Sponsor
This work was supported by the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, to the Oregon Department of Human Services.
Published In
Journal of Aging and Environment
Document Type
Post-Print
Publication Date
11-2020
Subjects
Older people with mental disabilities -- Services for -- Oregon, Developmentally disabled older people -- Services for -- Oregon, Older Asian Americans -- Services for -- Oregon, Older whites -- Services for -- Oregon
Abstract
This study examined the efficacy of a culturally responsive housing with services model for Asian-American older adults and persons with developmental disabilities separately, and with both for an interaction effect. Study participants, including 278 Whites and 75 Asian Americans, lived in 10 properties of public housing with services in Portland, OR. All Asian-American participants (except four) were immigrants from China, Korea, and Vietnam, and were well connected through community-based health and social services that were delivered onsite and at a nearby center by staff members who were also immigrants from these three countries. Asian-American participants were older, very poor, with limited English proficiency, but, reported stronger family connection and satisfaction with the living environment, which reflected in lower health care needs and utilization, and better quality of life. Participants with developmental disabilities comprised 27 individuals who reported greater health care needs, service utilization, and food insecurity. Asian-American participants with developmental disabilities reported stronger family connections. Regression analyses found level of health care needs was consistently the strongest predictor, followed by food insecurity and family connection, in predicting perceived quality of life. Findings offer insight into a culturally responsive housing services model where minority culture is no longer a risk factor and limited English language proficiency is no longer a cause of isolation.
Rights
© 2020 Taylor & Francis Group, LLC
Locate the Document
DOI
10.1080/26892618.2020.1846104
Persistent Identifier
https://archives.pdx.edu/ds/psu/34381
Citation Details
Published as: Junghee Lee, William Donlan, Paula Carder, Leigh Grover, Insik Hwang, Younghwan Kim & Gretchen Luhr (2020) Public Housing With Services for Older Adults With Developmental Disabilities: Differences in Efficacy Among Asian and White Communities, Journal of Aging and Environment.
Description
This is the author’s version of a work that was accepted for publication in Journal of Aging and Environment. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Aging and Environment