Elder Mistreatment Among Older Chinese Americans: The Role of Family Cohesion

2018 ◽  
Vol 88 (3) ◽  
pp. 266-285 ◽  
Author(s):  
Xiang Gao ◽  
Fei Sun ◽  
Flavio F. Marsiglia ◽  
Xinqi Dong
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Family Cohesion ◽  
Chinese Americans ◽  
Community Dwelling ◽  
Focus Group Interviews ◽  
Elder Mistreatment ◽  
Older Chinese ◽  
Group Interviews ◽  
Older Chinese Americans

Cultural values are believed to influence perceptions of and solutions to elder mistreatment (EM) perpetrated by family members. This study aimed to understand the influence of family cohesion on EM reported by community-dwelling older Chinese Americans. A mixed-method approach consisting of a quantitative survey built on focus group interviews was utilized. Focus group interviews were conducted to ensure subsequent survey questions about EM were culturally and linguistically appropriate. The revised survey questionnaires were then administered to 266 Chinese American older adults to assess estimated EM prevalence and the effects of family cohesion. Survey findings indicate that 1 in 10 reported at least one occurrence of EM in the past year. Depressed Chinese older adults (OR= 1.14) and those reporting low levels of family cohesion (OR = .82) were more likely to experience EM. Multigenerational family interventions can be designed to reduce older adults’ depression levels and promote family cohesion.

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.

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.

scholarly journals Presence and Levels of Resilience and Its Sociodemographic Correlates in Older Chinese Americans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 389-389
Author(s):  
Jieyang Zheng ◽  
Dexia Kong ◽  
Mengting Li ◽  
XinQi Dong
Keyword(s):  
Older Adults ◽  
Longitudinal Research ◽  
Rank Order ◽  
Chinese Americans ◽  
Research Approach ◽  
Protective Effects ◽  
Chinese Older Adults ◽  
Sociodemographic Correlates ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract Resilience is defined as a personal quality that enables growth in knowledge, understanding and self-actualization in the face of adversity and life disruptions. Low levels of resilience can dispose older adults to higher risks for negative health outcomes in the aftermath of traumatic events. However, we have limited knowledge of resilience among minority aging populations. This study aims to examine the presence and levels of resilience and its sociodemographic correlates among U.S. Chinese older adults. Data were drawn from the Population Study of Chinese Elderly, an epidemiology study of U.S. Chinese older adults in the Greater Chicago area. Guided by a community-based participatory research approach, a total of 3,036 Chinese older adults aged 60 and above participated in face-to-face interviews from 2015 to 2017. Spearman’s rank-order coefficient was utilized to test correlation. A 10-item validated Chinese version of the Connor-Davidson resilience scale was used to assess resilience. In our sample, 59.7% were female, and the average age was 75. The mean resilience score was 26.9, ranging from 1 to 40. U.S. Chinese older adults who were younger, male, married, had higher education and income, fewer children, better health status and quality of life, and improved health and have lived fewer years in the U.S. reported higher levels of resilience. Future longitudinal research is needed to investigate the protective effects of resilience among older Chinese Americans against mental and physical distress.

scholarly journals EFFECTS OF AN INTERGENERATIONAL EXERCISE BUDDY PROGRAM ON PARTICIPANTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S871-S872
Author(s):  
Eun hae Kim ◽  
Kyong Hee Chee ◽  
Clay DeStefano ◽  
Anna Broome
Keyword(s):  
Young Adult ◽  
Focus Group ◽  
Older Adult ◽  
Community Dwelling ◽  
Control Group ◽  
Focus Group Interviews ◽  
Positive Effects ◽  
Adult Participants ◽  
Group Interviews ◽  
Exercise Classes

Abstract Structured social support may enhance the benefits of an exercise class for participants. This study examined the effects of an intergenerational exercise buddy program on participant well-being. A convenience sampling was used to recruit participants from Central Texas (N = 51): 34 were community-dwelling adults aged 65 and above, and 17 were university students aged 18-25 years. The study used a pretest-posttest, quasi-experimental design and focus group interviews. Randomly selected 18 older-adult participants were paired with young-adult participants as an exercise buddy for each other to attend 8 weekly Tai Chi or Chair Yoga classes at a community center. Meanwhile, 16 older-adult participants formed a control group attending different exercise classes without young-adult buddies. The survey results show that, compared to the control group, the intervention group (n = 35) had significantly greater satisfaction with life (p < .09 ) and a more positive attitude towards aging (p < .01) after attending exercise classes with their buddies. In focus group interviews, the participants most frequently mentioned that commitment to their buddies as a key factor for class attendance. The participants typically perceived that their buddies were pleasant and did not judge or treat them based on their age. They stressed the positive effects of building relationships with all involved in the program, including the exercise instructors. Meanwhile, control-group participants wished that they, too, had buddies. Although the study should be replicated with a larger sample, its findings suggest that an intergenerational exercise program offers added benefits for participants.

scholarly journals Investigating dementia literacy among community-dwelling adults and older adults in Macau: A mixed methods study

2019 ◽  
Author(s):  
Angela YM Leung ◽  
Cindy S. U Leong ◽  
Pak Leng Cheong ◽  
Alice S. M. Tsang ◽  
Bernice O. C. Lam Nogueira ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Quantitative Data ◽  
Attitude Scale ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Group Interviews

