This application is a re-submission of our prior application (R01 MD006173) to examine the relationship between adult children 's filial piety and psychosocial wellbeing of Chinese older adults. Despite the rapid growth of Chinese populations, we have the most rudimentary understanding of many important issues facing the US Chinese older adults. More specifically, there are significant disparities in psychosocial wellbeing among Chinese older adults, who have the highest suicide rate than any other racial/ethnic group in the US. This marked health disparity is further exacerbated by the linguistic and cultural complexities when studying these issues as well as the inadequate community support necessary to empower the Chinese community to be fully engaged as equal partners in research. These impediments necessitate a deeper understanding broader contextual cultural factors associated with psychosocial distress, through the development of sustainable community-academic partnership and the reciprocal transfer of expertise to improve the health of the Chinese population. Accordingly, we will leverage a comprehensive model of community-based participatory research (CBPR) to examine the relationship between important cultural factors and psychosocial wellbeing of Chinese older adults. Among many important cultural factors , filial piety is the most important and defines relationships between adult children and their parents. Improved understanding of filial piety could improve our understanding of a key contextual factor that may affect psychosocial wellbeing of Chinese older adults. The primary specific aims are to: 1) examine the relationship between adult children 's filial piety with older adult's psychosocial wellbeing;2) examine the relationship between the discrepancies in adult children 's filial behaviors and older adult's filial expectations with the psychosocial wellbeing of older adults;and 3) examine the degree to which adult children 's filial piety influences other risk factors associated with psychological distress and social isolation of older adults. The secondary specific aims are to: 4) explore the influence of other relevant cultural factors on above relationship (aims 1-3);and 5) identify through semi-structure interviews the stress, barriers, challenges and cultural variations in the adherence and expectation of filial piety in both adult children and older adults. To achieve these objectives, a bilingual and bicultural principal investigator and an experienced interdisciplinary team will build on our NIH funded CBPR projects to collaborate with Chicago Chinese community groups. The findings from this proposal could inform the successful conduct of future prevention and intervention studies to improve psychosocial wellbeing in US Chinese older adults.

Public Health Relevance

This application aims to examine the relationship between adult children's filial piety and psychological and social wellbeing of Chinese older adults in a community-dwelling population. The findings from this study will provide important information on the risk and protective factors associated with psychosocial wellbeing of older Chinese persons. This is consistent with NIH's goal of improve health and aging and reduce health disparities in all racial/ethnic groups.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Research Project (R01)
Project #
Application #
Study Section
Special Emphasis Panel (ZMD1)
Program Officer
Alvidrez, Jennifer L
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Rush University Medical Center
Internal Medicine/Medicine
Schools of Medicine
United States
Zip Code
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

Showing the most recent 10 out of 49 publications