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Journal of Aging and Health
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Use of Annual Physical Examinations by Aging Chinese Canadians

Daniel W. L. Lai

University of Calgary

Sonya Kalyniak

University of Calgary

Objectives: This study identified predictors of use of annual physical examination by aging Chinese Canadians. Methods: Data were collected from a random sample of 2,272 Chinese Canadians aged 55 and older. Based on the Andersen-Newman service utilization framework, hierarchical logistic regression analysis was used to examine the predictors of annual physical examination use. Results: Predicting factors of annual physical health examination use were marital status, gender, length of residency in Canada, Chinese ethnic identity, social support, number of illnesses, dependency in instrumental activities of daily living (IADL), and depressive symptoms. Discussion: Findings showed importance in targeting identified groups for preventive health education. Strengthened ethnic identity may serve to enhance one’s social support network, which in turn facilitates the use of annual physical examinations. There may be awareness within the Chinese cultural network that builds education and attentiveness to preventive health care. The misconceptions about annual physical examinations were also discussed.

Key Words: annual physical examination • elderly • aging • Chinese • cultural diversity

Journal of Aging and Health, Vol. 17, No. 5, 573-591 (2005)
DOI: 10.1177/0898264305279778
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