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Park SM, Kim DB, Joo MJ, Park EC. Association between living alone and generalized anxiety disorder in Korean adults. J Affect Disord 2024; 362:630-637. [PMID: 39029664 DOI: 10.1016/j.jad.2024.07.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 06/25/2024] [Accepted: 07/16/2024] [Indexed: 07/21/2024]
Abstract
BACKGROUND Globally, the rise in single-person households poses a potential risk to mental health, with generalized anxiety disorder (GAD) being a prominent concern. The proliferation of single-person households may exacerbate social isolation and foster loneliness and anxiety. Notably, research investigating the association between single-person households and GAD remains limited. Therefore, this study aimed to investigate the association between single-person households and GAD across sexes in Korea. METHODS We utilized data from the Korea National Health and Nutrition Examination Survey conducted in 2021 and 2022, comprising a sample of 9936 participants aged 19 or older. The Generalized Anxiety Disorder Screening Tool (GAD-7) was employed to assess anxiety levels in adults. Multiple logistic regression analysis was conducted to investigate the correlation between single-person households and GAD. RESULTS The reference variable used in the analysis was multi-person households (consisting of two or more individuals). The association between single-person households and GAD was statistically significant across sexes (male: odds ratio [OR]: 1.92, 95 % CI: 1.15-3.20; female: OR: 1.56, 95 % CI: 1.03-2.36). Participants in single-person households exhibited higher scores on the GAD-7 compared with those in multi-person households. Notably, marital status and education level displayed disparate effects based on sex, whereas physical activity demonstrated consistent effects irrespective of sex. LIMITATIONS Given the use of cross-sectional data, only correlations could be established. CONCLUSION The findings indicate an elevated risk of GAD in single-person households compared with multi-person households. Furthermore, promoting physical activity emerged as a potential strategy for mitigating GAD in single-person households.
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Affiliation(s)
- Su Min Park
- Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
| | - Dan Bi Kim
- Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
| | - Min Jeong Joo
- Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
| | - Eun-Cheol Park
- Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
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Manalo-Pedro E, Enriquez LE, Nájera JR, Ro A. Anxious Activists? Examining Immigration Policy Threat, Political Engagement, and Anxiety among College Students with Different Self/Parental Immigration Statuses. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2024; 65:381-399. [PMID: 38682706 PMCID: PMC11380356 DOI: 10.1177/00221465241247541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/01/2024]
Abstract
Restrictive immigration policies harm the mental health of undocumented immigrants and their U.S. citizen family members. As a sociopolitical stressor, threat to family due to immigration policy can heighten anxiety, yet it is unclear whether political engagement helps immigrant-origin students to cope. We used a cross-sectional survey of college students from immigrant families (N = 2,511) to investigate whether anxiety symptomatology was associated with perceived threat to family and if political engagement moderated this relationship. We stratified analyses by self/parental immigration statuses-undocumented students, U.S. citizens with undocumented parents, and U.S. citizens with lawfully present parents-to examine family members' legal vulnerability. Family threat was significantly associated with anxiety; higher levels of political engagement reduced the strength of this relationship. However, this moderation effect was significant only for U.S. citizens with lawfully present parents. These findings emphasize the importance of the family immigration context in shaping individuals' mental health outcomes.
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Affiliation(s)
| | | | | | - Annie Ro
- University of California, Irvine, CA, USA
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Howlader S, Abedin S, Rahman MM. Social support, distress, stress, anxiety, and depression as predictors of suicidal thoughts among selected university students in Bangladesh. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002924. [PMID: 38626087 PMCID: PMC11020522 DOI: 10.1371/journal.pgph.0002924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Accepted: 03/15/2024] [Indexed: 04/18/2024]
Abstract
This study examines the association of perceived social support with suicidal thoughts among a young adult sample of university students and estimates the degree to which perceived stress, distress, anxiety, and depression may explain the association. A cross-sectional survey was conducted from June to September 2022 among 642 students, selected using the probability proportional to size procedure, at a large university in Bangladesh. We used the Multidimensional Scale of Perceived Social Support (MSPSS) to measure support. The Impact of Events Scale-Revised (IES-R), the Perceived Stress Scale (PSS-10), the Generalized Anxiety Disorders (GAD-7) scale, and the Patient Health Questionnaire (PHQ-9) were used to assess distress, stress, anxiety, and depression. The association between social support and suicidal thoughts was examined using multivariable logistic regression models. Mediation analyses were carried out using the Karlson, Holm, and Breen (KHB) method. We found that perceived social support was associated with lower odds of suicidal thoughts after controlling for other variables (adjusted odds ratio = 0.94; 95% confidence interval = 0.92-0.96). Mediation analysis showed that, after adjusting for potential confounders, the mediating effects among the total effect of perceived social support on suicidal thoughts were 56.1%, 20.8%, 22.5%, 38.8%, and 50.9% for all mental disorders together and four specific adverse mental health outcomes, i.e., perceived distress, stress, anxiety, and depression, respectively. This study demonstrates that perceived social support reduces the likelihood of suicidal thoughts among university students, and mental disorders have a partial mediating effect on the association. Suicide prevention and mental health promotion efforts among university students should consider encouraging students to build and strengthen a strong social support network.
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Affiliation(s)
- Sihab Howlader
- Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh
| | - Sumaiya Abedin
- Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh
| | - Md. Mosfequr Rahman
- Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh
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Shen E, Zhong J, Benhayoun A, Choi EY, Zou L, Yuen EY. Navigating Intersectional Identities: Clinical Considerations for Working With LGBTQ Asian American Youth. J Am Acad Child Adolesc Psychiatry 2023; 62:1297-1300. [PMID: 37088451 DOI: 10.1016/j.jaac.2023.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 02/24/2023] [Accepted: 04/14/2023] [Indexed: 04/25/2023]
Abstract
LGBTQ Asian American youth face unique challenges related to their marginalized identities. It is well documented that Asian Americans who need mental health treatment access care at lower rates than White populations.1 Although Asian cultural values are often cited as reasons for decreased help-seeking behavior, research suggests structural barriers including cost, lack of culturally tailored services, and lack of knowledge of available resources as greater contributors to these disparities.1 Asian Americans have also been subject to the "model minority" myth, the stereotype that the community is universally high achieving, rule following, and well adjusted. This false narrative contributes to negative mental health outcomes driven by racial discrimination and homogenizing the Asian American experience. This masks the diversity in mental health needs among Asian Americans. In addition, LGBTQ Asian Americans experience microaggressions, the perception of being "not queer enough," and racism from LGBTQ spaces that often primarily cater to a White population.2.
