Filial Piety and Psychosocial Well-being in Chinese Population

描述（由申请人提供）：尽管中国人口快速增长，但我们对美国华裔老年人面临的许多健康差异问题有最基本的了解。先前在中国社区进行的地方层面需求评估表明，我们在代际关系、对老龄化的文化期望、抑郁、自杀、社会孤立和老年人虐待（虐待老年人、忽视老年人、经济剥削和自我忽视）等问题上的科学知识存在明显差距。在处理这些问题时，语言和文化的复杂性以及社区支持的不足进一步加剧了这些明显的健康差距，使华人社区能够作为平等的合作伙伴充分参与研究。这些障碍需要更深入地了解与这些条件相关的更广泛的背景因素，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，我们将利用基于社区的参与式研究（CBPR）的综合模型来研究代际关系与中国老年人健康和福祉之间的横断面关联。更具体地说，我们的目的是研究子女关系的质量和期望与压力和社会孤立的感知之间的横断面关联；检查与他们的健康和福祉有关的代际不和谐、冲突和虐待；并研究代际团结、脆弱、压力和社会孤立之间的联系。提高对这些关联的理解可以提高我们对关键背景因素的理解，这些因素可能有助于未来的预防和干预策略，以改善中国老年人的健康和福祉。为了实现这些目标，一位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美国国立卫生研究院资助的CBPR项目上，与芝加哥华人社区团体合作。这项建议的发现可以为未来成功开展改善美国华裔老年人健康和福祉的研究提供信息。

DESCRIPTION (provided by applicant): Despite the rapid growth of Chinese populations, we have the most rudimentary understanding of many health disparities issues facing the US Chinese older adults. Prior local level needs assessment in Chinese communities indicate there are marked gaps in our scientific knowledge on the issues of intergenerational relationships, cultural expectations of aging, depression, suicide, social isolation, and elder mistreatment (elder abuse, neglect, financial exploitation and self-neglect). These marked health disparities are further exacerbated by the linguistic and cultural complexities when dealing with 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 factors associated with these conditions, 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 cross sectional associations between intergenerational relationships and health and wellbeing of Chinese older adults. More specifically, we aim to examine the cross sectional association between quality and expectations of the filial relationships with the perception of stress and social isolation; to examine the intergenerational discordance, conflict, and mistreatment with respect to their health and wellbeing; and to examine the associations among intergenerational solidarity, frailty and stress and social isolation. Improved understanding of these associations could improve our understanding of key contextual factors that may contribute to future prevention and intervention strategies to improve health and wellbeing of Chinese 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 research to improve health and wellbeing among US Chinese older adults.