Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
UC Davis School of Medicine, Sacramento, California, USA.
J Am Geriatr Soc. 2024 Jul;72(7):2174-2183. doi: 10.1111/jgs.19016. Epub 2024 May 27.
Since the beginning of the COVID-19 pandemic, older Asians have experienced a rise in racism and discrimination based on their race and ethnicity. This study examines how anti-Asian hate impacts older Asians' mental, social, and physical health.
From March 18, 2022 to January 24, 2023, we conducted a cross-sectional survey study of community-dwelling Asian/Asian American adults aged ≥50 years from the San Francisco Bay Area. Measures included perceptions of anti-Asian hate; direct encounters with hate incidents; indirect experiences with hate incidents (e.g. knowing a friend who was a victim); reports of anxiety, depression, loneliness, and changes in daily activities; ways to address these issues; and discussions with clinicians about hate incidents.
Of the 293 older Asians, 158 (54%) were Vietnamese and 97 (33%) Chinese. Eighty-five (29%) participants were direct victims of anti-Asian hate, 112 (38%) reported anxiety, 105 (36%) reported depression, 161 (55%) reported loneliness, and 142 (48%) reported decreased daily activities. Compared with those who were "not-at-all" to "moderately" worried about hate incidents, participants who were "very" to "extremely" worried experienced heightened anxiety (42% versus 16%), loneliness (30% versus 14%), and changes in daily activities (66% versus 31%), p < 0.01 for all. Most participants (72%) felt comfortable discussing hate incidents with clinicians; however, only 31 (11%) reported that a clinician had talked with them about these incidents.
Both directly and indirectly, anti-Asian hate negatively impacts older Asians' mental, social, and physical health. Clinicians have a role in addressing the health impacts of anti-Asian hate.
自 COVID-19 大流行开始以来，年长的亚洲人因其种族和民族而经历了种族主义和歧视的上升。本研究探讨了反亚裔仇恨如何影响年长的亚洲人的心理健康、社交健康和身体健康。
2022 年 3 月 18 日至 2023 年 1 月 24 日，我们对来自旧金山湾区的年龄在 50 岁及以上的社区居住的亚裔/亚裔美国成年人进行了一项横断面调查研究。测量包括对反亚裔仇恨的看法；直接遭遇仇恨事件；间接经历仇恨事件（例如，认识一位受害者朋友）；焦虑、抑郁、孤独和日常活动变化的报告；解决这些问题的方法；以及与临床医生讨论仇恨事件。
在 293 名年长的亚洲人中，有 158 名（54%）是越南人，97 名（33%）是中国人。85 名（29%）参与者是反亚裔仇恨的直接受害者，112 名（38%）报告焦虑，105 名（36%）报告抑郁，161 名（55%）报告孤独，142 名（48%）报告日常活动减少。与那些“不太担心”到“中度担心”仇恨事件的参与者相比，“非常担心”到“极度担心”的参与者经历了更高的焦虑（42%对 16%）、孤独（30%对 14%）和日常活动的变化（66%对 31%），p<0.01 均有统计学差异。大多数参与者（72%）感到与临床医生讨论仇恨事件很舒服；然而，只有 31 名（11%）报告说有临床医生与他们谈论过这些事件。
无论是直接还是间接，反亚裔仇恨都对年长的亚洲人的心理健康、社交健康和身体健康产生负面影响。临床医生在解决反亚裔仇恨对健康的影响方面发挥作用。
