Karen M Kobayashi

Karen M Kobayashi
University of Victoria | UVIC · Department of Sociology

PhD
Currently conducting research on the health of older immigrants, and the use of assistive technology among older adults.

About

95
Publications
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Publications

Publications (95)
Article
With an aging population, have federal and provincial governments acknowledged the diversity of the policy needs of older adults? This contribution analyzes administrative and policy documents across ministries to study the frequency and the depth of engagement involving older adults with a disability, older immigrants, and those living in poverty....
Article
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Until recently, studies of precarity have overlooked aging and late life. This poster presents a snapshot of conceptual work in progress on a Canadian Social Sciences and Humanities Research Council (SSHRC) Insight Grant on precarity and aging. The poster outlines existing definitions and theoretical perspectives, key results, a current evolving co...
Article
Full-text available
International migration flows are increasing at a rapid pace and are often accompanied by emergent global realities, (re)negotiation of identities and familial bonds, anticipated challenges, and unforeseen exigencies. Concomitantly, advances in public health have resulted in longer lives with an increasing proportion of the global population now 65...
Article
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Across North America, a growing number of older adults have a core housing need and lack access to affordable, suitable or adequate housing. Although federal, state/provincial and local backdrops vary across Canadian and American contexts, seniors’ housing providers in both countries face similar challenges and must develop innovative policy and pr...
Article
It is unclear whether racial or nativity health disparities exist among older Canadians and what social and economic disadvantages may contribute to these differences. Secondary analysis of data collected from respondents aged 55 and older in the Canadian General Social Survey 27 was performed. The outcome variable was self-reported physical health...
Poster
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Objectives of this poster, 1. To explore if CanConnect, a tablet based, online communication assistive technology, can be effective to address the mental health of older adults and caregivers on Vancouver Island, BC during and after the COVID-19 pandemic. 2.To examine the benefits of online communication assistive technology to respond to the men...
Poster
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In this poster, we present papers from four key stakeholders on a Michael Smith Foundation for Health Research (MSFHR) Implementation Science Team (IST) that is investigating the application of an emerging approach, the non-adoption, abandonment, scale-up, spread, and sustainability (NASSS) framework (Greenhalgh et al., 2017), to help predict and e...
Article
Objective: This study examined the interrelations between Chinese and Canadian identity development during adolescence over an 18-month period using an individual-in-context perspective. We simultaneously considered the roles of youths' cultural behavior practices and their gender for predicting identity processes. We also examined whether practici...
Article
Objectives We drew on fundamental cause theory and the weathering hypothesis to examine how discrimination influences aging for midlife and older adults in Canada. Methods Using nationally representative data, we assessed the associations between discrimination and pain and functional limitations among adults 45 years of age and older. Discriminat...
Article
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Objective: To identify the key mechanisms, contexts, and outcomes that drive the successful participatory co-design of assistive technologies. Method: A rapid realist review was conducted using a systematic search strategy. After screening, a final set of 28 articles were included. Articles were analyzed for evidence relevant to our initial program...
Article
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PurposeThis study aimed to address knowledge gaps about post-traumatic stress disorder (PTSD) in mid-age and older adults, with particular attention to the relationship of PTSD with nutrition and with ethnicity and immigrant status.Methods Binary logistic regression analysis of weighted comprehensive cohort data from the baseline Canadian Longitudi...
Article
Full-text available
Objective: To identify the key mechanisms, contexts, and outcomes that drive the successful participatory co-design of assistive technologies. Method: A rapid realist review was conducted using a systematic search strategy. After screening, a final set of 28 articles were included. Articles were analyzed for evidence relevant to our initial program...
Chapter
Over the past few years, the development of innovative healthcare solutions, such as assistive technologies (ATs), has gained significant momentum and is viewed as an important potential contributor to enhancing healthy aging and relieving the burden of the oftentimes premature use of acute care services (Honeyman, Dunn, & McKenna, 2014). However,...
Chapter
Knowledge mobilization (KM) is about getting the right information to the right people in the right format at the right time, so as to influence decision-making by individuals. These individuals can be older adults, caregivers, or other key stakeholders such as healthcare providers or policy makers (Simeonov, Kobayashi, & Grenier, 2017). In this ch...
Chapter
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In this chapter we offer several ideas about how an engaged researcher might become involved in the process of knowledge mobilization. But where does this new knowledge mobilization imperative come from? And what does it mean to extend beyond the former expectations of knowledge translation and impact plans to actively participate in collaborative...
Article
Psychological distress is associated with a range of negative outcomes including lower quality of life and an increased risk of premature all-cause mortality. The prevalence of, and factors associated with, psychological distress among middle-aged and older Canadians are understudied. Using the Canadian Longitudinal Study on Aging (CLSA) baseline d...