Abstract Background: As population ageing and dementia incidence continue to increase worldwide, health systems are urged to empower the public to address factors related to dementia. This study aims to assess Macau citizens’ knowledge of dementia, attitudes towards persons with dementia, and help-seeking behaviours and intention toward dementia.Methods: This is a mixed-methods study with both quantitative (cross-sectional survey) and qualitative components (focus group interviews). The Alzheimer’s Disease Knowledge Scale (ADKS) and Dementia Attitude Scale (DAS) were utilized in the quantitative data collection, whereas focus group interviews were employed to gather context-specific understanding of dementia in the local setting. Descriptive statistics and Chi-square tests were used to analyze quantitative data, while content analysis was used for qualitative data.Results: The overall level of knowledge on dementia was low (ADKS mean total score = 17.38, SD = 3.31), with the least amount of knowledge in the caregiving domain. Meanwhile, attitudes toward persons with dementia was generally positive (mean [SD] = 89.07 [11.99]). Many of the focus group participants were also uncertain regarding the availability of dementia services in the region. The general public was interested to obtain dementia information through social media.Conclusions: Efforts should be made to build up dementia literacy in Macau, especially in terms of caregiving. Information about dementia could be disseminated in social media and by healthcare professionals.

scholarly journals Clinician Perspectives on the Design and Application of Wearable Cardiac Technologies for Older Adults: Qualitative Study

JMIR Aging ◽  
10.2196/17299 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e17299
Author(s):  
Caleb Ferguson ◽  
Sally C Inglis ◽  
Paul P Breen ◽  
Gaetano D Gargiulo ◽  
Victoria Byiers ◽  
...  
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Allied Health ◽  
Clinical Care ◽  
Cardiac Monitoring ◽  
Health Staff ◽  
Tertiary Level ◽  
Focus Group Interviews ◽  
Clinician Perspectives ◽  
Group Interviews

Background New wearable devices (for example, AliveCor or Zio patch) offer promise in detecting arrhythmia and monitoring cardiac health status, among other clinically useful parameters in older adults. However, the clinical utility and usability from the perspectives of clinicians is largely unexplored. Objective This study aimed to explore clinician perspectives on the use of wearable cardiac monitoring technology for older adults. Methods A descriptive qualitative study was conducted using semistructured focus group interviews. Clinicians were recruited through purposive sampling of physicians, nurses, and allied health staff working in 3 tertiary-level hospitals. Verbatim transcripts were analyzed using thematic content analysis to identify themes. Results Clinicians representing physicians, nurses, and allied health staff working in 3 tertiary-level hospitals completed 4 focus group interviews between May 2019 and July 2019. There were 50 participants (28 men and 22 women), including cardiologists, geriatricians, nurses, and allied health staff. The focus groups generated the following 3 overarching, interrelated themes: (1) the current state of play, understanding the perceived challenges of patient cardiac monitoring in hospitals, (2) priorities in cardiac monitoring, what parameters new technologies should measure, and (3) cardiac monitoring of the future, “the ideal device.” Conclusions There remain pitfalls related to the design of wearable cardiac technology for older adults that present clinical challenges. These pitfalls and challenges likely negatively impact the uptake of wearable cardiac monitoring in routine clinical care. Partnering with clinicians and patients in the co-design of new wearable cardiac monitoring technologies is critical to optimize the use of these devices and their uptake in clinical care.

scholarly journals Family Conflict and Older Chinese Americans’ Self-Efficacy in End-of-Life Care Planning: The Role of Acculturation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 572-572
Author(s):  
Kaipeng Wang ◽  
Fei Sun ◽  
Yanqin Liu ◽  
Carson de Fries
Keyword(s):  
Older Adults ◽  
End Of Life ◽  
Family Conflict ◽  
Self Efficacy ◽  
Family Members ◽  
Chinese Americans ◽  
Care Planning ◽  
Older Chinese ◽  
Eol Care ◽  
Older Chinese Americans

Abstract Family involvement in end-of-life (EOL) care is critical to ensure older adults’ health and quality of life. Older adults’ self-efficacy in discussing EOL care plans with family members can facilitate family involvement in EOL care planning. Research shows that family relationships are associated with self-efficacy in discussing EOL care with family members among older Chinese Americans. However, the roles of family conflict and acculturation remain unknown. This study examines the association between family conflict and self-efficacy in discussing EOL care with family members and whether such an association differs by acculturation levels among older Chinese Americans. Data were collected from 207 Chinese Americans aged 65-102 in two metropolitan areas in 2017. Ordinary least squares regression was conducted to examine the association between family conflict, acculturation, and self-efficacy in discussing EOL care with family. Family conflict was negatively associated with older adults’ self-efficacy in discussing EOL care with family. More specifically, the negative association between family conflict and self-efficacy in discussing EOL care with family members was more pronounced for those with higher levels of acculturation. Findings highlighted differential effects of family conflict on self-efficacy of EOL care plan discussion for older adults with different acculturation levels. Those with higher acculturation may be more independent in their EOL care planning and aware of the possible negative effects of family conflict in their EOL care planning discussions. Acculturation needs to be considered by geriatric health providers to develop family-centered interventions in improving end-of-life care planning for this population.

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.

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