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Nearly 1 in 4 Japanese-Americans are 65 and older — nearly twice the proportion of seniors in the overall U.S. population. The facts that they are likelier to live longer than other Americans and are healthier when they age make Japanese-Americans an important subject of research by health policy experts — and could provide clues about how all Americans can age, according to a new study by the UCLA Center for Health Policy Research.
Using California Health Interview Survey data from 2003 to 2012, the study found that elderly Japanese-Americans had lower risks for nine of 15 health indicators than other Asian and other racial and ethnic groups in California. Older Japanese-Americans, however, did have higher rates of arthritis and hypertension than seniors in other racial and ethnic groups.
"Japanese-Americans provide a window into our future," said Ying-Ying Meng, lead author of the study and co-director of the center’s Chronic Disease Program. "They show us one vision of how our nation can age and can help us prepare for the enormous generational shift ahead."
The report, which was funded by Keiro Senior HealthCare, examines three categories of Japanese in California: Those who identify as being “only” Japanese—typically with parents who both were Japanese; those who identify as being mixed-race; and those who identified as being Japanese in some way.
Among the findings:
Any Japanese identification
Japanese-only residents, in large part the older generation, have some health behaviors and health outcomes that outshine their racially mixed grandchildren.
"In diet, for instance, the older Japanese population and new immigrants from Japan eat traditional foods — such as fish, miso soup and produce — while the younger, racially mixed generation is more fueled by fast food," Meng said.
About 20 percent of California’s Japanese population identifies as multiracial, according to CHIS data from 2007 to 2012. Among Japanese-Americans ages 18 to 34, about 57 percent identify as multiracial, and only 14 percent identify as Japanese-only.
Tailored community outreach needed
To address health issues such as binge drinking and hypertension among California’s Japanese-Americans, the authors suggest culturally appropriate interventions tailored to subgroups, community-based prevention programs in non–health care settings, and more study of Japanese health and health behaviors.
"The approaching wave of aging baby boomers will place more demands on families and communities and significantly affect public health, social services and health care systems across the country," said Dianne Kujubu Belli, chief administrative officer of Keiro Senior HealthCare. "Not only does this report guide Keiro and other Japanese-serving organizations to establish priorities in programming, but researchers and policymakers can study Japanese-Americans’ better health and take steps to promote healthy lifestyles and dietary habits for all future seniors."
Read the policy brief: Health and Health Behaviors of Japanese Americans in California: A Sign of Things to Come for Aging Americans?
The UCLA Center for Health Policy Research is one of the nation’s leading health policy research centers and the premier source of health policy information for California. The Center improves the public’s health through high-quality, objective, and evidence-based research and data that informs effective policymaking. The Center is the home of the California Health Interview Survey (CHIS) and is part of the UCLA Fielding School of Public Health. For more information, visitwww.healthpolicy.ucla.edu.
Keiro Senior HealthCare Is a not-for profit organization founded in 1961 to support older adults to age with confidence through programs that meet community needs. Keiro’s programs are designed to help people live healthy and fulfilling lives through initiatives that are based on research, encourage healthy living, and build community.