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

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.

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 180-181
Author(s):  
J Liu ◽  
W Mao ◽  
M Guo ◽  
L Xu ◽  
I Chi

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 198-199
Author(s):  
Charu Verma ◽  
Mengting Li ◽  
XinQi Dong

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.


Author(s):  
Ruta Clair ◽  
Maya Gordon ◽  
Matthew Kroon ◽  
Carolyn Reilly

AbstractThe SARS-CoV-2 pandemic placed many locations under ‘stay at home” orders and adults simultaneously underwent a form of social isolation that is unprecedented in the modern world. Perceived social isolation can have a significant effect on health and well-being. Further, one can live with others and still experience perceived social isolation. However, there is limited research on psychological well-being during a pandemic. In addition, much of the research is limited to older adult samples. This study examined the effects of perceived social isolation in adults across the age span. Specifically, this study documented the prevalence of social isolation during the COVID-19 pandemic as well as the various factors that contribute to individuals of all ages feeling more or less isolated while they are required to maintain physical distancing for an extended period of time. Survey data was collected from 309 adults who ranged in age from 18 to 84. The measure consisted of a 42 item survey from the Revised UCLA Loneliness Scale, Measures of Social Isolation (Zavaleta et al., 2017), and items specifically about the pandemic and demographics. Items included both Likert scale items and open-ended questions. A “snowball” data collection process was used to build the sample. While the entire sample reported at least some perceived social isolation, young adults reported the highest levels of isolation, χ2(2) = 27.36, p < 0.001. Perceived social isolation was associated with poor life satisfaction across all domains, as well as work-related stress, and lower trust of institutions. Higher levels of substance use as a coping strategy was also related to higher perceived social isolation. Respondents reporting higher levels of subjective personal risk for COVID-19 also reported higher perceived social isolation. The experience of perceived social isolation has significant negative consequences related to psychological well-being.


2017 ◽  
Vol 30 (5) ◽  
pp. 667-691 ◽  
Author(s):  
Matt Bradshaw ◽  
Blake Victor Kent

Objective: The aim of this study was to investigate the effects of prayer and attachment to God on psychological well-being (PWB) in later life. Method: Using data from two waves of the nationwide Religion, Aging, and Health Survey, we estimate the associations between frequency of prayer and attachment to God at baseline with cross-wave changes in three measures of PWB: self-esteem, optimism, and life satisfaction. Results: Prayer does not have a main effect on PWB. Secure attachment to God is associated with improvements in optimism but not self-esteem or life satisfaction. The relationship between prayer and PWB is moderated by attachment to God; prayer is associated with improvements in PWB among securely attached individuals but not those who are insecurely attached to God. Discussion: These findings shed light on the complex relationship between prayer and PWB by showing that the effects of prayer are contingent upon one’s perceived relationship with God.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 504-504
Author(s):  
Dexia Kong ◽  
Ying-Yu Chao ◽  
Fengyan Tang ◽  
XinQi Dong

Abstract Chinese older adults are particularly vulnerable to social isolation due to various barriers they face in developing/maintaining social networks (i.e. limited English proficiency and transportation barriers) in the U.S. However, the prevalence of social isolation and its potential health consequences in this rapidly growing minority aging population remain poorly understood. To address this knowledge gap, the current study examines the prevalence of social isolation, and the relationship between social isolation and cognitive function among U.S. Chinese older adults. Data were obtained from the Population-based Study of Chinese Elderly in Chicago collected between 2011 and 2013 (N=3,157). A four-item index (including living alone, not married, lack of confidant, and low participation in social activities) was constructed to assess social isolation (range: 0 to 4, a score of ≥2 was used to identify individuals who were most isolated). Cognitive function was measured by five validated instruments (range: -2.8 to 2.0). Nearly 22% of the sample were socially isolated. Multivariable linear regression analysis showed that social isolation accounted for 44% of variance in global cognitive functioning. Chinese older adults with greater levels of social isolation had poorer overall cognitive function (B= -0.05, SE=0.01, p=0.001). Study findings highlight the importance of addressing social isolation in cognitive aging among older Chinese Americans. Culturally tailored interventions facilitating the development of supportive social networks/ support have the potential to mitigate cognitive decline in this population. Future longitudinal studies need to elucidate potential mechanisms underlying the relationship between social isolation and cognitive function. Practice implications will be discussed.


Author(s):  
Hui-Chuan Hsu

Background: Loneliness, isolation, and living alone are emerging as critical issues in older people’s health and well-being, but the effects are not consistent. The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological well-being. Methods: The data were collected from the 2019 Taipei City Senior Citizen Condition Survey by face-to-face interviews and included a community-based sample (n = 3553). Loneliness, isolation, and living arrangement were analyzed by cluster analysis to define Loneliness-Isolation-Living-Alone clusters. Multinomial logistic regression was used to examine the factors related to Loneliness-Isolation-Living-Alone clusters, and linear regression was used to examine association of clusters with psychological well-being. Results: Five clusters of older adults were identified and named as follows: Not Lonely-Connected-Others (53.4%), Not Lonely-Isolated-Others (26.6%), Not Lonely-Alone (5.0%), Lonely-Connected (8.1%), and Lonely-Isolated-Others (6.9%). Demographics, financial satisfaction, physical function, family relationship, and social participation were related to the Loneliness-Isolation-Living-Alone clusters. Compared with the Not Lonely-Connected-Others cluster, the Lonely-Connected cluster and Lonely-Isolated-Others cluster had higher depressive symptoms and lower life satisfaction, and the Not Lonely-Isolated-Others cluster reported lower life satisfaction; the Not Lonely-Alone cluster was not different. Discussion: Loneliness and isolation are negatively associated with psychological well-being, and living arrangement is not the determinant to loneliness or isolation. Older adults are suggested to strengthen their informal social support, and the government may encourage social care and create an age friendly environment to reduce loneliness and isolation.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 187-187
Author(s):  
Mei-Lan Chen ◽  
Elisabeth Burgess ◽  
Ying-Yu Chao ◽  
Douglas Gardenhire ◽  
Ruiyan Luo

Abstract Regular exercise has shown to be potentially beneficial for improving mental health in older adults. However, few studies evaluated the effect of resistance exercise on psychological well-being in older Chinese Americans. The purpose of this two-arm randomized controlled trial (RCT) was to test the effects of resistance exercise training on stress, depression, and social engagement in community-dwelling older Chinese Americans. A total of 30 older adults (mean age 77.9 ± 5.0 years) were randomly assigned into the resistance exercise intervention group (n = 15) or the wait-list control group (n = 15). The resistance training intervention includes 50-min group exercise session twice weekly for 12 weeks. Participants’ perceived stress, depressive symptoms, and social engagement were measured at baseline and 12 weeks follow-up. Descriptive statistics and t tests were performed for data analysis. The results revealed that the resistance exercise intervention group had significant improvements in perceived stress, depressive symptoms, and social engagement after receiving the 12-week intervention. At baseline, there were no significant differences between the intervention and the control groups on perceived stress, depressive symptoms, and social engagement. However, older adults received resistance exercise training had greater improvements in stress levels, depressive symptoms, and social engagement than their control counterparts at 12 weeks follow-up. The findings suggest resistance exercise has positive effects on psychosocial well-being for older adults. Further larger RCTs are needed to assess long-term effects of the resistance exercise intervention.


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