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Affiliation(s)
- Elaine Shen
- Northwestern Feinberg School of Medicine, Chicago, Illinois
| | - Julia Zhong
- Yale School of Medicine, New Haven, Connecticut; Yale Child Study Center, New Haven, Connecticut
| | | | | | - Lei Zou
- Yale School of Medicine, New Haven, Connecticut
| | - Eunice Y Yuen
- Yale School of Medicine, New Haven, Connecticut; Yale Child Study Center, New Haven, Connecticut.
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Fowler K. Generalized Anxiety Disorder in Canadian Adults: to what Extent Might Social Support Subdomains and Negative Social Interactions Predict Psychological Distress? Psychiatr Q 2023; 94:655-673. [PMID: 37768501 DOI: 10.1007/s11126-023-10055-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/22/2023] [Indexed: 09/29/2023]
Abstract
Generalized anxiety disorder (GAD) may involve persistent and unwarranted anxiety, fear, and rumination, combined with various somatic symptoms (e.g., fatigue, dizziness, muscle tension, and nausea) which may compel many to withdraw socially. While studies report an inverse relationship between social support and psychological distress among adults with GAD, those that assess the distinct influence of negative social relations, particularly by sex are limited. The primary aims of this study were to (a) assess and compare respondents with a lifetime of GAD in terms of levels of perceived social support (using the Social Provisions Scale - 10 Items (SPS-10) Scale), negative social interactions (using the Negative Social Interaction (NSI) Scale) and psychological distress (using the Kessler Psychological Distress Scale (K10)), and (b) determine whether SPS-10 subdomains and NSIs predict psychological distress. Compared with a matched sample without GAD, respondents with GAD were more likely to be single, divorced, and have lower incomes. Respondents with GAD also had lower overall SPS-10 scores, and lower scores for each subdomain (i.e., 'guidance', 'reliable alliance', 'reassurance of worth', 'attachment', and 'social integration'), and higher NSI and K10 scores. Although no difference in psychological distress was observed between men and women with GAD, men had lower SPS-10 scores (overall and for each subdomain), while women had higher NSIs scores. A subsequent hierarchical regression for respondents with GAD revealed that 'social integration' and 'reassurance of worth' predicted lower psychological distress, while higher NSI scores predicted higher psychological distress. Finding implications and future research are discussed.
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Affiliation(s)
- Ken Fowler
- Student Wellness and Counselling Centre, Memorial University of Newfoundland, St. John's, NL, Canada.
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Tshuma N, Ngbede ED, Nyengerai T, Mtapuri O, Moyo S, Mphuthi DD, Nyasulu P. Understanding health outcome drivers among adherence club patients in clinics of Gauteng, South Africa: a structural equation modelling (SEM) approach. AIDS Res Ther 2023; 20:71. [PMID: 37798794 PMCID: PMC10557202 DOI: 10.1186/s12981-023-00565-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 09/01/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND There has been growing interest in understanding the drivers of health outcomes, both in developed and developing countries. The drivers of health outcomes, on the other hand, are the factors that influence the likelihood of experiencing positive or negative health outcomes. Human Immunodeficiency Virus (HIV) continues to be a significant global public health challenge, with an estimated 38 million people living with the aim of this study was therefore to develop and empirically test a conceptual research model using SEM, aimed at explaining the magnitude of various factors influencing HIV and other health outcomes among patients attending Adherence Clubs. METHOD This was a cross sectional survey study design conducted in 16 health facilities in the City of Ekurhuleni in Gauteng Province, South Africa. A total of 730 adherence club patients were systematically sampled to participate in a closed ended questionnaire survey. The questionnaire was assessed by Cronbach's alpha coefficient for internal consistency. The proposed model was tested using structural equation modelling (AMOS software: ADC, Chicago, IL, USA). RESULTS A total of 730 adherence club members participated in the study. Of these, 425 (58.2%) were female and 305 (41.8%) were male. The overall results indicated a good reliability of all the scale involved in this study as Cronbach alphas ranged from 0.706 to 0.874, and composite reliability from 0.735 to 0.874. The structural model showed that the constructs health seeking behavior (β = 0.267, p = 0.000), health care services (β = 0.416, p = 0.000), stigma and discrimination (β = 0.135, p = 0.022) significantly predicted health outcomes and explained 45% of its variance. The construct healthcare service was the highest predictor of health outcomes among patients in adherence clubs. CONCLUSION Patient health seeking behaviour, healthcare services, stigma and discrimination were associated with perceived health outcomes. Since adherence clubs have been found to have a significant impact in improving patient outcomes and quality of life, there is a need to ensure replication of this model.
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Affiliation(s)
- Ndumiso Tshuma
- The Best Health Solutions, Johannesburg, Gauteng, South Africa.
- Texila American University and University of Central Nicaragua, Managua, Nicaragua.
