Perceived Neighborhood Conditions, Self-Management Abilities, and Psychological Well-Being Among Chinese Older Adults in Hawai’i

2021 ◽  
pp. 073346482110300
Author(s):  
Keqing Zhang ◽  
Bei Wu ◽  
Wei Zhang

Using survey data collected from January to September 2018 ( N = 430), this study examined how neighborhood physical conditions and social cohesion were associated with psychological well-being via pathway of self-management abilities among Chinese older adults living in Honolulu, Hawai’i. Results showed that, for the whole sample, neighborhood physical conditions and social cohesion were significantly associated with psychological well-being, and the main associations were mediated by self-management abilities in the amount of 34% and 60%, respectively. Similar results were found for the foreign-born, whereas for the U.S.-born, psychological well-being was significantly related to neighborhood physical conditions only. Our findings reveal the importance of neighborhood conditions and individual psychological resources on psychological well-being of Chinese older adults.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 294-294
Author(s):  
Bei Wu ◽  
Wei Zhang ◽  
Keqing Zhang

Abstract Abstract Few studies have examined the associations between neighborhood conditions and psychological well-being for Chinese older adults in the U.S. This study examined how neighborhood conditions were associated with psychological well-being through self-management abilities as a pathway among Chinese older adults in Hawaiʻi. Survey data were collected in 2018 and ordinary Least Square regressions and mediation analysis were conducted. For the whole sample, both neighborhood physical conditions and social cohesion were significantly associated with psychological well-being, and the associations were significantly mediated by self-management abilities. The foreign-born subsample shared similar results with the whole sample. For the U.S.-born subsample, psychological well-being was only significantly associated with neighborhood physical conditions, and the association was mediated by self-management abilities. Our findings suggest that both physical and social neighborhood conditions are associated with psychological well-being, particularly for foreign-born older adults, and psychological resources such as self-management abilities could mediate the associations.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S114-S115
Author(s):  
Jiaan Zhang

Abstract Previous research has shown the beneficial effects of positive psychological assets on health, but more research is needed to confirm the prospective effects on cognitive function. The purpose of this study is to examine the relationship between psychological well-being and the earliest onset of cognitive impairment among Chinese older adults. Data came from 2000 to 2014 waves of the Chinese Longitudinal Healthy Longevity Survey. Study sample consisted of 6,225 older adults who were free from cognitive impairment in 2000. Psychological well-being was measured based on seven items that assessed optimism, conscientiousness, self-determination, happiness, self-esteem, pessimism, and loneliness, with responses ranging from “always (1)” to never (5)”. Negative feelings items were reverse coded. Higher score indicated more positive psychological well-being. Cognitive impairment was measured by a Chinese version of the Mini-Mental State Examination. Respondents scored at or above 24 were regarded as having no cognitive impairment. A multi-category time-varying variable was used to capture four potential outcomes: (1) persistently free of cognitive impairment between waves, (2) onset of cognitive impairment, (3) death between waves, and (4) attrition. Socio-demographics, chronical diseases conditions, functional health status were served as controls. Multilevel multinomial logistic regression models that account for clustering of observations within a subject over time were employed for the study. Results show that more positive psychological well-being is significantly associated with reduced risk of cognitive impairment onset and death over time. Results suggest that developing more psychological resilience-based intervention programs among older adults may help them delay the onset of cognitive impairment.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S589-S589
Author(s):  
Wei Zhang ◽  
Bei Wu ◽  
David Matchar

Abstract The new framework of resilient aging has gained its importance in recent years. This symposium provides new findings on resilience and health among the Chinese population. Using data collected among 430 Chinese older adults in Honolulu, the first presentation examines resilience as an explanatory mechanism linking neighborhood social environment and well-being. Results showed that neighborhood cohesion was positively related to psychological well-being and life satisfaction. Resilience contributed to a substantial portion of the associations. Using the same data, the second presentation examines the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience. Findings showed that U.S.-born Chinese immigrant older adults had better OHQoL than their foreign-born Chinese American counterparts. Resilience was positively associated with OHQoL for the former but not for the latter. The third paper presents findings from the same dataset along with a survey of 800 older adults in Wuhan, China. The positive relationship between attitudes towards aging and self-rated health (SRH) was found to be moderated by resilience such that higher levels of resilience weakened this association substantially. Both the positive focal relationship and the moderating effect appeared to be stronger among participants in Honolulu. Using both datasets, the fourth paper investigates patterns of intergenerational transfer and their relationships with SRH as well as the meditating effect of resilience. Findings highlighted the beneficial health effects of receiving emotional support from adult children as well as the mediating role of resilience for older females in both study sites.


