PDF(Pubmed)
Abstract：
BACKGROUND: During the COVID-19 pandemic, many community-based organizations serving Asian Americans pivoted to provide web-based care and social services. Asian American community leaders in the United States Pacific Northwest, including Asian Health & Service Center expressed that there are older immigrant adults who experienced backlash from discrimination, fear, and anxiety owing in part to anti-Asian hate and isolation, including from infection precautions. Pivoting supported staying safe from COVID-19 transmission and anti-Asian hate crimes.
OBJECTIVE: This study aims to examine the readiness of diverse groups of older Asian American immigrant adults (Chinese, Koreans, and Vietnamese) to use a web-based senior center, including technology access and telehealth use, and to identify the psychosocial health impacts that a web-based senior center could be positioned to meet.
METHODS: A community-based participatory research approach was used to conduct a cross-sectional survey study in an Asian-based health and service center in 2022. We selected surveys from the National Institutes of Health-supported PhenX Toolkit. Analyses were performed using R software.
RESULTS: There was an 88.2% (216/245) response rate. Overall, 39.8% (86/216) of participants were Chinese, 25% (54/216) were Korean, and 24.5% (53/216) were Vietnamese. There were significant group differences in mobile data plans (P=.0005). Most had an unlimited mobile data plan (38/86, 44% Chinese; 39/54, 72% Koreans; 25/53, 47% Vietnamese). Significant group differences existed regarding whether they started using a new electronic device to communicate with friends or family after the COVID-19 outbreak (P=.0005); most were Korean participants (31/54, 57%). For written text and audio or video apps, most Chinese participants used WeChat (65/85, 76%; 57/84, 68%, respectively), most Koreans used KakaoTalk (49/54, 91%; 49/54, 91%, respectively), and most Vietnamese used Facebook Messenger for written text (32/50, 64%) and Apple Face Time (33/50, 66%) or Facebook Messenger (31/50, 62%) for audio or video. Significant group differences existed regarding whether to try telehealth (P=.0005); most Vietnamese expressed that they would never consider it (41/53, 77%). Significant group differences existed regarding how well they were able to concentrate (χ22=44.7; P<.0001); Chinese participants reported a greater inability (median 5, IQR 4-6). With regard to difficulties in life experiences (χ22=51; P<.0001), the median was 6 (IQR 5-7) for the Vietnamese group. Significant group differences existed in having had a family/household member\'s salary, hours, and contracts reduced (P=.0005) and having had a family/household member or friend fallen physically ill (P=.0005)-most Vietnamese (15/53, 28%) and Korean participants (10/53, 19%).
CONCLUSIONS: To build an efficacious, web-based senior center with web-based care and social service options, more older adults need access to the internet and education about using technology-enabled communication devices. Addressing the unique psychosocial impacts of the COVID-19 pandemic on each group could improve health equity. The strength of the participating older adults was observed and honored.
OBJECTIVE: This study aims to examine the readiness of diverse groups of older Asian American immigrant adults (Chinese, Koreans, and Vietnamese) to use a web-based senior center, including technology access and telehealth use, and to identify the psychosocial health impacts that a web-based senior center could be positioned to meet.
METHODS: A community-based participatory research approach was used to conduct a cross-sectional survey study in an Asian-based health and service center in 2022. We selected surveys from the National Institutes of Health-supported PhenX Toolkit. Analyses were performed using R software.
RESULTS: There was an 88.2% (216/245) response rate. Overall, 39.8% (86/216) of participants were Chinese, 25% (54/216) were Korean, and 24.5% (53/216) were Vietnamese. There were significant group differences in mobile data plans (P=.0005). Most had an unlimited mobile data plan (38/86, 44% Chinese; 39/54, 72% Koreans; 25/53, 47% Vietnamese). Significant group differences existed regarding whether they started using a new electronic device to communicate with friends or family after the COVID-19 outbreak (P=.0005); most were Korean participants (31/54, 57%). For written text and audio or video apps, most Chinese participants used WeChat (65/85, 76%; 57/84, 68%, respectively), most Koreans used KakaoTalk (49/54, 91%; 49/54, 91%, respectively), and most Vietnamese used Facebook Messenger for written text (32/50, 64%) and Apple Face Time (33/50, 66%) or Facebook Messenger (31/50, 62%) for audio or video. Significant group differences existed regarding whether to try telehealth (P=.0005); most Vietnamese expressed that they would never consider it (41/53, 77%). Significant group differences existed regarding how well they were able to concentrate (χ22=44.7; P<.0001); Chinese participants reported a greater inability (median 5, IQR 4-6). With regard to difficulties in life experiences (χ22=51; P<.0001), the median was 6 (IQR 5-7) for the Vietnamese group. Significant group differences existed in having had a family/household member\'s salary, hours, and contracts reduced (P=.0005) and having had a family/household member or friend fallen physically ill (P=.0005)-most Vietnamese (15/53, 28%) and Korean participants (10/53, 19%).
CONCLUSIONS: To build an efficacious, web-based senior center with web-based care and social service options, more older adults need access to the internet and education about using technology-enabled communication devices. Addressing the unique psychosocial impacts of the COVID-19 pandemic on each group could improve health equity. The strength of the participating older adults was observed and honored.
