An evaluation of the Live Well Erie workforce development program, jumping off the benefits cliff: A protocol paper.

While research has suggested that addressing multiple needs simultaneously may increase the chances for positive labor force outcomes, few studies have explored a multi-pronged approach to assist individuals with jumping off the benefits cliff. The purpose of the current study is to explore the potential of a Career Pathway program designed to supplement benefits for those who "jump off the benefits cliff." This study will employ qualitative impact assessment protocol (QuIP) and observational methods to assess the implementation of the career pathway program through (1) observation, (2) focus groups with service providers and program stakeholders, and (3) semi-structured interviews with program participants.

Validity and Reliability of the Korean Version of the Trauma-Informed Climate Scale-10.

Purpose: The Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (K-TICS-10) among Korean nurses.

Methods: The K-TICS-10 underwent a linguistic validation process, including translation, back-translation, and expert committee review.

Adaptation of the All Aspects of Health Literacy Scale (AAHLS) for Karen refugees: factor analysis.

Health literacy has been identified as a significant predictor of healthcare utilization among refugee and immigrant communities. Considering its potential impact on their health outcomes, accurately measuring levels of health literacy among limited English proficiency (LEP) populations is an important area of investigation. This study examined the psychometric properties of a modified version of the All Aspects of Health Literacy Scale (AAHLS), based on Nutbeam's model of health literacy, using an exploratory factor (EFA) and confirmatory factor (CFA) analysis among a sample of Karen refugees, an ethnic minority group from Burma.

Social Determinants of Mental Health Among Karen Refugees from Burma.

Extant literature has documented a higher level of mental health issues among refugee populations compared with that of the general population. Mental health problems may significantly decrease refugees' quality of life and interfere with a successful transition to their country of resettlement. Using the social determinants of mental health framework, we examined factors affecting psychological distress among Karen refugees from Burma residing in a mid-size city in a northeastern state in the United States.

"Mental Health Is for Crazy People": Perceptions and Barriers to Mental Health Service Use among Refugees from Burma.

Good mental health is essential to successful integration for refugee populations that resettle in the U.S. We explored perceptions of mental illnesses and barriers to mental health service use as well as solutions to current mental health problems from the perspective of refugees.

Simple contents and good readability: Improving health literacy for LEP populations.

Unlabelled: Accessing and receiving quality healthcare in an unfamiliar health system is a significant challenge for many new immigrants and refugees. This study aims to provide a three-phase model to develop a web-based health information website that helps populations with limited English proficiency (LEP) increase health literacy and improve healthcare service access.

Method: First, we conducted a needs assessment from community leaders and service providers.

"Gambling Can't Be Positive, Can it?": Gambling Beliefs and Behaviors Among Older Korean Immigrants.

After migrating to the United States, older Korean immigrants may increase their gambling participation and be at higher risk for problem gambling. However, not much is known about their experiences and beliefs on gambling. The purpose of the present study was to explore gambling behaviors and shared beliefs about gambling among older Korean immigrants residing in New York City.

Challenges in health-care service use among Burmese refugees: A grounded theory approach.

The timely use of health-care services is essential to achieve the best health outcomes. We explore barriers to health-care access among refugees from Burma through interviews with key community informants who serve their community as interpreters, health-care professionals, paraprofessionals, and/or representatives. The interviews with a convenience sampling of 11 leaders from Burmese and Karen ethnic communities revealed three stages of health-care use (i.

"It's Not Officially Gambling": Gambling Perceptions and Behaviors Among Older Chinese Immigrants.

Personal and media accounts have suggested that Chinese communities engage in high rates of gambling, which is reflected in the fact that casinos are specifically targeting Chinese communities through advertisements and promotions. However, not much is actually known about older Chinese immigrants' experiences and perceptions of gambling in the U.S.

The Effects of Religious Participation and Familial Assistance on Mental Health among Older Chinese and Korean Immigrants: Multiple Mediator Analyses.

Older Asian immigrants are one of the fastest growing segments of the U.S. population and a growing number of them reside in non-traditional destination cities.

Trauma, Discrimination, and Psychological Distress Across Vietnamese Refugees and Immigrants: A Life Course Perspective.

Vietnamese Americans are a heterogeneous group with varied migration histories. The life course perspective (LCP) suggests that different migration histories (immigrant vs. refugee) may affect their psychological health.

Strengthening effective preventive services for refugee populations: toward communities of solution.

Refugee populations have unequal access to primary care and may not receive appropriate health screening or preventive service recommendations. They encounter numerous health care disadvantages as a consequence of low-income status, race and ethnicity, lower educational achievement, varying degrees of health literacy, and limited English proficiency. Refugees may not initially embrace the concept of preventive care, as these services may have been unavailable in their countries of origin, or may not be congruent with their beliefs on health care.

Recognizing the Two Faces of Gambling: The Lived Experiences of Korean Women Gamblers.

