Abstract
Older Asian immigrants are one of the fastest growing segments of the U.S. population and a growing number of them reside in non-traditional destination cities. However, there is a paucity of research on older Asian immigrants living in these non-traditional destination cities, and how this residential choice impacts their stress and mental health. In the current study, we examined how stressors and social support contribute to the overall mental health of older Asian immigrants who lack access to culturally responsive formal social support services. Using a convenience sample of older Chinese (n = 120) and Korean (n = 118) immigrants living in Arizona, we conducted multiple mediator analyses, focusing specifically on how ethnicity would differentially influence mediating effects of religious participation and familial assistance in the relationships between physical/acculturative stressors and mental health outcomes. The results showed that among older Chinese immigrants, religious participation significantly mediated the relationships between both physical/acculturative stressors and mental health, while there was no significant mediation effect detected among older Korean immigrants. Although Asian Americans are often perceived as a monolithic homogeneous group, the multiple mediator models suggest significant differences in the use of cultural/information resources in coping with life stressors and their impact on mental health outcomes between the older Chinese and Korean immigrants in our study. The study findings suggest a need for developing and strengthening formal social services in non-traditional destination cities that are culturally and linguistically responsive to those older Asian immigrants.
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References
Asian American Federation. (2003). Asian American elders in new York City: A study of health, social needs, quality of life and quality of care. New York, NY: Asian American Federation Retrieved from http://www.aafny.org/doc/asianamericaneldersinnyc.pdf.
Asian American Federation. (2012). Asian Americans in new York City: A decade of dynamic change 2000–2010. New York, NY: Asian American Federation Retrieved from http://www.aafederation.org/pdf/AAF_nyc2010report.pdf.
Barrera Jr., M. (2000). Social support research in community psychology. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology (pp. 215–245). New York, NY: Springer.
Chang, M., & Moon, A. (2016). Correlates and predictors of psychological distress among older Asian immigrants in California. Journal of Gerontological Social Work, 59(2), 77–97. https://doi.org/10.1080/01634372.2016.1140694.
Chen, H., Cheal, K., McDonel Herr, E. C., Zubritsky, C., & Levkoff, S. E. (2007). Religious participation as a predictor of mental health status and treatment outcomes in older persons. International Journal of Geriatric Psychiatry, 22(2), 144–153. https://doi.org/10.1002/gps.1704.
Cheung, C.-K., & Kwan, A. Y.-H. (2009). The erosion of filial piety by modernisation in Chinese cities. Ageing and Society, 29(2), 179–198. https://doi.org/10.1017/S0144686X08007836.
Cho, S., Park, S.-Y., Bernstein, K. S., Roh, S., & Jeon, G.-S. (2015). Socio-demographic and health behavioral correlates of depressive symptoms among Korean Americans. Community Mental Health Journal, 51(4), 414–423. https://doi.org/10.1007/s10597-014-9802-z.
Feng, Z., Fennell, M. L., Tyler, D. A., Clark, M., & Mor, V. (2011). Growth of racial and ethnic minorities in US nursing homes driven by demographics and possible disparities in options. Health Affairs, 30(7), 1358–1365. https://doi.org/10.1377/hlthaff.2011.0126.
Fiske, A., Gatz, M., & Pedersen, N. L. (2003). Depressive symptoms and aging: The effects of illness and non-health-related events. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(6), P320–P328. https://doi.org/10.1093/geronb/58.6.P320.
Gerteis, J., Izrael, D., Deitz, D., LeRoy, L., Ricciardi, R., Miller, T., & Basu, J. (2014). Multiple Chronic Conditions Chartbook (AHRQ publications no. Q14–0038). Agency for Healthcare Research and Quality. Retrieved from https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
Hoeffel, E. M., Rastogi, S., Kim, M. O., & Shahid, H. (2012). The Asian Population: 2010 (C2010BR-11). Washington, D.C.: U.S. Census Bureau Retrieved from https://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf.
Huang, B., Appel, H. B., Ai, A. L., & Lin, C. J. (2012). Religious involvement effects on mental health in Chinese Americans. Asian Culture and History, 4(1), 2–12. https://doi.org/10.5539/ach.v4n1p2.
Ikels, C. (Ed.). (2004). Filial piety: Practice and discourse in contemporary East Asia. Stanford, CA: Standford University Press.
Ishii-Kuntz, M. (1997). Intergenerational relationships among Chinese, Japanese, and Korean Americans. Family Relations, 46(1), 23–32. https://doi.org/10.2307/585603.
Kang, S.-Y., Domanski, M. D., & Moon, S. S. (2009). Ethnic enclave resources and predictors of depression among Arizona's Korean immigrant elders. Journal of Gerontological Social Work, 52(5), 489–502. https://doi.org/10.1080/01634370902983153.
Kang, S.-Y., Boyas, J., & Salehin, M. (2012). Correlates of depression among Chinese immigrant elders in Arizona: The role of acculturative stress and social support. Journal of Human Behavior in the Social Environment, 22(3), 334–350. https://doi.org/10.1080/10911359.2012.655609.
