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Published in: Journal of Immigrant and Minority Health 2/2011

Open Access 01-04-2011 | Original Paper

Interview Language: A Proxy Measure for Acculturation Among Asian Americans in a Population-Based Survey

Authors: Sunghee Lee, Hoang Anh Nguyen, Jennifer Tsui

Published in: Journal of Immigrant and Minority Health | Issue 2/2011

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Abstract

We examined health status and access to care among Asian Americans by the following acculturation indicators: nativity, percent lifetime in the US, self-rated English proficiency, and interview language, to assess whether any measure better distinguishes acculturation. Data from the 2003 California Health Interview Survey were used to study the sample of 4,170 US-born and foreign-born Asians by acculturation indicators. We performed t-tests to compare differences in demographics, health status and behaviors, and access to care between the foreign-born and US-born Asians, and between various classifications within foreign-born and the US-born Asian group. Our results showed that foreign-born Asians who interviewed in English more closely resembled US-born Asians than foreign-born Asians who interviewed in languages other than English. Compared to interview language, dichotomizing the sample by other acculturation indicators showed smaller differences between the divided groups. Interview language may serve as a better measure for acculturation especially among foreign-born populations with a high proportion of limited English proficiency. In immigrant public health research studies, interview language may be used as an important covariate for health disparities.
Literature
1.
go back to reference US Bureau of the Census. We the people: Asians in the United States. Census 2000 special reports. Washington, DC: US Dept of Commerce; 2004. US Bureau of the Census. We the people: Asians in the United States. Census 2000 special reports. Washington, DC: US Dept of Commerce; 2004.
2.
go back to reference US Bureau of the Census. Projections of the resident population: middle series projection, 1995 to 2050, by race, Hispanic origin, and nativity. Washington, DC: US Dept of Commerce; 1996. US Bureau of the Census. Projections of the resident population: middle series projection, 1995 to 2050, by race, Hispanic origin, and nativity. Washington, DC: US Dept of Commerce; 1996.
3.
go back to reference US Bureau of the Census. The foreign-born population: 2000. Census 2000 brief. Washington, DC: US Dept of Commerce; 2003. US Bureau of the Census. The foreign-born population: 2000. Census 2000 brief. Washington, DC: US Dept of Commerce; 2003.
4.
go back to reference Thamer M, Richard C, Casebeer AW, et al. Health insurance coverage among foreign-born US residents: the impact of race, ethnicity, and length of residence. Am J Public Health. 1997;87:96–102.PubMedCrossRef Thamer M, Richard C, Casebeer AW, et al. Health insurance coverage among foreign-born US residents: the impact of race, ethnicity, and length of residence. Am J Public Health. 1997;87:96–102.PubMedCrossRef
5.
go back to reference 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;90:917–23.PubMedCrossRef 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;90:917–23.PubMedCrossRef
6.
go back to reference McGee DL, Liao Y, Cao G, et al. Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol. 1998;149:41–6. McGee DL, Liao Y, Cao G, et al. Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol. 1998;149:41–6.
7.
go back to reference Frisbie WP, Cho Y, Hummer RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol. 2001;153:372–9.PubMedCrossRef Frisbie WP, Cho Y, Hummer RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol. 2001;153:372–9.PubMedCrossRef
8.
go back to reference Singh GK, Hiatt RA. Trends and disparities in socioeconomic and behavioral characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979–2003. Int J Epidemiol. 2006;35(4):903–19.PubMedCrossRef Singh GK, Hiatt RA. Trends and disparities in socioeconomic and behavioral characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979–2003. Int J Epidemiol. 2006;35(4):903–19.PubMedCrossRef
9.
go back to reference Dey AN, Lucas JW. Physical and mental health characteristics of US- and foreign-born adults: United States, 1998–2003. Adv Data. 2006;369:1–19.PubMed Dey AN, Lucas JW. Physical and mental health characteristics of US- and foreign-born adults: United States, 1998–2003. Adv Data. 2006;369:1–19.PubMed
10.
go back to reference Liao Y, Tucker P. REACH 2010 surveillance for health status in minority communities-United States 2001–2002. MMWR Surveill Summ. 2004;53(6):1–36.PubMed Liao Y, Tucker P. REACH 2010 surveillance for health status in minority communities-United States 2001–2002. MMWR Surveill Summ. 2004;53(6):1–36.PubMed
