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.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Research Project (R01)
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Study Section
Health Disparities and Equity Promotion Study Section (HDEP)
Program Officer
Gerald, Melissa S
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Rush University Medical Center
Internal Medicine/Medicine
Schools of Medicine
United States
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Dong, XinQi; Zhang, Manrui (2016) The Association between Filial Piety and Perceived Stress among Chinese Older Adults in Greater Chicago Area. J Geriatr Palliat Care 4:
Dong, XinQi (2016) Elder Abuse in Nursing Homes: How Do We Advance the Field of Elder Justice? Ann Intern Med 165:288-9
Tang, Fengyan; Xu, Ling; Chi, Iris et al. (2016) Psychological Well-Being of Older Chinese-American Grandparents Caring for Grandchildren. J Am Geriatr Soc 64:2356-2361
Dong, XinQi (2016) Sociodemographic and socioeconomic characteristics of elder self-neglect in an US Chinese aging population. Arch Gerontol Geriatr 64:82-9
Dong, XinQi; Simon, Melissa A (2015) Elder self-neglect is associated with an increased rate of 30-day hospital readmission: findings from the Chicago Health and Aging Project. Gerontology 61:41-50
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 (2015) Screening for Elder Abuse in Healthcare Settings: Why Should We Care, and Is It a Missed Quality Indicator? J Am Geriatr Soc 63:1686-8
Dong, XinQi; Bergren, Stephanie M; Chang, E-Shien (2015) Levels of Acculturation of Chinese Older Adults in the Greater Chicago Area - The Population Study of Chinese Elderly in Chicago. J Am Geriatr Soc 63:1931-7
Dong, Xin Qi (2015) Elder Abuse: Systematic Review and Implications for Practice. J Am Geriatr Soc 63:1214-38
Roepke-Buehler, Susan K; Dong, XinQi (2015) Perceived Stress and Elder Abuse: A Population-Based Study of Adult Protective Services Cases in Chicago. J Am Geriatr Soc 63:1820-8

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