Dong XinQi, Chen Ruijia, Simon Melissa A
Rush Institute for Healthy Aging, Rush University Medical Center and
Rush Institute for Healthy Aging, Rush University Medical Center and.
J Gerontol A Biol Sci Med Sci. 2014 Nov;69 Suppl 2(Suppl 2):S76-81. doi: 10.1093/gerona/glu150. Epub 2014 Oct 18.
Experiences of discrimination are detrimental to health and well-being. This study aimed to examine experiences of discrimination and responses to unfair treatment among community-dwelling U.S. Chinese older adults.
Guided by a community-based participatory research approach, 3,159 community-dwelling Chinese older adults aged 60 years and older in the Greater Chicago area were interviewed in person between 2011 and 2013.
Of the 3,159 participants interviewed, 58.9% were women and the mean age was 72.8 years. A total of 671 (21.3%) participants reported having experienced discrimination and 1,454 (48.2%) reported passive response to unfair treatment. Older adults living in Chicago's Chinatown had the lowest prevalence of perceived discrimination compared with those living in other areas. Younger age, higher education, higher income, fewer children, more years in the United States, more years in the community, poorer health status, lower quality of life, and worsening health over the last year were associated with higher frequency of discrimination reported. Younger age, higher education, higher income, being married, living with more people, having fewer children, more years in the United States, and better health over the past year were associated with engaged responses to unfair treatment.
U.S. Chinese older adults suffered considerable discrimination, but tended to have passive responses to unfair treatment. Future longitudinal studies are needed to improve our understanding of the risk factors and outcomes associated with discrimination among U.S. Chinese older adults.
歧视经历对健康和幸福有害。本研究旨在调查美国社区居住的华裔老年人的歧视经历以及对不公平待遇的反应。
以社区参与式研究方法为指导，2011年至2013年间对大芝加哥地区3159名60岁及以上的社区居住华裔老年人进行了面对面访谈。
在接受访谈的3159名参与者中，58.9%为女性，平均年龄为72.8岁。共有671名（21.3%）参与者报告曾经历过歧视，1454名（48.2%）报告对不公平待遇采取被动反应。与居住在其他地区的华裔老年人相比，居住在芝加哥唐人街的老年人感知到的歧视患病率最低。年龄较小、教育程度较高、收入较高、子女较少、在美国居住年限较长、在社区居住年限较长、健康状况较差、生活质量较低以及过去一年健康状况恶化与报告的较高歧视频率相关。年龄较小、教育程度较高、收入较高、已婚、与更多人一起生活、子女较少、在美国居住年限较长以及过去一年健康状况较好与对不公平待遇的积极反应相关。
美国华裔老年人遭受了相当多的歧视，但往往对不公平待遇采取被动反应。未来需要进行纵向研究，以增进我们对与美国华裔老年人歧视相关的风险因素和结果的理解。
