Journal articles on the topic 'Chinese immigrant quality of life'
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Wu, Bei, Yaolin Pei, and Wei Zhang. "IMMIGRATION, RESILIENCE, AND ORAL-HEALTH-RELATED QUALITY OF LIFE AMONG CHINESE AMERICAN OLDER ADULTS IN HAWAII." Innovation in Aging 3, Supplement_1 (November 2019): S590. http://dx.doi.org/10.1093/geroni/igz038.2188.
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Abstract Very few studies have compared oral health status between the US-born and foreign-born immigrant older adults. Using data collected among 430 Chinese older adults age 55+ residing in Hawai’i, we examined the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience in linking the association. Controlling for some key covariates, our study results show that US-born Chinese immigrant older adults had better OHQoL than their foreign born counterparts. Factors such as higher level of education (graduate degree or higher), better self-reported health status and no significant tooth loss were related to better OHQoL. The association between immigrant status and OHQoL was moderated by resilience. Specially, resilience was positively and significantly associated with OHQoL among U.S.-born older adults but not among the foreign-born ones. Our findings indicate the importance of immigration and resilience in shaping oral health outcomes among older Chinese Americans.
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GUO, MAN, LING XU, JINYU LIU, WEIYU MAO, and IRIS CHI. "Parent–child relationships among older Chinese immigrants: the influence of co-residence, frequent contact, intergenerational support and sense of children's deference." Ageing and Society 36, no. 7 (May 28, 2015): 1459–82. http://dx.doi.org/10.1017/s0144686x15000446.
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ABSTRACTImmigration disrupts the bonding process in families. Maintaining close relationships with adult children can be an important protective factor for older immigrants' health and wellbeing. Quantitative research explaining such close relationships is rare. This study examined factors associated with close parent–child relationships in a purposive sample of 236 older Chinese immigrants in Los Angeles who provided information regarding 365 children. Two-level regression models were estimated to investigate factors contributing to cohesive parent–child relationships among these older adults. The findings showed that co-residence, a characteristic that distinguishes immigrant families from most non-immigrant families, was associated with lower parent–child relationship quality. Frequent contact was associated with closer relationships. While receiving instrumental and monetary support from children was associated with favourable ratings of relationships with children, providing such support to children was not related to parents' assessment of relationship quality. Parental perceptions of children being respectful was also associated with better relationship quality ratings. Overall, the findings demonstrate how family-related changes in the immigration context shape parent–child relationships in later life. Implications for future research and practice are provided.
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Goldstein, David, Ming Sze, Melanie Bell, Madeleine King, Michael Jefford, Maurice Eisenbruch, Afaf Girgis, Lisa Vaccaro, and Phyllis Noemi Butow. "Disparities in quality-of-life outcomes in immigrant cancer patients." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): e16507-e16507. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e16507.
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e16507 Background: Immigration is increasing world-wide. We explored disparities in quality of life outcomes for immigrant (IM) versus Anglo-Australian (AA) cancer patients having anti-cancer treatment. Methods: In a cross-sectional design, cancer patients were recruited through outpatient Oncology clinics in New South Wales, Victoria, and the Northern Territory in Australia. IM participants, their parents and grand parents were born in a country where Chinese, Greek, or Arabic is spoken and spoke one of those languages. AAs were born in Australia and spoke English. All were diagnosed with cancer < 1 year previously. Questionnaires (completed in preferred language) included the Hospital Anxiety and Depression Scale (anxiety/depression), FACT-G (quality of life) and the Supportive Care Needs Survey (unmet needs). Adjusted regression models comparing AA and IM groups included age, gender, socio-economic status, education, marital status, religion, time since diagnosis, and cancer type (colorectal, breast, lung, other). Results: There were 910 participants (response rate 57%). IM were similar to AA, except that IM were more likely to be married (76 vs 67 %, p = 0.01) and in the low and the highly educated groups (p < 0.0001). In adjusted analyses, IMs had clinically significant higher anxiety, greater unmet information and physical needs and lower quality of life than AAs (see table). The possible ranges are 0-21 for anxiety and depression, and 0-100 otherwise. Conclusions: In this hospital-based study with a high rate of advanced disease, immigrants with cancer experienced poorer quality of life outcomes, even after adjusting for socio-economic, demographic, and disease variables. Interventions are required to improve their experience of cancer care. Results highlight areas of unmet need that might be better addressed by the health system (particularly with regards to provision of information and meeting support and physical needs). [Table: see text]
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Liu, Mandong, and Iris Chi. "Developing and Refining an End-of-Life Care Manual for Chinese Immigrant Caregivers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 538–39. http://dx.doi.org/10.1093/geroni/igaa057.1747.
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Abstract Planning for end-of-life (EOL) care in advance can enhance one’s quality of life at EOL and decrease caregiver stress and anxiety. Culturally sensitive educational programs are needed to educate the public and encourage advance planning. This paper describes the team’s efforts to develop and evaluate an EOL manual designed for Chinese immigrant caregivers. In 2019, one-on-one interviews were conducted with six Chinese caregivers and five Chinese geriatric social workers in Los Angeles County to obtain their feedback on manual improvement. Detailed suggestions included adding more content in the introduction to decrease fear for discussing death-related topics, such as using the concept of “life in four seasons”; having more case examples as how to initiate advance planning conversation with the older adult under different circumstances; adding content on how advance care planning and its documentation is legally protected, etc. Culturally sensitive advance planning community education is feasible among immigrant populations.
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Guo, Man, Meredith stensland, Mengting Li, and XinQi Dong. "TRANSITION IN FAMILY RELATIONS IN IMMIGRANT FAMILIES: THE CASE OF CHINESE OLDER IMMIGRANTS IN THE UNITED STATES." Innovation in Aging 3, Supplement_1 (November 2019): S30. http://dx.doi.org/10.1093/geroni/igz038.117.
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Abstract Using panel data of 2,604 Chinese older immigrants in Chicago over a two-year period, this study examined continuity and changes in intergenerational relationship patterns and their mental health implications. Latent transition analysis revealed five types of family relations: traditional, modified traditional, coresiding-unobligated, independent, and detached. Over the two years, about 43% of the respondents shifted to a different relationship type, with the most common changes being shifting into modified traditional or independent relations, or from detached relations. Controlling for baseline socio-demographic, acculturation, mental health variables, and variables representing life transitions over time, having detached relations was related to greater depressive symptoms in two years and having modified traditional relations was associated with better quality of life at the follow up. The findings revealed heterogeneity and fluidity of intergenerational relations among older immigrant populations and point to the important role of family relations in their well-being.
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Mui, A. C., S. Y. Kang, D. Kang, and M. D. Domanski. "English Language Proficiency and Health-Related Quality of Life among Chinese and Korean Immigrant Elders." Health & Social Work 32, no. 2 (May 1, 2007): 119–27. http://dx.doi.org/10.1093/hsw/32.2.119.
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Chao, Ying-Yu, Jin Young Seo, and XinQi Dong. "SOCIAL NETWORKS AND HELP-SEEKING AMONG US CHINESE OLDER ADULTS REPORTED ELDER MISTREATMENT." Innovation in Aging 6, Supplement_1 (November 1, 2022): 616. http://dx.doi.org/10.1093/geroni/igac059.2292.
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Abstract Purpose Older immigrant adults are reported to be more tolerant of abusive situations and less likely to seek help. This study aimed to examine the associations between social networks and help-seeking among U.S. Chinese older adults reported elder mistreatment (EM). Methods Data were from the Population Study of Chinese Elderly in Chicago (PINE). Social networks were assessed with network size, volume of contact, emotional closeness, proportion kin, proportion female, and proportion coresident. Informal/formal help-seeking (intentions and actual behaviors) were measured. Descriptive statistics and regression analyses were performed. Results A total of 450 participants reported EM. Participants had a mean age of 72.73 ± 8.03 years old (range 60-97). Participants had a mean of 3.29 (SD ± 1.31) network members, a mean of 3.24 (SD ± 0.67) emotional closeness, and average contacts of 6.62 (SD ± 1.10) times per year with network members. Smaller network size (p = .00) and less emotional closeness (p = .03) were associated with an increase in intentions of seeking help from formal sources. Compared to not seeking help, smaller network size (p = .04) and more emotional closes (p = .03) were associated with a higher likelihood to seek help from informal sources among U.S. Chinese older adults who reported any EM. Conclusion/implication: This study highlights the dynamic nature of social networks of help-seeking among this underserved population. Culturally tailored interventions are suggested to promote help-seeking through increasing strong ties and improving the quality of social networks for U.S. Chinese older immigrants with EM.