摘要：
背景：在COVID-19大流行期间，许多为亚裔美国人服务的社区组织致力于提供基于网络的护理和社会服务。美国太平洋西北地区的亚裔美国人社区领袖，包括亚洲健康与服务中心在内的人表示，有一些年长的移民成年人经历了歧视的强烈反对，恐惧,和焦虑，部分原因是反亚洲的仇恨和孤立，包括感染预防措施。Pivoting支持安全防范COVID-19传播和反亚洲仇恨犯罪。
目的：本研究旨在研究不同群体的老年亚裔美国移民成年人（中国，韩国人,和越南语)使用基于网络的高级中心，包括技术接入和远程医疗使用，并确定基于网络的高级中心可以满足的社会心理健康影响。
方法：采用基于社区的参与式研究方法，于2022年在亚洲的健康和服务中心进行了横断面调查研究。我们从国立卫生研究院支持的PhenX工具包中选择了调查。使用R软件进行分析。
结果：反应率为88.2%(216/245)。总的来说,39.8%(86/216)的参与者是中国人，25%(54/216)是韩国人，和24.5%(53/216)是越南人。移动数据计划存在显著的组间差异(P=.0005)。大多数人都有无限的移动数据计划（38/86，44%的中国人；39/54，72%的韩国人；25/53，47%的越南人）。在COVID-19爆发后，他们是否开始使用新的电子设备与朋友或家人交流存在显著的组间差异(P=.0005)；大多数是韩国参与者(31/54，57%)。对于书面文本和音频或视频应用程序，大多数中国参与者使用微信(65/85，76%；57/84，68%，分别)，大多数韩国人使用KakaoTalk(49/54，91%；49/54，91%，分别)，大多数越南人使用FacebookMessenger进行书面文本（32/50，64％）和AppleFaceTime（33/50，66％）或FacebookMessenger（31/50，62％）进行音频或视频。关于是否尝试远程医疗存在显着差异（P=.0005）；大多数越南人表示他们永远不会考虑它（41/53，77％）。关于他们能够集中注意力的程度存在显著的组间差异(χ22=44.7;P<.0001);中国参与者报告了更大的不能集中注意力(中位数5,IQR4-6)。关于生活经历中的困难（χ22=51；P<0.0001），越南组的中位数为6(IQR5-7).有一个家庭/家庭成员的工资存在显著的群体差异，小时,合同减少（P=.0005），并且有一个家庭/家庭成员或朋友身体不适（P=.0005）-大多数越南人（15/53，28％）和韩国参与者（10/53，19％）。
结论：要构建有效的，基于网络的高级中心，提供基于网络的护理和社会服务选择，更多的老年人需要使用互联网和有关使用技术支持的通信设备的教育。解决COVID-19大流行对每个群体的独特心理社会影响可以改善健康公平性。参与的老年人的力量得到了观察和尊重。
目的：本研究旨在研究不同群体的老年亚裔美国移民成年人（中国，韩国人,和越南语)使用基于网络的高级中心，包括技术接入和远程医疗使用，并确定基于网络的高级中心可以满足的社会心理健康影响。
方法：采用基于社区的参与式研究方法，于2022年在亚洲的健康和服务中心进行了横断面调查研究。我们从国立卫生研究院支持的PhenX工具包中选择了调查。使用R软件进行分析。
结果：反应率为88.2%(216/245)。总的来说,39.8%(86/216)的参与者是中国人，25%(54/216)是韩国人，和24.5%(53/216)是越南人。移动数据计划存在显著的组间差异(P=.0005)。大多数人都有无限的移动数据计划（38/86，44%的中国人；39/54，72%的韩国人；25/53，47%的越南人）。在COVID-19爆发后，他们是否开始使用新的电子设备与朋友或家人交流存在显著的组间差异(P=.0005)；大多数是韩国参与者(31/54，57%)。对于书面文本和音频或视频应用程序，大多数中国参与者使用微信(65/85，76%；57/84，68%，分别)，大多数韩国人使用KakaoTalk(49/54，91%；49/54，91%，分别)，大多数越南人使用FacebookMessenger进行书面文本（32/50，64％）和AppleFaceTime（33/50，66％）或FacebookMessenger（31/50，62％）进行音频或视频。关于是否尝试远程医疗存在显着差异（P=.0005）；大多数越南人表示他们永远不会考虑它（41/53，77％）。关于他们能够集中注意力的程度存在显著的组间差异(χ22=44.7;P<.0001);中国参与者报告了更大的不能集中注意力(中位数5,IQR4-6)。关于生活经历中的困难（χ22=51；P<0.0001），越南组的中位数为6(IQR5-7).有一个家庭/家庭成员的工资存在显著的群体差异，小时,合同减少（P=.0005），并且有一个家庭/家庭成员或朋友身体不适（P=.0005）-大多数越南人（15/53，28％）和韩国参与者（10/53，19％）。
结论：要构建有效的，基于网络的高级中心，提供基于网络的护理和社会服务选择，更多的老年人需要使用互联网和有关使用技术支持的通信设备的教育。解决COVID-19大流行对每个群体的独特心理社会影响可以改善健康公平性。参与的老年人的力量得到了观察和尊重。