Article
Objectives Although obesity remains relatively rare among Vietnamese Americans, the prevalence of diabetes has increased in this population. This study aims to: 1. Estimate the prevalence of diabetes among non-obese Vietnamese American adults compared to non-obese non-Hispanic whites (NHW). 2. Identify factors associated with diabetes among non-obe...
Article
The concept of knowledge mobilization (KMb) is prominent in governance frameworks of tri-council funding in Canada. Yet there are a number of conceptual and practical challenges when such ideas are proposed for adoption across large multidisciplinary contexts. This research note introduces the concept of critical knowledge mobilization as a way to...
Article
Full-text available
This study examined the prevalence and social determinants of depression among refugee and non-refugee adults aged 45–85 in the Canadian Longitudinal Study on Aging. Bivariate analyses and multivariable binary logistic regression analyses were conducted. The prevalence of depression was higher in a sample of 272 refugees (22.1%) and 5059 non-refuge...
Article
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Introduction: Information Technologies (IT) may serve assistive roles that facilitate the interaction of people living with cognitive disabilities (CD) within their environments. However, there are some notable concerns related to privacy threats associated with the use of IT. The purpose of this study was to examine how assistive technology devel...
Article
Objectives Later-life cognitive impairment is an important health issue; however, little is known about the condition among diverse groups such as immigrants. This study aims to examine whether the healthy immigrant effect exists for verbal fluency, an indicator of cognitive functioning, among anglophone middle-aged and older adults in Canada. Met...
Article
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Objectives To examine associations between post-traumatic stress disorder (PTSD) and nutrition factors among Canadian-born and immigrant adults. Methods The sample included participants of the Canadian Longitudinal Study on Aging (CLSA) (n = 27,211; 45–85 years) categorized by ethnicity (native white, native minority, immigrant white, and immigran...
Chapter
Full-text available
In this chapter we offer several ideas about how an engaged researcher might become involved in the process of knowledge mobilization. But where does this new knowledge mobilization imperative come from? And what does it mean to extend beyond the former expectations of knowledge translation and impact plans to actively participate in collaborative...
Article
Background: Psychological distress increases mortality risk; there is little knowledge about its prevelance and contributory factors in older populations. Methods: Canadian Longitudinal Study on Aging baseline data (2010-2015) were analyzed to examine the relationship between Kessler's Psychological Distress Scale-K10 and immigrant status (recen...
Article
Full-text available
The main purpose of this study was to compare the lifetime prevalence of anxiety disorders among foreign-born and Canadian-born adults in middle and later life. Using baseline data of the Canadian Longitudinal Study on Aging (2010–2015), multivariable binary logistic regression was conducted to investigate anxiety diagnosis and immigrant status, wh...
Article
Working from an asset-based perspective, this exploratory, qualitative study examined local community strengths and capacities to support healthy aging in a rural community in Western Canada. The research team consisted of academic leads and a project coordinator from a Canadian university, collaborating partners from the health authority, represen...
Chapter
The profile of older adults in the Global North is changing rapidly with increasing proportions of foreign-born ageing populations. Despite their demographic significance, very little research has been conducted on the complex and varied experiences of ageing, risk, and insecurity in this group, particularly with regard to significant life course e...
Article
Full-text available
This study’s objective was to identify which factors attenuate refugees’ higher odds of depression. A secondary analysis of 272 refugees and 29,398 non-refugees in the Canadian Longitudinal Study on Aging, a 2012 study of Canadians aged 45 to 85, was conducted. The prevalence of depression was higher among refugees than non-refugees (22.1% vs 15.2%...
Article
Full-text available
Background: Little is known about depression in middle-aged and older Canadians and how it is affected by health determinants, particularly immigrant status. This study examined depression and socio-economic, health, immigration and nutrition-related factors in older adults. Methods: Using weighted comprehensive cohort data from the baseline Can...
Article
Background and objective: The concept of precarity holds the potential to understand insecurities and risks experienced by older people in the contemporary social, economic, political and cultural context. This study maps existing conceptualizations of precarity in relation to aging and later life, identifies key themes, and considers the use of p...
Article
Vancouver's Downtown Eastside (DTES) neighbourhood is commonly associated with stigmatized and criminalized activities and attendant risks and harms. Many spaces/places in this urban neighbourhood are customarily portrayed and experienced as risky and harmful, and are implicated in experiences of structural (and physical) violence and marginalizati...
Article
Full-text available
Objectives: The objectives of this study are as follows: (1) to determine the prevalence of diabetes among nonobese Japanese-Americans and to determine the adjusted odds of diabetes among nonobese Japanese-Americans compared to non-Hispanic Whites (NHWs); (2) to identify the risk factors associated with having diabetes in a large sample of nonobes...
