Skip to main content

Advertisement

SpringerLink
Log in

Health Status and Health Services Utilization Among Older Asian Indian Immigrants

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

This study examines the health status and utilization of physicians, hospitals, emergency departments, and traditional medicine among older Asian Indian immigrants (n = 100). The data for this study derives from the Asian American Elders in New York City (AAENYC) Study, which used a regional probability sampling. Multivariate analyses were guided by the Andersen behavioral model. The number of medical conditions is significant in predicting the likelihood of physician visits while age and having medical insurance predicted the likelihood of hospital stays. Having medical insurance was also a significant predictor for the use of emergency department services while poor English proficiency was associated with the use of traditional medicine.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. U.S. Census Bureau Census 2000 Summary File 2 (SF2) 100-Percent Data. 2000.

  2. Barnes PM, Adams PF, Powell-Griner E. Health characteristics of the Asian adult population: United States, 2004–2006. Advance data from vital and health statistics; no 394. Hyattsville, MD: National Center for Health Statistics; 2008.

  3. Reeves TJ, Bennett CE. We the people: Asians in the United States, Census 2000 Special Reports, CENSR-17. Washington, DC: U.S. Census Bureau; 2004.

    Google Scholar 

  4. Asian American Federation of New York Census Information Center. Census profile: New York City’s Indian American population. Asian American Federation of New York; 2004.

  5. Mui AC, Shibusawa TS. Asian American elders in the 21st century: key indicators of psychosocial well-being. New York: Columbia University Press; in press.

  6. Wong PTP, Ujimoto KV. The elderly: their stress, coping and mental health. In: Lee LC, Zane NWS, editors. Handbook of Asian American Psychology. Thousand Oaks, CA: Sage; 1998. p. 165–209.

    Google Scholar 

  7. Prabhu NS. Second language pedagogy. Oxford: Oxford University Press; 1987.

    Google Scholar 

  8. Diwan S, Jonnalagadda SS. Social integration and health among Asian Indian immigrants in the United States. J Gerontol Soc Work. 2001;36(1/2):45–62. doi:10.1300/J083v36n01_04.

    Google Scholar 

  9. Phua VC, Kaufman G, Park KS. Strategic adjustments of elderly Asian Amerians: living arrangements and head ship. J Comp Fam Stud. 2001;32(2):263–81.

    Google Scholar 

  10. Wilmoth JM. Social integration of older immigrants in 21st century America. Document Number 29/2004. Syracuse, New York: Center for Policy Research, Maxwell School, Syracuse University; 2004.

    Google Scholar 

  11. Anand S, Yusuf S, Vuksan V, et al. Differences in risk factors, artherosclerosis, and cardiovascular disease between ethnic groups in Canada: The Study of Health Assessment and Risk in Ethnic groups (SHARE). Lancet. 2000;356(9226):279–84. doi:10.1016/S0140-6736(00)02502-2.

    Article  CAS  PubMed  Google Scholar 

  12. Leea J, Heng D, Chiaa KS, Chew SK, Tan BY, Hughes K. Risk factors and incident coronary heart disease in Chinese, Malay and Asian Indian males: the Singapore cardiovascular cohort study. Int J Epidemiol. 2001;30:983–8. doi:10.1093/ije/30.5.983.

    Article  Google Scholar 

  13. Bajaj M, Banerji MA. Type 2 diabetes in South Asians: a pathophysiologic focus on the Asian-Indian epidemic. Curr Diabetes Rep. 2004;4(3):213–8. doi:10.1007/s11892-004-0026-4.

    Article  Google Scholar 

  14. Venkataraman R, Nanda NC, Baweja N, et al. Prevalence of diabetes mellitus and related conditions in Asian Indians living in the United States. Am J Cardiol. 2004;94(7):977–80. doi:10.1016/j.amjcard.2004.06.048.

    Article  PubMed  Google Scholar 

  15. Damon-Rodriguez J, Wallace S, Kington R. Service utilization and minority elderly: appropriateness, accessibility and acceptability. Gerontol Geriat Educ. 1994;15:45–63. doi:10.1300/J021v15n01_05.

    Article  Google Scholar 

  16. Carrasquillo O, Carrasquillo AI, Shea S. Health insurance coverage of immigrants living in the United States: differences by citizenship status and country of origin. Am J Public Health. 2000;90(6):917–23.

    Article  CAS  PubMed  Google Scholar 

  17. Kim M, Han H-R, Kim KB, et al. The use of traditional and western medicine among Korean American elderly. J Community Health. 2002;7(2):109–20. doi:10.1023/A:1014509200352.

    Article  Google Scholar 

  18. Ma GX. Between two worlds: the use of traditional and western health services by Chinese immigrants. J Commun Health. 1999;24(6):421–37. doi:10.1023/A:1018742505785.

    Article  CAS  Google Scholar 

  19. Andersen RM. Revising the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36:1–10. doi:10.2307/2137284.

    Article  CAS  PubMed  Google Scholar 

  20. Ryan AS, Mui AC, Cross P. Asian American elders in New York City: a study to assess health, social needs, quality of life, and quality of care. New York: Asian American Federation of New York; 2003.

    Google Scholar 

  21. Federal Interagency Forum on Aging-Related Statistics. Older Americans: key indicators of well-being. Washington, DC: Government Printing Office; 2008.

    Google Scholar 

  22. Homma-True R. Asian American women. In: Lee E, editor. Working with Asian Americans: a guide for clinicians. New York: Guilford Press; 1997. p. 420–7.

    Google Scholar 

  23. Fung K, Wong Y-LR. Factors influencing attitudes towards seeking professional help among East and Southeast Asian immigration and refugee women. Int J Soc Psychiatry; 53(3):216–31.

  24. LaViest TA, Nuru-Jeter A, Jones KE. The association of doctor-patient race concordance with health services utilization. J Public Health Pol. 2003;24(3/4):312–23. doi:10.2307/3343378.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. New York University Silver School of Social Work, 1 Washington Square North, New York, NY, 10003, USA

    Tazuko Shibusawa

  2. Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA

    Ada C. Mui

  3. Social Policy Research Center, National Taiwan University, Taipei, Taiwan, ROC

    Ada C. Mui

Authors
  1. Tazuko Shibusawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ada C. Mui
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tazuko Shibusawa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shibusawa, T., Mui, A.C. Health Status and Health Services Utilization Among Older Asian Indian Immigrants. J Immigrant Minority Health 12, 527–533 (2010). https://doi.org/10.1007/s10903-008-9199-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-008-9199-2

Keywords

Search

Navigation