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Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans

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Abstract

The present study examined changes in the perceived health of older Korean Americans (n = 141) over a 2-year period: 2003 (T1) and 2005 (T2). A hierarchical regression model of changes in perceived health was estimated with the following array of predictors: (1) background variables (age, gender, marital status, education, and length of stay in the United States), (2) initial perceived health (T1), (3) physical and mental health conditions at T1 (chronic conditions, functional disability, and depressive symptoms), and (4) changes in physical and mental health conditions (T2 − T1). When the effects of background variables and baseline perceived health were controlled, baseline chronic conditions and changes in both chronic conditions and depressive symptoms were found to predict changes in perceived health. Older individuals who initially had more chronic conditions and those who had experienced an increasing number of chronic conditions and depressive symptoms over 2 years viewed their health more negatively at follow-up. Findings highlight the importance of interventions for disease management and mental health promotion to enhance subjective health among older Korean immigrants.

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References

  1. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38:21–37.

    Article  PubMed  CAS  Google Scholar 

  2. Liang J. Self-reported physical health among aged adults. J Gerontol. 1986;41:248–60.

    PubMed  CAS  Google Scholar 

  3. Wolinsky FD, Johnson RJ. Perceived health status and mortality among older men and women. J Gerontol: Social Sci. 1992;47:S304–12.

    CAS  Google Scholar 

  4. Borawski EA, Kinney JM, Kahana E. The meaning of older adults’ health appraisals: congruence with health status, determinant of mortality. J Gerontol: Social Sci. 1996;51B:S157–70.

    Google Scholar 

  5. Hays J, Schoenfeld D, Blazer D. Determinants of poor self-rated health in later life. Am J Geriatr Psychiatry 1996;4:188–96.

    Article  Google Scholar 

  6. Maier H, Smith J. Psychological predictors of mortality in old age. J Gerontol: Psychol Sci. 1999;54B:P44–54.

    Google Scholar 

  7. Ormel J, Kempen G, Deeg D, Brilman E, van Sonderen E, Relyveld J. Functioning, well-being, and health perception in late middle-aged and older people: comparing the effects of depressive symptoms and chronic medical conditions. J Am Geriatr Soc. 1998;46:39–48.

    PubMed  CAS  Google Scholar 

  8. Rodin J, McAvay G. Determinants of change in perceived health in a longitudinal study of older adults. J Gerontol: Psychol Sci. 1992;47:P373–84.

    CAS  Google Scholar 

  9. Kahana E, Resmond C, Hill GJ, Kercher K, Kahana B, Johnson JR, Young R. The effects of stress, vulnerability, and appraisal on the psychological well-being of the elderly. Res Aging 1995;17:459–89.

    Article  Google Scholar 

  10. Schulz R, Williamson GM. Psychosocial and behavioral dimensions of physical frailty. J Gerontol. 1993;48:39–43.

    PubMed  Google Scholar 

  11. Bryant L, Beck A, Fairclough D. Factors that contribute to positive perceived health in an older populations. J Aging Health 2000;12:169–92.

    Article  PubMed  CAS  Google Scholar 

  12. Cott C, Gignac M, Badley E. Determinants of self-rated health for Canadians with chronic disease and disability. J Epidemiol Community Health 1999;53:731–6.

    PubMed  CAS  Google Scholar 

  13. Pinquart M. Correlates of subjective health in older adults: a meta-analysis. Psychol Aging 2001;16:414–26.

    Article  PubMed  CAS  Google Scholar 

  14. Miller M, Schulz R, Paradis C, Houck P, Mazumdar S, Frank E et al. Changes in perceived health status of depressed elderly patients treated until remission. Am J Psychiatry 1996;153:1350–2.

    PubMed  CAS  Google Scholar 

  15. Maddox G, Douglass E. Self-assessment of health: a longitudinal study of elderly subjects. J Health Soc Behav. 1973;14:87–93.

    Article  PubMed  CAS  Google Scholar 

  16. Han B. Depressive symptoms and self-rated health in community-dwelling older adults: a longitudinal study. J Am Geriatr Soc. 2002;50:1549–56.

    Article  PubMed  Google Scholar 

  17. Kim H, Wolde-Tsadik G, Reuben D. Predictors of perceived health in hospitalized older persons: a cross-sectional and longitudinal study. J Am Geriatr Soc. 1997;45:420–6.