| | - Elakpa Daniel Ngbede
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
| | - Tawanda Nyengerai
- The Best Health Solutions, Johannesburg, Gauteng, South Africa
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
| | - Oliver Mtapuri
- The Best Health Solutions, Johannesburg, Gauteng, South Africa
- University of KwaZulu Natal, Durban, South Africa
| | - Sangiwe Moyo
- The Best Health Solutions, Johannesburg, Gauteng, South Africa
- Final Mile, Johannesburg, Gauteng, South Africa
| | - David D Mphuthi
- The Best Health Solutions, Johannesburg, Gauteng, South Africa
- Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa
| | - Peter Nyasulu
- Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
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Meyer OL, Park VT, Kanaya AM, Farias ST, Hinton L, Tiet QQ, Vuong Q, Nguyen S, Harvey D, Whitmer RA. Inclusion of Vietnamese Americans: Opportunities to understand dementia disparities. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2023; 9:e12392. [PMID: 37251911 PMCID: PMC10209515 DOI: 10.1002/trc2.12392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 03/23/2023] [Accepted: 04/24/2023] [Indexed: 05/31/2023]
Abstract
There is a dearth of research on cognitive aging and dementia in Asian Americans, particularly Vietnamese Americans, who are the fourth largest Asian subgroup in the United States. The National Institutes of Health is mandated to make certain that racially and ethnically diverse populations are included in clinical research. Despite the widespread recognition to ensure that research findings can be generalizable to all groups, there are no estimates of the prevalence or incidence of mild cognitive impairment and Alzheimer's disease and related dementias (ADRD) in Vietnamese Americans, nor do we understand ADRD risk and protective factors in this group. In this article, we posit that studying Vietnamese Americans contributes to a better understanding of ADRD in general and offers unique opportunities for elucidating life course and sociocultural factors that contribute to cognitive aging disparities. That is, the unique context of Vietnamese Americans may provide understanding in terms of within-group heterogeneity and key factors in ADRD and cognitive aging. Here, we provide a brief history of Vietnamese American immigration and describe the large but often ignored heterogeneity of Asian Americans in the United States, elucidate how early life adversity and stress might influence late-life cognitive aging, and provide a basis for the role of sociocultural and health factors in the study of Vietnamese cognitive aging disparities. Research with older Vietnamese Americans provides a unique and timely opportunity to more fully delineate the factors that contribute to ADRD disparities for all populations.
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Affiliation(s)
- Oanh L. Meyer
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Van Ta Park
- University of California, San FranciscoSan FranciscoCaliforniaUSA
| | - Alka M. Kanaya
- University of California, San FranciscoSan FranciscoCaliforniaUSA
| | | | - Ladson Hinton
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Quyen Q. Tiet
- California School of Professional Psychology at Alliant International UniversityEmeryvilleCaliforniaUSA
- National Center for PTSDDissemination and Training DivisionVA Palo Alto Health Care SystemMenlo ParkCaliforniaUSA
| | - Quyen Vuong
- International Children Assistance Network (ICAN)San JoseCaliforniaUSA
| | | | - Danielle Harvey
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Rachel A. Whitmer
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
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Zhou S, Banawa R, Oh H. Stop Asian hate: The mental health impact of racial discrimination among Asian Pacific Islander young and emerging adults during COVID-19. J Affect Disord 2023; 325:346-353. [PMID: 36623563 DOI: 10.1016/j.jad.2022.12.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 06/01/2022] [Accepted: 12/23/2022] [Indexed: 01/08/2023]
Abstract
BACKGROUND The rapid surge in anti-API discrimination and assault during the COVID-19 pandemic has the potential to exacerbate mental health disparities already pervasive among API populations. The primary of this study was to understand the impact of the pandemic and COVID-related discrimination on API college and university student mental health. METHODS Secondary data was used from three administrations (Fall 2019, Spring 2020, and Fall 2020) of the Healthy Minds Study (HMS). We conducted Chi-square analyses to analyze differences in mental health symptoms across the three academic semesters. Cross-sectional multivariable logistic regression models were utilized to examine the association between COVID-related discrimination and mental health symptoms and help-seeking behavior during Spring 2020 and Fall 2020. RESULTS Comparing Fall 2019 to Fall 2020, we found that API students reported a 17 % increase in severe depression and a 30 % increase in severe anxiety. Mental health treatment utilization among those experiencing clinically-significant mental health problems decreased by 26 % between Fall 2019 and Spring 2020. COVID-related discrimination was associated with greater odds of severe depression in both Spring 2020. LIMITATIONS HMS does not include a random sample of campuses as schools themselves elect to participate. Analyses rely on self-report data. CONCLUSIONS Throughout the COVID-19 pandemic, API students reported significant increases in clinically-significant mental health symptoms and decreases in treatment utilization. Our analyses also suggest that COVID-related discrimination is correlated with greater odds of clinically-significant mental health symptoms, including severe depression and severe anxiety, as well as lower odds of treatment utilization.
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Affiliation(s)
- Sasha Zhou
- Department of Public Health, Wayne State University, Detroit, MI, United States of America
| | - Rachel Banawa
- Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States of America.
| | - Hans Oh
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, United States of America
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Wong MJ, Santos C, Thomas Tobin CS. Racial/ethnic differences in social support and health among Asian American and non-Hispanic White midlife women: Results from the Study of Women's Health Across the Nation (SWAN). ETHNICITY & HEALTH 2023; 28:182-199. [PMID: 35138201 DOI: 10.1080/13557858.2022.2035691] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 01/25/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Although prior research suggests Asian Americans experience physical health advantages relative to other racial/ethnic groups, increasing evidence points to health inequalities within Asian American subgroups. Disparities are especially pronounced among middle-aged Asian American women, who remain an understudied population, despite studies showing that midlife corresponds with distinct social stressors and changes in the availability of protective resources, such as social support. Thus, the purpose of the study was to examine racial/ethnic differences in social support and self-rated health (SRH) among middle-aged women. DESIGN With data from the Study of Women's Health Across the Nation (SWAN; N = 1258), we used modified Poisson regression models to estimate incidence rate ratios (IRR), examining how social support shaped the risk of fair-to-poor SRH by race/ethnicity. We tested interactions between perceived stress, social support and race/ethnicity to determine whether the stress-buffering role of social support varies by group. RESULTS Results demonstrate racial/ethnic differences in SRH. Higher levels of social support were linked to higher fair-to-poor SRH among Chinese American women (IRR = 1.24; 95% CI [1.02, 1.52]); while greater social support conferred lower risk among White women. Interaction analyses revealed additional nuances in the stress-buffering effects of social support among Chinese American women, such that the health benefits of social support depended on levels of perceived stress (IRR = 0.75; 95% CI [0.57, 1.00]). CONCLUSIONS These findings highlight important distinctions in the ways that psychosocial factors shape health across racial/ethnic groups. In particular, this study helps advance our understanding of important subgroup differences in the stress-buffering role of social support for Asian American midlife women. Interventions should focus on identifying sources of social strain among Asian American women that can increase the risk for poor health and identify alternative sources of support that mitigate stressors to improve health.