Kang, S.-Y., Kim, I., & Kim, W. (2016). Differential patterns of healthcare service use among Chinese and Korean immigrant elders. Journal of Immigrant and Minority Health, 18(6), 1455–1461. https://doi.org/10.1007/s10903-015-0297-7.
Kaniasty, K., & Norris, F. H. (2000). Help-seeking comfort and receiving social support: The role of ethnicity and context of need. American Journal of Community Psychology, 28, 545–581.
Kaniasty, K., & Norris, F. H. (2004). Social support in the aftermath of disasters, catastrophes, and acts of terrorism: Altruistic, overwhelmed, uncertain, antagonistic, and patriotic communities. In R. J. Ursano, A. E. Norwood, & C. S. Fullerton (Eds.), Bioterrorism: Psychological and public health interventions (pp. 200–229). New York, NY: Cambridge University Press.
Kim, I.-H., & Noh, S. (2016). Racial/ethnic variations in the main and buffering effects of ethnic and nonethnic supports on depressive symptoms among five ethnic immigrant groups in Toronto. Ethnicity & Health, 21(3), 215–232. https://doi.org/10.1080/13557858.2015.1061101.
Kim, W., Kang, S.-Y., & Kim, I. (2015). Depression among Korean immigrant elders living in Canada and the U.S.: A comparative study. Journal of Gerontological Social Work, 58(1), 86–103. https://doi.org/10.1080/01634372.2014.919977.
Kim, K. C., Kim, S., & Hurh, W. M. (1991). Filial piety and intergenerational relationship in Korean immigrant families. The International Journal of Aging and Human Development, 33(3), 233–245. https://doi.org/10.2190/y91p-ungr-x5e1-175k.
Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). New York, NY: The Guilford Press.
Kuk, K., & Lichter, D. T. (2011). New Asian destinations: A comparative study of traditional gateways and emerging immigrant destinations. Paper presented at the population Association of America. DC: Washington http://hdl.handle.net/1813/15067.
Kuo, B. C. H., Chong, V., & Joseph, J. (2008). Depression and its psychosocial correlates among older Asian immigrants in North America. Journal of Aging and Health, 20(6), 615–652. https://doi.org/10.1177/0898264308321001.
Lai, D. W. L. (2004). Impact of culture on depressive symptoms of elderly Chinese immigrants. Canadian Journal of Psychiatry (Revue Canadienne De Psychiatrie), 49(12), 820–827.
Lee, E.-K. O. (2007). Religion and spirituality as predictors of well-being among Chinese American and Korean American older adults. Journal of Religion, Spirituality & Aging, 19(3), 77–100. https://doi.org/10.1300/J496v19n03_06.
Lee, E.-K. O., & Chan, K. (2009). Religious/spiritual and other adaptive coping strategies among Chinese American older immigrants. Journal of Gerontological Social Work, 52(5), 517–533. https://doi.org/10.1080/01634370902983203.
Lee, H. Y., Moon, A., & Knight, B. G. (2005). Depression among elderly Korean immigrants. Journal of Ethnic and Cultural Diversity in Social Work, 13(4), 1–26. https://doi.org/10.1300/J051v13n04_01.
Lim, S., Yi, S. S., Lundy De La Cruz, N., & Trinh-Shevrin, C. (2017). Defining ethnic enclave and its associations with self-reported health outcomes among Asian American adults in new York City. Journal of Immigrant and Minority Health, 19(1), 138–146. https://doi.org/10.1007/s10903-015-0334-6.
Mui, A. C., & Kang, S.-Y. (2006). Acculturation stress and depression among Asian immigrant elders. Social Work, 51, 243–255.
Mui, A. C., & Lee, E. S. (2014). Correlates of depression among Chinese and Korean immigrant elders in the United States. Ageing International, 39(3), 274–288. https://doi.org/10.1007/s12126-013-9183-6.
Mui, A. C., Kang, S.-Y., Kang, D., & Domanski, M. D. (2007). English language proficiency and health-related quality of life among Chinese and Korean immigrant elders. Health & Social Work, 32(2), 119–127. https://doi.org/10.1093/hsw/32.2.119.
Oh, H., Ardelt, M., & Koropeckyj-Cox, T. (2016). Daughters’ generation: The importance of having daughters living nearby for older Korean immigrants mental health. Journal of Family Issues, 38, 1–17. https://doi.org/10.1177/0192513X16640023.
Park, K. (1997). The Korean immigrant dream: Immigrant and small business in new York City. Ithaca, NY: Cornell University Press.
Park, S.-Y., & Bernstein, K. (2008). Depression and Korean American immigrants. Archives of Psychiatric Nursing, 22(1), 12–19. https://doi.org/10.1016/j.apnu.2007.06.011.
Pew Research Center. (2012). Asian Americans: A mosaic of faiths. Pew Research Center. Retrieved from http://www.pewforum.org/files/2012/07/Asian-Americans-religion-full-report.pdf
Pew Research Center. (2013). The rise of Asian Americans: Updated Edition. D.C.: Washington Retrieved from http://www.pewsocialtrends.org/files/2013/04/Asian-Americans-new-full-report-04-2013.pdf.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879.
