scholarly journals Effects of COVID‐19‐Related Racial Discrimination on Depression and Life Satisfaction Among Young, Middle, and Older Chinese Americans

2021 ◽  
Vol 20 (2) ◽  
pp. 70-84
Author(s):  
Stacey Diane Arañez Litam ◽  
Seungbin Oh
Keyword(s):  
Life Satisfaction ◽  
Racial Discrimination ◽  
Chinese Americans ◽  
Older Chinese ◽  
Older Chinese Americans

scholarly journals Social Isolation, Resilience, and Psychological Well-Being in Older Chinese Americans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 294-294
Author(s):  
Wei Zhang ◽  
Katherine Wang ◽  
Yaolin Pei ◽  
Bei Wu ◽  
Xiang Qi
Keyword(s):  
Life Satisfaction ◽  
Psychological Distress ◽  
Social Isolation ◽  
Living Arrangement ◽  
Chinese Americans ◽  
Well Being ◽  
Psychological Well Being ◽  
Older Chinese ◽  
Using Data ◽  
Older Chinese Americans

Abstract Using data collected in 2018 on 398 older Chinese Americans aged 55+ residing in Hawaii, we examined the associations of social isolation with psychological well-being and the mediating role of resilience. Social isolation was measured by their marital status, living arrangement, contact with children/family/friends, and participation in social activities. Psychological well-being was measured by psychological distress, life satisfaction, and happiness. Results from multivariate linear regressions and ordered logistic regressions showed social isolation was positively associated with psychological distress (β=0.017, p<0.05), and negatively associated with life satisfaction (β=-0.220, p<0.001) and happiness (β=-0.086, p<0.05) . By contrast, resilience was associated with lower psychological distress and higher life satisfaction and happiness. Moreover, mediation analysis showed that resilience contributed to 32% of the association between social isolation and psychological distress, 24.9% of the association between social isolation and life satisfaction, and 16.3% of the association between social isolation and happiness.

Acculturation and Subsequent Oral Health Problems Among Foreign-Born Older Chinese Americans: Does Neighborhood Disorder Matter?

2021 ◽  
pp. 016402752110187
Author(s):  
Weiyu Mao ◽  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
XinQi Dong
Keyword(s):  
Oral Health ◽  
Chinese Americans ◽  
Health Problems ◽  
Community Dwelling ◽  
Neighborhood Disorder ◽  
Foreign Born ◽  
Lagged Dependent Variable ◽  
Older Chinese ◽  
Older Chinese Americans

Objectives: To investigate the relationship between acculturation and subsequent oral health problems in older Chinese Americans and to further test the moderating role of neighborhood disorder in such a relationship. Methods: The working sample included 2,706 foreign-born community-dwelling older Chinese Americans aged 60 years or older who participated in the Population Study of Chinese Elderly in Chicago at baseline between 2011 and 2013 and the 2-year follow-up between 2013 and 2015. Stepwise Poisson regressions with lagged dependent variable were conducted. Results: Behavioral acculturation was protective against subsequent oral health problems, and the protective role was stronger among individuals reporting lower levels of neighborhood disorder. Residence in Chinatown was associated with an increase in the risk of subsequent oral health problems. Discussion: To reduce oral health symptoms and related burdens, it is important to consider, in practice and policy, the role of acculturation and the neighborhood on subsequent oral health outcomes.

scholarly journals Presence and Levels of Resilience and Its Sociodemographic Correlates in Older Chinese Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 389-389
Author(s):  
Jieyang Zheng ◽  
Dexia Kong ◽  
Mengting Li ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Longitudinal Research ◽  
Rank Order ◽  
Chinese Americans ◽  
Research Approach ◽  
Protective Effects ◽  
Chinese Older Adults ◽  
Sociodemographic Correlates ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract Resilience is defined as a personal quality that enables growth in knowledge, understanding and self-actualization in the face of adversity and life disruptions. Low levels of resilience can dispose older adults to higher risks for negative health outcomes in the aftermath of traumatic events. However, we have limited knowledge of resilience among minority aging populations. This study aims to examine the presence and levels of resilience and its sociodemographic correlates among U.S. Chinese older adults. Data were drawn from the Population Study of Chinese Elderly, an epidemiology study of U.S. Chinese older adults in the Greater Chicago area. Guided by a community-based participatory research approach, a total of 3,036 Chinese older adults aged 60 and above participated in face-to-face interviews from 2015 to 2017. Spearman’s rank-order coefficient was utilized to test correlation. A 10-item validated Chinese version of the Connor-Davidson resilience scale was used to assess resilience. In our sample, 59.7% were female, and the average age was 75. The mean resilience score was 26.9, ranging from 1 to 40. U.S. Chinese older adults who were younger, male, married, had higher education and income, fewer children, better health status and quality of life, and improved health and have lived fewer years in the U.S. reported higher levels of resilience. Future longitudinal research is needed to investigate the protective effects of resilience among older Chinese Americans against mental and physical distress.

scholarly journals Attitude Toward Family Involvement in End-of-Life Care Among Older Chinese Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 507-507
Author(s):  
Kaipeng Wang ◽  
Yanqin Liu ◽  
Fei Sun ◽  
Dexia Kong ◽  
Bei Wu
Keyword(s):  
Family Involvement ◽  
Self Efficacy ◽  
Positive Attitude ◽  
Family Relationship ◽  
Family Members ◽  
Chinese Americans ◽  
Perceived Barriers ◽  
Older Chinese ◽  
Eol Care ◽  
Older Chinese Americans

