Intergenerational support and self-rated health among older Chinese immigrants: Do depressive symptoms play a mediating role?

2020 ◽  
pp. 1-17
Author(s):  
Weiyu Mao ◽  
Man Guo ◽  
Ling Xu ◽  
Jinyu Liu ◽  
Iris Chi
Keyword(s):  
Depressive Symptoms ◽  
Chinese Immigrants ◽  
Intergenerational Support ◽  
Mediating Role ◽  
Self Rated Health ◽  
Older Chinese

scholarly journals Self-Rated Health and Subjective Economic Status in Life Satisfaction among Older Chinese Immigrants: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 342
Author(s):  
Bum Jung Kim ◽  
Lin Chen ◽  
Ling Xu ◽  
Yura Lee
Keyword(s):  
Life Satisfaction ◽  
Economic Status ◽  
Chinese Immigrants ◽  
The United States ◽  
Ordinary Least Squares ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Older Chinese

This study examines the influence of self-rated health and subjective economic status on the life satisfaction of older Chinese immigrants in the United States. Data were obtained from a cross-sectional survey of 205 older Chinese immigrants aged 66 to 90 years living in Los Angeles and Honolulu. Ordinary Least Squares (OLS) regression analysis was employed to explore the independent effects of self-rated health and subjective economic status. The results demonstrated that self-rated health and subjective economic status were positively associated with life satisfaction. This cross-sectional study provides empirical evidence that self-rated health and subjective economic status are directly associated with subjective life satisfaction among older Chinese immigrants.

scholarly journals Self-rated health as a mediator between physical health conditions and depressive symptoms in older Chinese and Korean Americans

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245136
Author(s):  
Yuri Jang ◽  
Hyunwoo Yoon ◽  
Mengting Li ◽  
Nan Sook Park ◽  
David A. Chiriboga ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Physical Health ◽  
Chronic Diseases ◽  
Indirect Effect ◽  
Functional Disability ◽  
Korean Americans ◽  
Health Conditions ◽  
Self Rated Health ◽  
American Sample ◽  
Older Chinese

In the present study, we examined self-rated health as a mediator between physical health conditions (chronic diseases and functional disability) and depressive symptoms in older Chinese and Korean Americans. Using harmonized data (N = 5,063) from the Population Study of Chinese Elderly (PINE) and the Study of Older Korean Americans (SOKA), we tested direct and indirect effect models. In both groups, chronic diseases and functional disability were closely associated with negative ratings of health and symptoms of depression. Analyses with the PROCESS macro showed that the effect of chronic diseases and functional disability on depressive symptoms was mediated by self-rated health in both groups; the indirect effect was greater in the Korean American sample than in the Chinese American sample. These findings contribute to the understanding of the psychological mechanisms that underlie the mind–body connection and highlight the potential importance of subjective health assessment as a useful tool for health promotion.

scholarly journals Effectiveness of a Peer-Based Intervention on Socially Isolated Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each). Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. An randomized control trial design was used to capture the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including loneliness, social support, barriers to social participation, depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life. Results: The intervention group participants showed a decrease in loneliness and increase in resilience when compared to control group participants. They reported fewer depressive symptoms, fewer barriers to social participation, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069 Funding: There are no external funding for this study.

scholarly journals Effectiveness of a Peer-Based Intervention on Loneliness and Social Isolation of Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants.Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life).Results: The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group.Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches.Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069Funding: There are no external funding for this study.

scholarly journals Factors Associated With Depressive Symptoms Among U.S. Older Chinese Immigrants

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 167-168
Author(s):  
Ying-Yu Chao ◽  
Jin Young Seo ◽  
Mei-Lan Chen ◽  
Peijia Zha
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Depressive Disorder ◽  
Sleep Quality ◽  
Chinese Immigrants ◽  
The United States ◽  
Factors Associated ◽  
Management Interventions ◽  
Older Chinese

