Abstract

The present study examined the extent to which limited English proficiency (LEP) poses a risk to physical and mental health in older Korean Americans. The vulnerability of older Korean Americans with LEP in various health outcomes (activity limitations, self-reported health, and probable depression) was assessed in consideration of socio-demographic (age, gender, marital status, education, and financial status) and context (region, length of stay in the U.S., and health insurance) variables. Using pooled data from 1,301 Korean Americans (aged ≥ 60) surveyed in FL, TX, and NY during 2008−2013, comparative analyses and multivariate model estimations were conducted. More than 70% of the sample had LEP. Those with LEP presented higher odds of having adverse health outcomes compared to their English speaking counterparts. Findings identified LEP as a major source of health disparity and underscored the importance of LEP as an intervening agent in health planning and interventions for older ethnic minorities.

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