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

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.

2020 ◽  
pp. 073346481989831
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Fei Sun ◽  
Rita X. Hu

Background: Previous research has established the influence of acculturation and family cohesion on Chinese Americans’ mental health and health behavior; however, the influence of acculturation and family cohesion on self-rated health among this population has not been examined. The purpose of this study is to examine the association between family cohesion, acculturation, and self-rated health among older Chinese Americans. Method: Data came from structured interviews with 385 Chinese Americans aged 55 and older living in a large metropolitan area in Southwest. We used logistic regression to examine the association between acculturation, family cohesion, and self-rated health. Results: Acculturation was positively associated with self-rated health only among those with medium (odds ratio [OR] = 2.27, p < .05) and high (OR = 1.93, p < .05) family cohesion, but not among those with low family cohesion. Discussion: Findings highlight the significance of involving family members and strengthening family support in the acculturation and supportive services provided to older Chinese Americans.


2016 ◽  
Vol 31 (4) ◽  
pp. 309-315 ◽  
Author(s):  
Yuri Jang ◽  
Ya-Ching Huang ◽  
Hyunwoo Yoon ◽  
Shumin Lin

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Bei Wu ◽  
Iris Chi ◽  
Wei Yang ◽  
XinQi Dong ◽  
Weiyu Mao

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.


2021 ◽  
Author(s):  
Esme Fuller-Thomson

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.


2016 ◽  
Vol 29 (8) ◽  
pp. 1388-1409 ◽  
Author(s):  
Fengyan Tang ◽  
Ling Xu ◽  
Iris Chi ◽  
Xinqi Dong

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.


Author(s):  
Mercy Ngosa Mumba ◽  
Alexandria Nancarrow ◽  
Jessica L. Jaiswal ◽  
Erika Hocchaus ◽  
Madelyn H. Campbell ◽  
...  

BACKGROUND: Each year about one in five adults experiences mental illness. Although the independent physical and mental health consequences of alcohol misuse and cigarette smoking are well documented, little is known on how substance use moderates the relationship between physical and mental well-being. OBJECTIVE: The purpose of this study was to examine whether substance use moderates the relationship between physical activity and mental health in adults. METHODS: This was a secondary analysis of data provided by the Behavioral Risk Factor Surveillance System (BRFSS). RESULTS: Participants ( N = 450,016) were adults who completed the BRFSS in 2017. Those who did not drink alcohol had fewer mental health problems when they indicated greater amounts of time spent doing physical activities each week. Last, smokers’ number of mental health problems decreased as they engaged in more physical activity, whereas nonsmokers’ number of mental health problems increased as they engaged in more physical activity. CONCLUSIONS: The relationship between physical activity and mental health outcomes is well established and cannot be overemphasized. Nonetheless, substance abuse can moderate this relationship and should be routinely screened for by health care providers regardless of treatment setting.


2021 ◽  
Author(s):  
Dhirendra Paudel

The coronavirus disease 2019 (COVID-19) pandemic can be overwhelming leading to strong emotions and distress. Most studies reported the impact on mental health due to uncertainty, fear, and anxiety about the pandemic and post pandemic states. The sufferers may present with a variety of symptoms of psychological distress. Failure to communicate this psychosocial distress between lay and health care providers may pose barriers to treatment and challenges for integration of mental health into primary health centers. There is a need for tools to screen and explain pandemic associated distress in a way that attending physician can communicate with laymen in a coherent way. The article introduces an ethnopsychologial ABC framework that individual in distress can better understand the nature of the illness. Rather than providing a diagnosis to inexperienced clients of psychiatric morbidity, this method promotes improved communication and bridge the observed gaps. Thus, it helps to raise awareness of the relationship between cultural, emotional, thought, behavior, and psychosocial distress. This article discussed the assessment of the ABC framework with ethnopsycholgical premises and psychotherapeutic intervention at different levels that can be applied.


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