Mui Ada C, Kang Suk-Young
Columbia University, School of Social Work, New York, NY 10027, USA.
Soc Work. 2006 Jul;51(3):243-55. doi: 10.1093/sw/51.3.243.
This study examines the association between acculturation stress and depressive symptoms in a regional probability sample (n = 407) of six groups of Asian immigrant elders (Chinese, Korean, Indian, Filipino,Vietnamese, and Japanese). Findings suggest that about 40 percent of the sample were depressed, indicating higher depression rates than found in other studies of older American or Asian elderly samples in the United States and Asia. Multiple regression analyses indicated that acculturation stress caused by elders' perception of a cultural gap between themselves and their adult children was associated with high depression levels. Other predictors of depression were poor perceived health, stressful life events, religiosity, proximity of children, assistance received from adult children, and longer residence in the United States. Data suggest that depression is prevalent among urban Asian immigrant elders and that there is great heterogeneity among Asian ethnic subgroups. Implications for social work practice are discussed.
本研究在一个包含六组亚洲移民老年人(中国人、韩国人、印度人、菲律宾人、越南人和日本人)的区域概率样本(n = 407)中,考察了文化适应压力与抑郁症状之间的关联。研究结果表明,约40%的样本患有抑郁症,这表明该抑郁症患病率高于美国和亚洲其他针对美国老年人或亚洲老年样本的研究。多元回归分析表明,老年人感知到自己与成年子女之间存在文化差距所导致的文化适应压力,与高抑郁水平相关。抑郁症的其他预测因素包括健康自评较差、生活压力事件、宗教信仰、子女的亲近程度、从成年子女处获得的帮助,以及在美国居住的时间更长。数据表明,抑郁症在城市亚洲移民老年人中普遍存在,并且亚洲各民族亚群体之间存在很大的异质性。本文还讨论了对社会工作实践的启示。