Filial Piety and Psychosocial Well-being in Chinese Population

本申请是我们先前申请（R 01 MD 006173）的再次提交，旨在研究成年子女的孝道与中国老年人的心理社会健康之间的关系。尽管中国人口增长迅速，但我们对美国华人老年人面临的许多重要问题有最初步的了解。更具体地说，中国老年人的心理社会健康存在显著差异，他们的自杀率高于美国任何其他种族/民族。在研究这些问题时，语言和文化的复杂性以及社区支持不足使华人社区能够作为平等的合作伙伴充分参与研究，进一步加剧了这种明显的健康差距。这些障碍需要更深入地了解与心理社会困扰相关的更广泛的背景文化因素，通过发展可持续的社区-学术伙伴关系和相互转让专业知识来改善中国人口的健康。 因此，我们将利用社区参与式研究（CBPR）的综合模型来研究重要文化因素与中国老年人心理社会健康之间的关系。在许多重要的文化因素中，孝道是最重要的，它决定了成年子女与父母之间的关系。对孝道的理解有助于我们更好地理解可能影响中国老年人心理社会健康的关键背景因素。本研究的主要目的是：（1）考察成年子女的孝道行为与老年人的心理社会幸福感之间的关系：（2）考察成年子女的孝道行为与老年人的孝道期望之间的差异与老年人的心理社会幸福感之间的关系; 3）研究成年子女的孝道对老年人心理困扰和社会孤立的影响程度。第二个具体目标是：4）探索其他相关文化因素对上述关系的影响（目标1-3）; 5）通过半结构访谈确定成年子女和老年人在坚持和期望孝道方面的压力，障碍，挑战和文化差异。为了实现这些目标，一个双语和双文化的首席研究员和一个经验丰富的跨学科团队将建立在我们的NIH资助的CBPR项目与芝加哥华人社区团体合作。这项建议的结果可以为未来成功开展预防和干预研究提供信息，以改善美国华人老年人的心理社会健康。

This application is a re-submission of our prior application (R01 MD006173) to examine the relationship between adult children 's filial piety and psychosocial wellbeing of Chinese older adults. Despite the rapid growth of Chinese populations, we have the most rudimentary understanding of many important issues facing the US Chinese older adults. More specifically, there are significant disparities in psychosocial wellbeing among Chinese older adults, who have the highest suicide rate than any other racial/ethnic group in the US. This marked health disparity is further exacerbated by the linguistic and cultural complexities when studying these issues as well as the inadequate community support necessary to empower the Chinese community to be fully engaged as equal partners in research. These impediments necessitate a deeper understanding broader contextual cultural factors associated with psychosocial distress, through the development of sustainable community-academic partnership and the reciprocal transfer of expertise to improve the health of the Chinese population. Accordingly, we will leverage a comprehensive model of community-based participatory research (CBPR) to examine the relationship between important cultural factors and psychosocial wellbeing of Chinese older adults. Among many important cultural factors , filial piety is the most important and defines relationships between adult children and their parents. Improved understanding of filial piety could improve our understanding of a key contextual factor that may affect psychosocial wellbeing of Chinese older adults. The primary specific aims are to: 1) examine the relationship between adult children 's filial piety with older adult's psychosocial wellbeing; 2) examine the relationship between the discrepancies in adult children 's filial behaviors and older adult's filial expectations with the psychosocial wellbeing of older adults; and 3) examine the degree to which adult children 's filial piety influences other risk factors associated with psychological distress and social isolation of older adults. The secondary specific aims are to: 4) explore the influence of other relevant cultural factors on above relationship (aims 1-3); and 5) identify through semi-structure interviews the stress, barriers, challenges and cultural variations in the adherence and expectation of filial piety in both adult children and older adults. To achieve these objectives, a bilingual and bicultural principal investigator and an experienced interdisciplinary team will build on our NIH funded CBPR projects to collaborate with Chicago Chinese community groups. The findings from this proposal could inform the successful conduct of future prevention and intervention studies to improve psychosocial wellbeing in US Chinese older adults.