Professional Documents
Culture Documents
FINAL Pilot Test
FINAL Pilot Test
Complete the following paragraph with the most suitable words from the box. (almost words are used once
only and some others are not used)
Rapid economic growth in recent years has brought (1) prosperity_____ to a growing number of Vietnamese
business people and professionals. The (2)_zones____ of capital into Vietnam from foreign direct investment
has created a number of new industrial (3)_flow____ that provide valuable jobs for a number of people. Yet
alongside these (4)_gains____, Vietnam is facing an (5)_unprecedented____ problem: environmental
pollution. Thousands of tonnes of industrial pollutants and fossil fuels are (6)_released____ into the
environment on an hourly basis resulting in a (7)_substantial____ decline to both water purity and air quality.
Additionally, numerous natural (8) habitats_____ have been destroyed for economic purposes like the
construction of new plants or factories, driving several species of wildlife to the brink of extinction.
Scientific research suggests that such (9)__exploitation___ of our natural resources is causing rapid
(10)climate_____ change and contributing to global warming.
Page 1
HEALTH AND HEALTH CARE OF
SOUTHEAST ASIAN AMERICAN ELDERS:
Vietnamese Elders
by Barbara W.K. Yee, PhD
There are many cross-cutting health risks in the Southeast Asian communities. The largest amount of empirical
research deals with mental health issues and acute or infectious health conditions. More recently, concerns
have shifted to a discussion of chronic health concerns and risk factors for cancer, cardiovascular,
cerebrovascular, and diabetes conditions.
It appears that the life expectancy has improved for Vietnamese living in the U.S. In 1979-1989, Merli
(1998) found that the life expectancy at birth was 61.4 years for males and 63.2 for females. Hoyert and Kung
(1997) report 1992 life expectancy in seven high Asian and Pacific Islander reporting states to be 78.8 at birth
and 18.8 additional years if a Vietnamese American lived to 65 years of age. The authors caution that these
estimates were based upon small sample sizes, therefore may limit their generalizability.
Cancer is the leading cause of death for Vietnamese of both genders in the United States (Hoyert & Kung,
1997; Shinagawa, et al., 1999). High smoking rates and exposure through passive smoking among
Southeast Asian families contributes to excess cancer rates among this ethnic group. The SEER data (Miller
et al., 1996) report excess cancer rates for Vietnamese males in nasal-pharynx, liver, and stomach cancers.
The same authors report excess cancer deaths for Vietnamese women in cervical, stomach and thyroid
cancers. Vietnamese women have the highest incidence of cervical cancer in the U.S. It appears that much of
this can be explained by lack of Pap screening, however, other factors such as high stress levels may also
contribute to the Vietnamese women’s higher incidence of this cancer.
Stroke Hypertension, and Diabetes. The second leading cause of mortality for both Vietnamese men and
women in the seven U.S. states was diseases of the heart, and another leading cause was cerebrovascular
diseases (Hoyert & Kung, 1997). Among Vietnamese hypertensives over 40 years of age, essential
hypertension was associated with significant increase in body mass index (BMI). However, this figure was far
lower than the defined threshold of Occidental obesity. Insulin resistance was found despite very slight or
no excess weight among Vietnamese hypertensives (Van Minh et al., 1997). This study suggested that
thresholds established in Caucasian populations may be an inexact predictor for the Vietnamese. Related to
the risk of cardiac and hypertension problems may be the high rates (35%- 42%) of smoking among
Vietnamese men.
Other leading causes of mortality for Vietnamese men included accidents and adverse effects, homicide and
legal interventions; for women they included accidents and adverse effects, and pneumonia and influenza
(Hoyert & Kung, 1997).
Page 2
A small community study of recent Vietnamese immigrants in Boston found the following: 32% smoked (54%
males, 9% females); 24% used alcohol; 17% were depressed on the Vietnamese Depression Scale, with those
older than 40 having more depression; ova parasites were found in 51%, (63% of them required treatment);
70% tested positive on the TB test (39% required treatment); 83% had been exposed to hepatitis B and 14%
were chronic hepatitis B carriers (Nelson, Bui, & Samet, 1997).
Environmental exposures and developmental timing (i.e., in uterus, infancy, childhood, adolescence, young,
middle and elderly adulthood) of such exposure need to be examined to determine how toxicity and
carcinogenic substances influence health of Southeast Asian elderly, for example, dioxin levels in adipose
tissue and exposure to Agent Orange in South Vietnamese (Verger, et al., 1994). (625 words)
https://www.researchgate.net/publication/240641971
PART A:
PART B:
Page 3
B. ACADEMIC READING (60pts)
13 Write the answer for question 13 here with no more than 60 words
Part 3:
paragraph - Other factors of death for Vietnamese in the US
E to G
Supporting ideas:
- Unhealthy habit and lifestyles
- Environmental exposure
Other factor lead to the death of Vietnamese in the US are Unhealthy habit and
lifestyles and environmental exposure. For example, dioxin levels in adipose
tissue and exposure to Agent Orange in South Vietnamese.
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HANOI UNIVERSITY ENGLISH LANGUAGE TEST
ENGLISH FOR SPECIFIC PURPOSES END OF TERM 2
DEPARTMENT
READINGTEST ANSWER KEYS AND MARKING GUIDELINES
MARKING GUIDES
● Number of questions: 3 questions
Page 5
than 0 - Babara W.K. Yee, PhD: empirical research has shifted their concerns from
words mental health issues and acute or infectious health conditions to risk
(20 pts) factors of chronic health concerns.
- Merli (1998), Hoyert and Kung (1997): life expectancy of Vietnamese in the
US has been improved. The result basing on small sample size may limit
their generalizability.
Babara W.K. Yee, PhD reports that empirical research has shifted their
concerns from mental health issues and acute or infectious health conditions to
risk factors of chronic health concerns. And according to Merli (1998), Hoyert
and Kung (1997) life expectancy of Vietnamese in the US has been improved.
However, this result basing on small sample size may limit their
generalizability. (60 words)
12 Main idea(s):
Complet - Cancer, stroke hypertension and diabetes are the leading causes of death for
e answer Vietnamese in the US.
is no
more Supporting ideas:
than 0 - Hoyert and Kung, 1997; Shinagawa et al, 1999: Cancer caused by high
words smoking rates and exposure to passive smoking is the leading cause of death
(20 pts) for both Vietnamese genders; males: nasal pharynx, liver and
stomach/females: stomach, thyroid and the highest risk of cervical cancer
- Stroke hypertension and cerebrovascular diseases which are more popular
among Vietnamese smoking men are the second leading culprit of death but
they are at lower risk of being obese and insulin resistant than other
Caucasian population.
13 Main idea(s):
Complet - Other factors of death for Vietnamese in the US
e answer
is no Supporting ideas:
more - Unhealthy habit and lifestyles
than - Environmental exposure
Page 6
words
(20 pts) Sample summary of the main ideas
Other factors leading to chronic/deadly diseases are from unhealthy living
habits/lifestyles such as accidents, depression, drinking to developmental timing
period due to exposure to toxicity and carcinogenic substances.
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