Effects of Patient-Centered Communication on Influenza Vaccination and Self-Reported General Health Status among Asian Americans: A Comparison Model for Young/Middle-Aged and Older Adults

Abstract

Objectives: Asian American subgroups’ influenza vaccination is still below the US standards. This study examined the effects of patient-centered communication (PCC) on influenza vaccination and the general health (GH) of Chinese, Vietnamese, and Korean Americans. A group difference between younger and older adults was investigated. Methods: The 2014–2016 California Health Interview Surveys were merged (Chinese [N = 1,680], Korean [N = 514], and Vietnamese [N = 644]; age 18+; younger = 1,629 and older = 1,209). Two path models (PCC [measured by physicians’ careful listening], vaccination, and GH; PCC [measured by physicians’ clear explanation], vaccination, and GH) were evaluated. Regression maximum likelihood was applied for missing values. Results: Both the first and second models showed good model fit scores (comparative fit index [CFI] = .95, root mean square error of approximation [RMSEA] = .04, and standardized root mean residual [SRMR] = .03; CFI = .93, RMSEA = .04, and SRMR = .03). There were direct effects of PCC on vaccination among younger adults. PCC directly influenced GH for both age-groups. Discussion: A PCC manual for physicians in local or community health centers could enhance both younger and older adults’ influenza vaccination.

Keywords

Asian Americans influenza vaccination patient-centered healthcare communication age relevant healthcare communication

Get full access to this article

View all access options for this article.

References

Ali

Atkin

Neal

(2006). The role of culture in the general practice consultation process. Ethnicity & Health, 11(4), 389-408. doi: 10.1080/13557850600824286

Andersen

R. M.

(1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10.

Andersen

R. M.

Rice

T. H.

Kominski

G. F.

Afifi

A. A.

Rosenstock

(2011). Changing the U.S. health care system: Key issues in health services policy and management. Wiley.

Babitsch

Gohl

von Lengerke

(2012). Re-revisiting Andersen’s behavioral model of health services use: A systematic review of studies from 1998–2011. German Medical Science: Psycho-Social-Medicine, 9, Doc11. doi: 10.3205/psm000089

Beach

M. C.

Sugarman

Johnson

R. L.

Arbelaez

J. J.

Duggan

P. S.

Cooper

L. A.

(2005). Do patients treated with dignity report higher satisfaction, adherence, and receipt of preventive care? Annals of Family Medicine, 3(4), 331-338.

Bednarczyk

R. A.

Chu

S. L.

Sickler

Shaw

Nadeau

J. A.

McNutt

L.-A.

(2015). Low uptake of influenza vaccine among university students: Evaluating predictors beyond cost and safety concerns. Vaccine, 33(14), 1659-1663. doi: 10.1016/J.VACCINE.2015.02.033

Benjamin

S. M.

Bahr

K. O.

(2016). Barriers associated with seasonal influenza vaccination among college students. Influenza Research and Treatment, 2016(1), 1-5. doi: 10.1155/2016/4248071

Blanton

Mustaquim

Alabi

Kniss

Kramer

Budd

Garg

Cummings

C. N.

Fry

A. M.

Bresee

Sessions

Garten

Elal

A. I. A.

Gubareva

Barnes

Wentworth

D. E.

Burns

Katz

, … Brammer

(2017). Influenza activity–United States, October 2, 2016–February 4, 2017. Morbidity and Mortality Weekly Report, 66(6), 159-166. doi: 10.15585/mmwr.mm6606a2

California Health Interview Survey . (2014). CHIS 2014 Methodology Series: Report 2 – Data Collection Methods.

10.

California Health Interview Survey . (2015). CHIS 2015 Methodology Series: Report 2 – Data Collection methods.

11.

California Health Interview Survey . (2016). CHIS 2016 Methodology Series: Report 2 – Data Collection Methods.

12.

Carmel

Shani

Rosenberg

(1994). The role of age and an expanded health belief model in predicting skin cancer protective behavior. Health Education Research, 9(4), 433-447.

13.

Centers for Disease Control and Prevention . (2014). Vaccination Lowered Risk of Having to go to the Doctor by about 60 Percent for People of All Ages. https://www.cdc.gov/media/releases/2014/p0220-flu-report.html

14.

Centers for Disease Control and Prevention (2015). Chronic Disease Indicator – Indicator Definition of Older Adults. https://www.cdc.gov/cdi/definitions/older-adults.html

15.

Centers for Disease Control and Prevention . (2018). Flu Vaccination Coverage, United States, 2017–18 Influenza Season. National Immunization Survey-flu (Nis-Flu) and Behavioral Risk Factor Surveillance System (BRFSS).

16.