Prelow, H. M., Mosher, C. E., & Bowman, M. A. (2006). Perceived racial discrimination, social support, and psychological adjustment among African American college students. Journal of Black Psychology, 32, 442–454. https://doi.org/10.1177/0095798406292677.
Ramakrishnan, K., & Ahmad, F. Z. (2014). Demographics: Part of the “state of Asian Americans and Pacific islanders” series. In Center for American Progress Retrieved from https://cdn.americanprogress.org/wp-content/uploads/2014/04/AAPI-Demographics.pdf.
Rhee, S. L. (2016). Acculturative stress and depressive symptoms among Korean immigrant elders residing in non-Korean ethnic enclaves. Journal of Ethnic & Cultural Diversity in Social Work, 26, 1–19. https://doi.org/10.1080/15313204.2016.1242101.
Roh, S., Lee, K. H., & Yoon, D. P. (2012). General well-being of Korean immigrant elders: The significance of religiousness/spirituality and social support. Journal of Social Service Research, 39(4), 483–497. https://doi.org/10.1080/01488376.2012.709451.
Ryan, A. S., Mui, A. C., & Cross, P. (2003). Asian American elders in new York City: A study of health, social needs, quality of life and quality of care. New York: The Asian American Federation of New York. Retrieved from.
SAMHSA, Substance Abuse and Mental Health Services Administration. (2011). The Treatment of Depression in Older Adults: Depression and Older Adults: Key Issues (HHS Pub. No. SMA-11–4631). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. Retrieved from https://store.samhsa.gov/shin/content/SMA11-4631CD-DVD/SMA11-4631CD-DVD-KeyIssues.pdf
Statacorp. (2011). Stata statistical software: Release 12. College Station, TX: StataCorp, LP.
Sun, F., Gao, X., Gao, S., Li, Q., & Hodge, D. R. (2016). Depressive symptoms among older Chinese Americans: Examining the role of acculturation and family dynamics. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences., gbw038. https://doi.org/10.1093/geronb/gbw038.
Sung, K.-T. (1990). A new look at filial piety: Ideals and practices of family-centered parent care in Korea.. The Gerontologist, 30(5), 610–617. https://doi.org/10.1093/geront/30.5.610
Taylor, S. E., & Broffman, J. I. (2011). Psychosocial resources: Functions, origins, and links to mental and physical health. In M. O. James & P. Z. Mark (Eds.), Advances in Experimental Social Psychology (Vol. volume 44, pp. 1–57): Academic press.
Taylor, S. E., Sherman, D. K., Kim, H. S., Jarcho, K., Takagi, K., & Dunagan, M. S. (2004). Culture and social support: Who seeks it and why? Journal of Personality and Social Psychology, 87(3), 354–362. https://doi.org/10.1037/0022-3514.87.3.354.
Tsai, D. T., & Lopez, R. A. (1998). The use of social supports by elderly Chinese immigrants. Journal of Gerontological Social Work, 29(1), 77–94. https://doi.org/10.1300/J083v29n01_06.
Tsutsui, T., Muramatsu, N., & Higashino, S. (2014). Changes in perceived filial obligation norms among coresident family caregivers in Japan. The Gerontologist, 54(5), 797–807. https://doi.org/10.1093/geront/gnt093.
U.S. Census Bureau. (1990a). 1990 census of population. In General population characteristics Retrieved from http://www.census.gov/prod/cen1990/cp1/cp-1-4.pdf.
U.S. Census Bureau. (1990b). 1990 Census of Population: Asian and Pacific Islanders in the United States (1990 CP-3-5). Retrieved from https://www.census.gov/prod/cen1990/cp3/cp-3-5.pdf.
U.S. Census Bureau. (2001). Census 2000 Summary File 2 (SF 2). Retrieved from https://www.census.gov/census2000/sumfile2.html
Ware, J. E. (1993). SF-36 health survey: Manual and interpretation guide. Boston: Health Institute, New England Medical Center.
Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2000). SF-36 health survey: Manual and interpretation guide: Quality metric Inc.
WHO, World Health Organization. (2016). Mental health and older adults. Fact Sheet No. 381. Retrieved from http://www.who.int/mediacentre/factsheets/fs381/en/
Wong, S. T., Yoo, G. J., & Stewart, A. L. (2005). Examining the types of social support and the actual sources of support in older Chinese and Korean immigrants. The International Journal of Aging and Human Development, 61(2), 105–121. https://doi.org/10.2190/aj62-qqkt-yj47-b1t8.
Wong, S. T., Yoo, G. J., & Stewart, A. L. (2006). The changing meaning of family support among older Chinese and Korean immigrants. The Journals of Gerontology: Series B, 61(1), S4–S9. https://doi.org/10.1093/geronb/61.1.S4.
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Kim, I., Kang, SY. & Kim, W. The Effects of Religious Participation and Familial Assistance on Mental Health among Older Chinese and Korean Immigrants: Multiple Mediator Analyses. J Cross Cult Gerontol 33, 411–425 (2018). https://doi.org/10.1007/s10823-018-9355-7
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DOI: https://doi.org/10.1007/s10823-018-9355-7