Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalJournal of Community Health
DOIs
StateAccepted/In press - Jan 8 2016

Fingerprint

communication barrier
Communication Barriers
Asian Americans
Health Literacy
immigrant
Delivery of Health Care
Health
health
literacy
interpreter
health information
Language
Unemployment
San Francisco
Health Status
Health Services
health care services
language
Cross-Sectional Studies
Communication

Keywords

  • Communication barriers
  • Health literacy
  • Health status
  • Immigrant health
  • Limited English proficiency

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Tsoh, J. Y., Sentell, T., Gildengorin, G., Le, G. M., Chan, E., Fung, L. C., ... Nguyen, T. T. (Accepted/In press). Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants. Journal of Community Health, 1-12. https://doi.org/10.1007/s10900-015-0148-4

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants. / Tsoh, Janice Y.; Sentell, Tetine; Gildengorin, Ginny; Le, Gem M.; Chan, Elaine; Fung, Lei Chun; Pasick, Rena J.; Stewart, Susan L; Wong, Ching; Woo, Kent; Burke, Adam; Wang, Jun; McPhee, Stephen J.; Nguyen, Tung T.

In: Journal of Community Health, 08.01.2016, p. 1-12.

Research output: Contribution to journalArticle

Tsoh, JY, Sentell, T, Gildengorin, G, Le, GM, Chan, E, Fung, LC, Pasick, RJ, Stewart, SL, Wong, C, Woo, K, Burke, A, Wang, J, McPhee, SJ & Nguyen, TT 2016, 'Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants', Journal of Community Health, pp. 1-12. https://doi.org/10.1007/s10900-015-0148-4
Tsoh, Janice Y. ; Sentell, Tetine ; Gildengorin, Ginny ; Le, Gem M. ; Chan, Elaine ; Fung, Lei Chun ; Pasick, Rena J. ; Stewart, Susan L ; Wong, Ching ; Woo, Kent ; Burke, Adam ; Wang, Jun ; McPhee, Stephen J. ; Nguyen, Tung T. / Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants. In: Journal of Community Health. 2016 ; pp. 1-12.
@article{df1ee5d352274212b7c4fb93d4d7ec3d,
title = "Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants",
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.",
keywords = "Communication barriers, Health literacy, Health status, Immigrant health, Limited English proficiency",
author = "Tsoh, {Janice Y.} and Tetine Sentell and Ginny Gildengorin and Le, {Gem M.} and Elaine Chan and Fung, {Lei Chun} and Pasick, {Rena J.} and Stewart, {Susan L} and Ching Wong and Kent Woo and Adam Burke and Jun Wang and McPhee, {Stephen J.} and Nguyen, {Tung T.}",
year = "2016",
month = "1",
day = "8",
doi = "10.1007/s10900-015-0148-4",
language = "English (US)",
pages = "1--12",
journal = "Journal of Community Health",
issn = "0094-5145",
publisher = "Springer Netherlands",

}

TY - JOUR

T1 - Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

AU - Tsoh, Janice Y.

AU - Sentell, Tetine

AU - Gildengorin, Ginny

AU - Le, Gem M.

AU - Chan, Elaine

AU - Fung, Lei Chun

AU - Pasick, Rena J.

AU - Stewart, Susan L

AU - Wong, Ching

AU - Woo, Kent

AU - Burke, Adam

AU - Wang, Jun

AU - McPhee, Stephen J.

AU - Nguyen, Tung T.

PY - 2016/1/8

Y1 - 2016/1/8

N2 - 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.

AB - 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.

KW - Communication barriers

KW - Health literacy

KW - Health status

KW - Immigrant health

KW - Limited English proficiency

UR - http://www.scopus.com/inward/record.url?scp=84953449490&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84953449490&partnerID=8YFLogxK

U2 - 10.1007/s10900-015-0148-4

DO - 10.1007/s10900-015-0148-4

M3 - Article

SP - 1

EP - 12

JO - Journal of Community Health

JF - Journal of Community Health

SN - 0094-5145

ER -