Abstract Purpose: Chinese Americans represent the largest Asian ethnic subgroup in the United States. Depression is the most common mental health problem among older adults. However, we have a limited understanding of depressive symptoms among older Chinese immigrants. The study aimed to examine the potential factors associated with depressive symptoms among older Chinese immigrants in U.S. Methods: We recruited participants from psychiatric clinics who sought professional help in New York City. Inclusion criteria were Chinese immigrants from Asian countries 50 years or older; able to speak and understand either Mandarin or Cantonese; and had a diagnosis with major depressive disorder. Depressive symptoms were measured with Quick Inventory of Depressive Symptomatology; cognitive function was measured with Montreal cognitive assessment; sleep quality was measured with Pittsburgh Sleep Quality Index, and physical activity was measured with International Physical Activity Questionnaire. Descriptive statistics and multiple regression were performed. Results: Participants were ninety-nine Chinese older immigrants (mean age: 60.69 ± 7.62 years). Participants who had more children (p < .05), poor health status (p < .01), poor quality of life (p < .01), less social support (p < .01), and need help with activities of daily living (p < .05) had more depressive symptoms. Cognitive function, sleep quality, and physical activity were significantly associated with depressive symptoms. Conclusions & Implications: Poor cognitive function, poor sleep quality, and less physical activity were associated with depressive symptoms. Our results provide knowledge for developing culturally tailored self-management interventions for older Chinese immigrants with depressive disorder in managed care settings.

scholarly journals Social Network Types and Health among Older Adults in Rural China: The Mediating Role of Social Support

2019 ◽  
Vol 16 (3) ◽  
pp. 410 ◽  
Author(s):  
Liping Ye ◽  
Xinping Zhang
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Depressive Symptoms ◽  
Rural China ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Mediating Role ◽  
Self Rated Health

This study aimed to identify social network types among older adults in rural China, to explore the relationship between social network types and the health of the older adults, and further, to examine the mediating role of social support in this relationship. A cross-sectional survey method was employed to investigate the health of adults aged 60 or older in rural areas of Hubei Province from 5 September 2018 to 15 October 2018; 405 samples were obtained. First, using k-means clustering analysis, we found five robust network types: diverse, restricted, family, friends and a specific type—family-restricted. Second, the results of multiple linear regression analysis showed that social network types were significantly associated with depressive symptoms and self-rated health in older adults. Older people with diverse friend networks were significantly associated with lower levels of depressive symptoms, whereas those with restricted and family-restricted networks were significantly associated with higher levels of depressive symptoms and lower levels of self-rated health. Finally, the results of multiple linear regression analysis confirmed that social support partially mediated the association of the identified social network types with depressive symptoms and self-rated health. Enriching the social network relationships of older adults and providing them with more social support should be conducive to promoting their mental and physical health.

scholarly journals Transition in Older Parent–Adult Child Relations in U.S. Chinese Immigrant Families

2019 ◽  
Vol 60 (2) ◽  
pp. 302-312 ◽  
Author(s):  
Man Guo ◽  
Meredith Stensland ◽  
Mengting Li ◽  
Todd Beck ◽  
Xinqi Dong
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Adult Child ◽  
Chinese Immigrants ◽  
Parent Child Relations ◽  
Relation Type ◽  
The Family ◽  
Older Chinese ◽  
Over Time ◽  
Parent Child

Abstract Background and Objectives The family fundamentally underpins the immigration and acculturation processes. But most existing research on acculturation focuses on individual instead of family experience. Guided by Berry’s acculturation theory and Intergenerational Solidarity Theory, this study examined continuity and changes in parent–adult child relations of older Chinese immigrants over a 2-year period, and their implications for older adults’ depression and quality of life (QoL). Research Design and Methods Participants included 2,605 older Chinese immigrants from the Population Study of Chinese Elderly in Chicago (PINE). Latent Transition Analysis (LTA) was used to identify transitions in multidimensional parent–child relations over time. Negative binomial and logistic regressions were used to examine the influence of family transitions on depression and QoL, respectively. Results LTA revealed five types of family relations: traditional, modified traditional, coresiding-unobligated, independent, and detached. Over 40% of the respondents shifted to a different relation type, with more families classified as modified traditional or independent over time. Transitioning into modified traditional relations or out of detached relations was associated with fewer depressive symptoms and better QoL at the follow-up. Transitioning into independent relation was associated with more depressive symptoms over time. Discussion and Implications Parent–child relations among Chinese older immigrants demonstrate significant complexity, including both heterogeneity and fluidity. Better well-being of these older adults seems to stem from the optimal combination of retaining the supportive heritage culture and embracing the host society’s instrumental cultural elements. Services to this population need to include the family context in assessment and interventions.

scholarly journals Effectiveness of a peer-based intervention on loneliness and social isolation of older Chinese immigrants in Canada: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Daniel W. L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y. P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n = 30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life). Results The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered.

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