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Lin, Xiaoping, Christina Bryant, Jennifer Boldero, and Briony Dow. "Psychological well-being of older Chinese immigrants living in Australia: a comparison with older Caucasians." International Psychogeriatrics 28, no. 10 (July 8, 2016): 1671–79. http://dx.doi.org/10.1017/s1041610216001010.
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ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. However, 10% exhibited symptoms of depression, 6% had symptoms of anxiety, and 49% felt lonely. Compared to Australian participants, Chinese participants reported poorer quality of life and higher levels of loneliness. Importantly, the difference in quality of life remained when the impact of socio-demographic factors was controlled for.Conclusions:This study was the first to use multiple indicators to explore psychological well-being among older Chinese immigrants in Australia. Its results suggest that their psychological well-being might be worse than that of Australian-born people when using loneliness and quality of life as indicators. In particular, loneliness is a common psychological problem among this group, and there is a need for public awareness of this problem.
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Hampton, Nan Zhang, and Vickie Chang. "Quality of Life as Defined by Chinese Americans with Disabilities: Implications for Rehabilitation Services." Journal of Applied Rehabilitation Counseling 30, no. 3 (September 1, 1999): 35–41. http://dx.doi.org/10.1891/0047-2220.30.3.35.
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The purpose of this study was to explore dimensions of quality of life (QOL) perceived by Chinese Americans with disabilities with reference to improve vocational rehabilitation services to this group. Forty-three Chinese Americans/immigrants with physical disabilities participated in the study. A focus group technique was used to collect data. The participants identified the following nine dimensions of QOL: (1) contributing to society; (2) self-reliance; (3) enjoying the same rights as others; (4) not having to worry about food, clothing, housing, and transportation; (5) physical health; (6) emotional health; (7) relationships; (8) individual safety; and (9) stability and prosperity of the nation. Participants also defined six problems that prevented them from living a good life. Implications of the results for rehabilitation counselors and researchers are discussed in light of the impact of Chinese culture and immigration on the QOL of Chinese Americans/immigrants with disabilities.
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Cho, Taeyoung, Taesoo Cho, and Hao Zhang. "The Effect of the Acculturation of Chinese Immigrants on Tourist Satisfaction and Quality of Life." Sustainability 13, no. 4 (February 6, 2021): 1770. http://dx.doi.org/10.3390/su13041770.
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Given the rapidly increasing number of foreign nationals migrating to Korea, this study investigates the relationship between cultural adaptation, tourist satisfaction, and quality of life among Chinese immigrants in Korea. A questionnaire survey was conducted among 344 Chinese immigrants in Korea who visited Gyeongju, where Korean World Heritage sites and modern tourist facilities coexist. A structural equation model was used to verify the hypothesis and indicated that cultural assimilation and cultural separation had a significant effect on tourist satisfaction, whereas cultural integration and cultural change did not have any statistically significant effect on tourist satisfaction. Additionally, tourist satisfaction had a significant effect on quality of life (in terms of subjective well-being and psychological well-being). The results of this study can function as a reference for improving Chinese immigrants’ cultural adaptation, tourist satisfaction, and quality of life.
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Butow, Phyllis Noemi, Lynley Aldridge, Melanie Bell, Ming Sze, Maurice Eisenbruch, Madeleine King, Michael Jefford, Penelope Schofield, Priya Duggal-Beri, and David Goldstein. "Cancer survivorship outcomes in immigrants." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): 6111. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.6111.
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6111 Background: Immigration is increasing world-wide. Cancer survivorship is now recognised as a period of difficult adjustment for all patients, and possibly more so for immigrants. We explored disparities in quality of life outcomes for immigrant (IM) versus Anglo-Australian (AA) cancer survivors. Methods: In a cross-sectional design, cancer survivors were recruited through the New South Wales, Queensland and Victorian Cancer Registries in Australia. IM participants, their parents and grandparents were born in a country where Chinese, Greek, or Arabic is spoken and spoke one of those languages. AAs were born in Australia and spoke English. All were diagnosed with cancer 1-3 years previously. Questionnaires (completed in preferred language) included the Hospital Anxiety and Depression Scale (anxiety/ depression), FACT-G (quality of life) and Supportive Care Needs Survey (unmet needs). Outcomes were compared between AA and IM groups in adjusted regression models that included age, gender, socio-economic status, education, marital status, religion, time since diagnosis and cancer type (prostate, colorectal, breast and other). Results: There were 599 participants (response rate 41%). Consent was unrelated to demographic and disease variables. AA and IM groups were similar except that immigrants had higher proportions in the low and highly educated groups (p < 0.0001), and higher socioeconomic status (p = 0.0003). In adjusted analyses (see table), IMs had clinically significant higher depression (possible range 0-21), greater unmet information and physical needs, and lower quality of life than AAs. The possible range for the latter three is 0-100. Conclusions: Immigrants experience poorer outcomes in cancer survivorship, even after adjusting for socio-economic, demographic and disease differences. Interventions are required to improve their adjustment after cancer. Results highlight areas of unmet need that might be better addressed by the health system (particularly with regard to provision of information and support. [Table: see text]
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Zhang, Wei, Bei Wu, and David Matchar. "RESILIENCE AND HEALTH AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE U.S. AND CHINA." Innovation in Aging 3, Supplement_1 (November 2019): S589. http://dx.doi.org/10.1093/geroni/igz038.2186.
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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.
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Wang, Jing, and Bei Wu. "Caregiving Arrangements and Health Outcomes of Chinese Older Adults With Disability in Cross-National Settings." Innovation in Aging 4, Supplement_1 (December 1, 2020): 750. http://dx.doi.org/10.1093/geroni/igaa057.2702.
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Abstract This symposium focuses on the wellbeing of older adults with disability/cognitive impairment and their family caregivers. More specifically, it aims to understand how familly support, community resources utilization, internal migration, and immigrant status impact older adults’ caregiving arrangement, health outcomes and end-of-life preferences and family caregivers’ caregiving burden in China and the U.S. The first study explored how perceived spousal relationships and support impact dyadic experiences of living with cognitive impairment through a person-centered care lens during a three-year period. The second presentation examined the association between adult children’s support and the trajectories of depressive symptom level among Chinese older adults with disabilities. The third investigated how family relationship and immigrant status matter in advanced care planning (ACP) engagement and end-of-life preferences over burial plan among US-born and foreign-born older Chinese Americans living in Honolulu, Hawaii. The fourth study study explored family caregivers’ caregiving burden for community-dwelling patients with dementia and its associated factors. The last study conducted an inventory of longitudinal aging survey datasets to stimulate research on intersection of migration and caregiving arrangement. It paved the way to use existing high-quality datasets to examine the significant impact of massive rural-to-urban migration on caregiving arrangement among Chinese older adults. This symposium presents empirical evidence of the impact of family, migration and culture-related factors on caregiving arrangement and health outcomes of Chinese older adults. The presenters emphasize the importance of providing family-centered care and design culturally sensitive interventions to improve the health outcomes of older adults.
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Zou, Ping, Jennifer Stinson, Monica Parry, Cindy-Lee Dennis, Yeqin Yang, and Zhongqiu Lu. "A Smartphone App (mDASHNa-CC) to Support Healthy Diet and Hypertension Control for Chinese Canadian Seniors: Protocol for Design, Usability and Feasibility Testing." JMIR Research Protocols 9, no. 4 (April 2, 2020): e15545. http://dx.doi.org/10.2196/15545.
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Background This proposed study aims to translate the Dietary Approach to Stop Hypertension with Sodium (Na) Reduction for Chinese Canadians (DASHNa-CC), a classroom-based, antihypertensive, dietary educational intervention, to an innovative smartphone app (mDASHNa-CC). This study will enable Chinese Canadian seniors to access antihypertensive dietary interventions anytime, regardless of where they are. It is hypothesized that senior Chinese Canadians will be satisfied with their experiences using the mDASHNa-CC app and that the use of this app could lead to a decrease in their blood pressure and improvement in their health-related quality of life. Objective The goal of this study is to design and test the usability and feasibility of a smartphone-based dietary educational app to support a healthy diet and hypertension control for Chinese Canadian seniors. Methods A mixed-method two-phase design will be used. The study will be conducted in a Chinese immigrant community in Toronto, Ontario, Canada. Chinese Canadian seniors, who are at least 65 years old, self-identified as Chinese, living in Canada, and with elevated blood pressure, will be recruited. In Phase I, we will design and test the usability of the app using a user-centered approach. In Phase II, we will test the feasibility of the app, including implementation (primary outcomes of accrual and attrition rates, technical issues, acceptability of the app, and adherence to the intervention) and preliminary effectiveness (secondary outcomes of systolic and diastolic blood pressure, weight, waist circumference, health-related quality of life, and health service utilization), using a pilot, two-group, randomized controlled trial with a sample size of 60 participants in a Chinese Canadian community. Results The study is supported by the Startup Research Grant from Nipissing University, Canada. The research ethics application is under review by a university research ethics review board. Conclusions The study results will make several contributions to the existing literature, including illustrating the rigorous design and testing of smartphone app technology for hypertension self-management in the community, exploring an approach to incorporating traditional medicine into chronic illness management in minority communities and promoting equal access to current technology among minority immigrant senior groups. Trial Registration Clinicaltrials.gov NCT03988894; https://clinicaltrials.gov/ct2/show/NCT03988894 International Registered Report Identifier (IRRID) PRR1-10.2196/15545
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Dong, XinQi, and E.-Shien Chang. "Social Networks among the Older Chinese Population in the USA: Findings from the PINE Study." Gerontology 63, no. 3 (2017): 238–52. http://dx.doi.org/10.1159/000455043.