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Affiliation(s)
- Michele J Wong
- Department of Social Welfare, University of California, 337 Charles E. Young Drive, Los Angeles, CA, United States
| | - Carlos Santos
- Department of Social Welfare, University of California, 337 Charles E. Young Drive, Los Angeles, CA, United States
| | - Courtney S Thomas Tobin
- Department of Community Health Sciences, University of California, Los Angeles, CA, United States
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Shin H, Gyeong S. Effects of supportive and conflicting interactions with partners and friends on emotions: Do the source and quality of relationships matter? Front Psychol 2022; 13:1020381. [PMID: 36643707 PMCID: PMC9838194 DOI: 10.3389/fpsyg.2022.1020381] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/02/2022] [Indexed: 01/01/2023] Open
Abstract
This study investigated the independent and interactive effects of supportive and conflicting interactions and overall relationship quality with partners and friends on positive and negative emotions. Data on social interactions and overall relationship quality with partners and friends, and emotions were collected from 717 South Korean adults (M age = 47.23; 50.6% male). The results showed that supportive interactions with friends and high relationship quality with partners and friends were associated with enhanced positive emotions, whereas conflicting interactions with partners and friends and low relationship quality with partners were associated with increased negative emotions. In addition, interactive effects of social interactions and overall relationship quality suggested the evidence of reverse buffering. The beneficial effect of friend support on positive emotions was present only when friend conflict was high, and the adverse effect of partner conflict on positive emotions was magnified when individuals perceived high overall relationship quality with their partners.
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Affiliation(s)
- Huiyoung Shin
- Department of Psychology, Jeonbuk National University, Jeonju, South Korea
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Kim SB, Lee YJ. Factors Associated with Mental Health Help-Seeking Among Asian Americans: a Systematic Review. J Racial Ethn Health Disparities 2022; 9:1276-1297. [PMID: 34076864 PMCID: PMC8170060 DOI: 10.1007/s40615-021-01068-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 04/21/2021] [Accepted: 05/18/2021] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Asian Americans are underutilizing mental health services. The aim of the current systematic review was to identify protective and risk factors of mental health help-seeking patterns among the disaggregated Asian Americans and to classify types of help. METHODS A systematic literature review was conducted using the PRISMA guidelines. The Health Belief Model served as the theoretical framework for this review. Thirty-four articles were reviewed, and the studies investigated one of the following Asian ethnic subgroups: Chinese, Filipino, Asian Indian, Korean, or Vietnamese. Data were extracted based on the study characteristics, sample characteristics, and protective and risk factors to mental health help-seeking patterns. RESULTS Predisposing factors like female gender, higher levels of English proficiency, and history of mental illness increased the likelihood for help-seeking across several ethnic groups. Interestingly, cues to action and structural factors were under-examined. However, cues to action like having a positive social network did increase the likelihood of using formal support services among Chinese and Filipinx participants. Structural factors like lacking ethnic concordant providers and access to healthcare served as barriers for Korean and Vietnamese participants. DISCUSSION The findings showed a need for ethnic tailored approaches when supporting mental health help-seeking patterns. Asian ethnic group's immigration status, acculturation level, and psychological barriers to help-seeking should continue to be emphasized. Psychoeducational groups can be beneficial to expand the knowledge base surrounding mental illness and to link group members to culturally responsive resources.
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Affiliation(s)
- Sophia Bohun Kim
- Thompson School of Social Work and Public Health, University of Hawai‘i at Mānoa, Honolulu, HI USA
| | - Yeonjung Jane Lee
- Thompson School of Social Work and Public Health, University of Hawai‘i at Mānoa, Honolulu, HI USA
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12
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Islam JY, Awan I, Kapadia F. Social Engagement and Mental Health Symptoms Across Asian American Ethnic Groups During the COVID-19 Pandemic. Ethn Dis 2022; 32:131-144. [PMID: 35497396 DOI: 10.18865/ed.32.2.131] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background To examine social engagement and mental health symptoms during the COVID-19 pandemic across Asian American (AA) ethnic groups. Methods Data from three waves of the nationally representative COVID-19 Household Impact Survey (4/20/2020-6/8/2020) were used to describe social engagement and mental health symptoms during the pandemic. Associations between mental health and social engagement were assessed via multinomial logistic regression. Results In this sample of 312 AAs (36.9% Chinese American, 30.9% South Asian American, 20.1% Filipino/Vietnamese American, and 12.0% Japanese/Korean American), daily communication with neighbors declined for Chinese, South Asian and Filipino/Vietnamese Americans but increased for Japanese/Korean Americans (P=.012) whereas communication with friends/family increased only for Filipino/Vietnamese, Japanese/Korean and South Asian Americans (P<0.001). Differences in self-reported symptoms of anxiety, depression, loneliness, and hopelessness were observed across AA ethnic groups. In adjusted models, lower social engagement was associated with frequent (3-4 days/week) depressive symptoms during the preceding week (cOR:3.26, 95%CI:1.01-10.5). This association was heightened for Asian men (cOR:14.22, 95%CI:3.62-55.8). Conclusions Heterogeneity of social engagement and mental health symptoms across AA ethnicities was observed. Understanding associations between social engagement and mental health within different communities is necessary to provide culturally and linguistically appropriate mental health treatment and care.
