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Survey Respondents:
Each spring, a random sample of up
to 1,200 Medicare beneficiaries is
surveyed from each participating
Medicare Advantage Organization
(MAO) with at least 500 enrollees
(i.e., a survey is administered to a
different baseline cohort, or group,
each year). Respondents include both
seniors (83.7%) and beneficiaries
with disabilities (16.3%). More than
8,400 Asians and 1,000 Native
Hawaiians or Other Pacific Islanders
responded. The frequencies for each
racial group are shown in the graph.
Asian Indian
1,002
Chinese
2,032
Filipino
2,212
Japanese
1,083
Korean
554
Vietnamese
726
Other Asian
552
Multi-Asian
284
Native Hawaiian
293
Guamanian or Chamorro
28
Samoan
69
611
47
HOS Variables:
In addition to the newly expanded demographic measures explained above, the HOS includes measures
of chronic conditions, quality of life, quality of care, and general health.
(%)
Arthritis
Hip/Knee
(%)
Asian
65.7
62.7
61.8
75.1
63.1
54.2
68.4
62.5
63.5
73.7
71.8
60.7
57.4
76.3
83.0
38.0
43.4
39.5
44.3
25.3
26.7
36.2
37.6
37.3
44.5
32.4
*
47.8
51.0
*
Hypertension
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Multi-Asian
NHOPI
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
Multi-Pacific Islander
*Cell sizes too small to report
(%)
Arthritis
Hand/Wrist
(%)
33.6
39.4
28.2
38.5
27.3
25.9
30.4
41.6
44.0
40.6
38.5
42.9
37.3
42.3
36.2
31.5
29.9
32.4
36.7
23.7
23.0
31.0
34.9
32.1
41.2
33.1
*
38.2
46.1
*
Diabetes
Osteoporosis
Sciatica
(%)
(%)
26.2
19.7
34.6
25.9
25.4
18.2
25.5
20.4
24.8
21.5
16.2
*
*
25.2
*
23.3
23.3
25.1
24.6
13.6
17.1
27.2
30.1
25.5
32.9
26.8
*
32.8
36.0
*
Native Hawaiians or Other Pacific Islanders report higher rates of chronic conditions as compared to
Asians. However, rates vary within each racial group. For example, 66% of Asians reported they have
hypertension, but rates vary from a low of 54% among Koreans to 75% among Filipinos, and while 74%
of NHOPIs have hypertension, rates range from 57% among Samoans to 83% among Multi-Pacific
Islanders. Across the six conditions, Koreans tend to have the lowest self-reported prevalence rates of
all Asian subgroups, while Filipinos tend to have rates that are among the highest. For NHOPI, the
picture is less clear because small numbers limit the availability of reliable estimates.
Summer 2015
with chronic conditions, NHOPIs reported higher rates than Asians, and the rates for each racial group
varied by activity.
Table 2: Impairments in ADLs among Asians, Native Hawaiians and Other Pacific
Islanders
(%)
Getting in or
out of Chairs
(%)
29.8
30.7
27.3
34.1
25.0
20.3
29.8
38.9
30.5
45.9
36.1
*
55.2
50.9
*
19.5
18.5
19.9
21.1
14.9
11.4
20.9
28.4
19.4
32.7
22.2
*
42.6
37.6
*
Walking
Race
Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Multi-Asian
NHOPI
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
Multi-Pacific Islander
*Cell sizes too small to report
Bathing
Dressing
(%)
(%)
Using the
Toilet
(%)
16.8
14.7
17.6
17.1
11.6
11.7
18.5
27.1
19.5
27.1
18.8
*
42.0
29.6
*
14.0
13.4
13.9
14.8
9.5
8.0
17.1
22.3
15.9
25.0
16.4
*
27.5
29.1
*
12.4
11.8
12.1
12.7
8.4
8.6
14.9
21.7
12.5
20.3
13.7
*
*
23.1
*
Eating
(%)
8.6
6.0
7.9
9.1
5.0
7.7
13.5
16.5
6.9
13.7
8.7
*
*
15.5
*
Instrumental activities of daily living (IADL) assess independent living skills that are more complex
than ADLs. In comparison to the ADLs, IADLs are considered to recognize earlier changes in
functioning, and can be used as an indication of the need for intervention. There are three IADLs in the
HOS: preparing meals, managing money, and taking medications. For IADLs, impairment is defined as
beneficiaries who reported difficulty performing the specific IADL (Yes, I have difficulty). Table 3
lists percentage of people in each race category that reported IADL impairment.
Both groups reported the most difficulty preparing meals, and for each IADL measured, NHOPIs
reported greater difficulty than Asians. Across the activities, Japanese beneficiaries reported the fewest
challenges among Asians, while Native Hawaiians had the least difficulty among NHOPIs.
Table 3: Impairments in IADLs among Asians, Native Hawaiians and Other Pacific
Islanders
Race
Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Multi-Asian
NHOPI
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
Multi-Pacific Islander
Preparing
Meals
(%)
Managing
Money
(%)
Taking
Medication
(%)
15.4
18.9
17.8
12.7
8.3
11.2
19.9
23.0
17.1
22.3
12.6
12.1
13.4
11.1
12.6
5.4
9.4
16.4
20.3
15.4
18.4
16.5
9.5
9.0
8.9
8.9
5.4
8.5
13.5
18.0
10.9
16.8
14.1
*
35.6
25.9
*
*
19.2
18.5
17.9
Summer 2015
Race
Asian
57.0
36.0
64.0
36.2
56.7
35.1
54.8
33.9
56.7
36.4
NA
NA
61.9
41.1
59.8
42.2
NA
NA
NHOPI
61.3
38.2
Native Hawaiian
NA
NA
Guamanian or Chamorro
NA
NA
Samoan
NA
NA
Other Pacific Islander
NA
45.0
Multi-Pacific Islander
NA
NA
Note: NA indicates that the denominator is less than 100.
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Multi-Asian
PAO
Discuss
Advise
Rate (%)
Rate (%)
59.2
61.0
55.9
62.0
58.0
55.3
63.1
59.0
58.3
58.4
55.4
NA
NA
59.1
NA
56.6
56.2
55.4
62.4
47.3
47.1
61.2
56.5
62.3
59.9
57.1
NA
NA
60.3
NA
FRM
Discuss
Manage
Rate (%)
Rate (%)
30.7
31.5
30.3
31.9
24.7
25.4
35.5
35.7
38.0
39.6
35.2
NA
NA
42.0
NA
OTO
Testing
Rate (%)
68.0
65.0
72.0
73.1
61.8
NA
67.8
63.3
NA
65.1
NA
NA
NA
65.8
NA
66.1
64.2
68.8
61.5
79.2
57.9
60.7
58.4
76.2
60.4
62.2
NA
NA
63.7
NA
Summer 2015