences of Korean immigrants aged 40-64 living in the North Carolina Triangle area of the Southeastern United States. Using a mixed methods design, we collected quantitative data via a questionnaire from 125 participants and conducted a focus group with 10 interviewees from December 2010 to February 2011. The quantitative data were analysed using t-tests and chi-square tests, and a thematic analysis was used for the focus group study. Questionnaire findings showed that only 27.2% had sufficient English skills to communicate adequately. Participants with insurance were significantly more likely to be employed (P < 0.001), had higher incomes (P = 0.011) and higher education (P < 0.001), and had greater English-speaking ability (P = 0.011) than those without insurance. Participants who did not use healthcare services showed significantly less knowledge (P < 0.001) of and less satisfaction (P = 0.034) with the healthcare system than those using healthcare services. Sixty-two participants (49.6%) reported having no health insurance for one or more of the following reasons: high costs (75.8%), medical tourism (22.6%) and lack of information or knowledge (6.5%). The following themes emerged from the data collected during the focus group: (i) barriers to utilisation of healthcare services; (ii) facilitators of utilisation of healthcare services; and (iii) social support seeking for health management. Our mixed methods study findings indicate that healthcare disparities exist among Korean immigrants and that a number of factors, including health literacy, may contribute to their poor health outcomes. Continued collaboration among community members, healthcare professionals and academicians is needed to discuss the community's health concerns and to develop sustainable programmes that will ensure meaningful access to care for those with limited English proficiency and medically underserved populations.

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Pathway to Health Literacy in Korean American Immigrants: The Mediating Role of English Proficiency

Cited by 20 publications

References 27 publications

Mental health literacy in korean older adults: A cross‐sectional survey

Mental health literacy in korean older adults: A cross‐sectional survey

Health Literacy as a Social Determinant of Health in Asian American Immigrants: Findings from a Population-Based Survey in California

The healthcare experiences of Koreans living in North Carolina: a mixed methods study

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