161676 Disability rates of Chinese, Japanese and Koreans living in the US

Tuesday, November 6, 2007

Elissa Oh, MA , Department of Sociology, University of Chicago, Chicago, IL
Meekie Shin, DrPH , School of Public Health, University of Illinois at Chicago, Chicago, IL
Min-Woong Sohn, PhD , Institute for Healthcare Studies, Northwestern University, Chicago, IL
Objectives: To compare disability rates for Chinese, Japanese and Koreans (CJKs) living in the US with those of non-Hispanic Whites. While these ethnic groups share similar cultural backgrounds, they have different immigrant histories and economic backgrounds in their countries of origin. Methods: The American Community Survey for 2005 was used to extract data for non-Hispanic Whites and persons from China, Japan, and Korea. Logistic regressions were used to estimate OR of a person having a disability adjusted for age, sex, nativity, education, income, and other personal characteristics. Disability is defined as any limitation in sensory, physical, mental, or work-related functioning that lasts 6 months or longer. Results: Crude disability rates for Whites were 15.4%, while those for CJKs were 7.4%, 10.8 %, and 7.5%, respectively. The adjusted OR shows that CJKs were more than 35% less likely to have any disability than Whites. Age-specific rates suggest that Whites had rates that are consistently higher than those for CJKs in all age groups except for >=75. Nativity effect was either reversed or not significant for CJKs, when each group was analyzed separately. The difference between Whites and CJKs was about 1.4% for those aged < 25 and grew larger until it hits 3.6% for those aged 65-74. Conclusion: Substantial differences between non-Hispanic Whites and persons from China, Japan and Korea exist in adjusted disability rates. Age-specific rates suggest that significant differences were present early in life and persisted through all age groups <75.

Learning Objectives:
Analyze how Chinese, Koreans, and Japanese living in the US are different in their overall and age-specific disability rates from those of non-Hispanic Whites. Analyze whether there is heterogeneity in disability rates among Chinese, Koreans, and Japanese living in the US. Discuss whether there are any significant nativity and acculturation effects for the persons from these countries.

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.