    PubMed  CAS  Google Scholar 

  18. Datto C, Thompson R, Knott K, Katz I. Older adult report of change in depressive symptoms as a treatment decision tool. J Am Geriatr Soc. 2006;54:627–31.

    Article  PubMed  Google Scholar 

  19. U. S. Bureau of the Census: Population Census. Washington D.C.: United States Department of Commerce; 2000.

  20. Andersen R, Harada N, Chiu V, Makinodan T. Application of the behavioral model to health studies of Asian and Pacific Islander Americans. Asian Am Pac Isl J Health 1995;3:128–41.

    PubMed  Google Scholar 

  21. Hurh W, Kim K. Correlates of Korean immigrant’s mental health. J Nerv Ment Dis. 1990;178:703–11.

    Article  PubMed  CAS  Google Scholar 

  22. Jang Y, Poon LW, Kim S, Shin B. Self-perception of aging and health among older adults in Korea. J Aging Stud. 2004;18:485–96.

    Article  Google Scholar 

  23. Min J, Moon A, Lubben J. Determinants of psychological distress over time among older Korean immigrants and non-Hispanic White elders: evidence from a two-wave panel study. Aging Ment Health 2005;9:210–22.

    Article  PubMed  CAS  Google Scholar 

  24. Curry L, Jackson J. The science of inclusion: recruiting, retaining racial and ethnic elders in health research. Washington D.C.: The Gerontological Society of American; 2003.

    Google Scholar 

  25. Jang Y, Kim G, Chiriboga D. Acculturation and manifestation of depressive symptoms among Korean American older adults. Aging Ment Health 2005;9:500–7.

    Article  PubMed  CAS  Google Scholar 

  26. Jang Y, Kim G, Hansen L, Chiriboga D. Attitudes of older Korean Americans toward mental health services. J Am Geriatr Soc. 2007;55:616–20.

    Article  PubMed  Google Scholar 

  27. Fillenbaum G. Multidimensional functional assessment: The Duke older Americans resources, services procedure. Hillsdale NJ: Erlbaum; 1988.

    Google Scholar 

  28. Nagi S. An epidemiology of disability among adults in the United States. Milbank Mem Fund Q. 1976;54:439–67.

    Article  CAS  Google Scholar 

  29. Rosow I, Breslau N. A Guttman Health Scale for the aged. J Gerontol. 1966;21:556–9.

    PubMed  CAS  Google Scholar 

  30. Andresen E, Malmgren J, Carter W, Patrick D. Screening for depression in well older adults: evaluation of a short form of the CES-D. Am J Prev Med. 1994;10:77–84.

    PubMed  CAS  Google Scholar 

  31. Radloff L. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

    Article  Google Scholar 

  32. Cho M, Nam J, Suh G. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res. 1998;81:341–52.

    Article  PubMed  CAS  Google Scholar 

  33. Fredman L, Hawkes W, Black S, Bertrand R, Magaziner J. Elderly patients with hip fracture with positive affect have better functional recovery over 2 years. J Am Geriatr Soc. 2006;54:1074–81.

    Article  PubMed  Google Scholar 

  34. Salovey P, Rothman A, Detweiler J, Steward W. Emotional states and physical health. Am Psychol. 2000;55:110–21.

    Article  PubMed  CAS  Google Scholar 

  35. Lin KM, Cheung F. Mental health issues for Asian Americans. Psychiatr Serv. 1999;50:774–80.

    PubMed  CAS  Google Scholar 

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Acknowledgement

The project was partially supported by the National Institute on Aging Research Grant Program (1R03 AG 26332-01).

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Authors and Affiliations

  1. Department of Aging and Mental Health, Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 1439, Tampa, FL, 33612, USA

    Yuri Jang, David A. Chiriboga & Soyeon Cho

  2. College of Health Professions, Temple University, Philadelphia, USA

    Giyeon Kim

  3. 1700 N. Broad Street, Suite 313, Philadelphia, PA, 19122, USA

    Giyeon Kim

Authors
  1. Yuri Jang
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  2. David A. Chiriboga
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  3. Giyeon Kim
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  4. Soyeon Cho
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Correspondence to Yuri Jang.

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Jang, Y., Chiriboga, D.A., Kim, G. et al. Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans. J Immigrant Minority Health 11, 7–12 (2009). https://doi.org/10.1007/s10903-007-9112-4

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  • DOI: https://doi.org/10.1007/s10903-007-9112-4

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