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Affiliation(s)
- Jessica Y Islam
- Cancer Epidemiology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL
| | - Iman Awan
- Morsani College of Medicine, University of South Florida, Tampa, FL
| | - Farzana Kapadia
- Grossman School of Global Public Health, New York University, New York City, NY
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13
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Miyawaki CE, Liu M, Park VT, Tran MT, Markides KS. Social support as a moderator of physical disability and mental health in older Vietnamese immigrants in the U.S.: Results from the Vietnamese aging and care survey (VACS). Geriatr Nurs 2022; 44:151-158. [DOI: 10.1016/j.gerinurse.2022.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 01/18/2022] [Accepted: 01/20/2022] [Indexed: 01/03/2023]
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14
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Morey BN, Valencia C, Park HW, Lee S. The central role of social support in the health of Chinese and Korean American immigrants. Soc Sci Med 2021; 284:114229. [PMID: 34284265 PMCID: PMC8638775 DOI: 10.1016/j.socscimed.2021.114229] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 07/08/2021] [Accepted: 07/12/2021] [Indexed: 01/22/2023]
Abstract
Prior research contends that social support positively influences health by optimizing individuals' psychological processes such as appraisals, emotions, and sense of control-known as stress-buffering effects. This study tests this theoretical concept by examining whether the association between social support and health can be explained by the psychological processes of perceived stress and distress among Chinese and Korean American immigrants. Furthermore, we examine what predicts social support in this population, with a particular focus on factors related to immigration. Using a total sample of 400 Chinese and Korean American immigrants, we examine the association between social support and self-rated health (SRH), accounting for demographic factors, socioeconomic status, perceived stress, and perceived distress using multivariable logistic regression models. We conducted a mediation analysis using the Karlson, Holm, and Breen (KHB) method to determine whether perceived stress and distress partly explained the association between social support and SRH. Findings showed a strong total effect of higher social support on better SRH. Furthermore, mediation was detected, with perceived stress and distress explaining 42.98% of the total effect of social support on SRH. Multivariable linear regression models revealed that social support among Chinese and Korean American immigrants was associated with marital status, employment, ethnic identity, and acculturative stress. This study highlights the centrality of social support for Chinese and Korean American immigrants, which lowers perceived stress and distress, leading to better overall health. By confirming these stress-buffering effects, our findings suggest that bolstering social support among vulnerable Chinese and Korean American immigrant populations can have a positive effect on health by optimizing stress appraisals.
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Affiliation(s)
- Brittany N Morey
- University of California, Irvine, Program in Public Health, Department of Health, Society, & Behavior, 653 E. Peltason Dr., Anteater Instruction and Research Building (AIRB) 2022, Irvine, CA, 92697-3957, USA.
| | - Connie Valencia
- University of California, Irvine, Program in Public Health, Department of Health, Society, & Behavior, 653 E. Peltason Dr., Irvine, CA, 92697-3957, USA.
| | - Hye Won Park
- University of California, Irvine, School of Medicine, Department of Medicine, 1001 Health Sciences Rd., Irvine, CA 92617, USA.
| | - Sunmin Lee
- University of California, Irvine, School of Medicine, Department of Medicine, 1001 Health Sciences Rd., Irvine, CA 92617, USA.
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15
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Ai AL, Appel HB, Lee J, Fincham F. Family Factors Related to Three Major Mental Health Issues Among Asian-Americans Nationwide. J Behav Health Serv Res 2021; 49:4-21. [PMID: 34097207 DOI: 10.1007/s11414-021-09760-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2021] [Indexed: 11/25/2022]
Abstract
Asian-Americans (AAs) constitute the fastest growing minority group in the USA. AAs share a common emphasis on collective cultural strengths, especially family values. Using the National Latino and Asian American Study (NLAAS) data, this study investigated the roles of family cohesiveness, along with other cultural strength factors and negative family interactions in three psychiatric disorders. Supporting the study's hypotheses, multivariate analyses showed that family cohesiveness was associated with a lower incidence of general anxiety disorder (GAD), while regular religious attendance was linked with a lower likelihood of having substance use disorder (SUD). Conversely, negative family interactions increased the likelihood of experiencing major depression disorder (MDD) and SUD. Whereas perceived discrimination was related to higher odds of all diagnoses, family cohesiveness moderated the relationship between discrimination and GAD. These findings suggest that family relationships play a critical role in AAs' mental health and should be further explored through a prospective design.
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Affiliation(s)
- Amy L Ai
- Colleges of Social Work, Medicine, and Nursing, Florida State University, 2570 University Building C, Tallahassee, FL, 32306, USA.
| | - Hoa B Appel
- School of Nursing and Health Studies, University of Washington Bothell, Bothell, WA, 98011, USA
| | - Jungup Lee
- Department of Sociall Work, National University of Singapore, Singapore, 117570, Singapore
| | - Frank Fincham
- Colleges of Family Sciences, Florida State University, Tallahassee, FL, 32306, USA
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16
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Lerman Ginzburg S, Lemon SC, Romo E, Rosal M. Social support and strain and emotional distress among Latinos in the northeastern United States. BMC Psychol 2021; 9:40. [PMID: 33678184 PMCID: PMC7938605 DOI: 10.1186/s40359-021-00544-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 02/28/2021] [Indexed: 11/21/2022] Open
Abstract
Background US Latinos report high levels of emotional distress. Having positive familial and friend social support buffers emotional distress among US Latinos, but thus far no research has been done on social support and ataque de nervios in that population, or on social strain and emotional distress.
Methods This paper assesses social support and strain across three relationship types (partner, family, and friends) with three measures of emotional distress (depression, anxiety, and ataque de nervios). The sample for partner, family, and friend support included 508 Latino adults 21 and older. Multivariate logistic regression models were used to assess the association of social support and strain with each outcome. Results As all social support types increased, the odds of emotional distress symptoms decreased. Conversely, as each unit of partner and family strain increased, the odds of emotional distress symptoms increased. Increased friend strain was associated with greater odds of depressive and anxiety symptoms only.
Conclusion Social support in all three network types (partner, family, and friend) was associated with a decrease in the odds of emotional distress, assessed as symptoms of depression, anxiety, and ataque de nervios.
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Affiliation(s)
- Shir Lerman Ginzburg
- Department of Public Health Sciences, UConn Health, 263 Farmington Ave, Farmington, CT, 06032, USA.
| | - Stephenie C Lemon
- Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, 01655, USA
| | - Eric Romo
- Department of Clinical and Population Health, University of Massachusetts Medical School, Worcester, MA, 01655, USA
| | - Milagros Rosal
- Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, 01655, USA
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17
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Improvement in quality of life and psychological well-being associated with a culturally based psychosocial intervention for Chinese American breast cancer survivors. Support Care Cancer 2021; 29:4565-4573. [PMID: 33481114 DOI: 10.1007/s00520-020-05942-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 12/10/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE The purpose of this study was to investigate improvements in quality of life and psychological well-being among Chinese American breast cancer survivors who participated in a pilot community education and peer-mentor support program. METHODS One hundred and twenty-nine Chinese American breast cancer survivors who recently completed treatment participated in eight cohorts of the program, Joy Luck Academy, which included weekly education and peer-mentor support sessions. The education sessions covered topics designed to help participants adjust to new life after breast cancer treatment. The peer-mentor support component was designed to provide social support. Quality of life and psychological well-being (e.g., depressive symptoms, anxiety, and low- and high-arousal positive and negative affect) were assessed at baseline and immediately after the intervention. RESULTS Paired samples t tests indicated improvements in quality of life, low- and high-arousal positive affect, and reductions in depressive symptoms, anxiety, and low-arousal negative affect. CONCLUSION Our findings suggest that a psychosocial group intervention may improve quality of life and psychological well-being among Chinese American breast cancer survivors. Our intervention has the potential to be applied to other ethnic-minority cancer survivors. Future randomized controlled trials are warranted.
