Open AccessFactors Associated With Depressive Symptoms Among U.S. Older Chinese Immigrants
Author(s) -
Ying-Yu Chao,
Jin Young Seo,
Meilan Chen,
Peijia Zha
Publication year - 2020
Publication title -
innovation in aging
Language(s) - English
Resource type - Journals
ISSN - 2399-5300
DOI - 10.1093/geroni/igaa057.542
Subject(s) - pittsburgh sleep quality index , medicine , ethnic group , depression (economics) , quality of life (healthcare) , cognition , mental health , psychological intervention , depressive symptoms , gerontology , immigration , clinical psychology , psychiatry , psychology , sleep quality , history , nursing , macroeconomics , archaeology , sociology , anthropology , economics
Purpose: Chinese Americans represent the largest Asian ethnic subgroup in the United States. Depression is the most common mental health problem among older adults. However, we have a limited understanding of depressive symptoms among older Chinese immigrants. The study aimed to examine the potential factors associated with depressive symptoms among older Chinese immigrants in U.S. Methods: We recruited participants from psychiatric clinics who sought professional help in New York City. Inclusion criteria were Chinese immigrants from Asian countries 50 years or older; able to speak and understand either Mandarin or Cantonese; and had a diagnosis with major depressive disorder. Depressive symptoms were measured with Quick Inventory of Depressive Symptomatology; cognitive function was measured with Montreal cognitive assessment; sleep quality was measured with Pittsburgh Sleep Quality Index, and physical activity was measured with International Physical Activity Questionnaire. Descriptive statistics and multiple regression were performed. Results: Participants were ninety-nine Chinese older immigrants (mean age: 60.69 ± 7.62 years). Participants who had more children (p < .05), poor health status (p < .01), poor quality of life (p < .01), less social support (p < .01), and need help with activities of daily living (p < .05) had more depressive symptoms. Cognitive function, sleep quality, and physical activity were significantly associated with depressive symptoms. Conclusions & Implications: Poor cognitive function, poor sleep quality, and less physical activity were associated with depressive symptoms. Our results provide knowledge for developing culturally tailored self-management interventions for older Chinese immigrants with depressive disorder in managed care settings.