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Background: Social network research has become central to studies of health and aging. Its results may yield public health insights that are actionable and improve the quality of life of older adults. However, little is known about the social networks of older immigrant adults, whose social relationships often develop in the context of migration, compounded by cultural and linguistic barriers. Objectives: This report aims to describe the structure, composition, and emotional components of social networks in the Chinese aging population of the USA, and to explore ways in which their social networks may be critical to their health decision-making. Methods: Our data come from the PINE study, a population-based epidemiological study of community-dwelling older Chinese American adults, aged 60 years and above, in the greater Chicago area. We conducted individual interviews in participants' homes from 2011 until 2013. Based on sociodemographic and socioeconomic characteristics, this study computed descriptive statistics and trend tests for the social network measures adapted from the National Social Life, Health, and Aging Project study. Results: The findings show that older Chinese adults have a relatively small social network in comparison with their counterparts from other ethnic and racial backgrounds. Only 29.6% of the participants could name 5 close network members, and 2.2% could name 0 members. Their network composition was more heavily kin oriented (95.0%). Relationships with network members differed according to the older adults' sociodemographic and socioeconomic characteristics. Subgroup variations included the likelihood of discussing health-related issues with network members. Conclusion: This study highlights the dynamic nature of social networks in later-life Chinese immigrants. For healthcare practitioners, developing cost-effective strategies that can mobilize social network support remains a critical undertaking in health intervention. Longitudinal studies are needed to examine the causal impact of social networks on various domains of health.
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Guo, Man, Meredith Stensland, Mengting Li, Todd Beck, and Xinqi Dong. "Transition in Older Parent–Adult Child Relations in U.S. Chinese Immigrant Families." Gerontologist 60, no. 2 (November 5, 2019): 302–12. http://dx.doi.org/10.1093/geront/gnz146.
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Abstract Background and Objectives The family fundamentally underpins the immigration and acculturation processes. But most existing research on acculturation focuses on individual instead of family experience. Guided by Berry’s acculturation theory and Intergenerational Solidarity Theory, this study examined continuity and changes in parent–adult child relations of older Chinese immigrants over a 2-year period, and their implications for older adults’ depression and quality of life (QoL). Research Design and Methods Participants included 2,605 older Chinese immigrants from the Population Study of Chinese Elderly in Chicago (PINE). Latent Transition Analysis (LTA) was used to identify transitions in multidimensional parent–child relations over time. Negative binomial and logistic regressions were used to examine the influence of family transitions on depression and QoL, respectively. Results LTA revealed five types of family relations: traditional, modified traditional, coresiding-unobligated, independent, and detached. Over 40% of the respondents shifted to a different relation type, with more families classified as modified traditional or independent over time. Transitioning into modified traditional relations or out of detached relations was associated with fewer depressive symptoms and better QoL at the follow-up. Transitioning into independent relation was associated with more depressive symptoms over time. Discussion and Implications Parent–child relations among Chinese older immigrants demonstrate significant complexity, including both heterogeneity and fluidity. Better well-being of these older adults seems to stem from the optimal combination of retaining the supportive heritage culture and embracing the host society’s instrumental cultural elements. Services to this population need to include the family context in assessment and interventions.
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Luo, Yunjie, and Yoko Sato. "Health-Related Quality of Life and Risk Factors among Chinese Women in Japan Following the COVID-19 Outbreak." International Journal of Environmental Research and Public Health 18, no. 16 (August 19, 2021): 8745. http://dx.doi.org/10.3390/ijerph18168745.
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The COVID-19 pandemic has significantly affected individuals’ physical and mental health, including that of immigrant women. This study aimed to evaluate the health-related quality of life (HRQoL), identify the demographic factors and awareness of the COVID-19 pandemic contributing to physical and mental health, and examine the risk factors associated with poor physical and mental health of Chinese women in Japan following the COVID-19 pandemic outbreak. Using an electronic questionnaire survey, we collected data including items on HRQoL, awareness of the COVID-19 pandemic, and demographic factors. One hundred and ninety-three participants were analyzed. Approximately 98.9% of them thought that COVID-19 affected their daily lives, and 97.4% had COVID-19 concerns. Married status (OR = 2.88, 95%CI [1.07, 7.72], p = 0.036), high concerns (OR = 3.99, 95%CI [1.46, 10.94], p = 0.007), and no concerns (OR = 8.75, 95%CI [1.17, 65.52], p = 0.035) about the COVID-19 pandemic were significantly associated with poor physical health. Unmarried status (OR = 2.83, 95%CI [1.20, 6.70], p = 0.018) and high COVID-19 concerns (OR = 2.17, 95%CI [1.04, 4.56], p = 0.040) were significantly associated with poor mental health. It is necessary to provide effective social support for Chinese women in Japan to improve their well-being, especially in terms of mental health.
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Lee, Meenhye, Hyeonkyeong Lee, Sue Kim, and Yeonsoo Jang. "Acculturation, Social Network, and Health-related Quality of Life in Korean-Chinese Immigrants." Journal of Korean Academy of Community Health Nursing 24, no. 4 (2013): 438. http://dx.doi.org/10.12799/jkachn.2013.24.4.438.
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Rankin, Sally H., Michael E. Galbraith, and Peggy Huang. "Quality of Life and-Social Environment as Reported by Chinese Immigrants With Non-Insulin-Dependent Diabetes Mellitus." Diabetes Educator 23, no. 2 (April 1997): 171–77. http://dx.doi.org/10.1177/014572179702300208.
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Non-insulin-dependent diabetes mellitus (NIDDM) has been associated with stressful events such as immigration. The purpose of this paper is to report a pilot study that tested translated and back-translated instruments to ascertain factors related to diabetes management in a group of Chinese immigrants with diabetes. The descriptive, cross- sectional design included a convenience sample of 30 Chinese immigrants who had been diagnosed with NIDDM for at least I year. Consenting participants completed paper- and-pencil questionnaires (Diabetes Family-Behavior Checklist II, Diabetes Quality of Life, and MDRTC Knowledge Test) that had been translated and back-translated into Chinese and returned them in stamped, self- addressed envelopes. Results indicated that most of the scale and subscale reliabilities were similar to those published previously. Study participants had received limited diabetes education, reported many problems managing diabetes, especially in terms of social and vocational issues, and reported dissatisfaction with their quality of life. Diabetes-related family supportive behaviors were rated positively indicating the importance of including family members in educational programs.
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Dong, XinQi, Mengting Li, and Man Guo. "CULTURAL AND SOCIAL RESILIENCE FACTORS ON HEALTH IN THE CONTEXT OF IMMIGRATION." Innovation in Aging 3, Supplement_1 (November 2019): S30. http://dx.doi.org/10.1093/geroni/igz038.116.
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Abstract Acculturation is a process whereby immigrants change their beliefs or behaviors in response to the prevailing norms and values in the host country. Acculturation may directly affect health outcomes, while it also operates through multi-level social factors, such as family relations, social network, and neighborhood cohesion, in shaping immigrants’ health. Asian Americans are the fastest growing minority group in the United States. Chinese Americans constitute the largest segment of Asian Americans. The five studies aim to profile multi-level cultural and social resilience factors of older Asian Americans’ health by analyzing the Asian American Quality of Life survey and the Population Study of Chinese Elderly in Chicago (PINE). Two studies, Acculturation and Cognitive Health and Factors Associated with Unmet Healthcare Needs demonstrated the direct effect of acculturation on health. Another two studies outlined a more complex mechanism between cultural and social determinants and health. Perceived Stress, Social Support, and Dry Mouth found the buffering effect of social support on the relationship between perceived stress and oral health. Neighborhood Social Integration, Social Network, and Cognitive Function identified micro- and macro-level resilience factors exert interaction effects on cognitive function. In addition, previous studies pay little attention to the dynamic nature of social relations. Transition in Family Relations in Immigrant Families took a typology approach to capture multifaceted family relations, with a longitudinal design to explore the transitions in family relations in the process of acculturation and its impact on mental health. This symposium will build an integrative resilience model for older Asian Americans.
