Janice Y. Tsoh|Tetine Sentell|Ginny Gildengorin|Gem M. Le|Elaine Chan|Lei Chun Fung|Rena J. Pasick|Susan L. Stewart|Ching Wong|Kent Woo|Adam Burke|Jun Wang|Stephen J. McPhee|Tung T. Nguyen
Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants
University of California, San Francisco|University of Hawai?i at M?noa|University of California, San Francisco|Center for Asian American Media|University of California, San Francisco|Center for Asian American Media|University of California, Davis|University of California, San Francisco|Center for Asian American Media|Center for Asian American Media|University of California, San Francisco|University of California, San Francisco
older chinese immigrants growing population united states experience multiple healthcare communication barriers limited english proficiency low health literacy obstacles associated poor health outcomes less known effects combination study examined association healthcare communication barriers selfrated health among older chinese immigrants crosssectional survey data obtained 705 chinese american immigrants ages 5075 living san francisco california communication barriers examined included spoken english proficiency medical interpreter needs health literacy written health information study sample 81 females mean age 62 included 67 spoke english poorly 34 reported needing medical interpreter 37 reported often always needing assistance read health information twothirds reported poor selfrated health many reported access racialconcordant 74 languageconcordant 86 healthcare services poor spoken english proficiency low health literacy associated poor selfrated health independent significant correlates unemployment chronic health conditions primary doctor ethnic chinese results revealed spoken english proficiency print health literacy independent communication barriers directly associated health status among elderly chinese american immigrants access racial languageconcordant health care services appear resolve barriers findings underscore importance addressing spoken written healthcare communication needs among older chinese american immigrants