2019 ◽  
Vol 60 (2) ◽  
pp. 229-238 ◽  
Author(s):  
Wei Zhang ◽  
Sizhe Liu ◽  
Keqing Zhang ◽  
Bei Wu

Abstract Background and Objectives A growing body of literature indicates that neighborhood social cohesion is generally associated with lower levels of psychological distress and higher levels of life satisfaction (LS). However, very few studies have examined these relationships among Chinese older adults, the fastest growing aging population across all racial/ethnic groups in the U.S. Focusing on this population, the current study aims to examine the associations of neighborhood cohesion with psychological distress and LS as well as the mediating role of resilience and the moderating role of birth place in the associations. Research Design and Methods Ordinary least squares regressions were applied to analyze data collected among 430 Chinese older adults aged 55 and older residing in Honolulu, Hawai’i. Results Results show that neighborhood social cohesion was positively associated with lower levels of psychological distress and higher levels of LS for the whole sample. The association between social cohesion and psychological distress was moderated by birth place such that the protecting effects of neighborhood cohesion on distress were only salient for the U.S.-born but not for the foreign-born. Moreover, the mediating role of resilience was identified: It contributed to more than 60% of the association between social cohesion and psychological distress, and more than 22% of the association between social cohesion and LS. Discussion and Implications Our findings indicate the importance of a cohesive social environment and resilience in shaping psychological well-being and quality of life for older Chinese adults, the U.S.-born in particular, living in Honolulu, Hawai’i.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S589-S590
Author(s):  
Wei Zhang ◽  
Sizhe Liu ◽  
Keqing Zhang ◽  
Bei Wu

Abstract Few studies have examined the association of social environment and well-being among Chinese older adults, the fastest growing aging population across all racial/ethnic groups in the U.S. To address this gap, the current study aims to examine the associations of neighborhood social cohesion with psychological distress and life satisfaction as well as the mediating role of resilience and the moderating roles of gender and place of birth using data collected among 430 Chinese older adults in Honolulu. Results show that neighborhood cohesion was significantly associated with both distress and life satisfaction, with resilience being a significant mediator. The association between neighborhood cohesion and distress was moderated by birth place such that the protecting effects of neighborhood cohesion on distress were only salient for the U.S.-born. Our findings indicate the importance of a cohesive social environment in shaping well-being of U.S. Chinese older adults, the U.S.-born in particular, living in Hawai’i.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 293-293
Author(s):  
Wei Zhang ◽  
Bei Wu ◽  
Yan Yan Wu

Abstract Social engagement is increasingly recognized as a protective factor to promote healthy aging. This symposium provides new findings on social participation and social isolation in relation to individuals’ health and well-being among the Chinese populations. Using the 2002–2018 Chinese Longitudinal Healthy Longevity Survey, the first study examined the trends of leisure activity engagement among young-old adults aged 65–74 in China over a 16-year period. Findings revealed a general downward trend of engaging in any form of social leisure activity and upward trends for engaging in home-bound and solitary leisure activities. Similarly, the second study examined social participation patterns and individual factors associated with these patterns using three nationally representative data in China, UK, and US. Their findings highlighted several underlying participation patterns across these nations as well as differences in how socio-demographics were associated with these patterns. Using data collected among Chinese older adults in Hawaii, the third study examined the associations of social isolation with psychological well-being. Results showed that social isolation was positively related to psychological distress, and negatively related to life satisfaction and happiness. These associations were partially mediated by resilience. Their findings revealed the detrimental health effects of social isolation. Using the same dataset in Hawaii, the last study examined the associations between neighbourhood conditions and psychological well-being for Chinese older adults. Their findings revealed that both physical and social neighbourhood conditions were associated with psychological well-being, particularly for foreign-born older adults, and psychological resources such as self-management abilities could mediate the associations.


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