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
Type
Organized Research Units
DUNS #
068610245
City
Chicago
State
IL
Country
United States
Zip Code
60612
Chen, Yiwei; Wang, Jiaxi; Liang, Ying et al. (2018) Perceived Stress and Cognitive Functions Among Chinese Older Adults: The Moderating Role of Health Status. Gerontol Geriatr Med 4:2333721418778390
Li, Lydia W; Gee, Gilbert C; Dong, XinQi (2018) Association of Self-Reported Discrimination and Suicide Ideation in Older Chinese Americans. Am J Geriatr Psychiatry 26:42-51
Dong, XinQi; Li, Ke (2018) The Association Between Musculoskeletal Symptoms and Traditional Chinese Medicine Use Among Chinese Older Adults in the Greater Chicago Area. Gerontol Geriatr Med 4:2333721418778179
Wang, Jinjiao; Kong, Dexia; Sun, Benjamin C et al. (2018) Health Services Utilization Among Chinese American Older Adults: Moderation of Social Support With Functional Limitation. J Appl Gerontol :733464818787716
Kong, Dexia; Davitt, Joan; Dong, XinQi (2018) Loneliness, Depressive Symptoms, and Cognitive Functioning Among U.S. Chinese Older Adults. Gerontol Geriatr Med 4:2333721418778201
Chao, Ying-Yu; Katigbak, Carina; Zhang, Ning Jackie et al. (2018) Association Between Perceived Social Support and Depressive Symptoms Among Community-Dwelling Older Chinese Americans. Gerontol Geriatr Med 4:2333721418778194
Li, Mengting; Dong, Xinqi (2018) The Association Between Filial Piety and Depressive Symptoms Among U.S. Chinese Older Adults. Gerontol Geriatr Med 4:2333721418778167
Tang, Fengyan; Zhang, Wei; Chi, Iris et al. (2018) Acculturation and Activity Engagement Among Older Chinese Americans. Gerontol Geriatr Med 4:2333721418778198
Dong, XinQi; Bergren, Stephanie M (2017) The Associations and Correlations Between Self-reported Health and Neighborhood Cohesion and Disorder in a Community-dwelling U.S. Chinese Population. Gerontologist 57:679-695
Dong, XinQi (2017) Associations Between the Differential Definitions of Elder Mistreatment and Suicidal Ideation Outcomes in U.S. Chinese Older Adults: Do the Definitions Matter? J Gerontol A Biol Sci Med Sci 72:S82-S89

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