11.
go back to reference Lee S, Nguyen HA, Jawad M, Kurata J. Linguistic minorities and nonresponse error. Public Opin Q. 2008;72:470–86.CrossRef Lee S, Nguyen HA, Jawad M, Kurata J. Linguistic minorities and nonresponse error. Public Opin Q. 2008;72:470–86.CrossRef
12.
go back to reference Abraido-Lanza AF, Armbrister AN, et al. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.PubMedCrossRef Abraido-Lanza AF, Armbrister AN, et al. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.PubMedCrossRef
13.
go back to reference Anderson J, Moeschberger M, et al. An acculturation scale for Southeast Asians. Soc Psychiatry Psychiatr Epidemiol. 1993;28(3):134–41.PubMedCrossRef Anderson J, Moeschberger M, et al. An acculturation scale for Southeast Asians. Soc Psychiatry Psychiatr Epidemiol. 1993;28(3):134–41.PubMedCrossRef
14.
go back to reference Abe-Kim J, Okazaki S, Goto SG. Unidimensional versus multidimensional approaches to the assessment of acculturation for Asian American populations. Cultur Divers Ethnic Minor Psychol. 2001;7(3):232–46.PubMedCrossRef Abe-Kim J, Okazaki S, Goto SG. Unidimensional versus multidimensional approaches to the assessment of acculturation for Asian American populations. Cultur Divers Ethnic Minor Psychol. 2001;7(3):232–46.PubMedCrossRef
15.
go back to reference Chung RH, Kim BS, et al. Asian American multidimensional acculturation scale: development, factor analysis, reliability, and validity. Cultur Divers Ethnic Minor Psychol. 2004;10(1):66–80.PubMedCrossRef Chung RH, Kim BS, et al. Asian American multidimensional acculturation scale: development, factor analysis, reliability, and validity. Cultur Divers Ethnic Minor Psychol. 2004;10(1):66–80.PubMedCrossRef
16.
go back to reference Kim BK, Li LC, et al. The Asian American values scale—multidimensional: development, reliability, and validity. Cultur Divers Ethnic Minor Psychol. 2005;11(3):187–201.PubMedCrossRef Kim BK, Li LC, et al. The Asian American values scale—multidimensional: development, reliability, and validity. Cultur Divers Ethnic Minor Psychol. 2005;11(3):187–201.PubMedCrossRef
17.
go back to reference Stephen EH, Foote K, et al. Health of the foreign-born population: United States, 1989–90. Adv Data. 1993;241:1–12. Stephen EH, Foote K, et al. Health of the foreign-born population: United States, 1989–90. Adv Data. 1993;241:1–12.
18.
go back to reference Cho Y, Hummer RA. Disability status differentials across fifteen Asian and Pacific Islander groups and the effect of nativity and duration of residence in the US. Soc Biol. 2001;48(3–4):171–95.PubMed Cho Y, Hummer RA. Disability status differentials across fifteen Asian and Pacific Islander groups and the effect of nativity and duration of residence in the US. Soc Biol. 2001;48(3–4):171–95.PubMed
19.
go back to reference Erosheva E, Walton EC, Takeuchi DT. Self-rated health among foreign- and US-born Asian Americans. Med Care. 2007;45(1):1–8.CrossRef Erosheva E, Walton EC, Takeuchi DT. Self-rated health among foreign- and US-born Asian Americans. Med Care. 2007;45(1):1–8.CrossRef
20.
go back to reference Kandula NR, Lauderdale DS, Baker DW. Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: the role of language and nativity. Ann Epidemiol. 2007;17:191–8.PubMedCrossRef Kandula NR, Lauderdale DS, Baker DW. Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: the role of language and nativity. Ann Epidemiol. 2007;17:191–8.PubMedCrossRef
21.
go back to reference Green AR, Ngo-Metzger Q, Legedza ATR, Massagli MP, Phillips RS, Lezzoni LI. Interpreter services, language concordance, and health care quality: experience of Asian Americans with limited English proficiency. J Gen Intern Med. 2005;20:1050–6 Green AR, Ngo-Metzger Q, Legedza ATR, Massagli MP, Phillips RS, Lezzoni LI. Interpreter services, language concordance, and health care quality: experience of Asian Americans with limited English proficiency. J Gen Intern Med. 2005;20:1050–6
22.
go back to reference Tang H, Shimizu R, Moon MS. English language proficiency and smoking prevalence among California’s Asian Americans. Cancer. 2005;204(12):2982–8.CrossRef Tang H, Shimizu R, Moon MS. English language proficiency and smoking prevalence among California’s Asian Americans. Cancer. 2005;204(12):2982–8.CrossRef
23.
go back to reference Ponce NA, Hays RD, Cunningham WE. Linguistic disparities in health care access and health status among older adults. J Gen Intern Med. 2006;21(7):786–91.PubMedCrossRef Ponce NA, Hays RD, Cunningham WE. Linguistic disparities in health care access and health status among older adults. J Gen Intern Med. 2006;21(7):786–91.PubMedCrossRef
