This goal of our project is to conduct an epidemiological study to elucidate the relationship between culture factors and psychological wellbeing in Chinese older adults. More specifically, we will examine the trajectory of psychological wellbeing in Chinese older adults, to quantify the relation between normative responsibilities with their psychological wellbeing, to quantify the degree of influence to which normative responsibilities influences health-related factors associated with psychological wellbeing, and to examine the gender differences. Our secondary aims are to explore the feasibilities of testing the inter-relations between subjective and physiological measures of psychological wellbeing;and to explore the socio-cultural context in the normative responsibilities. Chinese aging population is increasing rapidly in US and globally. However, there are marked health disparities, especially surround the issues of psychological wellbeing, suicide, violence and elder mistreatment (elder abuse, neglect, financial exploitation and self-neglect). In addition, there are linguistic and cultural complexities and nuances when studying these issues. Moreover, there has been inadequate grass-root support necessary to empower and enable the Chinese communities to fully participate in the research process as equal partners on culturally sensitive issues. Accordingly, we will build on our prior community-based participatory research to quantify the mechanisms between important cultural factors and the trajectory of psychological wellbeing in Chinese older adults. In this application, a culturally capable principal investigator and a multi-institutional interdisciplinary team will build on our prior efforts to collaborate with Chinese community organizations. The findings from this proposal could inform health care professionals, researcher, community, and policy makers to identify risk/protective factors, better understand disease pathway, inform future prevention and intervention studies, and inform the practice and policy to improve psychological wellbeing in Chinese older adults.

Public Health Relevance

This proposal will conduct an epidemiological study to quantify the trajectory of older adult?s psychological wellbeing and to examine factors associated with filial responsibilities, family conflict, and psychological wellbeing in Chinese older men and women. This has implication for investigator, clinicians, community, social services and policy makers to reduce health disparity in Chinese aging population.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG042318-02
Application #
8535120
Study Section
Health Disparities and Equity Promotion Study Section (HDEP)
Program Officer
Gerald, Melissa S
Project Start
2012-09-01
Project End
2017-05-31
Budget Start
2013-09-01
Budget End
2014-05-31
Support Year
2
Fiscal Year
2013
Total Cost
$468,966
Indirect Cost
$94,462
Name
Rush University Medical Center
Department
None
Type
Organized Research Units
DUNS #
068610245
City
Chicago
State
IL
Country
United States
Zip Code
60612
Dong, XinQi; Simon, Melissa (2015) Association between Elder Abuse and Metabolic Syndromes: Findings from the Chicago Health and Aging Project. Gerontology 61:389-98
Dong, XinQi; Li, Yu; Simon, Melissa A (2014) Social engagement among U.S. Chinese older adults--findings from the PINE Study. J Gerontol A Biol Sci Med Sci 69 Suppl 2:S82-9
Dong, Xinqi; Simon, Melissa; Beck, Todd et al. (2014) Decline in cognitive function and elder mistreatment: findings from the Chicago Health and Aging Project. Am J Geriatr Psychiatry 22:598-605
Chang, E-Shien; Beck, Todd; Simon, Melissa A et al. (2014) A psychometric assessment of the psychological and social well-being indicators in the PINE study. J Aging Health 26:1116-36
Chen, Ruijia; Simon, Melissa A; Chang, E-Shien et al. (2014) The perception of social support among U.S. Chinese older adults: findings from the PINE Study. J Aging Health 26:1137-54
Dong, XinQi; Chang, E-Shien; Simon, Melissa A (2014) Physical function assessment in a community-dwelling population of U.S. Chinese older adults. J Gerontol A Biol Sci Med Sci 69 Suppl 2:S31-8
Dong, XinQi; Zhang, Manrui; Simon, Melissa (2014) The prevalence of cardiopulmonary symptoms among Chinese older adults in the Greater Chicago area. J Gerontol A Biol Sci Med Sci 69 Suppl 2:S39-45
Simon, Melissa A; Zhang, Manrui; Dong, XinQi (2014) Trust in physicians among U.S. chinese older adults. J Gerontol A Biol Sci Med Sci 69 Suppl 2:S46-53
Dong, XinQi (2014) Self-neglect in an elderly community-dwelling U.S. Chinese population: findings from the Population Study of Chinese Elderly in Chicago study. J Am Geriatr Soc 62:2391-7
Dong, XinQi; Chen, Ruijia; Simon, Melissa A (2014) Elder abuse and dementia: a review of the research and health policy. Health Aff (Millwood) 33:642-9

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