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).

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).
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DOI:
10.1016/j.gerinurse.2022.01.012
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发表时间:
2022-03
期刊:
影响因子:
2.7
通讯作者:
Markides, Kyriakos S.
Markides, Kyriakos S.
中科院分区:
医学3区
文献类型:
--
作者:
Miyawaki, Christina E.;Liu, Minhui;Park, Van Ta;Mindy Thy Tran;Markides, Kyriakos S.

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越南战争结束后,130万越南人移民到美国,成为第四大亚裔美国人。然而,与其他亚洲亚群相比,他们的健康状况知之甚少。因此,我们开发了越南老龄化和护理调查,以了解德克萨斯州休斯顿的越南老年移民的健康状况(N=132)。我们研究了社会支持如何调节他们的身体残疾和心理健康(抑郁症状和孤独)之间的关系。大多数答复者认为自己的健康状况一般/较差,一半以上的人住在少数民族聚居区的大家庭或老年人住房中。身体残疾越多,抑郁症状和孤独感越高,但社会支持越高,身体残疾对孤独感的影响就越低。当地政策制定者和利益相关者可以制定战略,利用现有的文化和语言上适当的日托中心以及家庭和社区服务,减轻有身体残疾的越南老年移民的抑郁和孤独。
After the Vietnam War, 1.3 million Vietnamese migrated to the U.S. where they are the fourth largest Asian American subgroup. However, little is known about their health compared to other Asian subgroups. As such, we developed the Vietnamese Aging and Care Survey to understand older Vietnamese immigrants’ health in Houston, Texas (N=132). We examined how social support moderated the relationship between their physical disability and mental health (depressive symptoms and loneliness). Most respondents rated their health as fair/poor and more than half lived in extended family households or senior housing in ethnic enclaves. Having more physical disabilities was associated with higher depressive symptoms and loneliness, but higher social support moderated the effect of physical disability on loneliness. Local policymakers and stakeholders might strategize using the existing culturally and linguistically appropriate daycare centers and home and community-based services to mitigate depression and loneliness among older Vietnamese immigrants with physical disabilities.
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