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Older Asian immigrants need internet access and digital literacy to use web-based senior centers. Addressing unique pandemic impacts can improve health equity for diverse groups.

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Area of Science:

  • Gerontology
  • Public Health
  • Health Equity

Background:

  • Community organizations serving Asian Americans pivoted to web-based services during COVID-19.
  • Older immigrant adults faced discrimination, fear, and anxiety due to anti-Asian hate and isolation.
  • Pivoting services aimed to ensure safety from COVID-19 and hate crimes.

Purpose of the Study:

  • Examine technology access and telehealth use among older Chinese, Korean, and Vietnamese immigrants.
  • Assess readiness for a web-based senior center.
  • Identify psychosocial health impacts for web-based service integration.

Main Methods:

  • Community-based participatory research and cross-sectional survey in 2022.
  • Utilized National Institutes of Health PhenX Toolkit surveys.
  • Data analyzed using R software.

Main Results:

  • Significant group differences in mobile data plans, new device adoption, and app usage (WeChat, KakaoTalk, Facebook Messenger).
  • Vietnamese participants showed lowest interest in telehealth (77% never considered).
  • Chinese participants reported higher concentration difficulties; Vietnamese experienced more life difficulties and family economic/health impacts.

Conclusions:

  • Web-based senior centers require improved internet access and digital literacy training for older adults.
  • Tailoring services to address unique psychosocial impacts is crucial for health equity.
  • Acknowledging the resilience of older adult participants is important.