The impact of anti-Asian racism on routine activities and mental health among Korean American older adults and their caregivers.
The impact of anti-Asian racism on routine activities and mental health among Korean American older adults and their caregivers.
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DOI：
10.3389/fpubh.2023.958657
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发表时间：
2023
影响因子：
5.2
通讯作者：
Kwon, Simona
中科院分区：
文献类型：
--
作者：
Han, Hae-Ra;Min, Deborah;Yun, Ji-Young;Joo, Jin Hui;Lee, Hochang Benjamin;Kwon, Simona
自 COVID-19 大流行以来，有关反亚裔歧视的报道不断增加。然而，关于新冠肺炎 (COVID-19) 期间，亚裔美国人（尤其是老年人）所感受到的反亚裔种族主义对健康的影响的研究还很有限。为了解决这一差距，我们研究了新型冠状病毒大流行如何影响韩裔美国老年人，这是最大的亚洲亚群体之一。具体来说，这项研究探讨了与大流行相关的种族主义或歧视的严重程度，以及反亚裔种族主义对韩裔美国老年人及其照顾者的负面心理健康症状的影响。我们使用了从 175 名可能患有痴呆症的韩裔美国老年人及其主要照顾者（女性 = 62%，平均年龄 = 71 岁）中收集的调查数据，这些人接受了一项正在进行的随机对照试验的资格筛选，该试验涉及巴尔的摩-华盛顿和纽约都会区的二人组（ClinicalTrials.gov 标识符：NCT03909347）。近四分之一的调查样本表示，由于与疫情相关的反亚裔种族主义，他们对自己的安全感到担忧。此外，47% 的受访者表示，由于反亚裔种族主义或与 COVID-19 相关的歧视，日常活动发生了变化。最常见的变化包括避免独自行走或户外体力活动，其次是避免乘坐公共交通工具或离开家去杂货店、教堂或学校等任何公共场所，不进行日常社交活动，以及避免去医疗保健预约。多项逻辑回归显示，报告日常活动发生变化的人报告负面心理健康症状的可能性（调整后的比值比 = 5.017，95% 置信区间 = 1.503, 16.748）至少是那些没有改变的人的五倍。在调查样本中，担心自己的安全与经历负面心理健康症状无关。研究结果表明，COVID-19 大流行期间反亚裔种族主义报道的增加对韩裔美国老年人及其照顾者产生了重大影响。日常活动的改变与负面心理健康症状相关的机制尚不清楚，需要未来的研究来阐明这一途径。此外，我们的研究结果强调了确定多层次战略的重要性，以提高人们对种族主义激增的认识并减轻所报告的种族主义激增。
Reported anti-Asian discrimination has been on the rise since the COVID-19 pandemic. Nevertheless, limited research addresses the health impact of perceived anti-Asian racism on Asian Americans, especially among older adults, during COVID-19. To address the gap, we examined how the novel coronavirus pandemic affected Korean American older adults, one of the largest Asian subgroups. Specifically, this study addressed the magnitude of racism or discrimination related to the pandemic and impact of anti-Asian racism on negative mental health symptoms among Korean American older adults and their caregivers. We used survey data collected from 175 Korean American older adults with probable dementia and their primary caregivers (female = 62%, mean age = 71 years) who went through eligibility screening for an ongoing randomized controlled trial involving dyads in the Baltimore-Washington and the New York Metropolitan areas (ClinicalTrials.gov Identifier: NCT03909347). Nearly a quarter of the survey sample reported they were fearful for their safety due to anti-Asian racism related to the pandemic. Additionally, 47% of the respondents indicated changes to routine activities due to anti-Asian racism or discrimination related to COVID-19. The most common changes included avoiding walking alone or physical activities outside, followed by avoiding public transportation or leaving the house to go to any public places such as grocery stores, churches, or schools, not carrying out usual social activities, and avoiding going to health care appointments. Multinomial logistic regression revealed that people who reported changes to routine activities were at least five times more likely (adjusted odds ratio = 5.017, 95% confidence interval = 1.503, 16.748) to report negative mental health symptoms than those who did not. Being fearful for their own safety was not associated with experiencing negative mental health symptoms in the survey sample. Study findings indicate that the increased reporting of anti-Asian racism during the COVID-19 pandemic has substantially affected Korean American older adults and their caregivers. The mechanism by which changes to routine activities is related to negative mental health symptoms is unclear, future research is needed to elucidate this pathway. Furthermore, our findings highlight the importance of identifying multi-level strategies to raise awareness of and to mitigate the reported surge of racism.
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在美国年轻人的多个种族样本中，与19岁相关的反亚洲歧视和情感反应的经历。
影响因子：
4.5
作者：
Hahm HC;Xavier Hall CD;Garcia KT;Cavallino A;Ha Y;Cozier YC;Liu C
通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.3
作者：
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通讯作者：
LaVeist, Thomas A.
影响因子：
12.7
作者：
Hohl, Alexander;Choi, Moongi;Wen, Ming
通讯作者：
Wen, Ming
影响因子：
4.5
作者：
Holden TM;Simon MA;Arnold DT;Halloway V;Gerardin J
通讯作者：
Gerardin J