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Chao, Ying-Yu, Jin Young Seo, Mei-Lan Chen, and Peijia Zha. "Factors Associated With Depressive Symptoms Among U.S. Older Chinese Immigrants." Innovation in Aging 4, Supplement_1 (December 1, 2020): 167–68. http://dx.doi.org/10.1093/geroni/igaa057.542.
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Abstract Purpose: Chinese Americans represent the largest Asian ethnic subgroup in the United States. Depression is the most common mental health problem among older adults. However, we have a limited understanding of depressive symptoms among older Chinese immigrants. The study aimed to examine the potential factors associated with depressive symptoms among older Chinese immigrants in U.S. Methods: We recruited participants from psychiatric clinics who sought professional help in New York City. Inclusion criteria were Chinese immigrants from Asian countries 50 years or older; able to speak and understand either Mandarin or Cantonese; and had a diagnosis with major depressive disorder. Depressive symptoms were measured with Quick Inventory of Depressive Symptomatology; cognitive function was measured with Montreal cognitive assessment; sleep quality was measured with Pittsburgh Sleep Quality Index, and physical activity was measured with International Physical Activity Questionnaire. Descriptive statistics and multiple regression were performed. Results: Participants were ninety-nine Chinese older immigrants (mean age: 60.69 ± 7.62 years). Participants who had more children (p < .05), poor health status (p < .01), poor quality of life (p < .01), less social support (p < .01), and need help with activities of daily living (p < .05) had more depressive symptoms. Cognitive function, sleep quality, and physical activity were significantly associated with depressive symptoms. Conclusions & Implications: Poor cognitive function, poor sleep quality, and less physical activity were associated with depressive symptoms. Our results provide knowledge for developing culturally tailored self-management interventions for older Chinese immigrants with depressive disorder in managed care settings.
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Huang, Vivian, Kitty Ching Lo, and Alexandra J. Fiocco. "Examining the Factor Structure and Psychometric Properties of the Chinese Version of the Life Orientation Test in Older Chinese Immigrants." Psychological Reports 123, no. 6 (August 9, 2019): 2617–36. http://dx.doi.org/10.1177/0033294119868800.
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The current study examined the factor structure and psychometric properties of the Chinese version of the Revised Life Orientation Test (CLOT-R) in a sample of 342 community-dwelling older Chinese immigrants in Canada (mean age = 71.99, SD = 5.62; 58.5% female). Confirmatory factor analysis demonstrated that the CLOT-R yields a two-factor model with one item cross-loading on two latent constructs of optimism and pessimism. Analysis further revealed poor internal consistency and convergent validity. Evidence for discriminant and convergent validity was found between optimism and perceived stress, as well as optimism and quality of life. Compared with the factor structure reported in previous Chinese-speaking samples, the modified two-factor structure found in the current group of older Chinese immigrants could be attributed to the heterogeneity of the sample and possible configural variance across culture and age. Overall, the current findings suggest that the CLOT-R may not be a reliable and valid measure to assess dispositional optimism and pessimism among older Chinese immigrants. Theoretical implications and suggestions for further scale development and research is discussed.
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Koehn, S. D., K. N. Li, C. Reid, and J. Baumbusch. "QUALITY OF LIFE IN RESIDENTIAL LONG-TERM CARE: CHINESE-SPEAKING IMMIGRANTS IN BRITISH COLUMBIA." Innovation in Aging 1, suppl_1 (June 30, 2017): 755–56. http://dx.doi.org/10.1093/geroni/igx004.2732.
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Zhang, J. "TRANSNATIONAL SUPPORT EXCHANGE AND QUALITY OF LIFE: THE INTERNET USE OF OLDER CHINESE IMMIGRANTS." Innovation in Aging 1, suppl_1 (June 30, 2017): 886. http://dx.doi.org/10.1093/geroni/igx004.3181.
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Kim, Bum Jung, Lin Chen, Yura Lee, and Ling Xu. "Quality of life of elderly Chinese immigrants: focusing on living arrangements and social capital." Educational Gerontology 45, no. 6 (June 3, 2019): 377–89. http://dx.doi.org/10.1080/03601277.2019.1640973.
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Yu, Li. "An Empirical Study of Recent Mainland Chinese Migration to Vancouver." Journal of the Canadian Historical Association 19, no. 2 (July 23, 2009): 180–96. http://dx.doi.org/10.7202/037753ar.
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Abstract One of the major changes in the last decade in the character of Chinese migration to Vancouver and to Canada as a whole is that mainland Chinese migrants have become the largest source of Chinese immigrants arriving in Canada. In Vancouver, mainland Chinese migrants have become the largest group within the Chinese Canadian community. This paper explains the historical background for the change and analyzes the motivations behind mainland Chinese migration to Vancouver and British Columbia. It points out that most recent migrants from mainland China have come from a middle class background. Poverty, family union, and political dissent are no longer major driving forces in peoples’ decisions to migrate. In the 1990s and 2000s, mainland migrants have sought to better their natural and social environments, and to achieve a higher quality of life for themselves and their children. Prospective migrants to Canada view the existence of a large Chinese community in Vancouver as an important attraction, providing new immigrants with certain conveniences in everyday life and various job opportunities.
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Lee, Hong Jae, Mi Kyung Park, and Yong Jin Cha. "A Study on the Southeast Asian and Chinese Marriage-Immigrant Women’s Assimilation and Quality of Life of : Focusing on Multi-Group Analysis." Journal of Multicultural Society 10, no. 2 (August 31, 2017): 193–218. http://dx.doi.org/10.15685/jms.2017.08.10.2.193.
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Hu, Yuanyuan, and Qingwen Xu. "INTEGRATED CARE POLICY AND PRACTICE IN THE US: THE SCENARIO OF AGING IN CHINATOWN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 522. http://dx.doi.org/10.1093/geroni/igac059.1993.
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Abstract Background Older Chinese adults, the fastest-growing population among older immigrants, experience multiple barriers to access quality physical and behavioral health care, including low English proficiency, low health literacy, and segregation between health care and social care sectors (Tsoh et al., 2016). While integrated care attempts to address these issues, there is still a lack of culturally sensitive integrated care practices to address the needs of older Chinese immigrants. Methods This article reviews the definition and history of integrated care policies in the U.S., and compares four integrated care models on the service user and community levels, including the Chronic Care Model (CCM), Program of All-Inclusive Care for the Elderly (PACE), Patient Navigation Model, and Delivery System Reform Incentive Payment (DSRIP) Program. Results Taking the community-dwelling older Chinese immigrants as the context, this article discusses factors that are essential to this group of older adults and proposes a framework to integrate social determinants of health in the development of integrated care practice with the infusion of cultural values and norms. Conclusion Integrated care for older immigrants asks for a complicated mass reconstruction of current care systems. We propose an innovative framework that fully takes advantage of CBO’s capacity in providing culturally appropriate services is proactive and preventive in nature by addressing social determinants of health directly, recognizes the role of family and community in older immigrants’ life and aging process, and provide equal attention to the older adults’ needs in health, mental health, and elderly care.
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Sun, Kai, Jackie Szymonifka, Henghe Tian, Yaju Chang, Jennifer C. Leng, and Lisa A. Mandl. "Is Traditional Chinese Medicine Use Associated with Worse Patient-reported Outcomes among Chinese American Rheumatology Patients?" Journal of Rheumatology 46, no. 12 (May 1, 2019): 1634–39. http://dx.doi.org/10.3899/jrheum.181148.
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Objective.Chinese Americans are a fast-growing immigrant group with more severe rheumatic disease manifestations than whites and often a strong cultural preference for traditional Chinese medicine (TCM). We aimed to examine TCM use patterns and association with patient-reported outcomes (PRO) among Chinese American rheumatology patients.Methods.Chinese Americans actively treated for systemic rheumatic diseases were recruited from urban Chinatown rheumatology clinics. Data on sociodemographics, acculturation, clinical factors, and TCM use (11 modalities) were gathered. Self-reported health status was assessed using Patient Reported Outcomes Measurement Information System (PROMIS) short forms. TCM users and nonusers were compared. Factors independently associated with TCM use were identified using multivariable logistic regression.Results.Among 230 participants, median age was 57 years (range 20–97), 65% were women, 71% had ≤ high school education, 70% were on Medicaid insurance, 47% lived in the United States for ≥ 20 years, and 22% spoke English fluently. Half used TCM in the past year; these participants had worse self-reported anxiety, depression, fatigue, and ability to participate in social roles and activities compared with nonusers. In multivariable analysis, TCM use was associated with belief in TCM, female sex, ≥ 20 years of US residency, reporting Western medicine as ineffective, and shorter rheumatic disease duration.Conclusion.Among these Chinese American rheumatology patients, TCM users had worse PRO in many physical and mental health domains. TCM use may be a proxy for unmet therapeutic needs. Asking about TCM use could help providers identify patients with suboptimal health-related quality of life who may benefit from targeted interventions.
