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Journal of Aging Research
Volume 2010, Article ID 124246, 12 pages
http://dx.doi.org/10.4061/2010/124246
Research Article

Assessing the Health Needs of Chinese Older Adults: Findings from a Community-Based Participatory Research Study in Chicago's Chinatown

1Department of Internal Medicine, Rush University Medical Center, 1645 West Jackson Boulevard, Suite 675, Chicago, IL 60612, USA
2Chinese American Service League, Chicago, IL 60616, USA
3Department of Obstetrics/Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA

Received 18 August 2010; Revised 24 October 2010; Accepted 1 December 2010

Academic Editor: Kee Lee Chou

Copyright © 2010 XinQi Dong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. L. Shinagawa, A Portrait of Chinese Americans Asian American Studies Program, University of Maryland, 2008.
  2. W. C. Hwang and J. J. Wood, “Acculturative family distancing: links with self-reported symptomatology among Asian Americans and Latinos,” Child Psychiatry and Human Development, vol. 40, no. 1, pp. 123–138, 2009. View at Publisher · View at Google Scholar · View at Scopus
  3. E. S. H. Yu, K. K. Kim, E. H. Chen, R. A. Brintnall, and W. T. Liu, “Colorectal cancer screening among Chinese Americans: a community-based study of knowledge and practice,” Journal of Psychosocial Oncology, vol. 19, no. 3-4, pp. 97–112, 2001. View at Publisher · View at Google Scholar · View at Scopus
  4. E. S. H. Yu, K. K. Kim, E. H. Chen, and R. A. Brintnall, “Breast and cervical cancer screening among Chinese American women,” Cancer Practice, vol. 9, no. 2, pp. 81–91, 2001. View at Publisher · View at Google Scholar · View at Scopus
  5. M. McCracken, M. Olsen, M. S. Chen et al., “Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities,” Cancer Journal for Clinicians, vol. 57, no. 4, pp. 190–205, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. Y. W. Ying, “Depressive symptomatology among Chinese-Americans as measured by the CES-D,” Journal of Clinical Psychology, vol. 44, no. 5, pp. 739–746, 1988. View at Google Scholar · View at Scopus
  7. N. S. Parikh, M. C. Fahs, D. Shelley, and R. Yerneni, “Health behaviors of older Chinese adults living in New York City,” Journal of Community Health, vol. 34, no. 1, pp. 6–15, 2009. View at Publisher · View at Google Scholar · View at Scopus
  8. H. J. Zhan, S. V. King, J. H. A. Kim, G. Zhang, and F. J. Whittington, “Double-bind: the experience of aging and being an ethnic minority in the U.S. among Chinese and Korean American elders,” Hallym International Journal of Aging, vol. 6, no. 2, pp. 119–137, 2004. View at Publisher · View at Google Scholar · View at Scopus
  9. K. S. Collins, D. L. Hughes, M. M. Doty, B. L. Ives, J. N. Edwards, and K. Tenney, 2001 Health Care Quality survey, The Commonwealth Fund, 2002.
  10. A. Mui and T. Shibusawa, Asian American Elders in the Twenty-First Century, Columbia University Press, New York, NY, USA, 1995.
  11. M. Gervais and S. Jovchelovitch, The Health Beliefs of the Chinese Community in England: A Qualitative Research Study London, Health Education Authority, 1998.
  12. D. W. L. Lai, “Filial piety, caregiving appraisal, and caregiving Burden,” Research on Aging, vol. 32, no. 2, pp. 200–223, 2010. View at Publisher · View at Google Scholar · View at Scopus
  13. E. C. Pang, M. Jordan-Marsh, M. Silverstein, and M. Cody, “Health-seeking behaviors of elderly Chinese Americans: shifts in expectations,” Gerontologist, vol. 43, no. 6, pp. 864–874, 2003. View at Google Scholar · View at Scopus
  14. T. O. Kauh, “Changing status and roles of older Korean immigrants in the United States,” International Journal of Aging and Human Development, vol. 49, no. 3, pp. 213–229, 1999. View at Google Scholar · View at Scopus
  15. J. H. Tsai, “Meaning of filial piety in the Chinese parent-child relationship: implications for culturally competent health care,” Journal of Cultural Diversity, vol. 6, no. 1, pp. 26–34, 1999. View at Google Scholar · View at Scopus
  16. B. L. Casado and P. Leung, “Migratory grief and depression among elderly Chinese American immigrants,” Journal of Gerontological Work, vol. 36, pp. 5–26, 2001. View at Google Scholar
  17. A. C. Mui, “Depression among elderly Chinese immigrants: an exploratory study,” Social Work, vol. 41, no. 6, pp. 633–645, 1996. View at Google Scholar · View at Scopus
  18. A. C. Strauss and J. Corbin, Basics of Qualitative Research: Grounded Theory Procedures and Techniques, Sage, Newbury Park, Calif, USA, 1990.
