Hospitalized Elderly

Zhang

Chang

2015

JER

Background: Loneliness is an important health indicator for psychological well-being. This study aims to examine the association between filial piety and loneliness among Chinese older adults in the U.S. Methods: Data were drawn from the PINE study, a population-based study of 3,159 Chinese older adults aged 60 and above in the greater Chicago area. Severity of loneliness was the dependent variable. Independent variables were the expectation and perceived receipt of filial piety, examined in six domains. Negative Binomial Regression analyses were conducted. Results: Lower levels of perceived filial piety receipt were associated with greater severity of loneliness (Ratio of Expected Severity: 0.92, 0.91-0.94) after adjusting for socio-demographics and medical co-morbidities. Expectation of filial piety was not associated with severity of loneliness. Conclusion: Our findings indicate higher perceived receipt of filial piety may protect older adults from loneliness. Our study suggests that cultural sensitivity need to be considered in the detection and intervention of loneliness.

Section: Introductionmentioning

confidence: 99%

The association between filial piety and loneliness among Chinese older adults in the greater Chicago area

Zhang

Chang

2015

JER

“…& Chi I., 2004), mental health decline (Wilson R.S. et al, 2007), greater cognitive decline (Ryan M.C., 1998), lower quality of life (Jakobsson U. & Hallberg I.R., 2005), poor physical health (Stek M.L., Vinkers D.J., & Gussekloo J., 2005; Luanaigh C. & Lawlor B.A., 2008), poor sleep (Cacioppo J.T.…”

Section: Introductionmentioning

confidence: 99%

“…et al, 2002), and nursing home admission (Russell D.W., Cutrona C.E., de la Mora A., & Wallace R.B, 1997). More importantly, loneliness has been associated with increases in mortality and suicidal ideation (Ryan M.C., 1998; Stravynski A. & Boyer R., 2001).…”

Section: Introductionmentioning

confidence: 99%

Perception and negative effect of loneliness in a Chicago Chinese population of older adults

Archives of Gerontology and Geriatrics

Chang

Wong³

et al. 2012

107

101

This qualitative study aims to investigate the cultural understandings of loneliness, identify the contexts of loneliness, and to examine its effect on the health and well-being of U.S. Chinese older adults. Despite loneliness is one of the main indicators of well-being, little attention has been paid to understanding loneliness among immigrant older adults. This study utilizes both survey questionnaires and semi-structured focus group methods to investigate the feelings of loneliness among U.S. Chinese older adults. Based on interviews with 78 community-dwelling Chinese older adults in Chicago Chinatown, this community-based participatory research study (CBPR) shows loneliness is common among U.S. Chinese older adults. It was frequently identified through emotional isolation and social isolation. Social, psychological and physical health factors could contribute to the experience of loneliness. In addition, the health of older adults with loneliness may be associated with worsening overall health, elder mistreatment, health behavior changes and increased health care utilizations. This study has implications for healthcare professionals, social services agencies and policy makers. Our findings point to the needs for healthcare professionals to be more alert of the association of loneliness and adverse health outcomes. Communities and social services agencies should collectively take a lead in reducing social isolation, improving intergenerational relationships, and increasing social networks and companionship for this group of vulnerable older adults.

“…Psychological and social support factors have special relevance to the aging population, as prior research suggests that lower levels of such factors are associated with significant morbidity and mortality (Jakobsson & Hallberg, 2005; Ryan, 1998; Temkin-Greener et al, 2004). In addition, greater psychological burden and lack of social support may indicate vulnerability and dependency, which may reflect conditions that strongly contribute to the increased risk for EM among rural Chinese populations.…”

Section: Introductionmentioning

confidence: 99%

Urban and Rural Variations in the Characteristics Associated With Elder Mistreatment in a Community-Dwelling Chinese Population

Journal of Elder Abuse & Neglect

Simon

2013

This study compared the urban and rural differences in the sociodemographic, socioeconomic, health-related, and psychosocial factors associated with elder mistreatment (EM) in a Chinese population. Cross-sectional study of 269 urban and 135 rural participants aged 60 years or greater was performed. For urban participants, those with EM were more likely to be younger, have lower levels of education and income, and have lower levels of psychosocial well-being. For rural participants, those with EM were more likely to be older, have lower levels of education, have higher numbers of medical conditions and lower levels of health status, and have lower levels of psychosocial well-being. Among those with EM, rural participants were more likely to be women, have lower levels of education and income, have lower levels of health status and quality of life, have worse change in recent health, and have lower levels of psychosocial well-being. Both higher levels of depressive symptoms and lower levels of social support were associated with increased risk of EM. Future intervention studies are needed to examine the effect of improving psychosocial well-being on the risk of EM among Chinese populations.