AMA Radio Talk Show (2012) – Korean

week7Blog8

AMA Radio Talk Show – Korean

Date recorded: 2/22/2012 Wed 5:00 pm

Host: Sungho Park

Guest: InSook Jung, ChunYoung Park, KyungSoon Shin, JungHae Oh, MoonSup Kang

————————————————————————————————————————-

Sungho (SH): Introduced self, REACH program, and Asia Media Access

InSook (IS): Introduced self – She has lived in Minnesota for 36 years and been retired.

ChunYoung (CY): Introduced self – He immigrated to Minnesota in 1936.

KyungSoon (KS): Introduced self – She has lived in Minnesota for 30 years.

JungHae (JH): Introduced self – She has lived in Minnesota for 30 years. She is a restaurant owner in downtown in Minneapolis.

MoonSup (MS): Introduced self – He has lived in the U.S for 36 years and been retired.

SH: Introduced today three questions – 1. What are the three most important factors for a healthy Korean community in Minnesota? 2. What are the three most important health issues in a Korean community in Minnesota? 3. What are the three most risky behaviors against a healthy Korean community in Minnesota?

SH: What are the three most important factors for a healthy Korean community in Minnesota?

IS: Strong family relationship, healthy life style, and religious or spiritual values are the three most important factors. Strong family relationship can improve our community in many ways like low crime rate, child education, safe neighborhoods, etc. Keeping healthy life style will be helpful for our community to become healthy. Religious values are the most important one.

SH: I agree with that strong family relationship is one of the three most important factors. When one’s home is happy, all goes well.

CY: Overall atmosphere in Minnesota is very active. Because of cold weather, Caucasian is majority in the population. There are many professional jobs in Minnesota. Many Koreans in Minnesota have professional jobs. Also, high education standard is one of characteristics of Minnesota. A good educational environment is the most important factor, too.

KS: I agree with Mrs. Jung’s opinion. Strong family relationship is important. Religious belief supports for our healthy life. Korean church is supporting immigrants to be adapted to the U.S. Healthy life style will be built in a way volunteering to community and caring other neighborhoods by a religious belief.

MS: The most important thing is to understand a culture of America and social system. Since there are many difference between the cultures in Korea and America, understanding them will be very helpful for us to be adapted in the U.S. Also, solving language problem will help since it is much effective way to understand the America culture by learning the language.

SH: We can think religious belief, strong family relationship, and understanding America culture are the three most important factors for a healthy Korean community in Minnesota.

SH: Are you satisfied with the health care system in Korean community?

SH: Student insurance does not cover many common health problems like dental problems.

JH: Costs of a private health insurance are high. Some of Koreans are still working to pay their health insurance. We have a private health insurance before 65 years. We need to have a solution for this.

BREAK

SH: Welcome back to our discussion. We start at the second question. What are the three most health issues in a Korean community in Minnesota?

MS: Many Koreans usually do not exercise. This life style will cause high blood pressure and cardiac disorders.

SH: I think regular exercise is very important. When I regularly exercised, I felt less fatigue.

CY: Because of cold weather in Minnesota, there are many winner sport events. However, many Koreans do not participate.

IS: There are many fitness centers in Minnesota. Our environmental conditions for exercise are good. Therefore, their will of exercise is important.

SH: The health issue that is the most important in the Korean community was health problem caused by lack of exercise.

SH: What detail efforts do you think that can improve community health?

IS: We can make an exercise group or regular meeting. Every one encourages each other. Also, if there is someone who can lead the exercise group or meeting, it will be better.

SH: I heard annually there is a Korea shorts event in Minnesota. It is a great way to encourage people to exercise.

MS: However, only few people participate in the event. Many people do not participate. This is a problem. Although we make many sports events, only few people will participate. We need more participation. I think generally Koreans do not tend to participate in public events. To encourage people to participate, we need to make our events more interesting and well-prepared.

SH: We can think health problems associated with lack of exercise. As a solution, we can organize exercise group or make regular meetings for exercise. To encourage people to participate in the events, the agency needs to make well-prepared and interesting sports events.

BREAK

SH: We are back. Welcome back to our discussion. What are the three most risky behaviors against a healthy Korean community in Minnesota?

JH: Bad eating habits and lack of exercise are the most risky behaviors against a healthy Korean community in Minnesota. In my case, sometime I skip meals and overeat at late night since I am very busy on my business. I know exercise is important and I need to exercise, but it is difficult to afford my time for exercise. I think if we work together like in a group and encourage each other, it help improve our health.

