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NEEDS AND SERVICE UTILIZATION PATTERNS OF OLDER CHINESE AMERICANS RESIDING IN NEW YORK CITY'S CHINATOWN.

Record Type:	Electronic resources : Monograph/item
Title/Author:	NEEDS AND SERVICE UTILIZATION PATTERNS OF OLDER CHINESE AMERICANS RESIDING IN NEW YORK CITY'S CHINATOWN./
Author:	CHEN, DAVID YEESUI.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 1981,
Description:	193 p.
Notes:	Source: Dissertations Abstracts International, Volume: 42-07, Section: A.
Contained By:	Dissertations Abstracts International42-07A.
Subject:	Welfare. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8122939
ISBN:	9798660907913

NEEDS AND SERVICE UTILIZATION PATTERNS OF OLDER CHINESE AMERICANS RESIDING IN NEW YORK CITY'S CHINATOWN.
CHEN, DAVID YEESUI.

NEEDS AND SERVICE UTILIZATION PATTERNS OF OLDER CHINESE AMERICANS RESIDING IN NEW YORK CITY'S CHINATOWN. - Ann Arbor : ProQuest Dissertations & Theses, 1981 - 193 p.

Source: Dissertations Abstracts International, Volume: 42-07, Section: A.

Thesis (Educat.D.)--Teachers College, Columbia University, 1981.

This item must not be sold to any third party vendors.

This descriptive study has been concerned with a subsample of 139 aged male and female Chinese residing in New York City's Chinatown. The present study is a secondary study. The primary study, The Asian American Field Survey, was undertaken by the U.S. Department of Health, Education, and Welfare. A comprehensive review of the literature provided information on Federal Government intervention in behalf of older Americans, the demography of older Chinese in New York City, Chinese immigration, the formation of Chinatown in New York City, the family life of older Chinese, and the social issues associated with the Chinese aged. The review of the pertinent literature revealed a paucity of empirical data on older Chinese and provided a background for this study. The purpose of the present study was to fill some data gaps concerning needs and service utilization patterns of the Chinese elderly. This study was designed to extrapolate data from the primary study and to analyze data on older Chinese Americans residing in New York City's Chinatown. Data gathered on older Chinese covered social and health needs and patterns of utilizing services funded by the Department of Health, Education, and Welfare. Analysis was confined to demographic characteristics, social and health needs, social and health service utilization, service provision and delivery for older Chinese. This study also compared the findings of the present study with the findings from the New York City Inner City Study, and three other recent studies on older Chinese in the United States. Findings from the present study indicate that the majority of the respondents in the sample were born in China. The low income and educational level, the lack of English proficiency in this sample group, and the lack of bilingual and bicultural staff in the DHEW funded service agencies made older Chinese more vulnerable to inadequate service delivery system than their non-Chinese counterparts. The social welfare needs of this study group were similar to older New Yorkers in the New York City Inner City Study as well as to older Chinese in the other three recent study groups. The service utilization patterns, however, are different from their non-Chinese counterparts. Older Chinese usually did not have any linkage to the formal support system and they were not informed where and how to obtain the available services. The respondents who sought help, received information through their friends. The low utilization patterns were also found in the other recent studies on older Chinese in the United States. It was noted that the older Chinese respondents in the present study began to seek health care more from physicians than herbalists. This shift was found to be due to the increase of available Chinese speaking physicians in the Chinatown area. From the findings, the following was concluded: Older Chinese had various health and human needs, but they did not fully utilize DHEW funded services. The present study offered the possibilities for better understanding of older Chinese Americans, as well as providing stimulus for further research on the impact of cultural resources on service delivery for older Chinese in the United States.

ISBN: 9798660907913Subjects--Topical Terms:

3543853
Welfare.

NEEDS AND SERVICE UTILIZATION PATTERNS OF OLDER CHINESE AMERICANS RESIDING IN NEW YORK CITY'S CHINATOWN.
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500 $a Source: Dissertations Abstracts International, Volume: 42-07, Section: A.
500 $a Publisher info.: Dissertation/Thesis.
502 $a Thesis (Educat.D.)--Teachers College, Columbia University, 1981.
506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a This descriptive study has been concerned with a subsample of 139 aged male and female Chinese residing in New York City's Chinatown. The present study is a secondary study. The primary study, The Asian American Field Survey, was undertaken by the U.S. Department of Health, Education, and Welfare. A comprehensive review of the literature provided information on Federal Government intervention in behalf of older Americans, the demography of older Chinese in New York City, Chinese immigration, the formation of Chinatown in New York City, the family life of older Chinese, and the social issues associated with the Chinese aged. The review of the pertinent literature revealed a paucity of empirical data on older Chinese and provided a background for this study. The purpose of the present study was to fill some data gaps concerning needs and service utilization patterns of the Chinese elderly. This study was designed to extrapolate data from the primary study and to analyze data on older Chinese Americans residing in New York City's Chinatown. Data gathered on older Chinese covered social and health needs and patterns of utilizing services funded by the Department of Health, Education, and Welfare. Analysis was confined to demographic characteristics, social and health needs, social and health service utilization, service provision and delivery for older Chinese. This study also compared the findings of the present study with the findings from the New York City Inner City Study, and three other recent studies on older Chinese in the United States. Findings from the present study indicate that the majority of the respondents in the sample were born in China. The low income and educational level, the lack of English proficiency in this sample group, and the lack of bilingual and bicultural staff in the DHEW funded service agencies made older Chinese more vulnerable to inadequate service delivery system than their non-Chinese counterparts. The social welfare needs of this study group were similar to older New Yorkers in the New York City Inner City Study as well as to older Chinese in the other three recent study groups. The service utilization patterns, however, are different from their non-Chinese counterparts. Older Chinese usually did not have any linkage to the formal support system and they were not informed where and how to obtain the available services. The respondents who sought help, received information through their friends. The low utilization patterns were also found in the other recent studies on older Chinese in the United States. It was noted that the older Chinese respondents in the present study began to seek health care more from physicians than herbalists. This shift was found to be due to the increase of available Chinese speaking physicians in the Chinatown area. From the findings, the following was concluded: Older Chinese had various health and human needs, but they did not fully utilize DHEW funded services. The present study offered the possibilities for better understanding of older Chinese Americans, as well as providing stimulus for further research on the impact of cultural resources on service delivery for older Chinese in the United States.
590 $a School code: 0055.
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