Abstract Family involvement is critical to end-of-life (EOL) care of older adults. Attitude toward family involvement in EOL care can be influenced by family relationship. Yet, mechanisms explaining such influence have not been examined among older Chinese Americans. This study aims to examine the association between family relationship and older Chinese Americans’ attitude toward family involvement in EOL care and explore pathways of this association. Potential mediators include self-efficacy, perceived benefits, and perceived barriers of discussing EOL care with family members. Data were collected from 276 Chinese Americans aged 55+ in two metropolitan areas in 2018. Participants’ average age was 74 years (SD=9.6). Approximately 64% of the sample were female. Most participants (57%) held positive attitudes toward family involvement in EOL care. Using the Structural Equation Modeling method, we found that family relationship had a significant positive total effect on positive attitude toward family involvement in EOL care (z=5.57, p<0.001). Indirect direct of family relationship on attitude toward family involvement in EOL care through both self-efficacy (z=3.13, p<0.01) and perceived barriers (z=2.30, p<0.05) of discussing EOL care with family members was significant. Results suggest that improving family relationship may increase elder’s self-efficacy and reduce barriers of discussing EOL with family members, which is associated with more positive attitude toward family involvement in EOL care. Findings provide empirical evidence of how family relationship affects older Chinese Americans’ attitude toward family involvement in EOL care and underline the need for family-centered interventions for older Chinese Americans.

scholarly journals Effect of Perceived Social Support on Mortality Rate Among Older Chinese Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 198-199
Author(s):  
Charu Verma ◽  
Mengting Li ◽  
XinQi Dong
Keyword(s):  
Social Support ◽  
Mortality Risk ◽  
Perceived Social Support ◽  
Chinese Americans ◽  
Well Being ◽  
Time Of Death ◽  
All Cause Mortality ◽  
Older Chinese ◽  
Older Chinese Americans ◽  
Over Time

Abstract Most existing studies have examined the relationship between social support and health in cross-sectional data. However, the changing dynamics of social support over time and its relationship with all-cause mortality have not been well explored. Using data from the Pine Study (N = 3,157), this study examined whether social support was associated with time of death at an 8 years follow-up among older Chinese Americans. Social support from a spouse, family members and friend were collected at the baseline using an HRS social support scale. Perceived social support and time of death were ascertained from the baseline through wave 4. Cox proportional hazard models were used to assess associations of perceived support with the risk of all-cause mortality using time-varying covariate analyses. Covariates included age, sex, education, income, and medical comorbidities. All study participants were followed up for 8 years, during which 492 deaths occurred. In multivariable analyses, the results showed that positive family support [HR 0.91; 95% CI (0.86, 0.98)] and overall social support [HR 0.95; 95% CI (0.92,0.98)] were significantly associated with a lower risk of 8-year mortality. Results demonstrate robust association in which perceived positive family and overall social support over time had a protective effect on all-cause mortality risk in older Chinese Americans. Interventions could focus on older adults with low social support and protect their health and well-being. Future studies could further explore why social support from family is different from social support from other sources regarding mortality risk in older Chinese Americans.

Self-Reported Discrimination, Resilience, and Oral Health-Related Quality of Life Among Older Chinese Americans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
XinQi Dong ◽  
Weiyu Mao
Keyword(s):  
Quality Of Life ◽  
Chinese Americans ◽  
Health Related Quality ◽  
Foreign Born ◽  
Related Quality ◽  
Health Related ◽  
Older Chinese ◽  
The Relationship ◽  
Older Chinese Americans

Abstract There is a lack of empirical evidence on self-reported discrimination and oral health-related quality of life (OHRQoL). Further, the mechanism linking the two constructs is not well understood. This study aimed to examine the relationship between self-reported discrimination and OHRQoL and investigate resilience as a mediator in such a relationship among foreign-born older Chinese Americans. Data came from the Population Study of Chinese Elderly in Chicago collected between 2017 and 2019. The working sample included 3,054 foreign-born Chinese Americans (60+ years of age). Mediation analysis was conducted to examine the direct and indirect pathways towards OHRQoL. Self-reported discrimination was directly and indirectly associated with poorer OHRQoL. Resilience mediated the relationship between self-reported discrimination and OHRQoL. Specifically, individuals experienced discrimination reported weaker resilience, and subsequently, reported poorer OHRQoL. Findings illustrate the importance of studying self-reported discrimination in relation to OHRQoL and further identify resilience as an intermediary pathway to promote OHRQoL.

Older Chinese Americans’ Perspectives on Physical Activity: A Mixed Methods Study

2019 ◽  
Vol 39 (5) ◽  
pp. 472-480
Author(s):  
Carina Katigbak ◽  
Dale Dagar Maglalang ◽  
Tam Nguyen ◽  
Minna Wang ◽  
Cheuk-Lam Lo
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Asian Americans ◽  
Social Engagement ◽  
Chinese Culture ◽  
Chinese Americans ◽  
The Body ◽  
Mixed Methods Study ◽  
Older Chinese ◽  
Older Chinese Americans

The benefits of physical activity for successful aging are well established. Few interventions however, target older Asian Americans who may have distinct needs for cultural and linguistic tailoring. The heterogeneity among Asian Americans underscores the need to elucidate specific physical activity preferences by ethnic subgroup. To better understand older Chinese Americans’ perceptions about physical activity, we conducted a community-engaged, mixed methods study with 60 participants. Through survey and focus groups, four emerging themes characterized perceptions of physical activity: (a) physical activities benefit the body and mind, (b) traditional Chinese culture influences perceptions and preferences for physical activity, (c) physical activity presents opportunities for social engagement, and (d) physical activity facilitates family harmony. Design recommendations includes encouraging mind–body approaches, incorporating culturally specific practices, highlighting opportunities for social engagement, and emphasizing the potential for improved harmony.

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