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Da, Wei-Wei, and Alicia Garcia. "Later Life Migration: Sociocultural Adaptation and Changes in Quality of Life at Settlement Among Recent Older Chinese Immigrants in Canada." Activities, Adaptation & Aging 39, no. 3 (July 3, 2015): 214–42. http://dx.doi.org/10.1080/01924788.2015.1063330.
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Hampton, Nan Zhang. "Social Support and Quality of Life among Elderly Chinese Americans/Immigrants with Disabilities: An Exploratory Study." Journal of Applied Rehabilitation Counseling 35, no. 2 (June 1, 2004): 17–24. http://dx.doi.org/10.1891/0047-2220.35.2.17.
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The purpose of this study was two fold: (a) to identify levels of quality of life (QOL) in elderly Chinese Americans/Immigrants with disabilities (ECAID) and (b) to explore relationships among demographic variables, health status, social support, and QOL in this population. Forty-two ECAID participated in the study. The results indicated that ECAID perceived themselves as having a poor quality of life and social support was the strongest predictor of QOL which accounted for 47% of the variance in QOL. Although educational level and health status were related to QOL in a correlation analysis, they did not significantly contribute to QOL while holding constant the effects of social support in a multiple regression analysis. Implications of these findings for rehabilitation counselors and researchers are discussed in the socia-cultural context.
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Lam, Ching Man. "Editorial: “Gender, Family and Parenting in the Chinese Context." Open Family Studies Journal 7, no. 1 (July 30, 2015): 58–59. http://dx.doi.org/10.2174/1874922401507010058.
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“The family” has long been a focus of cross-party attention. While family is perceived as foundational to society’s success, how parents rear their children is perhaps the most conservative or persistent part of concern. While Chinese immigrant families and Chinese families in Asia – in Hong Kong, Macau, Taiwan, mainland China, and elsewhere – are struggling with a socialization process that has emphasized support for traditional values, they are also simultaneously being confronted by modern ideologies and technologies. Professionals have a growing interest in addressing the culturally diverse needs and the gender issues of Chinese families. The theme of this issue of The Open Family Studies Journal, then, is “Gender, family and parenting in the Chinese context”. The heart of this special issue lies in a concern for families, in particular for the challenges posed to families and parenting practices in a changing world. The family, like any social group, is a product of history, culture and context. Because of economic and technological changes, and the increasingly pluralistic nature of our society, both gender relations and family structures have undergone tremendous change, and many challenges await elucidation. The seven papers in this special issue thus feature new perspectives on family, gender and parenting issues. The issue opens with a paper on scale validation. Since intimacy is a construct that has received limited attention in the Chinese context, the first paper, “Intimacy as a distinct construct: validating the intimacy scale among older adults of residential care homes in Hong Kong”, aims to develop a valid measurement for the quality of the relationship between older adults and family caregivers in the Hong Kong Chinese context. The study results demonstrate the reliability and validity of the instrument across samples of older adults. Paper 2 and 3 that follow are qualitative studies adopting cultural perspectives to understand Chinese American immigrant adults and older female survivors of intimate partner violence in Taiwan. In paper 2, “Understanding family connections and help-seeking behavior in Chinese parental lives. These findings illustrate how existentialism provides a new frame of reference and new practice directions for conducting parent-education programs. The final paper titled “Internet supervision and parenting in the digital age: The case of Shanghai” echoes the technological advancement and its impact on parenting. In a changing world, and in a society permeated by the Internet and by nearly instantaneous communication, families constantly need to adapt to different and changing ways of parenting. The paper explores the issue of parenting confidence in supervision of children’s Internet use in Shanghai, China. Multiple-regression models are used to identify factors affecting parents’ confidence about their own parenting. The findings suggest that efforts to assist parents should help them review their attitudes towards the Internet. American immigrant adults who attempt suicide”, the authors investigate beliefs, values and norms in the Chinese family culture and examine Chinese cultural influences on attitudes and beliefs about mental health and mental health services in the immigrant context. Paper 3, “Older female survivors of intimate partner violence in the Taiwanese cultural context” examines the needs of older female IPV survivors in another Chinese cultural context. The findings of both studies reflect the importance of family and the influence of Chinese family culture; they make it clear that traditional family beliefs are still highly valued and hold a prominent position in Chinese culture. The authors of these two papers question the efficacy of service-delivery models based on Western cultures, and they call for ethnically sensitive intervention approaches that incorporate cultural premises into developing viable options for service recipients. Paper 4 is titled “The Macau family-in-transition: the perceived impact of casino employment on family relationships among dealer families”. This paper draws on findings from a qualitative study to explore the impacts of casino employment on family life and family relationships. The family, like other social group, is a product of culture and context, and the specific socio-economic context of Macau poses challenges to dealer families and casino workers in performing their parental role. The paper sheds much-needed light on our understanding of Macau dealer families. The final three papers in this special issue all address the issue of parenting. Paper 5, “Reflective inquiry on professionals’ view on parents and about parenting”, examines professionals’ views of parents, their attitudes and beliefs about parenting, and the values underpinning their practice. The study’s findings on the theme of parent blaming provide an impetus for professionals to reflect on the attitudes and assumptions they hold, and their impact on parents. The paper calls for reflection on parenting work to recognize the difficulties and challenges faced by contemporary families. Paper 6, “Reviving parents’ life momentum: A qualitative evaluation of a parent education program adopting an existential approach”, reports the results of a qualitative analysis of the participants’ perceptions of a parent-education program. The findings of this study demonstrate that a program of this nature can make parents aware of the existential dimensions of being a parent and help them understand the significance of creating meaning in their In fact, family, parenting and gender are vastly contested terms which encompass a range of topics. The seven varied papers recommended for publication in this special issue reflect the considerable attention that we have placed on family, parenting and gender, and also the vision of this special issue. These papers add to the growing body of research and literature, and they provide both food for thought and a platform for discussion. In the last, I offer both my sincere thanks to the authors who have contributed to this special issue, and my gratitude to those who have participated as blind peer reviewers. Their thoughtful comments and criticisms have certainly improved the quality of each and every paper in this special issue.
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Tuseth, Natalie, XinQi Dong, Stephanie Bergren, and Michael Eng. "Association Between Length of Residence in the U.S. and Insurance Coverage Within U.S. Chinese Older Adults." Innovation in Aging 5, Supplement_1 (December 1, 2021): 1025. http://dx.doi.org/10.1093/geroni/igab046.3668.
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Abstract Barriers to affordable insurance may worsen disparities among underserved populations. Immigrants with <5 years of residence are not eligible for Medicare and Medicaid and are potentially without affordable alternatives. This study aims to look at the relationship between length of residence in the U.S. and insurance coverage within U.S. Chinese older adults ages 65+.This study used data from a representative sample of 2,365 community-dwelling U.S. Chinese older adults age 65+. The association between length in the U.S. (<5, 6-10, 10+) and insurance status was analyzed using chi squared test and logistic regressions. Within this sample, 58 (2.78%) participants had coverage outside Medicare and Medicaid, with 279 participants reporting no coverage. The vast majority of participants living in the U.S. <5 years had no insurance (81.48%). In a fully adjusted model, participants who were older and female were positively associated with having insurance coverage (OR:1.11 [1.07,1.15] and OR:1.29 [0.88,1.90]). Conversely, both living in the U.S. <5 years (OR:0.009 [0.006, 0.014]),and between 5-10 years (OR:1.20 [0.13,0.30]) were negatively associated with insurance coverage. When including coverage outside of Medicaid and Medicare, residence <5 years and 5-10 years were still negatively associated with insurance coverage ((OR:0.13 [0.009,0.02]), and (OR:0.19 [0.13,0.30])). Vulnerable populations such as older immigrants may not have access to insurance outside of public options, making a 5-year waiting period an additional barrier to quality health care.
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Chow, Henry P. H. "Health Care Service Needs and Correlates of Quality of Life: A Case Study of Elderly Chinese Immigrants in Canada." Social Indicators Research 106, no. 2 (March 3, 2011): 347–58. http://dx.doi.org/10.1007/s11205-011-9810-0.
