Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults

2020 ◽  
Vol 22 (5) ◽  
pp. 888-894
Author(s):  
Dexia Kong ◽  
Yin-Ling Irene Wong ◽  
Xinqi Dong
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Chinese Older Adults ◽  
Face Saving

scholarly journals Adult Children’s Support and Trajectory of Depressive Symptoms Among Disabled Chinese Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 751-751
Author(s):  
Jianyun Wang ◽  
Renyao Zhong ◽  
Yaolin Pei ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Lower Risk ◽  
Risk Group ◽  
Policy Implications ◽  
Instrumental Support ◽  
Growth Mixture Model ◽  
Chinese Older Adults ◽  
Growth Mixture

Abstract This study aimed to examine the trajectory of depressive symptoms among Chinese older adults with disabilities and the role of adult children’s support in predicting trajectory classes of depressive symptoms. Data were drawn from three waves of the China Health and Retirement Longitudinal Study (2011-2015). The sample included 1420 disabled older adults age 60+ at the baseline and completed all three waves of the data. Growth mixture model shows two-class depressive symptoms trajectories: the higher risk group (25.49%) and the lower risk group (74.51%). Logistic regression results showed that respondents who received a longer term of adult children’s instrumental support were more likely to be classified in a higher risk group after controlling the covariates (OR=1.184, p<0.05), while financial support and the frequency of contacts were not associated with the increased level of depressive symptoms. The policy implications were also discussed in this study.

scholarly journals ELDER MISTREATMENT AND DEPRESSIVE SYMPTOMS AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Chinese Americans ◽  
Comprehensive Understanding ◽  
Elder Mistreatment ◽  
Chinese Older Adults ◽  
Financial Exploitation ◽  
Different Types ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 – 1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.

Intergenerational Coresidence and Depressive Symptoms of Rural and Urban Older Adults in China

2019 ◽  
Vol 41 (8) ◽  
pp. 1282-1306
Author(s):  
Jinyu Liu ◽  
Lydia Li ◽  
Zhenmei Zhang ◽  
Hongwei Xu
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Marital Status ◽  
Linear Regression Analysis ◽  
Later Life ◽  
Well Being ◽  
Chinese Older Adults ◽  
Rural And Urban ◽  
Intergenerational Coresidence

Objectives: This study aimed to examine whether gender and marital status of coresiding adult children are associated with depressive symptoms of Chinese older adults. Methods: Using data from the China Health and Retirement Longitudinal Study, linear regression analysis was conducted to identify longitudinal associations of intergenerational coresidence with depressive symptoms in rural and urban older Chinese. Results: Both rural and urban older adults living with unmarried sons had significantly higher depressive symptoms at four-year follow-up than those who did not live with children. Living with married sons was significantly associated with higher levels of depressive symptoms at four-year follow-up among rural elders only. Discussion: This study sheds light on the heterogeneity in the relationship between intergenerational coresidence and Chinese older adults’ psychological well-being by the gender and marital status of coresiding children. Further research is needed to understand the complex and dynamic household structures and health outcomes in later life.

scholarly journals HEARING IMPAIRMENT, DEPRESSION, AND THE ROLE OF SOCIAL ACTIVITY AMONG CHINESE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S166-S167
Author(s):  
Shu Xu ◽  
Haowei Wang ◽  
Caitlin Connelly
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Hearing Impairment ◽  
Social Engagement ◽  
Depression Scale ◽  
The United States ◽  
Social Activities ◽  
Chinese Older Adults ◽  
Hearing Status ◽  
The Relationship

Abstract Studies suggest that depression is closely linked to hearing impairment, which is highly prevalent among older adults in the United States. There is evidence that social engagement may be impacted by hearing impairment in older adults. However, there is relatively little research on these associations among Chinese older adults. This study examines the relationships between hearing impairment, social activities, and depressive symptoms among older adults in China. Using nationally representative data from the China Health and Retirement Longitudinal Study 2011, we conducted cross-sectional analysis on adults age 60 years and older (n=10,994). Depressive symptoms were assessed by the 10-item Center for Epidemiologic Studies Depression scale and we considered self-reported hearing status (if participants wear a hearing aid and how they would rate their hearing), and social activities (i.e., volunteering, dancing, attending courses, etc.). Models were controlled for age, gender, education, and other covariates. Descriptive analysis showed that 9% of older adults experienced hearing impairment. Multiple linear regression analyses revealed that hearing impairment was positively associated with depressive symptoms among older Chinese adults (β=1.32, p<.001). Social activities were found to partially mediate the relationship between hearing status and depressive symptoms. Respondents with hearing impairment were less likely to engage in social activities (OR=.78, p<.01) and those who did not participate in social activities reported more depressive symptoms (β=1.28, p<.001). These findings suggest that Chinese older adults experiencing hearing loss are at greater risk of depression and that social activities play an important role in the relationship between hearing status and depression.

scholarly journals Face-Saving and Help-Seeking Among U.S. Chinese Older Adults With Elder Mistreatment

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 428-428
Author(s):  
Dexia Kong ◽  
XinQi Dong ◽  
Ying-Yu Chao
Keyword(s):  
Older Adults ◽  
Help Seeking ◽  
Chinese Culture ◽  
Cultural Value ◽  
Elder Mistreatment ◽  
Help Seeking Behaviors ◽  
Chinese Older Adults ◽  
Cultural Constructs ◽  
Financial Exploitation ◽  
Face Saving

