Silberman School of Social Work, Hunter College, City University of New York, New York, New York, USA.
School of Social Work, Eastern Michigan University, Ypsilanti, Michigan, USA.
Soc Work Public Health. 2022 Apr 3;37(3):258-273. doi: 10.1080/19371918.2021.2000916. Epub 2021 Nov 30.
Asian Americans are the fastest growing and fastest aging U.S. population, and occupy both extremes of socioeconomic and health indices. Using the 2016 NYCgov dataset, multilevel logistic regression analyses were conducted to examine the relationship of poverty, acculturation and neighborhood-level variables with disability for different ethnic groups of Asian older adults (Chinese, South Asian, Filipino, Japanese, Korean and Vietnamese) in New York City. Findings indicated that South Asian older adults had higher odds for disability compared to other ethnic groups. Living in a neighborhood with higher percentages of persons of the same ethnicity was protective for Chinese older adults only. There is an important opportunity for interprofessional collaborations through education, awareness, screening and intervening to enhance systems of care for Asian older adults. Social workers can play a pivotal role in providing key linkages to form interprofessional solutions and shared efforts to address the needs of this understudied and under-resourced population. Future research is needed to better understand how ethnic enclaves are defined, and how they can benefit different ethnic groups of vulnerable Asian older adults.
亚裔美国人是美国人口增长最快、老龄化速度最快的人群,他们占据了社会经济和健康指数的两个极端。利用 2016 年纽约市数据集,采用多层次逻辑回归分析方法,考察了贫困、文化适应和邻里环境变量与不同族裔的纽约市老年亚裔(中国、南亚、菲律宾、日本、韩国和越南)残疾之间的关系。研究结果表明,与其他族裔相比,南亚裔老年人残疾的几率更高。居住在同一种族人口比例较高的邻里环境对中国老年人具有保护作用。通过教育、提高认识、筛查和干预,为老年亚裔提供更好的医疗服务体系是一个重要的机会。社会工作者可以在提供关键联系方面发挥关键作用,形成跨专业的解决方案,并共同努力满足这个研究不足和资源匮乏的人群的需求。未来的研究需要更好地了解种族飞地是如何定义的,以及它们如何使不同族裔的弱势亚裔老年人受益。