KS: I think exercising together is a good idea. After exercising, I feel less fatigue. Our family try to eat healthy foods like fruits and vegetables.

SH: I agree with that these two behaviors are the most risky behaviors against a healthy Korean community in Minnesota. I want to add another factor. Smoking might be one of the most risky behaviors. Surprisingly many students are smoking while few seniors and middle-aged males are smoking. It is a problem since the students will be following generation in the Korean community. What efforts do we think that can reduce the smoking population?

JH: Smoking is addiction. Their will of quitting smoking is more important than social regulations. Despite of very cold weather, many heavy smokers smoke outside since they cannot smoke inside a building.

SH: I think so. In my school, there are many programs for quitting smoking. However, very few smokers participate.

IS: Also, there are some gamble problems. I was some of cases. Some people have gambling debts and some of them are in bankruptcy.

SH: How do we prevent and solve these problems? Can you educate them?

IS: We already have the program for quitting smoking and gamble problems, but they do not participate in those programs.

MS: We really need their participation. Moreover, we need to get their interest.

IS: Currently, there is no specialist for these matters. If there are enough specialists who can make more effective program, it will be really helpful. We need them.

SH: Okay, that sounds like the biggest reason is their will. Bad eating habit, lack of exercise, smoking, and gamble problems are caused by lack of their will. Also, as the solution and prevention, we think making programs for these problems with specialists in those fields.

SH: We discussed today all questions and could see that religious belief, strong family life, and understanding America culture are the three most important factors for a healthy Korean community in Minnesota. Also, the most important health issue in the community was health problems associated with lack of exercise. As a solution, we can organize exercise group or make regular meetings for exercise. To encourage people to participate in the events, the agency needs to make well-prepared and interesting sports events. From the third question, we could know bad eating habit, lack of exercise, smoking, and gamble problems can be considered as the most risky behaviors against the healthy community. Also, as the solution and prevention, we think making programs for these problems with specialists in those fields.

SH: It was great time to discuss about our current life condition. Thank you for your participation today, again.

Guests: Thank you!

AMA: REACH Vietnamese

AsianMediaAccess

Here is a recap from one of the radio talk show done by Asian Media Access. This time around it is focused on the Vietnamese community with issues that arises in health care, culture, and community. It is great way to get direct insights on how these problems can be discussed, addressed, and shared with others.

Asian Media Access: Radio Talk Show

February 14, 2012 9:30am

14443 Armstrong Boulevard Northeast

Ramsey, MN 55303

Radio Talk Show Summary

Guests: Kieu Anh (KA), Anh Ha (AH), Amy Yen (AY), Thiep Nguyen (TN), Nancy Le (NL), Thinh Nguyen (THN)

Host: Phuoc Tran (PT), librarian at Hennnepin County Library

PT: Welcoming guests. Introduced self and the topic of discussion: A look at health disparities in the Vietnamese community in Minnesota as part of the Health Disparities project of Asian Media Access

KA: Introduced self- happy to be part of the project

AH: Introduced self- had been in Minnesota more than 4 years, happy to share her experiences on health care issues

AY: Introduced self-very happy to join the group in discussing health disparities and services of the Vietnamese community in the Twin Cities

TH: Introduced self-had been in Minneapolis, Minnesota more than 30 year, retired

NL: Introduced self- had been in Minnesota for a long time and so happy to discuss about health disparities in the Vietnamese community

THN: Introduced self-happy to be part of the discussion

PT: A recent survey of 103 Vietnamese people over 40 years showed that only 70% had an annual check-up. Why?

  • NL: No health insurance coverage; language barrier (Many immigrants and seniors have low educational level in addition to the language barrier they face when trying to communicate with doctors and health care providers); habit of avoiding doctors in fear of finding out that they might have a serious illness
  • KA: Co-Payments and health insurance premiums are high and expensive; no health insurance coverage from employer; language barrier; the lack of transportation hinders Vietnamese seniors from accessing their health care provider even if they have health care coverage
  • AY: Main reasons for not having annual check-up: having health insurance coverage, but people were busy and ignored it; lack of health coverage; tend to view health care as necessary only when they’re sick.
  • NL: Raise questions about patients were kept in the waiting room for too long before they see the doctor/ urgent care
  • PT: Co-Payments and health insurance premiums are high and expensive.
  • TN: – paid $500 for health insurance after his retirement and it was too much with today’s economy and decided not to buy it if having a good health.

– Medicine prices were often high and not affordable in America, so it was           common to see people buy medicine in Vietnam at a much lower price

– Language barrier: Many immigrants and seniors have low educational level in addition to the language barrier they face when trying to communicate with doctors and health care providers

PT: Questions on health disparities in the Vietnamese Community in Minnesota?