Abstract Chinese culture places a high value on saving face and not bringing shame to the family. This study aimed to examine the associations between face-saving and help-seeking among U.S. Chinese older adults who experienced elder mistreatment (EM). Data were retrieved from the PINE study. Regression analyses were performed. Most EM victims sought help from informal sources only (48.21%), followed by no help (26.79%), informal plus formal help (19.64%), and formal help only (5.36%). For EM screening, face-saving was associated with informal help-seeking intentions (p < .05). For EM subtypes, face-saving was associated with overall help-seeking intentions for financial exploitation (p < .05), but not on physical mistreatment, psychological mistreatment, and caregiver neglect. Face-saving was not associated with help-seeking behaviors. Study findings underscore the significance of a unique cultural value in understanding EM help-seeking intentions among Chinese older adults. Cultural constructs should be considered in future EM research in diverse populations.

scholarly journals Life negative events and depressive symptoms: the China Longitudinal Ageing Social Survey

2020 ◽  
Author(s):  
Zhenjie Wang ◽  
Hanmo Yang ◽  
Pianpian Zheng ◽  
Bei Liu ◽  
Zhanyuan Guo ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Depressive Disorders ◽  
Negative Events ◽  
Social Survey ◽  
Chinese Older Adults ◽  
Probabilistic Sampling ◽  
Multi Stage

Abstract Background: Although some studies have reported the association between life negative events and depressive disorders, very limited studies have examined the association between life negative events exposure and depressive symptoms risk among Chinese older adults. Methods : Data were obtained from the China Longitudinal Ageing Social Survey (CLASS), which was a stratified, multi-stage, probabilistic sampling survey, conducted in 2014. General linear regression and logistic regression were used to examine the association between life negative events exposure and depressive symptoms among Chinese older adults. Results: Life negative events showed statistical dose-response association with depressive symptoms risk after adjustment for the confounding factors ( P trend <0.001). Under consideration of life negative events exposure, participants who lived in rural areas, without a spouse or live alone were vulnerable to depressive symptoms. Conclusions: Life negative events played a risk role of depressive symptoms among Chinese older adults, especially among those in rural areas, females or without a spouse. Our current study is valuable for the development of special prevention depressive symptoms programs among elderly individuals, especially those who have experienced negative events.

scholarly journals THE ROLE OF RELIGIOSITY IN DEPRESSIVE SYMPTOMS AMONG CHINESE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S976-S976
Author(s):  
Ru Jia ◽  
Dexia Kong ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Community Dwelling ◽  
Self Report ◽  
Religious Activities ◽  
Cross Sectional ◽  
Research Attention ◽  
Chinese Older Adults ◽  
Religious Services ◽  
At Home

Abstract This study aims to examine the relationship between religiosity and depressive symptoms in a large cohort of community-dwelling U.S. Chinese older adults living in the Greater Chicago area, which has received relatively little research attention. Cross-sectional self-report data was obtained from the Population Study of Chinese Elderly in Chicago between 2011 and 2013 (N=3,157). Depressive symptoms were measured by the nine-item Patient Health Questionnaire (PHQ-9). A score of 5 and above indicated the presence of clinically significant depressive symptoms. Logistic regression analyses were conducted to examine the association between religiosity and depressive symptoms. Out of 3,157 participants, 20.3% participants had a score of or above 5 on PHQ-9. 35.4% reported religiosity as being “important” (24.7%) and “very important” (10.7%); 16% reported attending organized religious services at least once a month (3.1% reported once a month; 12.3% reported once a week; 0.6% reported almost every day); 23% reported having religious services at home at least once a month (10.3% reported once a month; 3.2% reported once a week; 9.5% reported almost daily). Results showed that recognizing religiosity as important is significantly negatively associated with depressive symptoms (odds ratio [OR]=0.94, 95% confidence interval [CI]=0.89-0.99). However, no significant associations between depressive symptoms and religious activity attendance or religious service at home were observed. Findings suggest that senses of belonging and life meaning may help reduce depressive symptoms, rather than the religious activities per se. Future interventions could reduce depressive symptoms of U.S. Chinese older adults through religiosity.

Stressors and Subjective Well-Being among Chinese Older Adults: Uncovering the Buffering Roles of Tangible Support Patterns

2020 ◽  
Vol 52 (1) ◽  
pp. 78-98
Author(s):  
Xupeng Mao ◽  
Liwei Zhang ◽  
Yuerong Liu
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Latent Class ◽  
Functional Dependence ◽  
Adult Population ◽  
Well Being ◽  
Poor Health ◽  
Subjective Well Being ◽  
Chinese Older Adults ◽  
Tangible Support

Using data from two waves of the China Health and Retirement Longitudinal Study ( N ≈ 5,500), this study used latent class analysis to identify tangible support patterns among Chinese older adults based on types and sources of support. Furthermore, multivariate regression was used to examine the stress-buffering roles of tangible support patterns in the relationships between two stressors (i.e., poor health and functional dependence) and older adults’ subjective well-being (i.e., depressive symptoms and life satisfaction). We found four distinct tangible support patterns (i.e., semitraditional, traditional, formal financial-spousal instrumental, and restricted) among Chinese older adults. Poor health and functional dependence were significantly associated with lower subjective well-being. The moderating role of support differed significantly by patterns. Two patterns, formal financial-spousal instrumental and restricted, mitigated or reversed the negative relationships between both stressors and older adults’ subjective well-being. In addition, the traditional Chinese support pattern reduced the positive relationship between poor health and depressive symptoms. Implications for the well-being of the Chinese older adult population are discussed.

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