Objective: The primary purposes of the present study are (a) to
investigate the stress–cognition relationship among U.S. Chinese older adults
and (b) to examine the moderating role of health status on the stress–cognition
relationship. Method: Data were drawn from the Population Study of
Chinese Elderly in Chicago (PINE), which investigated 3,157 Chinese adults over
60 years old living in Chicago. Participants reported health status and
completed the Chinese Perceived Stress Scale. Cognitive functions were measured
by the East Boston Memory Test, the Digit Span Backward, the Symbol Digit
Modalities Test, and Chinese Mini-Mental State Examination.
Results: Controlling for age, sex, education, and income,
perceived stress was negatively associated with cognitive functions, whereas
health status was positively associated with cognitive functions. In addition,
older adults’ health status interacted with stress such that the negative
relationships between perceived stress and cognitive functions were more
pronounced for those who had poor health than for those who had good health.
Conclusion: Findings suggest that physical health is a critical
factor moderating the relationship between perceived stress and cognitive
functions among U.S. Chinese older adults. Longitudinal research is needed to
examine the complex relationships among stress, health, and cognitive functions
of U.S. Chinese older adults.