  • NL: Feel unreasonable to pay high cost of health insurance while they may not be utilizing it. Why they need to pay more co-payment in addition to high premium cost; rather pay for daily expenses to their children than pay high cost insurance. Co-Payments and health insurance premiums were high and expensive; the cumbersome paperwork required to take part in government insurance programs has also contributed to the lack of health care coverage for many Vietnamese people.
  • AH: Not happy to pay high cost health insurance, but get limited services and high co-payment. Rather not having health insurance and buy medicine over the counter and have free mammogram services. Co-Payments and health insurance premiums are high and expensive. Couldn’t afford to buy health insurance
  • NL: Sorry for jumping to the discussion:

Medicare health insurance VS employee health insurance: limited services and doctor’s appointment in Government health insurance.

  • PT: Time for advertisement. We’ll come back to our next question.

2 minutes Break Time

  • PT:   Welcome back and discuss on co-payments and affordability on health insurance.
  • TN: Suggestions on health disparities: Vietnamese non-profit organization/ program, like First Call-United Way for free, updated information and referral program; free clinic or low cost clinic for new comers and low income families.
  • PT: Share info on Phillips Neighborhood Clinic, a free clinic operated by University of Minnesota health professional students. All students are supervised by licensed clinicians. No Appointments or Insurance Necessary. Spanish Interpreters are available at all times. No Appointments or Insurance Necessary; Give a Kid’s Smile (free dental exam for k-12);
  • KA: No one knew about these free clinic/services. Lack of resources /information in the Vietnamese community
  • PT: Great idea to have more resources published /advertised to the community via media outlets
  • AH: Why there was no interpreters in these free clinics while there was a interpretation phone line /interpreters in regular doctor office/clinic?
  • TH: Lack of sharing resources, no knowledge of such free clinic/services
  • AY: No knowledge of medical procedures/practices: thought they can see any doctor they wish or visit any hospital they choose; not happy to ask for a referral to see a specialist
  • NL: Not counting a lot of waiting time in the doctor’s office/ emergency room. Most people didn’t see the importance of preventive health services. They were unaware of what their health status was due to a habit of avoiding doctors in fear of finding out that they might have a serious illness
  • PT: Too much paperwork, no knowledge of medical procedures/practices shine people away from the doctor’s office
  • TN: It depended on health care policy some didn’t require a referral to see a specialist

2 minutes Break

  • PT: Welcome back. A need of resources and free clinic, free medicine and how to do it in the Vietnamese Community.
  • THN: We should have different media sources, local magazines, newspapers for seminating health information and resources
  • KA: In addition, information should be shared and brought to social and community gatherings every week
  • PT: Great idea to come to the weekly elderly gathering to share these resources
  • TN: A need of tailoring programs that fit both the audience’s need and the community’s resources.
  • NL : Development of health education, such as flyers, brochures and media materials in Vietnamese
  • AH: A need of developing a health issues website to cover all counties so everyone, including patients, new comers, health care providers, can use it as first resource.
  • PT: Significant use of traditional health practices VS Western Medicine. Why?
  • KA: Tendency to use herbal and traditional medicine among the elders. Use it as alternative or complementary medicine. Herbal treatments are the most popular form of traditional medicine and safe or carry no risk for harm. They are easy to buy and affordable, 10 times cheaper than medicine.
  • TN: Ensure the use of safe, effective and quality products and practices and watch for side effects
  • PT: Language barrier, no knowledge of medical terminology, cultural differences between patients and doctors are among the health disparities in the Vietnamese community
  • AY: Most of the clinics and hospitals have interpretation services while one might not find this service in a private doctor’s office.
  • THN: There were some complaints on interpretation services that weren’t good enough, lack of efficiency/ accuracy. All educational interpreters should have training, certification, and basic qualifications as required by the regulations of the state and by the interpreting industry

Solutions suggested by participants

  1. Free clinic low cost coverage
  2. Community physician who worked for a non-profit clinic that served low income, uninsured and underserved families
  3. Increase interpretation services
  4. Development of health education, such as flyers, brochures and media material in Vietnamese
  5. Reaching out to seniors through various venues, including weekly meetings, community gatherings/events, ethnic media (radio ,T.V, newspaper)
  6. Create a newsletter or website in Vietnamese that list updated resource/ news on health issues
  7. Getting the word out locally “word of mouth”
  8. Recruit community volunteers from within the Vietnamese community to be day doctors or health providers

PT: Thanks to everyone for their participation.