Predicting Entry into Care among Korean-American Elderly with High Blood Pressure

2.50
Hdl Handle:
http://hdl.handle.net/10755/153843
Type:
Presentation
Title:
Predicting Entry into Care among Korean-American Elderly with High Blood Pressure
Abstract:
Predicting Entry into Care among Korean-American Elderly with High Blood Pressure
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Kim, Miyong, RN, PhD
P.I. Institution Name:The Johns Hopkins University
Title:associate professor
Co-Authors:Hae-Ra Han, Hyun Jeong Park, Gina M. Pistulka, Kim. B Kim
Objective: To identify predictors of entry into care for hypertension (HTN) in Korean American elderly (KAE) with HTN. <P> Design: Cross-sectional, correlational.<P> Population, Sample, Setting, Years: Data on 146 hypertensive KAE („d 60 years) who participated in a larger assessment study of cardiovascular risk factors (N=205) were analyzed. The sample consisted of 56 males and 90 females ages 60 to 89 years (mean=69.8, SD=6.6). Data were collected between May and July in 1999 at the Johns Hopkins Medical Institutions.<P> Variables: Sociodemographics, cultural factors, and health care utilization.<P> Methods: Bilingual research assistants conducted face-to-face interviews. Following translation and back-translation, the Korean version of the instruments were pilot-tested on 12 Korean Americans. Feedback from this pilot study was incorporated into the final version of the instruments.<P> Findings: Only 33.6% of the sample reported taking antihypertensive medication. Using logistic regression, seeing a Korean doctor as well as participation in ethnic social group activities were identified as statistically significant predictors of receiving HTN treatment. KAE who had access to Korean doctors were 2.7 times as likely to report having been on HTN treatment as those who reported no access (95% CI: 1.071-6.811). In addition, KAE who were members of a Korean senior center were 5 times as likely as non-members to report having been on treatment (95% CI: 1.925-13.017). The variables that were not significant included knowledge about HTN, gender, marital status, years of education, age, and length of stay in the U.S. <P> Conclusion: Findings suggest that providing linguistically and culturally relevant screening and referral services through ethnic community centers may be most effective approach for this hypertensive ethnic elderly group. <P> Implication: Future studies are warranted to find the mechanisms that account for the delayed entry into care as well as to develop tailored intervention for people with multiple barriers. <!--Abstract 13780 modified by 162.129.62.195 on 11-5-2002--></P></P></P></P></P></P></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredicting Entry into Care among Korean-American Elderly with High Blood Pressureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153843-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predicting Entry into Care among Korean-American Elderly with High Blood Pressure</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kim, Miyong, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Johns Hopkins University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">associate professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mkim@son.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hae-Ra Han, Hyun Jeong Park, Gina M. Pistulka, Kim. B Kim</td></tr><tr><td colspan="2" class="item-abstract">Objective: To identify predictors of entry into care for hypertension (HTN) in Korean American elderly (KAE) with HTN. &lt;P&gt; Design: Cross-sectional, correlational.&lt;P&gt; Population, Sample, Setting, Years: Data on 146 hypertensive KAE (&bdquo;d 60 years) who participated in a larger assessment study of cardiovascular risk factors (N=205) were analyzed. The sample consisted of 56 males and 90 females ages 60 to 89 years (mean=69.8, SD=6.6). Data were collected between May and July in 1999 at the Johns Hopkins Medical Institutions.&lt;P&gt; Variables: Sociodemographics, cultural factors, and health care utilization.&lt;P&gt; Methods: Bilingual research assistants conducted face-to-face interviews. Following translation and back-translation, the Korean version of the instruments were pilot-tested on 12 Korean Americans. Feedback from this pilot study was incorporated into the final version of the instruments.&lt;P&gt; Findings: Only 33.6% of the sample reported taking antihypertensive medication. Using logistic regression, seeing a Korean doctor as well as participation in ethnic social group activities were identified as statistically significant predictors of receiving HTN treatment. KAE who had access to Korean doctors were 2.7 times as likely to report having been on HTN treatment as those who reported no access (95% CI: 1.071-6.811). In addition, KAE who were members of a Korean senior center were 5 times as likely as non-members to report having been on treatment (95% CI: 1.925-13.017). The variables that were not significant included knowledge about HTN, gender, marital status, years of education, age, and length of stay in the U.S. &lt;P&gt; Conclusion: Findings suggest that providing linguistically and culturally relevant screening and referral services through ethnic community centers may be most effective approach for this hypertensive ethnic elderly group. &lt;P&gt; Implication: Future studies are warranted to find the mechanisms that account for the delayed entry into care as well as to develop tailored intervention for people with multiple barriers. &lt;!--Abstract 13780 modified by 162.129.62.195 on 11-5-2002--&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T12:33:25Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T12:33:25Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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