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Lee M, Bhimla A, Ma GX. Depressive Symptom Severity and Immigration-Related Characteristics in Asian American Immigrants. J Immigr Minor Health 2020; 22:935-945. [PMID: 32221768 PMCID: PMC7442700 DOI: 10.1007/s10903-020-01004-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The study examined immigration factors associated with depressive symptom severity among Asian American immigrants. Participants were 458 Chinese, Korean and Vietnamese adults. Depressive symptom severity was measured by PHQ-9. Overall, the likelihood of being moderately to severely depressed was significantly increased among immigrants living in the US for < 10 years and Korean Americans compared to Chinese Americans. However, mild level of depressive symptoms was not associated with any immigration-related factors. The positive impact of shorter duration of living in the US and a younger age at immigration (≤ 17) on depressive symptoms was evident among women but not among men. For men, marital status and education level were significant predictors of being moderately to severely depressed. Differentiating immigrant factors and identifying depressive symptom severity can help drive community and clinical interventions to detect and treat depression early among Asian American immigrants.
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Affiliation(s)
- Minsun Lee
- Lewis Katz School of Medicine, Center for Asian Health, Temple University, Philadelphia, PA, USA.
| | - Aisha Bhimla
- Lewis Katz School of Medicine, Center for Asian Health, Temple University, Philadelphia, PA, USA
| | - Grace X Ma
- Lewis Katz School of Medicine, Center for Asian Health, Temple University, Philadelphia, PA, USA
- Department of Clinical Sciences, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Kresge Bldg, Ste. 325, Philadelphia, PA, 19140-4106, USA
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19
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Hajian-Tilaki K, Hajian-Tilaki E. Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors. Health Qual Life Outcomes 2020; 18:176. [PMID: 32522209 PMCID: PMC7288677 DOI: 10.1186/s12955-020-01429-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Accepted: 06/02/2020] [Indexed: 11/12/2022] Open
Abstract
Introduction Anxiety and depression are significant concerns in breast cancer patients, and it may remain for a long term after primary treatments. The hospital anxiety and depression scale (HADS) is widely used to measure depressive and anxiety symptoms in clinical practices. The purpose of this study was to assess the psychometric properties of the Persian version of this scale in Iranian breast cancer survivors. Methods A total of 305 patients with breast cancer, refered to Cancer Hospital in northen Iran and completed the primary treatments were enrolled in. All patients responded to a 14-item HADS. We performed confirmatory factor analysis (CFA) to examine the factor structure of HADS and the item-scale analysis in order to estimate the item reliability and consider the Cronbach’s alpha as a measure of internal consistency. Results With a threshold of ≥8, the prevalence of anxiety and depression symptoms (moderate/severe) was 78.9 and 66.9%, respectively. The Cronbach’s alpha coefficients for anxiety and depression were 0.81 and 0.78, respectively. The CFA confirmed the two-factor structure model for HADS, indicating a good fitting summary indexes (χ2/df = 2.83, NFI = 0.88, RFI = 0.82, IFI = 0.92, CFI = 0.92, and RMSEA = 0.078). Conclusion The CFA and item reliability analysis have indicated an excellent psychometric property of the Persian version of HADS to measure depressive and anxiety symptoms in breast cancer survivors. Thus, HADS is a useful screening tool to identify post-breast cancer anxiety and depressive disorders.
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Affiliation(s)
- Karimollah Hajian-Tilaki
- Department of Biostatistics and Epidemiology, Babol University of Medical Sciences, Babol, Iran. .,Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
| | - Erfaneh Hajian-Tilaki
- Student Research Committee, Rasoul Psychiatric Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Caravaca-Sánchez F, Fearn NE, Vidovic KR, Vaughn MG. Female Prisoners in Spain: Adverse Childhood Experiences, Negative Emotional States, and Social Support. HEALTH & SOCIAL WORK 2019; 44:157-166. [PMID: 31353392 DOI: 10.1093/hsw/hlz013] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Revised: 02/07/2019] [Accepted: 02/26/2019] [Indexed: 06/10/2023]
Abstract
A growing body of literature on correctional populations from the past two decades indicates that a significant proportion of prison inmates report experiencing adverse childhood experiences (ACEs) during childhood. Extant literature also suggests that women suffer disproportionate victimization at all life stages. The current study examines the prevalence and magnitude of the associations between ACEs, social support, and negative emotional states (that is, anxiety, depression, and stress) among a sample of incarcerated women-a small but growing correctional population. Data were obtained from a survey of women incarcerated in two prisons in Spain (N = 174); survey questions elicited information on these women's emotional, physical, and sexual victimization during childhood in addition to their self-reported levels of social support and mental health. A series of analyses indicated that female inmates who reported ACEs similarly reported lower levels of social support and higher levels of depression, anxiety, and stress as compared with nonvictimized women inmates. The findings reported here underscore the importance of attaining a fuller understanding of female inmates' histories of ACEs so that we can more accurately identify and, ideally, provide necessary services to those women at highest risk of mental health-related problems during incarceration.
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Affiliation(s)
- Francisco Caravaca-Sánchez
- Department of Social Work and Social Services, Pablo de Olavide University, Ctra. de Utrera, 1, Sevilla, Sevilla 41013, Spain
| | - Noelle E Fearn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University
| | - Kristina R Vidovic
- School of Social Work, College for Public Health and Social Justice, Saint Louis University
| | - Michael G Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, and Graduate School of Social Welfare, Yonsei University, Seoul, Republic of Korea
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21
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Wang SC, Creswell JW, Nguyen D. Vietnamese Refugee Elderly Women and Their Experiences of Social Support: A Multiple Case Study. J Cross Cult Gerontol 2017; 32:479-496. [PMID: 29105016 DOI: 10.1007/s10823-017-9338-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
This study sought to address the gaps in the literature on Asian American gerontology with a multiply marginalized group in terms of gender, immigration status, and context. Guided by a multiple case study approach, we sought to explore how social support was experienced by four Vietnamese elderly refugee women residing in different living arrangements (i.e., alone, with spouse, with adult children, or in a multigenerational household). Within-case analyses were conducted to yield descriptive information about each individual. Additionally, three overarching themes emerged across each of the living arrangements: (1) Burden of care-taking, (2) Distinguishing family from nonfamily help, and (3) Ambivalence toward government-sponsored services. Our findings provide a contextualized understanding of social support to explain the inconsistencies that have been found in the literature on Asian American gerontology and family support. The benefits of living alone are described, along with the potential risks of coresidency.