Purpose: The aim of this study was to explore the lived experiences of women problem gamblers, focusing on the meaning of gambling to them, how and why these women continue to gamble or stop gambling, and their needs and concerns. In order to effectively help women problem gamblers, practical in-depth knowledge is necessary to develop intervention programs for prevention, treatment, and recovery among women problem gamblers.

Methods: The hermeneutic phenomenology approach was used to guide in-depth interviews and team interpretation of data.

Differential Patterns of Healthcare Service Use Among Chinese and Korean Immigrant Elders.

Previous studies of healthcare service use among Asian immigrant elders have been conducted in major metropolitan areas with established ethnic enclaves. The factors that affect levels of utilization by Asian immigrant elders who live in places where systematic support from an ethnic community is not readily available are unknown. This study employed the Andersen-Newman healthcare service utilization model to examine unique correlates of healthcare service use among Chinese and Korean immigrant elders.

Depression among Korean immigrant elders living in Canada and the United States: a comparative study.

Korean immigrant elders in North America experience a high level of depression. This study explored the correlates of depression among a sample of 245 Korean immigrant elders living in metropolitan cities in Canada (n = 128) and a southwestern state in the United States (n = 117), using a stress-coping framework. Results revealed discrepancies between the 2 subgroups.

Korean immigrant women's lived experience of childbirth in the United States.

Objective: To understand Korean immigrant women's common experiences and practices of utilizing health care services in the United States during childbirth.

Design: A qualitative interpretive phenomenological research design.

Setting: Recruitment was conducted through advertisement on the MissyUSA.

Emotional support, instrumental support, and gambling participation among Filipino Americans.

Using representative survey data of Filipino Americans in Honolulu and San Francisco (SF) (N = 2,259), we examined the roles of emotional support and instrumental support on gambling participation. With considerable difference in gambling environments between two regions, we conducted two sets of hierarchical regression analyses for Honolulu sample, which has restricted gambling laws, and SF sample, which has legal gambling environment, and compared the effects of two types of social support on gambling participation. The results indicated that emotional support was positively and instrumental support was negatively associated with gambling participation among Filipino Americans in Honolulu.

Predictors of gambling behaviors in Filipino Americans living in Honolulu or San Francisco.

This study compared the prevalence and predictors of gambling behaviors between Filipino Americans who live in San Francisco (S.F.) or Honolulu.

Risk and protective factors of alcohol use disorders among Filipino Americans: location of residence matters.

Background: Despite the growing number of Asian Americans (AA) in the United States, research on alcohol abuse in this population is sparse. Although AA have few alcohol use disorders (AUD) as an aggregate group, within-group variations in AUD need to be explored among specific ethnic groups in this population.

Objectives: This study compared correlates of 12-month prevalence of AUD between Filipino Americans who currently drink alcohol and live in San Francisco (SF) or Honolulu.

Barriers to healthcare among Asian Americans.

The myth of the well-adjusted Asian American resulted from sample-biased research studies that concluded that Asian Americans are physically healthier and financially better off than Caucasians. The myth has been perpetuated by researchers who have often categorized Asian Americans as a single, undifferentiated group rather than as distinct ethnic groups. Consequently, data analysis techniques do not reveal distinctions that may exist had the researchers controlled for ethnic group variation.

The evolution of drinking motivations among Korean women with alcohol dependence.

Our purpose in conducting this study was to explore increases in alcohol problems among women in South Korea. Qualitative data were collected from 10 women in treatment for alcohol dependence using in-depth interviews. The grounded theory analysis revealed three phases of drinking behavior that were driven by certain motivations: (1) positive experiences, (2) coping with negative emotions, and (3) needing alcohol to function.

English language proficiency and lifetime mental health service utilization in a national representative sample of Asian Americans in the USA.

Background: US Department of Health and Human Services reported that the lack of English language proficiency and the shortage of providers who possessed appropriate language skills were identified as major barriers to mental health service use for approximately half of the population of Asians and Pacific Islanders. The aim of this study was to examine the predictors of lifetime mental health service use in relation to English language proficiency among Asian Americans.

Methods: Data from 2095 Asian participants from the National Latino and Asian American Study were analyzed using logistic regression.

Drinking culture of elderly Korean immigrants in Canada: a focus group study.

The purpose of this study was to explore the drinking culture of elderly Korean immigrants in Canada. Using a focus group approach, qualitative data were collected from 19 elderly Korean immigrants (14 men; 5 women) residing in Canada. Data were analyzed using the techniques of grounded theory.

Examining health-related factors among an ethnically diverse group of Asian-American mental health clients.

As currently developed, health policies and practices consider Asian Americans as one homogenous group, ignoring the unique differences of each group regarding its own healthcare needs. In fact, the healthcare needs of mental health clients have received little attention in the professional literature. The purpose of this article is to investigate the diverse healthcare needs of Asian Americans seeking mental health services.