Top

Journal of Immigrant and Minority Health

Published in:

01-10-2019 | Original Paper

Health and Healthcare Needs of Koreans in San Francisco Bay Area: The Korean Needs Assessment (KoNA) Project

Authors: Susan L. Ivey, Hyunju Kim, Eugenia Yoo, Nhayoung Hwang, Denny D. Cha, June Lee, Winston Tseng

Published in: Journal of Immigrant and Minority Health | Issue 5/2019

Abstract

Korean Americans (KA) face a significant burden of health disparities. However, limited data are available on their health needs. This health needs assessment includes a community-based sample of 342 KA from the San Francisco Bay Area. The assessment investigated participants’ sociodemographic characteristics, health status, and their healthcare needs. Nearly half of the survey participants rated their health as fair or poor, > 30% did not have a usual place for healthcare, and chronic conditions were prevalent. Limited English Proficiency (LEP) was significantly associated with low self-rated health and having no usual source of care, after adjusting for other sociodemographic factors. Older, LEP KA faced the highest health and health care burden. In addition, females were less likely to be physically active. Males were more likely to smoke. The findings provide guidance in identifying major KA health needs and supports local programming and policy development for KA.

Asian Pacific American Legal Center & Asian American Justice Center. A community of contrasts—Asian Americans in the United States: 2011. Washington, DC: Asian American Center for Advancing Justice; 2011.

Centers for Disease Control and Prevention (CDC). Asian American populations. 2010. Available at http://www.cdc.gov/minorityhealth/populations/REMP/asian.html/.

U.S. Census Bureau. Race reporting for the Asian population by the selected categories: 2010 [data file]. 2010;2016(1/28).

Idler EL, Angel RJ. Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. Am J Public Health. 1990;80(4):446–52.CrossRefPubMedPubMedCentral

Min JW, Rhee S, Lee SE, et al. Comparative analysis on determinants of self-rated health among non-Hispanic white, Hispanic, and Asian American older adults. J Immigr Minor Health. 2014;16(3):365–72.CrossRefPubMed

Lommel LL, Chen JL. The relationship between self-rated health and acculturation in Hispanic and Asian adult immigrants: a systematic review. J Immigr Minor Health. 2015;7:1–11.

Gee GC, Ponce N. Associations between racial discrimination, limited English proficiency, and health-related quality of life among 6 Asian ethnic groups in California. Am J Public Health. 2010;100(5):888–95.CrossRefPubMedPubMedCentral

Baron-Epel O, Hofstetter CR, Irvin VL, et al. Lifestyle behaviors predict negative and positive changes in self-reported health: the role of immigration to the United States for Koreans. Asia Pac J Public Health. 2015;27(7):775–84.CrossRefPubMed

U.S. Census Bureau. 2011–2013 American community survey 3-year estimates [data file]. 2014;2015(12/2).

10.

Hastings KG, Jose PO, Kapphahn KI, et al. Leading causes of death among Asian American subgroups (2003–2011). PLoS ONE. 2015;10(4):e0124341CrossRefPubMedPubMedCentral

11.

Pedula KL, Hillier TA, Schmidt MM, et al. Ethnic differences in gestational oral glucose screening in a large US population. Ethn Dis. 2009;19(4):414–9.PubMed

12.

Choi SE, Liu M, Palaniappan LP, et al. Gender and ethnic differences in the prevalence of type 2 diabetes among Asian subgroups in California. J Diabetes Complicat. 2013 June;4(5):429–35. 27(.CrossRef

13.

Kim MT, Juon HS, Hill MN, et al. Cardiovascular disease risk factors in Korean American elderly. West J Nurs Res. 2001;23(3):269–82.CrossRefPubMed

14.

Jose PO, Frank AT, Kapphahn KI, et al. Cardiovascular disease mortality in Asian Americans. J Am Coll Cardiol. 2014;64(23):2486–94.CrossRefPubMedPubMedCentral

15.

California Health Interview Survey (CHIS). CHIS 2011–2012 Health Profiles: Korean ethnic group (data file). Los Angeles: UCLA Center for Health Policy Research; 2012.

16.

Baek SR, Moudon AV, Saelens BE, et al. Comparisons of physical activity and walking between Korean immigrant and white women in King County, WA. J Immigr Minor Health. 2015:18(6):1541–46CrossRef

17.

Choi J, Wilbur J, Kim MJ. Patterns of leisure time and non-leisure time physical activity of Korean immigrant women. Health Care Women Int. 2011;32(2):140–53.CrossRefPubMed

18.

