Health Disparities and Delayed Health care among Older Adults in California: A Perspective from Race, Ethnicity, and Immigration

Yan Du, Qingwen Xu

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


OBJECTIVES: To examine racial/ethnic/immigration disparities in health and to investigate the relationships among race/ethnic/immigration status, delayed health care, and health of the elderly.

DESIGN AND SAMPLE: Responses from 13,508 people aged 65 and above were analyzed based on the California Health Interview Survey (CHIS) 2011-2012.

MEASURES: Key variables include race/ethnicity/immigration status, health outcome, and delayed health care. Age, gender, education, work status, and annual family income are used as covariates.

RESULTS: The findings indicate that Whites (regardless of country of birth) and U.S.-born Asians enjoy better health than Latinos, African-Americans, and Foreign-born Asians. Foreign-born Asians and foreign-born Latinos have the poorest self-reported health and mental health, respectively. Delayed use of health care is negatively associated with both self-reported health and mental health status.

CONCLUSIONS: Health disparities exist among older adult populations; the combined effects of minority and immigrant status can be approximated from the results in this study. Health care accessibility and the quality of care should be promoted in minority/immigrant populations. Public health nurses have a strong potential to aide in reducing health disparities among an aging American population that continues to exhibit increasing racial/ethnic diversity.

Original languageEnglish (US)
Pages (from-to)383-394
Number of pages12
JournalPublic health nursing (Boston, Mass.)
Issue number5
StatePublished - Sep 1 2016
Externally publishedYes


  • delayed health care
  • health disparity
  • older adults
  • race/ethnicity and immigration

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Health Disparities and Delayed Health care among Older Adults in California: A Perspective from Race, Ethnicity, and Immigration'. Together they form a unique fingerprint.

Cite this