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Pomohaibo, Valentyn Mychailovych. "Philosophy of life in successful community." Filosofiya osvity. Philosophy of Education 24, no. 1 (December 4, 2019): 128–41. http://dx.doi.org/10.31874/2309-1606-2019-24-1-128-141.
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Historical experience and scientific researches witness that both an individual’s life success and a country’s prosperity and the living standard of population depend not on the quality of education itself, but on its effectiveness. The effectiveness of education, in turn, is determined by a social productivity of science, which can be presented elementarily by such a simple indicator as a number of Nobel laureates. The USA holds the leading place among countries in this area. Thus, the United States is the country that can maximally ensure human development, and most importantly – a realization of human natural gifts and an acquisition of appropriate material welfare. This is evidenced not only by the high level of science development, but also by the phenomenon of a success of a number of immigrant communities compared with the US European population. The most successful ethnic groups in the United States are Jews, Indians, Chinese, Nigerians, Cubans, Iranians and Lebanese. Particularly impressive is the success of the Nigerians and Cubans against a background of comparatively small achievements of the African and Latin Americans. It has been found that all most successful ethnic groups in the USA have three mental traits: a superiority complex, an insecurity, and impulse control. The superiority complex lies in deep inner confidence in an uniqueness of your community compared to others. This confidence can be based on religion, majestic history and culture, origin, and so on. Insecurity means anxiety uncertainty in its significance in society, concern about a lack of results of its activities. Key sources of insecurity are scorn by other communities, fear and parents’ pressure. A scorn by the people of a strange country and its own indignation in this regard may be the most powerful incentive for growth. The second source of the insecurity is fear of being unable to survive in a strange country, which can lead to despair, paralysis of will, capitulation, even shame. But it can also cause a completely different reaction – an urge to rise, earn money, reach power, either to become successful here, or to have same means to escape. The third and most common source of the sense of threat in successful immigrant communities is the pressure from parents to children to be succeed. Parents bring up children's to conviction that success, foremost in learning, is a responsibility of family honor, as well as protection from an uncertain and hostile world. Impulse control means an ability to withstand various temptations, especially the temptation to relinquish difficulty and challenge a difficult task rather than to perform it. No human society can exist without control of impulses. However, it must be remembered that individual control of impulses is just a futile austerity. Success is only possible as a result of combining all three principles – a conviction of superiority, a sense of threat, and an impulse control. Philosophy of a successful life is an extremely effective means of achieving a high social status, if it is important for you. However, it should be used only to succeed. After this it is necessary to get rid of success philosophy, because in the future it can cause a pathological drive to extremes. The experience of bringing up children in the successful communities of America will undoubtedly be useful in the current reforming of Ukrainian education.
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Ng, Isabella F. S., Siu-yau Lee, Winky K. F. Wong, and Kee-Lee Chou. "Effects of Perceived Discrimination on the Quality of Life Among New Mainland Chinese Immigrants to Hong Kong: A Longitudinal Study." Social Indicators Research 120, no. 3 (April 22, 2014): 817–34. http://dx.doi.org/10.1007/s11205-014-0615-9.
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Guo, Man, Meredith Stensland, Mengting Li, and Xinqi Dong. "Parent–Adult Child Relations of Chinese Older Immigrants in the United States: Is There an Optimal Type?" Journals of Gerontology: Series B 75, no. 4 (February 19, 2019): 889–98. http://dx.doi.org/10.1093/geronb/gbz021.
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Abstract Objectives This study aims to identify (a) different types of parent–child relations among Chinese older immigrants, (b) predictors of each relation type, and (c) the most “optimal” type that is associated with better psychological well-being of the older adults. Methods Data were derived from 3,109 Chinese elderly adults in Chicago. Latent Class Analysis was used to identify structures of parent–child relations based on eight indicators of family solidarity. Logistic regressions were used to predict the relation types. Negative binomial and logistic regressions were used to examine the associations between the relation types and depression and quality of life (QoL). Results Four types of parent–child relations emerged: unobligated ambivalent (44.77%), tight-knit (40.11%), detached (10.28%), and commanding conflicted (4.84%). Older adults’ age, gender, marital status, health status, and immigration/acculturation experience were related to their relation types. While tight-knit relation was associated with the fewest depressive symptoms, older adults with unobligated ambivalent relations were the least likely to report good QoL. Discussion The study illustrates the diverse and complex ways in which Chinese older immigrants and their children are connected. The findings suggest that a departure from the traditional norm of filial piety may present a risk factor for this population’s mental health.
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Xu, Hanzhang, Bei Wu, and Man Guo. "PSYCHOSOCIAL RESILIENCE, FAMILY SUPPORT, AND COGNITIVE STATUS: FROM EVIDENCE TO ACTION." Innovation in Aging 6, Supplement_1 (November 1, 2022): 18. http://dx.doi.org/10.1093/geroni/igac059.067.
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Abstract Increasing evidence suggests the important role of social connections and family support in maintaining optimal cognitive status among older adults. This symposium includes four studies from China and the U.S with a focus on generating actionable evidence to inform the development of strategies that target psychosocial resilience and family support to promote cognitive health. Using data from the 2006, 2010, and 2014 waves of the Health and Retirement Study, the first study assessed the impact of social isolation on cognitive function, and how sleep disturbance mediated the association on cognitive decline. The study findings suggest addressing sleep disturbance might be a viable way to mitigate the negative effect of social isolation on cognitive function. Companion piece includes another HRS-based study that assessed the impact of loneliness on psychological resilience and cognitive health in later life. Findings from this study show loneliness is indirectly associated with baseline cognitive status and accelerated cognitive decline through deteriorating phycological resources. The third study used a prospective longitudinal design and applied group-based trajectory modeling to identify distinct family functions among 170 Chinese stroke survivors. Four family function trajectories were identified; healthy and stable family function was associated with better cognition and quality of life. Lastly, the fourth study aimed to use an experienced-based co-design approach to develop a cognitive training intervention to promote cognitive health in older Chinese immigrants in the U.S. This approach allows researchers to engage end-users early and to optimize the development of a culturally and linguistically relevant cognitive training intervention.
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Chiang, Lan-Hung Nora, and Chia-Yuan Huang. "Cultural Adaptation of Taiwanese Female Marriage Migrants in Hong Kong." Translocal Chinese: East Asian Perspectives 12, no. 2 (May 27, 2018): 121–56. http://dx.doi.org/10.1163/24522015-01202001.
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This study proposes to explore trans-border marriage migrants from Taiwan to Hong Kong, which are historically and politically separate entities despite similarities in Chinese culture. An understanding of marriage patterns was obtained from 38 in-depth interviews of Taiwanese women married to Hong Kong men. Patrilocal residence and acceptance of the patriarchal customs was the norm for the early female Taiwanese migrants. While encountering various difficulties in adapting to a different kind of Chinese culture, the early arrivals have successfully made Hong Kong their homes. Through joining various Taiwanese organizations, they have developed female friendship networks over the years. While developing careers, their socio-economic contributions to the Hong Kong society goes beyond the families into which they have married. Despite successful efforts in planting new roots by becoming Hong Kongers over the last few decades, some of the immigrants mentioned returning (luò yè guī gēn 落葉歸根) to Taiwan. Personal connections maintained with their homeland through frequent visits have enabled them to be aware of the latest developments, while trans-border linkages with their parents and siblings in Taiwan have strongly affected their desire to return. A more hospitable environment combined with a better quality of life compared to that of Hong Kong are the main considerations for their intention to leave their host community.
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Nistor, Adela, and Diana Reianu. "Determinants of housing prices: evidence from Ontario cities, 2001-2011." International Journal of Housing Markets and Analysis 11, no. 3 (June 4, 2018): 541–56. http://dx.doi.org/10.1108/ijhma-08-2017-0078.
