Residential Segregation and Depressive Symptoms in Older Chinese Immigrants: The Mediating Role of Social Processes.
Residential Segregation and Depressive Symptoms in Older Chinese Immigrants: The Mediating Role of Social Processes.
复制标题
中国老年移民的居住隔离和抑郁症状：社会过程的中介作用。
DOI：
10.1093/geront/gnad027
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Rosso,AndreaL
中科院分区：
文献类型：
--
作者：
Tang,Fengyan;Jiang,Yanping;Li,Ke;Rosso,AndreaL
背景和目的由于文化适应压力和语言障碍，中国老年移民有患抑郁症的危险。语言使用方面的居住隔离在历史上被边缘化的人群的心理健康方面发挥着重要作用。先前的研究提供了关于老年拉丁裔和亚洲移民之间隔离效应的混合证据。在社会过程模型的指导下，我们通过文化适应、歧视、社会网络、社会支持、社会紧张和社会参与等多种机制，考察了居住隔离对抑郁症状的直接和间接影响。（2011-19，N= 1，970），并与2010-14年美国社区调查对社区环境的估计相关联。居住隔离是通过极端集中指数来衡量的，该指数同时评估了特定人口普查区域内的中文和英文使用情况。潜在增长曲线模型调整集群稳健的标准误估计控制后，为个人水平的factors.ResultsResidents隔离讲中文的社区有较少的基线抑郁症状，但速度较慢的症状减少比那些生活在社区隔离与英语只扬声器。种族歧视、社会压力和社会参与部分介导了隔离和基线抑郁症状之间的关联;社会压力和社会参与部分介导了与长期减少抑郁症状的关联。讨论和含义这项研究表明了住宅隔离和社会过程在塑造心理健康方面的重要性。在老年中国移民中，并提出了减轻心理健康风险的潜在机制。
Background and ObjectivesOlder Chinese immigrants are at risk for depression due to acculturative stress and language barriers. Residential segregation with respect to language use plays an important role in the mental health of historically marginalized populations. Previous research provided mixed evidence about the segregation effect among older Latino and Asian immigrants. Guided by a model of social processes, we examined the direct and indirect effects of residential segregation on depressive symptoms via multiple mechanisms of acculturation, discrimination, social network, social support, social strain, and social engagement.Research Design and MethodsFour waves of depressive symptoms were assessed in the Population Study of Chinese Elderly (2011–19,N= 1,970), and linked to the 2010–14 American Community Survey estimates of neighborhood context. Residential segregation was measured by the Index of Concentrations at the Extremes which simultaneously assesses Chinese and English language use within a given census tract. Latent growth curve models with adjusted cluster robust standard errors were estimated after controlling for individual-level factors.ResultsResidents of segregated Chinese-speaking neighborhoods had fewer baseline depressive symptoms but a slower rate of symptom reduction than those living in neighborhoods segregated with English-only speakers. Racial discrimination, social strain, and social engagement partially mediated the association between segregation and baseline depressive symptoms; social strain and social engagement partially mediated the association with long-term reduction in depressive symptoms.Discussion and ImplicationsThis study demonstrates the importance of residential segregation and social processes in shaping mental well-being among older Chinese immigrants and suggests potential mechanisms to alleviate mental health risks.