Jang Yuri, Kim Giyeon, Chiriboga David A
Department of Aging and Mental Health, Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Boulevard, Tampa, FL 33612, USA.
J Cross Cult Gerontol. 2006 Sep-Dec;21(3-4):91-102. doi: 10.1007/s10823-006-9026-y.
Given the increasing recognition of racial/ethnic health disparities, the present study focused on older Korean Americans. Using data from 230 older Korean Americans in Florida (M age = 69.8, SD = 7.05), we assessed (a) how background variables (demographic information and acculturation), health constraints (chronic conditions and functional disability), and psychosocial factors (sense of mastery and filial satisfaction) were associated with health perception and depressive symptoms; and (b) whether health perception mediated the connections between health constraints and depressive symptoms. We observed positive perceptions of health and emotional states among individuals with higher levels of acculturation, fewer chronic conditions, less disability, and a greater sense of mastery. We also found that persons who were more satisfied with their relationships with adult children and who had more positive health perception were less depressed. Additionally, the findings supported a mediation model of health perception in the linkages between physical and mental health. Findings and implications are discussed here in a cultural context.
鉴于对种族/族裔健康差异的认识日益增加，本研究聚焦于韩裔美国老年人。利用来自佛罗里达州230名韩裔美国老年人的数据（年龄均值 = 69.8，标准差 = 7.05），我们评估了：(a) 背景变量（人口统计学信息和文化适应）、健康限制因素（慢性病和功能残疾）以及心理社会因素（掌控感和孝顺满意度）如何与健康认知及抑郁症状相关联；以及 (b) 健康认知是否介导了健康限制因素与抑郁症状之间的联系。我们观察到，文化适应程度较高、慢性病较少、残疾较少且掌控感较强的个体对健康和情绪状态有着积极的认知。我们还发现，对与成年子女关系更满意且健康认知更积极的人抑郁程度更低。此外，研究结果支持了健康认知在身心健康联系中的中介模型。本文将在文化背景下讨论研究结果及其意义。