Centers for Disease Control and Prevention . (2019a). Influenza (Flu) Shot – People Who Can Get the Flu Shot. https://www.cdc.gov/flu/prevent/whoshouldvax.htm#Priority

17.

Centers for Disease Control and Prevention . (2019b). People 65 Years and Older & Influenza. https://www.cdc.gov/flu/highrisk/65over.htm

18.

Crawley

L. M.

Ahn

D. K.

Winkleby

M. A.

(2008). Perceived medical discrimination and cancer screening behaviors of racial and ethnic minority adults. Cancer Epidemiology Biomarkers & Prevention, 17(8), 1937-1944. doi: 10.1158/1055-9965.epi-08-0005

19.

Curran

P. J.

West

S. G.

Finch

J. F.

(1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1(1), 16-29.

20.

Deeks

Lombard

Michelmore

Teede

(2009). The effects of gender and age on health related behaviors. BMC Public Health, 9(213), 1-8.

21.

Epstein

(2000). The science of patient-centered care. The Journal of family practice, 49(9), 805-807.

22.

Epstein

R. M.

Street

R. L.

(2007). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. National Cancer Institute, NIH Publication No. 07-6225.

23.

Epstein

R. M.

Street

R. L.

(2011). The values and value of patient-centered care. The Annals of Family Medicine, 9(2), 100-103. doi: 10.1370/afm.1239

24.

Ferguson

W. J.

Candib

L. M.

(2002). Culture, language, and the doctor-patient relationship. Family Medicine, 34(5), 353-361.

25.

Flach

S. D.

McCoy

K. D.

Vaughn

T. E.

Ward

M. M.

BootsMiller

B. J.

Doebbeling

B. N.

(2004). Does patient-centered care improve provision of preventive services? Journal of General Internal Medicine, 19(10), 1019-1026. doi: 10.1111/j.1525-1497.2004.30395.x

26.

Ford

K. H.

Meshack

Roberts

Amos

Rhodes

Barkley

Peters

R. J.

(2012). H1N1 vaccination uptake among African American college students. American Journal of Health Studies, 27(3), 129-135.

27.

Gazibara

Kovacevic

Kisic-Tepavcevic

Nurkovic

Kurtagic

Gazibara

Pekmezovic

(2019). Flu vaccination among older persons: Study of knowledge and practices. Journal of Health, Population and Nutrition, 38(1), 2. doi: 10.1186/s41043-018-0159-8

28.

George

Heng

De Castro Molina

Wong

Wei Lin

Cheah

J. T.

(2012). Self-reported chronic diseases and health status and health service utilization – Results from a community health survey in Singapore. International journal for equity in health, 11, 44. doi: 10.1186/1475-9276-11-44

29.

Grohskopf

L. A.

Sokolow

L. Z.

Broder

K. R.

Olsen

S. J.

Karron

R. A.

Jernigan

D. B.

Bresee

J. S.

(2016). Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2016–17 Influenza Season. https://www.cdc.gov/mmwr/volumes/65/rr/rr6505a1.htm?s_cid=rr6505a1_w

30.

Herbert

N. L.

Gargano

L. M.

Painter

J. E.

Sales

J. M.

Morfaw

Murray

DiClemente

R. J.

Hughes

J. M.

(2013). Understanding reasons for participating in a school-based influenza vaccination program and decision-making dynamics among adolescents and parents. Health Education Research, 28(4), 663-672. doi: 10.1093/her/cyt060

31.

Jagosh

Donald Boudreau

Steinert

Macdonald

M. E.

Ingram

(2011). The importance of physician listening from the patients’ perspective: Enhancing diagnosis, healing, and the doctor-patient relationship. Patient Education and Counseling, 85(3), 369-374.

32.

Keene

(2005). Age and gender differences in health service utilization. Journal of Public Health, 27(1), 74-79.

33.

King

Hoppe

R. B.

(2013). “Best Practice” for patient-centered communication: A narrative review. Journal of graduate medical education, 5(3), 385-393. doi: 10.4300/JGME-D-13-000721

34.

Kleinman

Benson

(2006). Anthropology in the clinic: The problem of cultural competency and how to fix it. PLoS Medicine, 3(10), e294. doi: 10.1371/journal.pmed.0030294

35.

Kline

R. B.

(2016). Principles and practice of structural equation modeling (4th ed.). Guilford Press.

36.

Kowal

S. P.

Jardine

C. G.

Bubela

T. M.

(2015). “If they tell me to get it, I’ll get it. If they don’t.”: Immunization decision-making processes of immigrant mothers. Canadian Journal of Public Health, 106(4), e230-e235. doi: 10.17269/cjph.106.4803

37.

