scholarly journals Acculturation and Subsequent Oral Health Problems Among Older Chinese Americans: The Role of Neighborhood Disorder

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 800-800
Author(s):  
Weiyu Mao ◽  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
XinQi Dong
Keyword(s):  
Oral Health ◽  
Chinese Americans ◽  
Health Problems ◽  
Community Dwelling ◽  
Neighborhood Disorder ◽  
Lagged Dependent Variable ◽  
Older Chinese ◽  
The Relationship ◽  
Older Chinese Americans

Abstract To further understand social, cultural, and personal predictors of oral health outcomes, this study addressed the relationship between acculturation and subsequent oral health problems and tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. 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 the baseline and the first follow-up. Stepwise Poisson regression using lagged dependent variable was conducted. Behavioral acculturation was protective against subsequent oral health problems. Residence in Chinatown was associated with an increase in the risk of subsequent oral health problems. The relationship between behavioral acculturation and subsequent oral health problems varied by levels of neighborhood disorder. To reduce oral health-related disease burdens, it is important to consider the role of acculturation and the neighborhood on subsequent oral health problems in practice and policy. Part of a symposium sponsored by the Oral Health Interest Group.

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.

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.

scholarly journals PERCEIVED STRESS, SOCIAL SUPPORT, AND DRY MOUTH AMONG U.S. OLDER CHINESE ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S31-S31
Author(s):  
Weiyu Mao ◽  
Weiyu Mao ◽  
Yiwei Chen ◽  
Bei Wu ◽  
Shaoqing Ge ◽  
...  
Keyword(s):  
Social Support ◽  
Oral Health ◽  
Perceived Stress ◽  
Dry Mouth ◽  
Chinese Adults ◽  
Friend Support ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
The Relationship

Abstract Dry mouth is a common condition among older adults that negatively influences oral health, general health, and quality of life. The role of psychosocial factors in oral health conditions and diseases remains largely unknown. We examined the relationship between perceived stress and dry mouth among US older Chinese adults and further investigated the moderating role of social support from different sources in the relationship. Data came from baseline of the Population Study of Chinese Elderly in Chicago between 2011 and 2013 (N = 3,157). Stepwise logistic regression models with interaction terms were used. More perceived stress was significantly associated with a higher likelihood of reporting dry mouth. Friend support was protective against dry mouth. The effect of perceived stress on dry mouth varied by levels of family and friend support. To prevent or reduce dry mouth, interventions need to consider perceived stress and social support in this growing population.

Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference?

2019 ◽  
Author(s):  
Weiyu Mao ◽  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
Xinqi Dong
Keyword(s):  
Oral Health ◽  
Chinese American ◽  
Health Problems ◽  
Stepwise Logistic Regression ◽  
Ethnic Enclaves ◽  
Neighborhood Cohesion ◽  
Logistic Regression Models ◽  
Older Chinese ◽  
The Relationship ◽  
Chinese American Immigrants

Abstract Background and Objectives Despite an increasing, yet still limited amount of research on social determinants of oral health, the influences of neighborhood characteristics remain understudied, especially within the context of immigration. Acculturation is multidimensional, and its influences on the oral health of immigrants vary across age and ethnic groups. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants, and whether and to what extent acculturation indicators moderate the relationship between such cohesion and oral health. Methods The research design and working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Neighborhood cohesion was measured by a six-item scale. Oral health problems were measured by the presence or absence of such problems. Acculturation included residence in ethnic enclaves, length of stay, and behavioral acculturation. Stepwise logistic regression models with interaction terms (Neighborhood cohesion × Acculturation) were conducted to examine the association between neighborhood cohesion and oral health problems, accounting for sociodemographics, health conditions, and health behaviors. Results Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. Discussion and Implications To promote optimal oral health, interventions need to account for individuals’ perceptions and levels of integration into their neighborhoods and communities.

scholarly journals Neighborhood Cohesion, Acculturation, and Oral Health Problems Among Older Chinese American Immigrants

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 820-820
Author(s):  
Weiyu Mao ◽  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
XinQi Dong
Keyword(s):  
Oral Health ◽  
Chinese American ◽  
Health Problems ◽  
Stepwise Logistic Regression ◽  
Neighborhood Cohesion ◽  
Logistic Regression Models ◽  
Interaction Terms ◽  
Older Chinese ◽  
Chinese American Immigrants

Abstract The influences of neighborhood characteristics remain understudied in relation to oral health, especially within the context of immigration. Acculturation exerts influences on the oral health of immigrants. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants and examined the moderating role of acculturation in such a relationship. The working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Stepwise logistic regression models with interaction terms were conducted. Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. To promote optimal oral health, interventions need to account for individuals’ perceptions and levels of integration into their neighborhoods and communities.

