Methods: Data were drawn from 2,176 older Korean Americans (M/SD=73.4/7.97) who were surveyed in five states (CA, NY, TX, HI, and FL) during 2017−2018. Logistic regression models of AD knowledge and service awareness were tested with demographic variables (age, gender, marital status, education, and region), immigration-related variables (length of stay in the U.S. and English proficiency), and prior exposure to AD (if any of participants’ family members or friends had AD).
Results: While over a quarter (26.3%) of the sample reported that they were ‘very much’ knowledgeable about AD, only about 14% were aware of AD-related services in their communities. The greater odds of being knowledgeable about AD and being aware of AD-related services were observed among individuals with a higher education and those with prior exposure to AD. With regards to the AD knowledge, participants in Florida (in comparisons to those in California) and those who were proficient in English demonstrated increased odds.
Conclusions and Implications: Findings identified factors associated with the AD-related knowledge and service awareness and suggest ways to develop targeted AD interventions for older Korean Americans. Intervention efforts in promoting health literacy in AD should be prioritized on those with low education and language barriers. Findings also highlight the critical role of prior exposure to AD in shaping one’s familiarity with and knowledge about the disease. A particular attention is in need for bridging the gap between ethnic minorities and AD-related services.