Heo HH, Sentell TL, Li D, et al. Disparities in potentially preventable hospitalizations for chronic conditions among Korean Americans, Hawaii, 2010–2012. Prev Chronic Dis. 2015. https://doi.org/10.5888/pcd12.150057 CrossRefPubMedPubMedCentral

19.

Oh KM, Jacobsen KH. Colorectal cancer screening among Korean Americans: a systematic review. J Community Health. 2014;39(2):193–200.CrossRefPubMed

20.

Kim Y, Moskowitz JM, Lee H, et al. Health care access and utilization among Korean American adults in Alameda County, California: 1994 and 2002. Korean J Health Educ Promot. 2006;23(5):29–46.

21.

Kang SH, Chen AM, Lew MD,R, et al. Behavioral risk factor survey of Korean Americans—Alameda County, California, 1994. MMWR. Morbidity and Mortality Weekly Reports. Available at https://www.cdc.gov/mmwr/preview/mmwrhtml/00049071.htm.

22.

Mcleroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Behav. 1988;15(4):351–77. https://doi.org/10.1177/109019818801500401.CrossRef

23.

Sallis J, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998;15(4):379–97. https://doi.org/10.1016/s0749-3797(98)00076-2.CrossRefPubMed

24.

Qualtrics, Provo, UT, USA. http://www.qualtrics.com.

25.

Korean Community Services. Profiles of the Korean American community in Orange County. Fullerton: California State University; 2008.

26.

Centers for Disease Control and Prevention (CDC). How much physical activity do adults need? 2015. Available at http://www.cdc.gov/physicalactivity/basics/adults/.

27.

StataCorp. Stata statistical software: release 12. College Station: StataCorp LP; 2011.

28.

U.S. Census Bureau. Profile of general demographic characteristics: 2000 [data file]. 2000;2016(1/28).

29.

Islam NS, Khan S, Kwon S, Jang D, Ro M, Trinh-Shrevin C. Methodological issues in the collection, analysis and reporting of granular data in Asian American populations: historical challenges and potential solutions. J Health Care Poor Underserved. 2010;21(4):1345–81. https://doi.org/10.1353/hpu.2010.0939.CrossRef

30.

Caraballo RS, Yee SL, Gfroerer J, et al. Adult tobacco use among racial and ethnic groups living in the United States, 2002–2005. Prev Chronic Dis. 2008 5(3):A78.PubMedPubMedCentral

31.

Hofstetter CR, Hovell MF, Jung KR, et al. The first puff: forces in smoking initiation among Californians of Korean descent. Nicotine Tob Res. 2007;9(12):1277–86.CrossRefPubMed

32.

Malek AM, Cushman M, Lackland DT, et al. Secondhand smoke exposure and stroke: the reasons for geographic and racial differences in stroke (REGARDS) study. Am J Prev Med. 2015;49(6):89–97.CrossRef

33.

Palaniappan LP, Araneta MR, Assimes TL, et al. Call to action: cardiovascular disease in Asian Americans: a science advisory from the American Heart Association. Circulation. 2010;122(12):1242–52.CrossRefPubMedPubMedCentral

34.

Flores G, Tomany-Korman SC. The language spoken at home and disparities in medical and dental health, access to care, and use of services in US children. Pediatrics. 2008;121(6):1703–4.CrossRef

Title: Health and Healthcare Needs of Koreans in San Francisco Bay Area: The Korean Needs Assessment (KoNA) Project
Authors: Susan L. Ivey
Hyunju Kim
Eugenia Yoo
Nhayoung Hwang
Denny D. Cha
June Lee
Winston Tseng
Publication date: 01-10-2019
Publisher: Springer US
Published in: Journal of Immigrant and Minority Health / Issue 5/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-018-0823-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health and Healthcare Needs of Koreans in San Francisco Bay Area: The Korean Needs Assessment (KoNA) Project

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2019

Utilisation of Healthcare Services and Medicines by Pakistani Migrants Residing in High Income Countries: A Systematic Review and Thematic Synthesis

Factors Associated with Access to Maternal and Reproductive Health Care among Somali Refugee Women Resettled in Ohio, United States: A Cross-Sectional Survey

Correlates of Emergency Department Service Utilization Among U.S. Chinese Older Adults

Dietary Patterns in Chinese Americans are Associated with Cardiovascular Disease Risk Factors, the Chinese American Cardiovascular Health Assessment (CHA CHA)

Food Insecurity, Cardiometabolic Health, and Health Care in U.S.-Mexico Border Immigrant Adults: An Exploratory Study

Workplace Accidents Among Nepali Male Workers in the Middle East and Malaysia: A Qualitative Study