  19. S. Tam and S. Neysmith, “Disrespect and isolation: elder abuse in Chinese communities,” Canadian Journal on Aging, vol. 25, no. 2, pp. 141–151, 2006. View at Google Scholar · View at Scopus
  20. R. C. M. Chau and S. W. K. Yu, “The sensitivity of United Kingdom health-care services to the diverse needs of Chinese-origin older people,” Ageing and Society, vol. 30, no. 3, pp. 383–401, 2010. View at Publisher · View at Google Scholar · View at Scopus
  21. R.C.M. Chau and S.W. Yu, “Pragmatism, globalism and culturalism: health pluralism of Chinese people in Britain,” in Constructions of Health and Illness: European Perspectives, I. Shaw and K. Kauppinen-Toropainen, Eds., Ashgate Press, London, UK, 2004. View at Google Scholar
  22. Z. Guo, Ginseng and Aspirin: Health Care Alternatives for Aging Chinese in New York, Cornell University Press, New York, NY, USA, 2000.
  23. K. C. Norris, R. Brusuelas, L. Jones, J. Miranda, O. K. Duru, and C. M. Mangione, “Partnering with community-based organizations: an academic institution's evolving perspective,” Ethnicity and Disease, vol. 17, no. 1, pp. S27–S32, 2007. View at Google Scholar · View at Scopus
  24. G. Moreno-John, A. Gachie, C. M. Fleming et al., “Ethnic minority older adults participating in clinical research: developing trust,” Journal of Aging and Health, vol. 16, no. 5, pp. 93–123, 2004. View at Publisher · View at Google Scholar · View at Scopus
  25. C.E. Bennett and B. Martin, The Nation's Asian and Pacific Islander Population Buerau of Census, 1995.
  26. M. A. Simon, M. Magee, and A. M. Shah, “Building a Chinese community health survey in Chicago: the value of involving the community to more accurately portray health,” International Journal of Health and Ageing Management, vol. 2, pp. 42–55, 2008. View at Google Scholar · View at Scopus
  27. I. C. Lee, “The Chinese Americans: community organizing strategies and tactics,” in Community Organizing in a Diverse Society, F. G. Rivera and J. L. Erlich, Eds., pp. 133–158, Allyn and Bacon, Boston, Mass, USA, 1992. View at Google Scholar
  28. E. Yu, “Problems in Pacific/Asian American community research,” in Methodological Problems in Minority Research, pp. 93–118, 1982. View at Google Scholar
  29. L. Zhan, J. Cloutterbuck, J. Keshian, and L. Lombardi, “Promoting health: perspective from ethnic elderly women,” Journal of Community Health Nursing, vol. 15, no. 1, pp. 31–44, 1998. View at Publisher · View at Google Scholar · View at Scopus
  30. T. Hancock and M. Minkler, “Community health assessment or healthy community assessment? Whose community? Whose health? Whose assessment?” in Community Organizing and Community Building for Health, M. Minkler, Ed., p. 148, Rutgers University Press, 1997. View at Google Scholar
  31. A. Stevens and S. Gillam, “Health needs assessment. Needs assessment: from theory to practice,” British Medical Journal, vol. 316, no. 7142, pp. 1448–1452, 1998. View at Google Scholar · View at Scopus
  32. L. W. Green and S. L. Mercer, “Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities?” American Journal of Public Health, vol. 91, no. 12, pp. 1926–1929, 2001. View at Google Scholar · View at Scopus
  33. M. Minkler and N. Wallerstein, Community-Based Participatory Research for Health, Jossey Bass, San Francisco, Calif, USA, 2003.
  34. M. Minkler, “Community-based research partnerships: challenges and opportunities,” Journal of Urban Health, vol. 82, no. 2, pp. ii3–ii12, 2005. View at Publisher · View at Google Scholar · View at Scopus
  35. B. A. Israel, “Community-based participatory research: principles, rationale and policy recommendations,” Successful Models of Community-Based Participatory Research, vol. 40, no. 1, pp. 16–22, 2000. View at Publisher · View at Google Scholar · View at Scopus
  36. M. W. Leung, I. H. Yen, and M. Minkler, “Community-based participatory research: a promising approach for increasing epidemiology's relevance in the 21st century,” International Journal of Epidemiology, vol. 33, no. 3, pp. 499–506, 2004. View at Publisher · View at Google Scholar · View at Scopus
  37. N. B. Wallerstein and B. Duran, “Using community-based participatory research to address health disparities,” Health Promotion Practice, vol. 7, no. 3, pp. 312–323, 2006. View at Publisher · View at Google Scholar · View at Scopus
  38. R. Krueger, Focus Groups: A Practical Guide for Applied Research, Thousand Oaks, Calif, USA, Sage, 1994.
  39. J. M. Morse and P. A. Field, Qualitative Research Methods for Health Professionals, Sage, Thousand Oaks, Calif, USA, 1995.