24.
go back to reference Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20:800–6.PubMedCrossRef Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20:800–6.PubMedCrossRef
25.
go back to reference Kikman-Liff B, Mondragón D. Language of interview: relevance for research of Southwest Hispanics. Am J Public Health. 1991;81:1399–404.CrossRef Kikman-Liff B, Mondragón D. Language of interview: relevance for research of Southwest Hispanics. Am J Public Health. 1991;81:1399–404.CrossRef
26.
go back to reference Yu SM, Nyman RM, Kogan MD, Huang ZJ, Schwalberg RH. Parent’s language of interview and access to care for children with special health care needs. Ambul Pediatr. 2004;4:181–7.PubMedCrossRef Yu SM, Nyman RM, Kogan MD, Huang ZJ, Schwalberg RH. Parent’s language of interview and access to care for children with special health care needs. Ambul Pediatr. 2004;4:181–7.PubMedCrossRef
27.
go back to reference Herman DR, Harrison GG, Afifi A, Jenks E. Effect of a targeted subsidy on intake of fruits and vegetables among low-income women, infants, and children. Am J Public Health. 2008;98(1):98–105.PubMedCrossRef Herman DR, Harrison GG, Afifi A, Jenks E. Effect of a targeted subsidy on intake of fruits and vegetables among low-income women, infants, and children. Am J Public Health. 2008;98(1):98–105.PubMedCrossRef
28.
go back to reference Ponce NA, Chawla N, Babey SH, Gatchell MS, Etzioni DA, Spencer BA, et al. Is there a language divide in pap test use? Med Care. 2006;44:998–1004.PubMedCrossRef Ponce NA, Chawla N, Babey SH, Gatchell MS, Etzioni DA, Spencer BA, et al. Is there a language divide in pap test use? Med Care. 2006;44:998–1004.PubMedCrossRef
29.
go back to reference Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. The exclusion of non-English speaking persons from research. J Gen Intern Med. 1996;11:39–43.PubMedCrossRef Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA. The exclusion of non-English speaking persons from research. J Gen Intern Med. 1996;11:39–43.PubMedCrossRef
30.
go back to reference American Association for Public Opinion Research. Standard definitions: final dispositions of case codes and outcome rates for surveys (4th edn). Lenexa, KS: AAPOR; 2006. American Association for Public Opinion Research. Standard definitions: final dispositions of case codes and outcome rates for surveys (4th edn). Lenexa, KS: AAPOR; 2006.
32.
go back to reference Ponce NA, Lavarreda SA, Yen W, Brown RE, DiSogra C, Satter DE. The California health interview survey 2001: translation of a major survey for California’s multiethnic population. Public Health Rep. 2004;119:388–95.PubMedCrossRef Ponce NA, Lavarreda SA, Yen W, Brown RE, DiSogra C, Satter DE. The California health interview survey 2001: translation of a major survey for California’s multiethnic population. Public Health Rep. 2004;119:388–95.PubMedCrossRef
33.
go back to reference Taylor VM, Yasui Y, Burke N, Nguyen T, Acorda E, Thai H, et al. Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev. 2004;13:613–9.PubMed Taylor VM, Yasui Y, Burke N, Nguyen T, Acorda E, Thai H, et al. Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev. 2004;13:613–9.PubMed
34.
go back to reference Anderson J, Moeschberger M, Chen MS, Kunn P Jr, Wewers ME, Guthrie R. An acculturation scale for Southeast Asians. Soc Psychiatry Psychiatr Epidemiol. 1993;28:134–41.PubMedCrossRef Anderson J, Moeschberger M, Chen MS, Kunn P Jr, Wewers ME, Guthrie R. An acculturation scale for Southeast Asians. Soc Psychiatry Psychiatr Epidemiol. 1993;28:134–41.PubMedCrossRef
35.
go back to reference Maxwell AE, Bastani R, Warda US. Demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med. 2000;18:62–8.PubMedCrossRef Maxwell AE, Bastani R, Warda US. Demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med. 2000;18:62–8.PubMedCrossRef
36.
go back to reference Shin HB, Bruno R. Language use and English-speaking ability: 2000. Census 2000 Brief. October 2003. Shin HB, Bruno R. Language use and English-speaking ability: 2000. Census 2000 Brief. October 2003.
37.
go back to reference Siegel P, Martin E, Bruno R. Language use and linguistic isolation: historical data and methodological issues. US Census Bureau: February 12, 2001. Siegel P, Martin E, Bruno R. Language use and linguistic isolation: historical data and methodological issues. US Census Bureau: February 12, 2001.
38.
Metadata
Title
Interview Language: A Proxy Measure for Acculturation Among Asian Americans in a Population-Based Survey
Authors
Sunghee Lee
Hoang Anh Nguyen
Jennifer Tsui
Publication date
01-04-2011
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2011
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-009-9278-z

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