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Affiliation(s)
- Sherry C Wang
- Department of Counseling Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA, 95050-0201, USA.
| | - John W Creswell
- Department of Educational Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Dau Nguyen
- Vietnamese Community of Lincoln, Lincoln, NE, USA
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22
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Fu CY, Yang MS, Leung W, Liu YY, Huang HW, Wang RH. Associations of professional quality of life and social support with health in clinical nurses. J Nurs Manag 2017; 26:172-179. [DOI: 10.1111/jonm.12530] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Chia-Yun Fu
- College of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
- Department of Nursing; Yuan's General Hospital; Kaohsiung Taiwan
| | - Mei-Sang Yang
- College of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
| | - Wan Leung
- Yuan's General Hospital; Kaohsiung Taiwan
| | - Yea-Ying Liu
- Department of Nursing; Yuan's General Hospital; Kaohsiung Taiwan
| | - Hui-Wen Huang
- Chung Hwa University of Medical Technology; Tainan Taiwan
| | - Ruey-Hsia Wang
- College of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
- Department of Medical Research; Kaohsiung Medical University Hospital; Kaohsiung Taiwan
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23
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Lee CYS, Dik BJ. Associations among stress, gender, sources of social support, and health in emerging adults. Stress Health 2017; 33:378-388. [PMID: 27762485 DOI: 10.1002/smi.2722] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 07/26/2016] [Accepted: 08/26/2016] [Indexed: 01/05/2023]
Abstract
This study aimed to examine how sources of social support intersect with stress and health by testing two theoretical models. Three relationship-specific sources of social support (family, friends, and romantic partners) and two health indicators (self-rated physical health and depressive symptoms) were investigated. The sample consisted of 636 emerging adults attending college (age range: 18-25). Results suggest that only support from family was a stress-buffer, in that it buffered the adverse association between stress and depressive symptoms. Holding stress constant, only support from family was related to self-rated physical health and only support from friends or romantic partners was associated with depressive symptoms. There were no gender differences in the mean levels of self-rated physical health and depressive symptoms. However, gender moderations were found, in that the positive relationship between friends support and physical health was observed only in women, that the association between friends support and depressive symptoms was greater in men than in women, and that family support buffered the negative relationship between stress and physical health only in men. Findings of this study suggest that the associations among stress, social support, and health vary by the sources of support, the health outcome, and gender.
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Affiliation(s)
- Chih-Yuan Steven Lee
- Department of Family and Child Studies, Montclair State University, Montclair, NJ, USA
| | - Bryan J Dik
- Department of Psychology, Colorado State University, Fort Collins, CO, USA
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24
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Lee CYS, Goldstein SE, Dik BJ. The Relational Context of Social Support in Young Adults: Links with Stress and Well-Being. JOURNAL OF ADULT DEVELOPMENT 2017. [DOI: 10.1007/s10804-017-9271-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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25
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Depression Risks and Correlates among Different Generations of Chinese Americans: The Effects of Relationships with Friends and Relatives. SOCIAL SCIENCES-BASEL 2017. [DOI: 10.3390/socsci6020056] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bird M, Wright RL, Frost CJ. Enhancing women's health: A call for social work research. SOCIAL WORK IN HEALTH CARE 2016; 55:732-751. [PMID: 27700861 DOI: 10.1080/00981389.2016.1205706] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
This article presents a critical synthesis of the social work empirical literature on women's health. In light of recent policy changes that directly affect women's health and social work, the authors conducted a literature review of recent publications (2010-2015) regarding social work and women's health nationally. Despite frequent accounts cited in the literature, there has been no comprehensive review of issues involving women's health and social work in the United States. The purpose of this review is to examine the current social work literature addressing women's health at the national (U.S.) level. This research presents a summary description of the status of the social work literature dealing with women's health, specifically 51 articles published between 2010 and 2015. Our search highlights the need for social work research to fill gaps and more fully address the needs of women across the lifespan.
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Affiliation(s)
- Melissa Bird
- a School of Social Work , University of Southern California , Los Angeles , California , USA
| | - Rachel L Wright
- b Department of Social Work , Appalachian State University , Boone , North Carolina , USA
| | - Caren J Frost
- c College of Social Work , University of Utah , Salt Lake City , Utah , USA
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27
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Park M, Unützer J, Grembowski D. Ethnic and gender variations in the associations between family cohesion, family conflict, and depression in older Asian and Latino adults. J Immigr Minor Health 2016; 16:1103-10. [PMID: 24129849 DOI: 10.1007/s10903-013-9926-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To examine the associations between family conflict, family cohesion and late-life depression in Latino and Asian populations and test if these associations vary by race/ethnicity and gender. We used a subsample of older adults from the National Latino Asian American Study (N = 395). All analyses were weighted and adjusted for individual and clinical characteristics. Greater family cohesion was associated with decrease in risk for depression in Latino and Asian older adult populations (OR: 0.68, 95% CI: 0.54, 0.84). These associations varied by gender, with men being more sensitive to family cohesion and family conflict than women. Asian older adults were more sensitive to family conflict, whereas Latino older adults were more sensitive to family cohesion. The quality of family relationships is strongly associated with late-life depression. Further research is needed to better understand the complex interplay between social support, ethnicity, and gender in latelife depression outcomes.