Article
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Background Family doctors are increasingly managing the diabetes care of Korean-Americans. Little is known about the prevalence of diabetes among non-obese Korean-Americans, or the extent to which they receive timely and appropriate diabetes care. The purpose of this investigation is to: (1) identify the prevalence of diabetes and to determine the...
Article
As the profile of older adults in the Global North changes with increasing proportions of foreign-born aging populations, there is a need to examine the intersecting markers of immigration, race/ethnicity, cultural beliefs and practices, poverty, and socioeconomic inequality among older immigrants (OI) as they manifest in their experiences of invis...
Poster
Full-text available
This poster introduces preliminary findings from qualitative interviews conducted as part of a larger action-oriented research project “Understanding and Enacting Knowledge Mobilization (KMb) in Large Teams and Across AGE-WELL NCE (Canada’s Technology & Aging research Network of Centres of Excellence)”. The purpose of this project is to gain insigh...
Article
Aims: The aim of this paper is to provide population-based data from California on: (a) the prevalence and the odds of diabetes among non-obese South Asian (SA) Americans compared to non-Hispanic Whites (NHW); (b) to assess the prevalence and odds of optimal medical care including regular eye exams, foot exams, and the monitoring of hemoglobin A1C...
Article
Lowering the BMI overweight cut point to 23 for Asian Americans (AA) is helpful, but careful monitoring for diabetes across the whole BMI spectrum is still required for AA; One in every 17 AA with a BMI < 23 has diabetes. Twenty one percent of all AA with diabetes has a BMI < 23.
Article
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This project represents a collaborative effort between academic researchers, elder law practitioners, and not-for-profit multicultural service provider administrators and staff. It addresses elder abuse in relationship to two other salient themes, the law and ethnicity, identified by the National Initiative for the Care of the Elderly as priority a...
Presentation
Full-text available
Knowledge translation (KT) is an iterative process for bridging research, policy and practice that can be integrated into research and development to support the relevance and application of research findings. KT includes the mobilization of experiential and scientific knowledge through to the commercialization and application of research innovatio...
Article
p> OBJECTIVES: Filipino Americans form the second-largest Asian American and Pacific Islanders subgroup. Growing evidence suggests that Filipino Americans have higher rates of diabetes than non-Hispanic whites. The key objectives of this study are 1) to determine the prevalence of diabetes in non-obese Filipino Americans compared to non-obese non-H...
Article
Purpose Canada’s visible minority population is increasing rapidly, yet despite the demographic significance of this population, there is a surprising dearth of nationally representative health data on visible minorities. This is a major challenge to undertaking research on the health of this group, particularly in the context of investigating raci...
Article
LAT (Living Apart Together) relationships involve two people in a long-term intimate relationship who choose to live in separate households. Due to their tendency to lack structural commitments and rely on emotional bonds, LAT relationships can be viewed as a manifestation of individualization. Despite the increasing social acceptability of non-tra...
Article
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Residential, long-term care serves vulnerable older adults in a facility-based environment. A new care delivery model (CDM) designed to promote more equitable care for residents was implemented in a health region in Western Canada. Leaders and managers faced challenges in implementing this model alongside other concurrent changes. This paper explor...
Article
Purpose – The purpose of this paper is to identify the salient barriers in the uptake and effective utilization of health promotion interventions among ethnocultural minority older adults (EMOA). Design/methodology/approach – The paper opted for a literature review of 25 sources (peer-reviewed articles as well as documents from the grey literature...
Book
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Recent immigrant older adults and some visible minorities who have aged here—to whom we refer collectively as ethnic or ethnocultural minority older adults (EMOA)—both experience health inequities in Canada. These are primarily related to difficulties with the complex process of accessing suitable services and supports. However, Canadian research o...
Article
Living Apart Together (LAT) relationships involve two people in a long-term, committed intimate relationship who choose to live in separate households. We present findings from one of the first Canadian studies of this phenomenon, also distinct in its use of an interpretive approach to the phenomenon. Fifty-six mid- to late-life participants (28 co...
Article
Full-text available
Neglect of the mouth can lead to impairment, disability, and discomfort; as a result, it can have a negative impact on quality of life in old age. Some minority groups in North America shoulder a disproportionate burden of dental impairment compared to people of European origins, possibly because of different cultural beliefs and a distrust of West...
Article
Full-text available
This paper uses an intersectionality theoretical lens to interrogate selected findings of a scoping review of published and grey literature on the health and health care access of ethnocultural minority older adults. Our focus was on Canada and countries with similar immigrant populations and health care systems. Approximately 3300 source documents...
Article
Full-text available
This study expands on previous research on the healthy immigrant effect (HIE) in Canada by considering the effects of both immigrant and visible minority status on self-rated health for males and females in mid-(45-64) and later life (65+). The findings reveal a strong HIE among new immigrant middle-aged men, particularly non-Whites. For older men...