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Purpose This paper aims to present a panel data econometric model of the main determinants of house prices in the ten largest census metropolitan areas (CMA) in Ontario, Canada, for the years 2001, 2006 and 2011. The impact of immigration on the housing market in Canada is little researched; however, immigration plays an important role into the economy of Canada. According to Statistics Canada, not only is immigration key to Canada’s population growth but also without immigration, in the next 20 years, Canada’s population growth will be zero. The motivation for this study is the bursting of housing bubbles in some developed countries (e.g. USA). The authors analyze variables that are related to the immigration policy in Canada, accounting also for the impact of the interest rate, income, unemployment, household size and housing supply to analyze housing price determinants. The study investigates the magnitude of the impact of the top three leading categories of immigrants to Canada, namely, Chinese, Indian and Filipino, on the housing prices in Ontario’s largest cities. The results show the main factors that explain home prices over time that are interest rate, immigration, unemployment rate, household size and income. Over the 10-year period from 2001 to 2011, immigration grew by 400 per cent in Toronto CMA, the largest receiving area in Ontario, while the nonimmigrant population grew by 14 per cent. For Toronto CMA, immigrants, income, unemployment rate and interest rate explain the CA$158,875 average home price increase over the 2001-2011 time period. Out of this, the three categories of immigrants’ share of total home price increase is 54.57 per cent, with the corresponding interest rate share 58.60 per cent and income share 11.32 per cent of the total price growth. Unemployment rate contributes negatively to the housing price and its share of the total price increase is 24.49 per cent. Design/methodology/approach The framework for the empirical analysis applies the hedonic pricing model theory to housing sales prices for the ten largest CMAs in Ontario over the years 2001-2011. Following Akbari and Aydede (2012) and O’Meara (2015), market clearing in the housing market results in the housing price as a function of several housing attributes. The authors selected the housing attributes based on data availability for the Canadian Census years of 2001, 2006 and 2011 and the variables that have been most used in the literature. The model has the average housing prices as the dependent variable, and the independent variables are: immigrants per dwelling (Chinese, Indian, and Filipino), unemployment rate, average employment income, household size, housing supply and the interest rate. To capture the relative scarcity of dwellings, the independent variable immigrants per dwelling was used. Findings This study seems to suggest that one cause of high prices in Ontario is large inflows of immigrants together with low mortgage interest rate. The authors focused their attention on Toronto CMA, as it is the main destination of immigrants and comprises the largest cities, including Toronto, Mississauga, Brampton and Oakville. Looking over the 10-year period from 2001 to 2011, the authors can see the factors that impact the home prices in Toronto CMA: immigration, unemployment rate, household size, interest rate and income. Over the period of 10 years from 2001 to 2011, immigrants’ group from China, India and the Philippines account for CA$86,701 increase in the home price (54.57 per cent share of the total increase). Income accounts for CA$17,986 increase in the home price (11.32 per cent share); interest rate accounts for CA$93,103 of the average home price increase in Toronto CMA (58.60 per cent share); and unemployment rate accounts for CA$38,916 decrease in the Toronto average home prices (24.49 per cent share). Household size remain stable over time in Toronto (2.8 average household size) and does not have a contribution to home price change. All these four factors, interest rate, immigrants, unemployment rate and income, together explain CA$158,875 increase in home prices in Toronto CMA between 2001 and 2011. Practical implications The housing market price analysis may be more complex, and there may be factors impacting the housing prices extending beyond immigration, interest rate, income and household size. Finally, the results of this paper can be extended to include the most recent census data for the year 2016 to reflect more accurately the price situation in the housing market for Ontario cities. Social implications The fact that currently, in 2017, the young working population cannot afford buying a property in the Toronto CMA area means there is a problem with this market and a corresponding decrease in the quality of life. According to The Globe and Mail (July 2017), a new pool in 2017 suggested that two in five Canadians believe housing in this country is not affordable for them. Further, 38 per cent of respondents who consider themselves middle or upper class believe in no affordability of housing. The Trudeau Government promised Canadians a national housing strategy for affordable housing. Designing a national housing strategy may be challenging because it has to account for the differential income ranges across regions. Municipal leaders are asking the government to prioritize repair and construct new affordable housing. Another reason discussed in the media of the unaffordability of housing in Toronto and Vancouver is foreign buyers. The Canadian Government recently implemented a tax measure on what it may seem the housing bubble problem: foreign buyers. Following Vancouver, in April 2017, Ontario Government imposed a 15 per cent tax on foreign buyers who are not Canadian citizens or permanent residents. This tax is levied on houses purchased in the area stretching from Niagara Region and Greater Toronto to Peterborough. Originality/value Few studies use Canadian data to explain house prices and analyze the effect of immigration on housing prices. There is not much research on the effect of the immigrants and immigrants’ ethnicity (e.g., Chinese, Indian and Filipino immigrants), on the housing prices in Canada cities. This study investigates the impact of the most prevalent immigrant races (e.g., from China, India and the Philippines) on housing prices, using data for Canadian major cities in Ontario within a panel data econometric framework. This paper fills this gap and contributes to the literature, which analyzes the determinants of housing prices based on a panel of cities in the Canadian province of Ontario.
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Leh, Frederick O. "Siu Chuan Y. Leh, M.D. (1935-2013)." Philippine Journal of Otolaryngology-Head and Neck Surgery 28, no. 1 (November 28, 2018): 43. http://dx.doi.org/10.32412/pjohns.v28i1.511.
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“When Giants Pass”
Frederick O. Leh, M.D.
When giants pass, they leave giant footprints and giant shoes to fill. Dr. Leh Siu Chuan passed away last August 2013, after suffering multi-organ failure following a stroke secondary to sick sinus syndrome. As in life, he was a fighter, refusing to give up the ghost for 3 years and 3 months, living in an intensive care unit at the hospital he spent his life serving and loving.
Siu Chuan Y. Leh was born in Manila August 22, 1935, the third generation of Chinese immigrants from the Fukien Province in China. He was the second child in a brood of twelve, easily the brightest child and the apple of his father’s eye. He completed his medical studies at the Pontifical University of Santo Tomas. During the ignominous Vietnam War of the 60’s, he was able to get a position for a residency position in Otolaryngology at the University of Pennsylvania, and trained under the venerable Dr. Atkins, a protégé of both Dr. Jackson Sr. and Dr. Tucker of endoscopic fame. He had to leave his family behind – his wife Benita Leh, and three children – Shirley, Frederick and Sandra. On his second year of training, he sent for his wife and son, Frederick who would later follow in his footsteps as an otolaryngologist.
Life was difficult during that time for a married resident. He received a stipend of only $200 a month, and had to moonlight in emergency rooms on weekends to make ends meet. When he finally completed his residency and passed the American Board of Otolaryngology exams, he gave up a possible lucrative partnership with his mentor to go back to the Philippines to serve his countrymen.
Dr. Leh was invited to the Chinese General Hospital and Medical Center, and he served there prominently as its brightest Ear Nose and Throat practitioner. He became well-known in the Chinese community, taking time to hold clinic in the Ong’s Association Building along Benavidez in Chinatown. He later served as Chinese General Hospital’s Executive Assistant Medical Director until his health started to fail. He was also very active in the Philippine Otolaryngology scene, serving continuously as a Board Examiner, much feared by examinees for his strict and no-nonsense grilling of would-be diplomats. Dr. Leh rose rapidly through the ranks to become President of the Philippine Society of Otolaryngology Head and Neck Surgery. Under his watch, the PSOHNS expanded exponentially, gaining many new member hospitals and programs. He organized and professionalized the criteria for the accreditation program, ensuring high quality from all applicant programs.
With all the kudos, fame and fortune, Dr. Leh was still not done. He was asked to take over a fledgling Tzu Chi Philippine Chapter, part of a Taiwanese Buddhist Foundation seeking to bring relief to the poor of the world. Dr. Leh organized and founded TIMA (the Tzu Chi International Medical Missions and Assistance), which later became the model for other medical missions in the world. For this Dr. Leh was awarded many times by Tzu Chi Foundation. His dream continues as the TIMA continues to treat thousands of people daily, and will soon open a clinic and perhaps a hospital to serve the less fortunate.
Dr. Leh Siu Chuan is survived by his wife of 54 years, Benita Leh, and two doctor sons – Patrick, an orthopaedic surgeon, and Frederick, an otolaryngologist, and two daughters – Shirley, an auditor in New York, and Sandra, district manager for E. Excel Pharmaceuticals of Taiwan. He will live on in the memory of his colleagues and loved ones, and all who had the good fortune of knowing him.
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Kamimura, Akiko, Jeanie Ashby, Maziar Nourian, Nushean Assasnik, Jason Chen, Jennifer Tabler, Guadalupe Aguilera, Natalie Blanton, Allison Jess, and Justine Reel. "Parental health-related quality of life, depression and stress among low-income immigrants." International Journal of Migration, Health and Social Care 14, no. 2 (June 11, 2018): 199–207. http://dx.doi.org/10.1108/ijmhsc-11-2016-0041.
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Purpose Little is known about low-income immigrant parents’ health-related quality of life (HRQoL) associated with their parenting. The purpose of this paper is to examine low-income immigrant parents’ HRQoL, depression and stress. Design/methodology/approach In the spring of 2015, English speaking and Spanish speaking low-income uninsured immigrant parents utilizing a free clinic (N=182) completed a self-administered survey using standardized measures of parental HRQoL, stress and depression. Findings Immigrant parents’ HRQoL related to parenting was lower than general primary care patients. Higher levels of depression and stress were associated with lower levels of parental HRQoL and family functioning. Spanish speakers were significantly more likely to worry about their child’s health or future compared to English speakers. Originality/value While both English and Spanish speaking immigrant parents may need assistance addressing the health-related needs of their child, Spanish speakers may be a target audience for outreach programs. It is possible that by improving the health of their child, immigrant parents may see improvement in their own HRQoL and reductions in their levels of stress and depression. Future research should develop parenting classes for low-income immigrant parents targeting the potential health needs of their children, and assess the efficacy of the classes in improving child health and parental HRQoL.