scholarly journals FAMILY COHESION MODERATES THE RELATIONSHIP BETWEEN ACCULTURATION AND HEALTH AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S629-S630
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Fei Sun ◽  
Rita X Hu
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Family Cohesion ◽  
Chinese Americans ◽  
Care Providers ◽  
Self Rated Health ◽  
Reported Health ◽  
Older Chinese ◽  
The Relationship ◽  
Older Chinese Americans

Abstract Migration and resettlement are major life events that affect immigrants’ functioning and health status. Previous research has well-established the influence of acculturation and family cohesion on Chinese Americans’ mental health and health behavior; however, the moderation effect of family cohesion on the relationship between acculturation and self-rated health – a robust measure of an individual’s general health – has not been examined among this population. The purpose of this study is to examine the association between family cohesion, acculturation, and self-rated health among older Chinese Americans. Data came from a survey of 385 Chinese Americans aged 55 and older living in a large metropolitan area in Southwest America through face-to-face interviews. We used logistic regression to examine the association between acculturation, family cohesion, and self-reported health. In general, acculturation was significantly associated with higher odds of reporting excellent or good health after adjusting for demographic and psychosocial covariates; however, the association between acculturation and self-reported health differed by family cohesion. We found that acculturation was positively associated with self-reported health only among those with medium or high family cohesion, but not among those with low family cohesion. Findings highlighted the significance of involving family members and strengthening family support for providing acculturation services, such as language class and healthy literacy education, to older Americans. Family cohesion needs to be considered by health and mental health care providers for older Chinese Americans to further understand the resources and barriers that influence their health service use and health behaviors.

Health in the Neighborhood and Household Contexts Among Older Chinese Americans

2016 ◽  
Vol 29 (8) ◽  
pp. 1388-1409 ◽  
Author(s):  
Fengyan Tang ◽  
Ling Xu ◽  
Iris Chi ◽  
Xinqi Dong
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Cohesion ◽  
Living Arrangements ◽  
Health Indicators ◽  
Chinese Americans ◽  
Neighborhood Disorder ◽  
Chinese Older Adults ◽  
Older Chinese ◽  
Older Chinese Americans

Objective: This study examined the associations of neighborhood characteristics and living arrangements with physical and mental health among older Chinese Americans. Method: A sample of 3,159 community-dwelling Chinese older adults in the Greater Chicago area provided reports of health, socio-demographic characteristics, living arrangements, social cohesion, and neighborhood disorder. We used multinomial logistic, Poisson, and negative binominal regression analyses. Results: Neighborhood disorder was consistently associated with negative health indicators, including poor self-reported health, more chronic conditions, depressive symptoms, and anxiety symptoms. Findings about the relationships between social cohesion and health indicators were mixed. Social cohesion was more salient to mental health for those living with spouse, children, and/or grandchildren relative to those living with spouse only. Discussion: Policies and interventions are needed to improve the physical and social environments of neighborhoods and to promote healthy aging among Chinese older adults and in the general population as well.

Dementia literacy and worry among older Chinese Americans in Arizona: a comparison between 2013 and 2017

2021 ◽  
pp. 1-11
Author(s):  
Fei Sun ◽  
Kaipeng Wang ◽  
Yan Shen ◽  
Xiang Gao ◽  
Lucas R. Prieto
Keyword(s):  
Formal Education ◽  
Longitudinal Design ◽  
Public Health Education ◽  
Chinese Americans ◽  
Community Dwelling ◽  
Dementia Worry ◽  
Older Chinese ◽  
Study Designs ◽  
Older Chinese Americans ◽  
Purposive Sample

Abstract Objectives: This study examined the change in dementia literacy and dementia worry over a 5-year span among older Chinese Americans living in Arizona. Design, setting, participants, and measurement: This study used survey data collected among a purposive sample of 703 community-dwelling Chinese Americans aged 55 years or older living in the metropolitan areas of Phoenix, Arizona, from 2013 to 2017. The average age of participants was 73.1 (SD = 8.7) and 64.2% were female. Dementia literacy was measured by dementia knowledge (knowledge about Alzheimer’s disease and related dementia) and dementia beliefs (biased attitude toward dementia). Dementia worry was measured by assessing participants’ fear toward and concerns of developing dementia. Results: Regression analyses found dementia knowledge decreased (p < 0.05) and dementia beliefs remained unchanged (p > 0.05) from 2013 to 2017 among participants. Dementia worry only increased among those who lived alone. Significant correlates of dementia worry included low formal education level, depressive symptoms, and family conflict. Conclusions: Public health education targeting older Chinese Americans should aim to enhance dementia knowledge and to rectify their biased attitudes toward dementia. Psychosocial education or counseling should be available to older Chinese Americans who present dementia worry, particularly for those who live alone. More studies using diverse study designs, such as a longitudinal design, are needed to examine change in dementia literacy and worry among this population.

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