The Prevalence of Sensory Deficits, Functional Limitations, and Disability Among Older Southeast Asians in the United States

Yang, Min-Wen; Burr, Jeffrey A.; Mutchler, Jan E.

doi:10.1177/0898264312457413

Cited by 17 publications

(22 citation statements)

References 23 publications

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“…For example, several cross-sectional studies suggest that poor health is associated with depression among older community-dwelling Chinese immigrants (Dong, Chang, Wong, & Simon, 2012;Leung et al, 2017;Mui, 1996Mui, , 1999. In a disability prevalence study among middle-aged and older Southeast Asians groups in the United States, Hmong and Cambodian groups were shown to be more likely to suffer from sensory deficit, functional limitation, and disability compared with Vietnamese immigrants (Yang et al, 2012), potentially placing this group at high risk of the negative mental health consequences associated with poor physical health.…”

Section: Factors Contributing To Depression Among Older Immigrantsmentioning

confidence: 99%

“…The pan-ethnic “Asian-American” group includes populations that are highly heterogeneous with respect to these attributes, and to health outcomes overall. For example, health outcomes are less favorable for the Hmong and Cambodian groups compared with other Southeast Asians, as well as in comparison with most other ethnic groups in the United States (Cho & Hummer, 2001; Yang, Burr, & Mutchler, 2012).…”

mentioning

confidence: 99%

“…Existing research on the older Hmong is limited, especially relating to mental health, and research on the mental health status of older Hmong populations in the United States is virtually absent. Although very limited evidence is available about their mental health characteristics, previous studies have reported higher disability prevalence among older Hmong compared with non-Hispanic Whites and to other Southeast Asians with a similar migration background (Cho & Hummer, 2001;Yang et al, 2012).…”

mentioning

confidence: 99%

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The High Prevalence of Depressive Symptoms and Its Correlates With Older Hmong Refugees in the United States

Yang

Mutchler

2019

J Aging Health

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Objective: We estimate depressive symptoms in a sample of older Hmong refugees in the United States, and investigate factors shaping risk of depression in this population. Method: Data were collected in California and Minnesota ( N = 127). The study sample included Hmong immigrants aged 55 and over. The measure of depression used is the Hopkins Symptom Checklist–10 (HSCL-10) inventory. Linear regression models were used to identify significant correlates of depressive symptoms. Results: More than 72% of the participants indicated being symptomatic of depression, as reflected by having a HSCL-10 score of 1.85 or higher. Self-reported health was a risk factor for depression. Protective factors from depression were larger household size and older age of arrival into the United States. Discussion: This study updated knowledge about the mental health status of Hmong refugees, who are now at later life. Our findings suggest that depression may be a lifelong experience in this high risk population.

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Section: Factors Contributing To Depression Among Older Immigrantsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The High Prevalence of Depressive Symptoms and Its Correlates With Older Hmong Refugees in the United States

Yang

Mutchler

2019

J Aging Health

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“…14 Cambodian elders in the United States have been shown to have higher levels of social and physical disability, and greater impairment in activities of daily living, as compared to non-Hispanic Whites, Laotians, and Vietnamese. 15 Cambodian psychiatric patients are significantly affected by diabetes and hypertension 16 ; and somatic symptoms and cultural syndromes 17 . The Cambodians' experience of food deprivation may also contribute to their risk for becoming overweight.…”

Section: Introductionmentioning

confidence: 99%

An Innovative Model of Culturally Tailored Health Promotion Groups for Cambodian Survivors of Torture

Berkson

Tor²,

Mollica³

et al. 2018

torture

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Cambodians living in the U.S.A. suffer from depression, posttraumatic stress disorder (PTSD), and chronic medical disease at rates far in excess of national averages. The Harvard Program in Refugee Trauma’s Cambodian Health Promotion Program seeks to address this burden of disease by offering them culturally tailored health education in a group setting. A health professional and a bicultural health educator co-facilitated a five-session health promotion group for Cambodian survivors of torture from 2007 to 2011. The program covered five major topics from Western and Cambodian worldviews. They included the meaning of health promotion, nutrition, exercise, stress management and sleep hygiene, and health practitioner-patient communication. The bicultural worker administered Pre and Post semi-structured Health Promotion Questionnaires. The data presented here are the results from 126 participants. Changes between the Pre and Post health promotion groups demonstrated significant improvements in health status, lifestyle activities, sleep, and depression. Participants revealed greater confidence in communicating with their primary health care practitioner. Culturally tailored Cambodian health promotion education administered in a small group setting may improve health and mental health behaviors. Culturally tailored health promotion education in a small group setting may promote healing in survivors of torture. It is an intervention worthy of further research and development.

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“…Our choice of indicators is consistent with a growing number of quantitative studies focusing on disability in minority populations. 38-41 All indicators were measured dichotomously (i.e. 0=No, 1=Yes).…”

Section: Methodsmentioning

confidence: 99%

Health spending among working-age immigrants with disabilities compared to those born in the US

Tarraf

Mahmoudi

Dillaway

et al. 2016

Disability and Health Journal

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Background Immigrants have disparate access to healthcare. Disabilities can amplify their healthcare burdens. Objective/Hypothesis Examine how US- and foreign-born working-age adults with disabilities differ in their healthcare spending patterns. Methods Medical Expenditures Panel Survey yearly-consolidated files (2000-2010) on working-age adults (18-64 years) with disabilities. We used three operational definitions of disability: physical, cognitive, and sensory. We examined annual total, outpatient/office-based, prescription medication, inpatient, and emergency department (ED) health expenditures. We tested bivariate logistic and linear regression models to, respectively, assess unadjusted group differences in the propensity to spend and average expenditures. Second, we used multivariable two-part models to estimate and test per-capita expenditures adjusted for predisposing, enabling, health need and behavior indicators. Results Adjusted for age and sex differences, US-born respondents with physical, cognitive, sensory spent on average $2,977, $3,312, and $2,355 more in total compared to their foreign-born counterparts (P<0.01). US-born spending was also higher across the four types of healthcare expenditures considered. Adjusting for the behavioral model factors, especially predisposing and enabling indicators, substantially reduced nativity differences in overall, outpatient/office-based and medication spending but not in inpatient and ED expenditures. Conclusions Working-age immigrants with disabilities have lower levels of healthcare use and expenditures compared to their US-born counterparts. Affordable Care Act provisions aimed at increasing access to insurance and primary care can potentially align the consumption patterns of US- and foreign-born disabled working-age adults. More work is needed to understand the pathways leading to differences in hospital and prescription medication care.

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The Prevalence of Sensory Deficits, Functional Limitations, and Disability Among Older Southeast Asians in the United States

Cited by 17 publications

References 23 publications

The High Prevalence of Depressive Symptoms and Its Correlates With Older Hmong Refugees in the United States

The High Prevalence of Depressive Symptoms and Its Correlates With Older Hmong Refugees in the United States

An Innovative Model of Culturally Tailored Health Promotion Groups for Cambodian Survivors of Torture

Health spending among working-age immigrants with disabilities compared to those born in the US

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