Browsing by Subject "Korean Americans"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Examining Knowledge About Five Alzheimer’s Disease–Related Service Areas and its Correlates in Korean Americans(Oxford University Press, 2024-12-31) Hong, Michin; Lee, Sang; School of Social WorkThis study examined knowledge about Alzheimer’s disease (AD) related services and its predictors among Korean Americans (KAs). A total of 268 KAs in the Greater Washington metropolitan area participated and completed a cross-sectional survey. Knowledge about AD related services was assessed by asking how well they knew about each of the following areas: Diagnostic services, Alzheimer’s specialists, community-based services, home-based services, and institutional care, with four categories of responses from don’t know at all to know well. Multiple regression analyses were conducted for each service area with predictors including education, English proficiency, exposure to AD, sources and frequency of health-related information, and AD knowledge about treatment and management. KAs were more knowledgeable about community- and home-based services and institutional care than diagnostic services and Alzheimer’s specialist. All regression models except for diagnostic services were significant: Having more exposure to AD is related to being more knowledgeable in Alzheimer’s specialist, community- and home-based services, and institutional care; having more sources and frequency of health information is related to being more knowledgeable about Alzheimer’s specialist; and being more knowledgeable about AD management and treatment is related to having more knowledge about community- and home-based services, respectively. Our findings revealed specific areas of services more and less known to KAs, which needs to be addressed in educational outreach. Multivariate analyses identified variations in the predictors of different service areas while confirming the robust role of exposure to AD across the service areas, suggesting ways to increase knowledge about certain types of AD services.Item Korean Version of Public Stigma of Alzheimer’s Disease Scale: Development and Evaluation Among Korean Americans(Oxford University Press, 2024-12-31) Hong, Michin; Lee, Sang; School of Social WorkThis study aims to evaluate the psychometric properties of the Korean version of the public stigma of Alzheimer’s diseases scale (KPS-ADS). Stigma toward Alzheimer’s disease (AD) prevents the early diagnosis of AD, causing the delayed treatments. To our knowledge, there is no proper measure to assess AD public stigma among the Korean-speaking population. We used a community survey dataset with 268 Korean Americans. We translated the 19 items of the layperson’s stigma, a dimension of the Family Stigma in AD scale, using Brislin’s method. After randomly dividing the sample into two sub-groups, we conducted exploratory factor analysis (EFA) with one group to explore the factor structure of the KPS-ADS, and then performed confirmatory factor analysis (CFA) with the other group to validate its identified factor structure. Additionally, we performed reliability tests. EFA identified three factors: negative emotions, empathetic response, and social behaviors. Using this three-factor model, we performed CFA with the highest loading items loaded on each factor, but it showed a poor model fit. After removing three items, the revised model showed an excellent model fit (χ2 = 185.788, df = 97, p = 0.000, CFI = 0.955, TLI = 0.944, RMSEA = 0.081[90% CI: 0.063–0.099, p ≤ 0.05 = 0.003]). All loadings were significant. The KPS-ADS demonstrated excellent internal consistency reliability (α=.87), with each domain demonstrating excellent internal consistency. Our study presents a psychometrically sound, multifaceted KPS-ADS that contribute to better understanding the nature and magnitude of AD public stigma and reducing it in this population.Item Understanding Social And Cultural Diversities And Aging For Health And Well-Being In Korean And Korean Americans(Oxford University Press, 2022) Hong, Seunghye; Hong, Michin; Braun, Kathryn; School of Social WorkGuided by the socio-ecological model and the cultural diversity perspective, this symposium aims to enhance the understanding of critical issues in health and well-being among Koreans and Korean Americans with three primary focuses: aging, social-ecological and multilevel factors, and identifying social and cultural contexts. Five studies examined multilevel factors—individual, relational/interpersonal, community, and societal—that are associated with health and well-being, conducted in Korea as well as in the United States. Study 1 examined psychological well-being among older Koreans, specifically its association with intergenerational relationships and social support using longitudinal multilevel modeling to estimate depression trajectories. Study 2 examined childhood experiences and midlife cultural engagement associations among middle-aged Korean couples, considering the influences of their spouses’ experiences and cultural resources. Study 3 explored the experiences of the nature-based virtual reality program among older Korean Americans, using in-depth interviews and providing an innovative approach using technology as a therapeutic tool. Study 4 examined social determinants of health associated with Korean American immigrants’ willingness for end-of-life discussions and the factors affecting willingness (awareness of hospice, communication with family/doctors, and social isolation). Study 5 examined health insurance coverage and its association with immigration-related factors (English proficiency, generational status, and age at immigration) among Korean Americans using national data. The various health, mental health, and well-being issues in Koreans and Korean Americans will be discussed from contextually responsive approaches. This symposium will provide implications for practices, education, research, and policy to promote health, mental health, and well-being in the Korean and Korean American populations.