Data
Full-text available
Additional file 1 table S1 Sample Characteristics by Age and Gender.
Data
Full-text available
Additional file 2 table S2 Odds Ratios for Immigrant/Visible Minority Status Differences in Poor/Fair Self-Reported Health, by Age and Gender.
Article
Since their introduction, clinicians have been engaging in debates over the therapeutic benefits of cholinesterase inhibitors (ChEIs) in Alzheimer's disease and related dementias (ADRD). Against this backdrop of controversy, caregivers' views and experiences have been largely ignored. This has occurred despite the fact that this group may provide i...
Article
Full-text available
In the aging literature, social isolation has been primarily defined in terms of reduced support network size and low frequency of social contacts. Having a small social support network is associated with social isolation and an increased risk of physical and emotional vulnerability. However, this conceptualization ignores the contributions of a ho...
Article
This paper describes a unique intergenerational project that the authors propose to be considered under the banner of “shared site” programs. The Meadows School Project shares important features with many intergenerational shared site programs. Its goals to build community, dispel stereotypes, and increase understanding and meaning in relationships...
Technical Report
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Taking care of chronic disease: realizing approaches for Canada's aging ethnic population was a workshop held in Vancouver, British Columbia, Canada in February 2011. The purpose of this workshop was to begin to address an existing evidence gap on approaches to self-management support that meet the needs of immigrant older adults with chronic condi...
Conference Paper
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Taking care of chronic disease: realizing approaches for Canada's aging ethnic population was a workshop held in Vancouver, British Columbia, Canada in February 2011. The purpose of this workshop was to begin to address an existing evidence gap on approaches to self management support that meet the needs of immigrant older adults with chronic condi...
Chapter
Full-text available
Understanding the diverse experiences of aging both across and within Canada’s numerous ethnocultural groups thus requires complex theoretical and methodological approaches that move beyond a focus on ethnicity and age to explore the effects of other interlocking markers of social inequality in studying the lives of older adults. We suggest that it...
Article
RÉSUMÉ S’inspirant de l’hypothèse d’enjeu intergénérationelle (Bengtson and Kuypers, 1971), cet’article étudie la congruence et l’in-congruence entre les générations sur l’obligation filiale, et les implications pour l’assistance sociale, entre les parents anciens nisei (la seconde génération) et les enfants adultes de sansei (la troisième générati...
Article
Full-text available
Using data from the 2005 Canadian Community Health Survey, the current study expands on previous research on the healthy immigrant effect (HIE) in adult populations by considering the effects of both immigrant and visible minority status on health for males and females in mid- (45- 64) and later life (65+). The findings indicate that the HIE applie...
Article
Full-text available
In the last few decades there has been a resurgence of interest in the social causes of health inequities among and between individuals and populations. This \'social determinants\' perspective focuses on the myriad demographic and societal factors that shape health and well-being. Heeding calls for the mainstreaming of two very specific health det...
Article
Les auteures analysent le concept du «choix» dans le travail des aidants naturels filiaux. Dans la documentation théorique et empirique sur le travail des aidants naturels, une dichotomie entre le «choix» et l'«obligation» est considérée comme une construction sociale. Néanmoins, cette dichotomie ne reflète pas adéquatement les expériences familial...
Technical Report
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Purpose of the Forum: The ICARE forum Knowledge. Power. Access. was held on June 25, 2009 from 10:00 a.m. to 4:00 p.m. at Langara College in Vancouver, British Columbia. The forum provided an opportunity for the ICARE team to introduce and communicate our purpose to a diverse group of stakeholders from the multicultural settlement, community, healt...
Article
Full-text available
The objectives of the study are: (a) to develop a profile of socially isolated older adults (SIOA) in British Columbia (BC) based on sociodemographic and health characteristics and (b) to examine whether SIOA under-or overutilize health care services. This study uses telephone interview data collected from a random sample of 1,064 older adults (65+...
Article
In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate s...
Article
The current study examines self-rated health status and functional health differences between first-generation immigrant and Canadian-born (CB) persons who share the same ethnocultural origin, and the extent to which such differences reflect social structural and health-related behavioural contexts. Multivariate analyses of data from the 2000/2001...
Article
This study examines the relationship between Chinese Canadian ethnicity and the use of complementary and alternative medicine (CAM) and explores some of the factors that contribute to CAM use among this visible minority group. Using data from cycle 2.1 of the Canadian Community Health Survey (2003), we use multivariate logistic regression to invest...
Article
Full-text available
This study examines health differences between first-generation immigrant and Canadian-born persons who share the same the ethnocultural origin, and the extent to which such differences reflect social structural and health-related behavioural contexts. Data from the 2000/2001 Canadian Community Health Survey show that first generation immigrants of...