  40. E. E. Suh, S. Kagan, and N. Strumpf, “Cultural competence in qualitative interview methods with asian immigrants,” Journal of Transcultural Nursing, vol. 20, no. 2, pp. 194–201, 2009. View at Publisher · View at Google Scholar · View at Scopus
  41. J. Norman, Chinese, Cambridge University Press, Cambridge, UK, 1988.
  42. S. C. Wong, Language Diversity: Problem or Resource? A Social and Educational Perspective on Language Minorities in the United States, edited by McKay S.L. and Wong S.C., Newbury House, New York, NY, USA, 1998.
  43. B. G. Glaser and A. C. Strauss, The Discovery of Grounded Theory, Health Education Authority, Chicago, Ill, USA, 1967.
  44. L. A. Curry, I. M. Nembhard, and E. H. Bradley, “Qualitative and mixed methods provide unique contributions to outcomes research,” Circulation, vol. 119, no. 10, pp. 1442–1452, 2009. View at Publisher · View at Google Scholar · View at Scopus
  45. L. Ayalon and P. A. Areán, “Knowledge of Alzheimer's disease in four ethnic groups of older adults,” International Journal of Geriatric Psychiatry, vol. 19, no. 1, pp. 51–57, 2004. View at Publisher · View at Google Scholar · View at Scopus
  46. L. Hinton, Z. Guo, J. Hillygus, and S. Levkoff, “Working with culture: a qualitative analysis of barriers to the recruitment of Chinese-American family caregivers for dementia research,” Journal of Cross-Cultural Gerontology, vol. 15, no. 2, pp. 119–137, 2000. View at Google Scholar · View at Scopus
  47. H. C. Hsu, “Exploring elderly people's perspectives on successful ageing in Taiwan,” Ageing and Society, vol. 27, no. 1, pp. 87–102, 2007. View at Publisher · View at Google Scholar · View at Scopus
  48. A. M. L. Chong, S. H. Ng, J. Woo, and A. Y. H. Kwan, “Positive ageing: the views of middle-aged and older adults in Hong Kong,” Ageing and Society, vol. 26, no. 2, pp. 243–265, 2006. View at Publisher · View at Google Scholar · View at Scopus
  49. C. A. Sarkisian, R. D. Hays, and C. M. Mangione, “Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults,” Journal of the American Geriatrics Society, vol. 50, no. 11, pp. 1837–1843, 2002. View at Publisher · View at Google Scholar · View at Scopus
  50. W. K. Gabrenya and K. K. Kwang, “Chinese social interactions: harmony and hierarchy on the good earth,” in The Handbook of Chinese Psychology, M. H. Bond, Ed., pp. 309–321, Oxford University Press, Hong Kong, 1996. View at Google Scholar
  51. D. T. Tsai and R. A. Lopez, “The use of social supports by elderly chinese immigrants,” Journal of Gerontological Social Work, vol. 29, no. 1, pp. 77–94, 1997. View at Google Scholar · View at Scopus
  52. L.C. Tillman, “Culturally senstive research approaches: an African-American perspective,” Educational Researcher, vol. 31, no. 3, pp. 3–12, 2002. View at Google Scholar · View at Scopus
  53. L. H. Rogler, “The meaning of culturally sensitive research in mental health,” American Journal of Psychiatry, vol. 146, no. 3, pp. 296–303, 1989. View at Google Scholar · View at Scopus
  54. W. Li, “Changing Chinese settlement,” in Ethnoburb: The New Ethnic Community in Urban America, pp. 53–78, University of Hawaii Press, Honolulu, Hawaii, USA, 2009. View at Google Scholar
  55. M. W. Kreuter and S. M. McClure, “The role of culture in health communication,” Annual Review of Public Health, vol. 25, pp. 439–455, 2004. View at Publisher · View at Google Scholar · View at Scopus
  56. T. L. Fisher, D. L. Burnet, E. S. Huang, M. H. Chin, and K. A. Cagney, “Cultural leverage: interventions using culture to narrow racial disparities in health care,” Medical Care Research and Review, vol. 64, no. 5, pp. 243S–283S, 2007. View at Publisher · View at Google Scholar · View at Scopus
  57. K. Resnicow, T. Baranowski, J. S. Ahluwalia, and R. L. Braithwaite, “Cultural sensitivity in public health: defined and demystified,” Ethnicity and Disease, vol. 9, no. 1, pp. 10–21, 1999. View at Google Scholar · View at Scopus
  58. M. Tervalon and J. Murray-García, “Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education,” Journal of Health Care for the Poor and Underserved, vol. 9, no. 2, pp. 117–125, 1998. View at Google Scholar · View at Scopus
  59. L. M. Hunt, “Beyond cultural competence: applying humility to clinical settings,” in The Social Medicine Reader, G. Henderson, S. Estroff, L. Churchill, N. King, J. Oberlander, and R. Strauss, Eds., pp. 133–136, Duke University Press, Durham, NC, USA, 2005. View at Google Scholar
  60. M. A. Simon, E. S. Chang, and X. Dong, “Partnership, reflection and patient focus: advancing cultural competency training relevance,” Medical Education, vol. 44, no. 6, pp. 540–542, 2010. View at Publisher · View at Google Scholar · View at Scopus