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Affiliation(s)
- Mijung Park
- Department of Health and Community Systems, University of Pittsburgh School of Nursing, 415 Victoria Building, 3500 Victoria Street, Pittsburgh, PA, 15261, USA,
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28
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Kim BJ, Lee Y, Sangalang C, Harris LM. The Impact of Employment and Self-Rated Economic Condition on the Subjective Well-Being of Older Korean Immigrants. Int J Aging Hum Dev 2015; 81:189-203. [PMID: 26405056 DOI: 10.1177/0091415015607675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Extensive research has demonstrated a relationship between socioeconomic factors and health among older adults, yet fewer studies have explored this relationship with older immigrants. This study aims to examine the influence of employment and self-rated economic condition on the subjective well-being of older Korean immigrants in the United States. Data were drawn from a cross-sectional study of 205 older Korean immigrants, aged 65 to 90, in Los Angeles County. Hierarchical regression was employed to explore the independent and interactive effects of employment status and self-rated economic condition. The study found that employment and self-rated economic status were positively associated with subjective well-being. Also, the interaction between employment and self-rated economic status was significantly associated with higher levels of subjective well-being, such that the influence of self-rated economic condition was stronger for unemployed older Korean immigrants compared with those who were employed. This population-based study provides empirical evidence that employment and self-rated economic condition are directly associated with subjective well-being for older Korean immigrants.
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Affiliation(s)
- Bum Jung Kim
- Myron B. Thompson School of Social Work, University of Hawaii at Manoa, HI, USA
| | - Yura Lee
- School of Social Work, University of Southern California, Los Angeles, CA, USA
| | - Cindy Sangalang
- School of Social Work, College of Public Programs, Arizona State University, Tucson, AZ, USA
| | - Lesley M Harris
- School of Social Work, University of Louisville, Louisville, KY, USA
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29
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Kim HJ, Park E, Storr CL, Tran K, Juon HS. Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. PLoS One 2015; 10:e0127760. [PMID: 26029911 PMCID: PMC4452590 DOI: 10.1371/journal.pone.0127760] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Accepted: 04/20/2015] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES In this systematic review, we provide an overview of the literature on depression among Asian-Americans and explore the possible variations in depression prevalence estimates by methodological and demographic factors. METHODS Six databases were used to identify studies reporting a prevalence estimate for depression in Asian-American adults in non-clinical settings. Meta-analysis was used to calculate pooled estimates of rates of depression by assessment type. Statistical heterogeneity was assessed for subgroup analyses by gender, age, ethnicity, and other participant characteristics. RESULTS A total of 58 studies met the review criteria (n = 21.731 Asian-American adults). Heterogeneity across the studies was considerably high. The prevalence of major depression assessed via standardized clinical interviews ranged between 4.5% and 11.3%. Meta-analyses revealed comparable estimated prevalence rates of depression as measured by the Center for Epidemiologic Studies Depression Scale (35.6%, 95% CI 27.6%-43.7%) and the Geriatric Depression Scale (33.1%, 95% CI 14.9%-51.3%). Estimates varied by Asian racial/ethnic group and other participant characteristics. Estimates of depression among special populations, which included maternity, caregivers, and homosexuals, were significantly higher than estimates obtained from other samples (58.8% vs 29.3%, p = .003). Estimates of depression among Korean and Filipino-Americans were similar (33.3%-34.4%); however, the estimates were twice as high as those for Chinese-Americans (15.7%; p = .012 for Korean, p = .049 for Filipino). CONCLUSION There appears to be wide variability in the prevalence rates of depression among Asian-Americans in the US. Practitioners and researchers who serve Asian-American adults need to be sensitive to the potential diversity of the expression of depression and treatment-seeking across Asian-American subgroups. Public health policies to increase Asian-American access to mental health care, including increased screening, are necessary. Further work is needed to determine whether strategies to reduce depression among specific Asian racial/ethnic groups is warranted.
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Affiliation(s)
- Hee Jun Kim
- School of Nursing, University of Maryland, Baltimore, Maryland, United States of America
| | - EunMi Park
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Carla L. Storr
- Department of Family and Community Health, University of Maryland School of Nursing, Baltimore, Maryland, United States of America
| | - Katherine Tran
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Hee-Soon Juon
- Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, United States of America
- * E-mail:
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Cao B, Jiang H, Xiang H, Lin B, Qin Q, Zhang F, Kong W, Wei S, Liu L, Yan W, Nie S. Prevalence and influencing factors of depressive symptoms among women of reproductive age in the rural areas of Hubei, China. Public Health 2015; 129:465-74. [PMID: 25818016 DOI: 10.1016/j.puhe.2015.01.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Revised: 01/14/2015] [Accepted: 01/20/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES Depression is one of the most common mental disorders and a major public health problem in the Chinese population, especially among women. The current study aims to understand prevalence of depression symptoms and provide detailed epidemiological factors associated with depression among reproductive women in rural areas which was paid less attention in previous surveys. STUDY DESIGN Cross-sectional study. METHODS Face-to-face household interviews were conducted on 1058 women (age: 15-49 years) in rural areas from July 2012 to August 2012. Questionnaires were used to investigate the influencing factors of depression among women. Pearson's χ(2), logistic regression analysis and structural equation modelling (SEM) were applied to analyze the related factors. RESULTS The prevalence of depression among women was 30.7% [95% confidence interval (CI): 27.9%-33.5%]. Compared with non-depressed individuals, those with depression were more likely to be short of social support [odd ratio (OR): 0.940, P < 0.001) and have no one to talk with (OR: 0.366, P < 0.001), to be dissatisfied with the house (OR: 2.673, P < 0.001) and economy (OR: 2.268, P < 0.01) of their family, and to have great pressure (OR: 2.099, P < 0.01), negative life events (OR: 1.485, P < 0.05) and physical diseases (OR: 1.364, P < 0.05). Pressure status, social support assessment, and socio-economic status were negatively related to depression (correlation coefficient: -0.57, -0.27 and 0.17). CONCLUSIONS The high prevalence of depression among reproductive women in rural areas is of particular concern. Factors associated with depression may assist health care administrations to identify and assess high-risk women and target strategies accordingly.
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Affiliation(s)
- B Cao
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - H Jiang
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - H Xiang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China
| | - B Lin
- Futian District Shenzhen City Center for Disease Control and Prevention, Shenzhen, Guangdong, China
| | - Q Qin
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - F Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - W Kong
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - S Wei
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - L Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - W Yan
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
| | - S Nie
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
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