Megari

(2013). Quality of life in chronic disease patients. Health Psychology Research, 1(3), e27. doi: 10.4081/hpr.2013.e27

38.

Murphy

J. F.

Hepworth

J. T.

(1996). Age and gender differences in health services utilization. Research in Nursing & Health, 19, 323-329.

39.

Nan

Kim

(2014). Predicting H1N1 vaccine uptake and H1N1-related health beliefs: The role of individual difference in consideration of future consequences. Journal of Health Communication, 19(3), 376-388. doi: 10.1080/10810730.2013.821552

40.

National Vaccine Advisory (2013). Strategies to achieve the healthy people 2020 annual influenza vaccine coverage goal for health-care personnel: Recommendations from the National Vaccine Advisory Committee. Public Health Reports, 128(1), 7-25.

41.

Nichol

K. L.

Heilly

S. D.

Ehlinger

(2005). Colds and influenza-like illnesses in university students: Impact on health, academic and work performance, and health care use. Clinical Infectious Diseases, 40(9), 1263-1270. doi: 10.1086/429237

42.

Nichol

K. L.

D’Heilly

Ehlinger

E. P.

(2008). Influenza vaccination among college and university students. Archives of Pediatrics & Adolescent Medicine, 162(12), 1113-1118. doi: 10.1001/archpedi.162.12

43.

Radford

Noe-Bustamante

. (2019). Facts on U.S. Immigrants, 2017: Statistical Portrait of the Foreign-Born Population in the United States. https://www.pewhispanic.org/2019/06/03/facts-on-u-s-immigrants/

44.

Ramsey

M. A.

Marczinski

C. A.

(2011). College students’ perceptions of H1N1 flu risk and attitudes toward vaccination. Vaccine, 29(44), 7599-7601. doi: 10.1016/j.vaccine.2011.07.130

45.

Rocque

Leanza

(2015). A systematic review of patients’ experiences in communicating with primary care physicians: Intercultural encounters and a balance between vulnerability and integrity. PLoS One, 10(10), Article e0139577. doi: 10.1371/journal.pone.0139577

46.

Rosenberg

E. E.

Lussier

M. T.

Beaudoin

(1997). Lessons for clinicians from physician-patient communication literature. Archives of Family Medicine, 6(3), 279-283.

47.

Schneider

E. C.

Cleary

P. D.

Zaslavsky

A. M.

Epstein

A. M.

(2001). Racial disparity in influenza vaccination. JAMA, 286(12), 1455-1460.

48.

Silver

M. P.

(2015). Patient perspectives on online health information and communication with doctors: A qualitative study of patients 50 years old and over. Journal of Medical Internet Research, 17(1), e19. doi: 10.2196/jmir.3588

49.

Srivastav

O’Halloran

P.-J.

Williams

W. W.

(2018). Influenza vaccination coverage among english-speaking Asian Americans. American Journal of Preventive Medicine, 55(5), e123-e137. doi: 10.1016/j.amepre.2018.06.018

50.

Stewart

(1995). Effective physician-patient communication and health outcomes: A review. CMAJ: Canadian Medical Association Journal = Journal de l’Association Medicale Canadienne, 152(9), 1423-1433.

51.

Swenson

S. L.

Buell

Zettler

White

Ruston

D. C.

(2004). Patient-centered communication. Journal of General Internal Medicine, 19(11), 1069-1079. doi: 10.1111/j.1525-1497.2004.30384.x

52.

Taksler

. (2015). When young adults get flu shots, older adults benefit best: Low-risk adults help prevent disease in higher-risk populations. https://health.clevelandclinic.org/when-young-adults-get-flu-shots-older-adults-benefit-best/

53.

Thompson

W. W.

Shay

D. K.

Weintraub

Brammer

Bridges

C. B.

Cox

N. J.

Fukuda

(2004). Influenza-associated hospitalizations in the United States. JAMA, 292(11), 1333-1340. doi: 10.1001/jama.292.11.1333

54.

Villani

Mortensen

(2013). Patient-provider communication and timely receipt of preventive services. Preventive Medicine, 57(5), 658-663. doi: 10.1016/j.ypmed.2013.08.034

55.

Murphy

S. L.

Kochanek

K. D.

Bastian

Arias

(2018). Deaths: Final Data for 2016. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf

56.

Yong

A. G.

Lemyre

Farrell

S. J.

Young

M. Y.

(2016). Acculturation in preventive health for immigrants: A systematic review on influenza vaccination programs in a socio-ecological framework. Canadian Psychology/Psychologie canadienne, 57(4), 340-355.

57.

Zanjani

F.A.

Schaie

W.K.

Willis

S.L.

(2006). Age group and health status effects on health behavior change. Behavioral Medicine, 32(summer), 36-46.