Health Services Utilization Among Chinese American Older Adults

Moderation of Social Support With Functional Limitation

Jinjiao Wang, Dexia Kong, Benjamin Sun, Xin Qi Dong

Research output: Contribution to journalArticle

Abstract

In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism. This was a secondary analysis of data from the Population Study of Chinese Elderly (July 2011-June 2013; N = 3,157). After adjusting for demographic, clinical, and functional covariates in logistic regression analyses, significant interaction between social support from spouse and the number of functional limitations in (instrumental) activities of daily living was related to lower odds of hospitalization (odds ratio [OR] = 0.97 [0.95-0.99]) and ED visits (OR = 0.98 [0.96-0.99]). This finding suggests that among older Chinese American adults with functional limitations, more spousal support was related to lower odds of hospitalizations and ED visits. Future studies should comprehensively measure social support (e.g., content, amount) from other sources and investigate how unnecessary acute health service utilization in this population may be reduced by social support interventions.

Original languageEnglish (US)
JournalJournal of Applied Gerontology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Asian Americans
Social Support
Health Services
Hospital Emergency Service
Hospitalization
Odds Ratio
Activities of Daily Living
Spouses
Population
Logistic Models
Regression Analysis
Demography

Keywords

  • emergency department visits
  • hospitalization
  • minority
  • social support

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Health Services Utilization Among Chinese American Older Adults : Moderation of Social Support With Functional Limitation. / Wang, Jinjiao; Kong, Dexia; Sun, Benjamin; Dong, Xin Qi.

In: Journal of Applied Gerontology, 01.01.2018.

Research output: Contribution to journalArticle

@article{d5b4212ff43647cea0b6640f0b4604f8,
title = "Health Services Utilization Among Chinese American Older Adults: Moderation of Social Support With Functional Limitation",
abstract = "In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism. This was a secondary analysis of data from the Population Study of Chinese Elderly (July 2011-June 2013; N = 3,157). After adjusting for demographic, clinical, and functional covariates in logistic regression analyses, significant interaction between social support from spouse and the number of functional limitations in (instrumental) activities of daily living was related to lower odds of hospitalization (odds ratio [OR] = 0.97 [0.95-0.99]) and ED visits (OR = 0.98 [0.96-0.99]). This finding suggests that among older Chinese American adults with functional limitations, more spousal support was related to lower odds of hospitalizations and ED visits. Future studies should comprehensively measure social support (e.g., content, amount) from other sources and investigate how unnecessary acute health service utilization in this population may be reduced by social support interventions.",
keywords = "emergency department visits, hospitalization, minority, social support",
author = "Jinjiao Wang and Dexia Kong and Benjamin Sun and Dong, {Xin Qi}",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/0733464818787716",
language = "English (US)",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Health Services Utilization Among Chinese American Older Adults

T2 - Moderation of Social Support With Functional Limitation

AU - Wang, Jinjiao

AU - Kong, Dexia

AU - Sun, Benjamin

AU - Dong, Xin Qi

PY - 2018/1/1

Y1 - 2018/1/1

N2 - In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism. This was a secondary analysis of data from the Population Study of Chinese Elderly (July 2011-June 2013; N = 3,157). After adjusting for demographic, clinical, and functional covariates in logistic regression analyses, significant interaction between social support from spouse and the number of functional limitations in (instrumental) activities of daily living was related to lower odds of hospitalization (odds ratio [OR] = 0.97 [0.95-0.99]) and ED visits (OR = 0.98 [0.96-0.99]). This finding suggests that among older Chinese American adults with functional limitations, more spousal support was related to lower odds of hospitalizations and ED visits. Future studies should comprehensively measure social support (e.g., content, amount) from other sources and investigate how unnecessary acute health service utilization in this population may be reduced by social support interventions.

AB - In this study, we aimed to examine the relationship of social support with hospitalizations and emergency department (ED) visits among older Chinese adults in the United States and its possible mechanism. This was a secondary analysis of data from the Population Study of Chinese Elderly (July 2011-June 2013; N = 3,157). After adjusting for demographic, clinical, and functional covariates in logistic regression analyses, significant interaction between social support from spouse and the number of functional limitations in (instrumental) activities of daily living was related to lower odds of hospitalization (odds ratio [OR] = 0.97 [0.95-0.99]) and ED visits (OR = 0.98 [0.96-0.99]). This finding suggests that among older Chinese American adults with functional limitations, more spousal support was related to lower odds of hospitalizations and ED visits. Future studies should comprehensively measure social support (e.g., content, amount) from other sources and investigate how unnecessary acute health service utilization in this population may be reduced by social support interventions.

KW - emergency department visits

KW - hospitalization

KW - minority

KW - social support

UR - http://www.scopus.com/inward/record.url?scp=85050570186&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050570186&partnerID=8YFLogxK

U2 - 10.1177/0733464818787716

DO - 10.1177/0733464818787716

M3 - Article

JO - Journal of Applied Gerontology

JF - Journal of Applied Gerontology

SN - 0733-4648

ER -