| Title |
Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants
|
|---|---|
| Published in |
Journal of Community Health, January 2016
|
| DOI | 10.1007/s10900-015-0148-4 |
| Pubmed ID | |
| Authors |
Janice Y. Tsoh, Tetine Sentell, Ginny Gildengorin, Gem M. Le, Elaine Chan, Lei-Chun Fung, Rena J. Pasick, Susan Stewart, Ching Wong, Kent Woo, Adam Burke, Jun Wang, Stephen J. McPhee, Tung T. Nguyen |
| Abstract |
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 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 are directly associated with 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. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 50% |
| Canada | 1 | 25% |
| Unknown | 1 | 25% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 50% |
| Practitioners (doctors, other healthcare professionals) | 1 | 25% |
| Scientists | 1 | 25% |
Mendeley readers
The data shown below were compiled from readership statistics for 167 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 167 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 17% |
| Student > Bachelor | 22 | 13% |
| Student > Doctoral Student | 15 | 9% |
| Researcher | 14 | 8% |
| Student > Ph. D. Student | 14 | 8% |
| Other | 30 | 18% |
| Unknown | 43 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 37 | 22% |
| Social Sciences | 29 | 17% |
| Medicine and Dentistry | 23 | 14% |
| Psychology | 9 | 5% |
| Business, Management and Accounting | 5 | 3% |
| Other | 15 | 9% |
| Unknown | 49 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 18. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 January 2024.
All research outputs
#2,016,530
of 25,139,853 outputs
Outputs from Journal of Community Health
#130
of 1,337 outputs
Outputs of similar age
#34,219
of 405,955 outputs
Outputs of similar age from Journal of Community Health
#3
of 27 outputs
Altmetric has tracked 25,139,853 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,337 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.4. This one has done particularly well, scoring higher than 90% of its peers.
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We're also able to compare this research output to 27 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.