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_, _. "Representation of Diasporic Chinese Wen Masculinities in A Native of Beijing in New York and A Free Life." Journal of Chinese Overseas 14, no. 1 (April 23, 2018): 5–21. http://dx.doi.org/10.1163/17932548-12341365.
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Abstract This article mainly draws on Kam Louie’s wen/wu paradigm of Chinese masculinities and R. W. Connell’s concept of hegemonic masculinity to examine the representation of diasporic Chinese wen masculinities in the popular Chinese television drama A Native of Beijing in New York and Ha Jin’s novel A Free Life. The article argues that the two texts suggest there is no monolithic and static diasporic masculinity among contemporary immigrant Chinese wen men in the US; rather, immigrant Chinese wen men are constantly negotiating, forming and performing their diasporic masculinity according to their specific financial conditions, personal aspirations, as well as the economic situations in China.
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Wu, Tsu-Yin, and Linda Daniel. "Growth of Immigrant Chinese Infants in the First Year of Life." MCN, The American Journal of Maternal/Child Nursing 26, no. 4 (July 2001): 202–7. http://dx.doi.org/10.1097/00005721-200107000-00010.
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Lee, Yoon-Joo, and Huan Chen. "Empowerment or alienation: Chinese and Korean immigrant mothers’ perception of mobile media in constructing their social role and facilitating parenting practices in the US." Mobile Media & Communication 6, no. 3 (April 27, 2018): 390–406. http://dx.doi.org/10.1177/2050157918763981.
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Previous studies have investigated how Chinese and Korean immigrant mothers adjust to life in the US in order to understand their lives and help them to adapt to the new culture. Based on acculturation and mobile media theories, this study explores particularly how Chinese and Korean immigrant mothers’ child-rearing practices in the US are mediated by mobile media. Guided by the theoretical framework of interpretative phenomenological analysis (IPA), we conducted 16 in-depth interviews with Chinese and Korean immigrant mothers. Findings reveal that while going through the acculturation process, Chinese and Korean immigrant mothers attempt to play the traditional social role of mother as defined in their home countries when utilizing mobile media in their new home. Mobile media have symbolic meanings of empowerment and can be used as tools to deal with prejudice in the host country. This study also suggests that mobile media may mediate Chinese and Korean immigrant mothers’ acculturation processes when adopting different types of acculturation strategies (e.g., integration or separation). Implications for practice and future studies are further discussed.
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Shi, Tie, Wenzhang Zhu, and Shihe Fu. "Quality of life in Chinese cities." China Economic Review 69 (October 2021): 101682. http://dx.doi.org/10.1016/j.chieco.2021.101682.
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Nazaré Oliveira, Eliany, Manuelle Maria Marques Matias, Tamires Alexandre Félix, Maria Michele Bispo Cavalcante, Roberlândia Evangelista Lopes, and Félix Neto. "Brazilian women living in Portugal: work and quality of life." Saúde e Sociedade 28, no. 1 (March 2019): 182–92. http://dx.doi.org/10.1590/s0104-12902019170122.
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Abstract This article is organized around the axes migratory process, work, and quality of life. Two objectives were outlined: characterizing the socio-demographic aspects of Brazilian immigrant women in Portugal; and analyzing their situation and characteristics of work and quality of life. The study started from two working hypotheses: the first on the relation between unemployment and low quality of life; and the second on the relation between high workload and low quality of life of immigrant women. Cross-sectional study conducted from July to September 2016, in Portugal, with 682 Brazilian immigrant women over 18 years of age who lived in the country for more than 3 months. The instruments used were a socio-demographic questionnaire and the questionnaire ‘Medical Outcomes Study 36-Item Short-Form Health Survey’ (SF-36). The results showed a predominance of women in the age group from 18 to 38 years; married or living in a marriage-like relationship; with formal education mostly at the graduate level; with child(ren); and living in a family unit. The first study hypothesis was confirmed and the second study hypothesis was refuted.
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Dong, Gabriella C., and Mengting Li. "Potential Traumatic Events through the Life Cycle in an Immigrant Population." Geriatrics 6, no. 2 (April 8, 2021): 39. http://dx.doi.org/10.3390/geriatrics6020039.
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Existing studies on traumatic events focused on children, while it has been understudied in older adults. This study aims to examine prevalence, frequency, and severity of life events in older Chinese Americans. The data were drawn from the Population Study of Chinese Elderly (PINE) in 2017–2019. Twenty life events were evaluated, including natural disasters, personal traumatic events, and historical events. Among 3125 participants, the mean age was 75.33 (standard deviation (SD) = 8.22) with 61.06% female. Cultural Revolution (73.27%) has the highest prevalence. A total of 1819 (58.39%) participants reported typhoon and experienced multiple times. Falsely accused of crime was reported as the most severe event. Women were more likely to report family-related life events. Those with higher education were more likely to report personal traumatic events. This study is among the first to profile life events in older Chinese Americans. Age cohorts, gender roles, and socioeconomic status shape individuals’ exposure to life events. This study could help identify which vulnerable groups have high risks of exposure to traumatic events.
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Dong, Gabriella, and Stephanie M. Bergren. "TRAUMA THROUGH THE LIFE CYCLE IN AN IMMIGRANT POPULATION." Innovation in Aging 3, Supplement_1 (November 2019): S937—S938. http://dx.doi.org/10.1093/geroni/igz038.3409.
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Abstract The majority of studies on traumatic events have focused on either children or younger adults, while traumatic events in older adults have not been sufficiently investigated. Older immigrants encountered a wide range of traumatic events across the life span, before and after immigration, in the origin and host countries. This study aims to provide a descriptive epidemiology of lifetime traumatic events in older Chinese Americans. The data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) in 2017-2019, with a sample size of 3,126. Traumatic events were evaluated by natural disasters, personal and historical events. After examining the lifetime prevalence of natural disasters, we found typhoon (64.46%) has the highest prevalence, followed by earthquake (39.81%) and tornado (7.25%). In terms of personal events, death of a loved one (69.78%) was the most prevalent, followed by robbery (12.57%), physical assault (5.36%), fire (5.29%), divorce (5.16%), cancer (5.10%), falsely accused (2.15%), homeless (1.57%), sexual assault (0.99%), and imprisonment (0.74%). In addition, 18.91% of women experienced abortion and 11.25% of women experienced miscarriage,. With respect to historical events, most participants experienced the Cultural Revolution (73.27%), the Great Leap Forward (62.71%), and famine (60.01%). A small proportion experienced the Japanese invasion of China (27.14%), Tiananmen Square protests (7.86%), and the Vietnam war (4.78%). In our sample, women were more likely than men to encounter traumatic life events. Further studies could examine the influence of cumulative exposure to natural disasters, personal events and historical events on health outcomes of older immigrants.
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Nunes, Cristina, Ángel Hernando, Ida Lemos, Lara Ayala-Nunes, Cristina Romero Oliva, and Cecilia Montilla Coronado. "Quality of life of Portuguese and Spanish adolescents. A comparative study between natives and immigrants." Ciência & Saúde Coletiva 21, no. 4 (April 2016): 1137–44. http://dx.doi.org/10.1590/1413-81232015214.09992015.
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Abstract The aim of this study was to analyse differences in quality of life (QOL) between Spanish and Portuguese immigrant and native adolescents. In total, 475 native and immigrant adolescents (52% boys) from Algarve (Portugal) and Huelva (Spain), aged between 12 and 17 years old, were assessed with the KIDSCREEN-52. QOL dimensions were not related to most academic variables, with the exception of number of school failures, Financial Resources and Social Support from Peers. Multivariate analysis of variance (MANOVA) was used to examine statistical differences in adolescents QOL. Age differences in QOL levels were not found. Girls reported worse QOL levels on Physical Wellbeing than boys (F = 10.32, p = .001, η2 =.02). Immigrant Portuguese adolescents scored higher on Mood (F = 17.57, p = .000, η2 =.11), and native Portuguese adolescents scored higher on Social Acceptance (F = 4.87, p = .002, η2 =.033). Immigrant and native adolescents had similar levels of perceived QOL. Overall, it seems that in both countries, the living contexts for immigrant and native adolescents are fairly homogeneous.