ArticleJournal of community health2016
Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants.
Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Older Migrant Patients and Health Care Professionals' Experiences With Digital Translation Tools in Care Interactions: A Qualitative Literature Review.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025Pooled it
- Health Within Reach-a Patient-Centered Intervention to Increase Hepatitis B Screening Among Asian Americans: a Randomized Clinical Trial.Journal of general internal medicine · 2022Trial
- Self-Management of Chronic Illness Among Chinese Immigrants: An Integrative Review.Journal of advanced nursing · 2026Review
- "Don't be a hero, don't keep it a secret": understanding the lived experience of Chinese American patients with cancer through their expressive writing entries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Health Information Disparities Among Asian American People With Cancer.JCO oncology practice · 2025Article
- Stress internalization is a top risk for age-associated cognitive decline among older Chinese in the U.S.The journal of prevention of Alzheimer's disease · 2025Article
- Coproducing COVID-19 Health Information Resources: A Participatory Study With Older Adults From Minoritised Ethnic Communities in the UK.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Article
- The dialogue dilemma: the role of patient-clinician communication for low-income people who smoke and manage multiple conditions.Frontiers in medicine · 2025Article
- Acculturation and Disparities in Telemedicine Readiness: A National Study.International journal of aging & human development · 2024Article
- A comparative study of health outcomes between elderly Migrant and non-migrant population in India: Exploring health disparities through propensity score matching.SSM - population health · 2024Article
- Symptom burden and follow-up of patients with neck and back complaints in specialized outpatient care: a national register study.Scientific reports · 2024Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- The Toronto Tele-Retinal Screening Program for the Elderly in Long-Term Care: A Pilot Project.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Modeling Poverty and Health for Native Hawaiian and Pacific Islander and Asian Ethnic Populations.Hawai'i journal of health & social welfare · 2023Article
- Nativity in the healthy migrant effect: Evidence from Australia.SSM - population health · 2023Article
- Proficiency in the Norwegian language and self-reported health among 12 immigrant groups in Norway: A cross-sectional study.Scandinavian journal of public health · 2023Article
- Online Health Information-Seeking Behaviours and eHealth Literacy among First-Generation Chinese Immigrants.International journal of environmental research and public health · 2023Article
- Immigration Experience and Cognitive Function Trajectories Among Older Chinese Immigrants.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial.Open forum infectious diseases · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
Older Chinese immigrants are a growing population in the United States who experience multiple healthcare communication barriers such as limited English proficiency and low health literacy. Each of these obstacles has been associated with poor health outcomes but less is known about their effects in combination. This study examined the association between healthcare communication barriers and self-rated health among older Chinese immigrants. Cross-sectional survey data were obtained from 705 Chinese American immigrants ages 50-75 living in San Francisco, California. Communication barriers examined included spoken English proficiency, medical interpreter needs, and health literacy in written health information. The study sample (81 % females, mean age = 62) included 67 % who spoke English poorly or not at all, 34 % who reported needing a medical interpreter, and 37 % who reported "often" or "always" needing assistance to read health information. Two-thirds reported poor self-rated health; many reported having access to racial-concordant (74 %) and language-concordant (86 %) healthcare services. Both poor spoken English proficiency and low health literacy were associated with poor self-rated health, independent of other significant correlates (unemployment, chronic health conditions, and having a primary doctor who was ethnic Chinese). Results revealed that spoken English proficiency and print health literacy are independent communication barriers that are directly associated with health status among elderly Chinese American immigrants. Access to racial- or language-concordant health care services did not appear to resolve these barriers. These findings underscore the importance of addressing both spoken and written healthcare communication needs among older Chinese American immigrants.
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Registered trials
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