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美国老年华人群体的社区环境与抑郁症状:应对资源的中介作用

Neighborhood Environment and Depressive Symptoms Among Chinese Older Immigrants in the United States: The Mediation Effects of Coping Resources.

机构信息

School of Social Work, University of Iowa, Iowa City, Iowa, USA.

School of Social Work, Columbia University, New York City, New York, USA.

出版信息

Gerontologist. 2022 Oct 19;62(9):1278-1288. doi: 10.1093/geront/gnac065.

Abstract

BACKGROUND AND OBJECTIVES

Studies have shown that neighborhood environment shapes older Americans' aging experience and health. However, it remains largely unknown whether and how neighborhood environment influences the well-being of older Asian Immigrants. Guided by the neighborhood stress process model, this study aims to investigate (a) the associations between neighborhood environmental stressors and depression among Chinese older immigrants and (b) the potential mediation effects of intrapersonal (sense of mastery and sense of hopefulness) and interpersonal coping (social engagement) resources in such associations.

RESEARCH DESIGN AND METHODS

This study analyzed data collected from 2,801 Chinese older immigrants in the greater Chicago area. Structural equation modeling with bootstrap resampling was used to fit path models on neighborhood environmental stressor, intra- and interpersonal coping resources, and depression.

RESULTS

Findings showed that neighborhood social disintegration and physical disorder were associated with more depressive symptoms directly and indirectly via lower intra- and interpersonal coping resources. Specifically, older immigrants living in neighborhoods with greater social disintegration reported lower sense of mastery and social engagement, which in turn were associated with more depressive symptoms (partial mediation). Older immigrants living in neighborhoods with greater physical disorder reported lower sense of hopefulness and mastery, which subsequently were associated with more depressive symptoms (full mediation).

DISCUSSION AND IMPLICATIONS

The findings showed that neighborhood environmental stressors are risk factors for mental health of Chinese older immigrants, and coping resources may serve as pathways of the associations. The implications for future research and practice were discussed.

摘要

背景与目的

研究表明,邻里环境会影响美国老年人的衰老体验和健康。然而,邻里环境是否以及如何影响老年亚洲移民的幸福感,这在很大程度上仍不清楚。本研究以邻里应激过程模型为指导,旨在探讨:(a)邻里环境应激源与中国老年移民抑郁之间的关联;(b)在这种关联中,个体内(掌控感和希望感)和人际(社会参与)应对资源的潜在中介作用。

研究设计与方法

本研究分析了来自大芝加哥地区的 2801 名中国老年移民的数据。采用带有 bootstrap 重采样的结构方程模型拟合邻里环境应激源、个体内和人际应对资源与抑郁之间的路径模型。

结果

研究结果表明,邻里社会解体和物质无序与更多的抑郁症状直接相关,也通过较低的个体内和人际应对资源间接相关。具体来说,居住在社会解体程度较大的邻里的老年移民报告的掌控感和社会参与度较低,这反过来又与更多的抑郁症状相关(部分中介)。居住在物质无序程度较大的邻里的老年移民报告的希望感和掌控感较低,这随后与更多的抑郁症状相关(完全中介)。

讨论与意义

研究结果表明,邻里环境应激源是中国老年移民心理健康的风险因素,应对资源可能是关联的途径。讨论了对未来研究和实践的意义。

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