Associations among perceived provider cultural sensitivity, trust in provider, and treatment adherence among predominantly low-income Asian American patients.

2016 ◽  
Vol 7 (4) ◽  
pp. 295-304 ◽  
Author(s):  
Shuchang Kang ◽  
Carolyn M. Tucker ◽  
Guillermo M. Wippold ◽  
Michael Marsiske ◽  
Paige H. Wegener
2013 ◽  
Author(s):  
Whitney Wall ◽  
Carolyn M. Tucker ◽  
Julia Roncoroni ◽  
Jackeline Sanchez ◽  
Amna Imran ◽  
...  

2011 ◽  
Author(s):  
Khanh N. Nghiem ◽  
Carolyn M. Tucker ◽  
Shehzad Muhamed ◽  
April Wu ◽  
Alexandra Monaco ◽  
...  

2003 ◽  
Vol 1 (1) ◽  
pp. 85-101 ◽  
Author(s):  
Grace Yoo

The welfare reform law of August 1996 signed by President Bill Clinton put an end to immigrants’ eligibility of federal means tested entitlements. The rollbacks on welfare are the most drastic for older, low-income Asian immigrants who are on Supplemental Security Income. The article’s focus is in on national Asian American organizations who are involved in this political debate. The central question discuss is how did national Asian American organizations characterize and affect the 1996 federal welfare reform and immigrant debate. The selection of organizations that was studied and the findings of that investigation, along with the assessment of its effectiveness and the resources barriers they face are discussed.


2007 ◽  
Vol 5 (2) ◽  
pp. 77-97 ◽  
Author(s):  
Julian Chow ◽  
Grace Yoo ◽  
Catherine Vu

The passage of the Personal Responsibility and Work Opportunity Act (PRWORA) of 1996 has major implications for low-income Asian American and Pacific Islander (AAPI) populations. The purpose of this paper is to provide an overview of the research currently examining the impact of welfare reform on AAPI recipients and the welfare-to-work services available to this population. This article highlights AAPI participation and their timing-out rates in California’s CalWORKs program and their barriers to transitioning to work. Four welfare-to-work program models and recommendations are presented to illustrate strategies that can be used to address the unique needs of AAPI in order to alleviate their high risk for timing-out: one-stop-shops, transitional jobs programs, providing comprehensive and family focused services, and additional research and evaluation of programs specific to assisting the AAPI population on CalWORKs.


1994 ◽  
Vol 20 (3) ◽  
pp. 221-227 ◽  
Author(s):  
Terri Schwab ◽  
Julie Meyer ◽  
Rosa Merrell

Adherence to the treatment regimen for patients with diabetes is of major concern to healthcare practitioners, particularly when dealing with the high-risk, low-income, Mexican-American population. Assessing the attitudes and beliefs of this group is vital for planning effective and realistic intervention strategies. Therefore, we designed a culturally sensitive instrument to measure health beliefs and attitudes of low-income Mexican Americans with diabetes. The Health Belief Model (HBM) was used as a basis for this study because it is well accepted as a predictor of health-related behaviors. However, we found that the HBM was not an effective tool for assessing the health beliefs or attitudes of this patient population even after rigorous efforts to operationalize the HBM and after conducting extensive statistical analyses. Only two of the five subscales of the traditional HBM, barriers and benefits, were reliable. Scales to measure acculturation and fatalism were added to increase the cultural sensitivity of the tool. These added components were found to be an important variable in interpreting the results for low-income Mexican-American patients.


2002 ◽  
Vol 21 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Jenny K. Yi ◽  
Cielito C. Reyes-Gibby

Cancer is the leading cause of death among Asian-American women in the United States and breast cancer is the most commonly diagnosed cancer among Asian-American women. Early detection through breast cancer screening has been found to improve the rate of survival for breast cancer. This study examined factors associated with breast cancer screening among 345 Vietnamese women ≥40 years old residing in a low-income Houston area. Data were collected through a self-administered questionnaire assessing socio-demographic characteristics, access to care factors, acculturation, and perceived susceptibility and severity of risks. Results showed 38 percent, 49 percent, and 33 percent of the respondents reporting having had a breast self-exam, a clinical breast exam, and a mammogram, respectively. Predictors of breast cancer screening include education, employment, ability to speak English, having lived in the United States for more than five years, and having a regular place of care. Implications of this study include the need for a culturally-relevant educational program for this understudied population.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S285-S286
Author(s):  
Maria P Aranda ◽  
Debra Cherry

Abstract An increasing number of families, funders, and community providers seek very brief psychosocial caregiver interventions, yet the evidence for such condensed interventions is not established. Based on the Savvy Caregiver Program, we explored the feasibility, acceptability, and outcome trends for a condensed 3-session version titled, Savvy Express. Based on a single-group, pre- and post-test intervention design, we examined post-intervention and 3-month data on 116 English-speaking racially and ethnically diverse care partners caring family members with Alzheimer’s disease and related dementias. 41% of the sample was non-Latino white and comprised of Latinas, African Americans and Asian American/API. Most care partners were either adult children or spouses caring for someone with AD or other dementia. Over 80% were college educated. Two of three participants completed all 3 classes. Our findings indicate significant improvements in caregiver levels of depressive symptomatology and anxiety, competence, management of the situation, reduction of expectations, making positive comparisons, and reactivity to the family member’s memory behavior. Upwards of 90% would recommend the program to other caregivers. Savvy Express is a brief caregiver intervention with high acceptability and feasibility. Improvements in care partner psychosocial outcomes signal a promising practice to reduce the burden of caregiving. A major focus of the paper focuses on barriers and facilitators to uptake of the study procedures and intervention with community-based partners. Future work is needed to establish the efficacy of Savvy Express across a longer observation period, and with less educated, low-income participants, and limited English-speaking families.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 24-24
Author(s):  
Christina Matz ◽  
Cal Halvorsen ◽  
Jacquelyn James

Abstract Social inequalities over the life course shape later life opportunities and outcomes in important ways. However, research on paid and unpaid work in later life has not always captured (and has sometimes mischaracterized) the variety and complexity of lived experiences in later life—in particular for low-income workers, workers of color, women, and others marginalized due to their social position. Further, statistics often obscure the most important information: how the most marginalized older workers are faring. Intersectionality, a term coined by legal scholar, Dr. Kimberlé Crenshaw, describes the overlapping and intersecting social identities that often influence how we move around in society. Some identities garner privilege and power and others oppression and marginalization; we must look at their intersection to better understand complexity and inform solutions. This symposium will apply an intersectional lens to research on paid and unpaid work in later life. The first paper is a scoping review that assesses the extent to which race and ethnicity are investigated in studies of the longitudinal association between workplace demands and cognitive health. The second paper explores how older Black and Hispanic adults’ work engagement is impacted by COVID-19. The third paper considers gender differences in volunteer engagement among Asian-American older adults. The final paper examines the Senior Community Service Employment Program’s role in participant financial, physical, and mental well-being. A discussant will reflect on these studies and the need for continued research that considers intersectionality in opportunities and experiences for paid and unpaid work in later life.


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