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Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults
Face-saving represents a unique culturally salient construct among Chinese. However, our understanding regarding its relationship with psychological distress in this population remains limited. The objective of this cross-sectional study is to examine (1) the relationship between face-saving and dep...
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Published in: | Journal of immigrant and minority health 2020-10, Vol.22 (5), p.888-894 |
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description | Face-saving represents a unique culturally salient construct among Chinese. However, our understanding regarding its relationship with psychological distress in this population remains limited. The objective of this cross-sectional study is to examine (1) the relationship between face-saving and depressive symptoms among U.S. Chinese older adults; and (2) whether face-saving mediates the relationship between acculturation and depressive symptoms. Data were from the Population Study of Chinese Elderly in Chicago (N = 3132), the largest epidemiologic study of Chinese older adults in Western countries. The relationship between face-saving and self-reported depressive symptoms was investigated by step-wise multivariable linear regression models. The Sobel test was used to test the mediating effect of face-saving. U.S. Chinese older adults with higher face-saving values experienced greater levels of depressive symptoms (
B
= 0.05,
p
|
doi_str_mv | 10.1007/s10903-020-01033-2 |
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B
= 0.05,
p
< 0.001) than those with lower face-saving values, even after sociodemographic factors, health characteristics, and social support were accounted for. The mediation effect of face-saving was not statistically significant. The study findings underscore the significance of a unique cultural factor, specifically face-saving, in understanding U.S. Chinese older adults’ experience of depressive symptoms. Depression screening and treatment programs should pay attention to face-saving issues among U.S. Chinese older adults. Future studies need to incorporate cultural factors in mental health research in diverse populations.</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><identifier>DOI: 10.1007/s10903-020-01033-2</identifier><identifier>PMID: 32519152</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acculturation ; Adults ; Aged ; Aging (Individuals) ; Asian ; China - epidemiology ; Comparative Law ; Cross-Sectional Studies ; Cultural factors ; Cultural Influences ; Depression - epidemiology ; Epidemiology ; Health research ; Humans ; International & Foreign Law ; Medical research ; Medical screening ; Medicine ; Medicine & Public Health ; Mental depression ; Mental health ; Older Adults ; Older people ; Original Paper ; Population studies ; Private International Law ; Psychological distress ; Public Health ; Regression analysis ; Regression models ; Risk Factors ; Social interactions ; Social support ; Sociodemographics ; Sociology ; Statistical analysis ; Symptoms ; Tests ; Treatment programs</subject><ispartof>Journal of immigrant and minority health, 2020-10, Vol.22 (5), p.888-894</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-26f9b75618f7176b9030e1d09b717ed21e7996db66ae83d758c9588b228f2f6f3</citedby><cites>FETCH-LOGICAL-c474t-26f9b75618f7176b9030e1d09b717ed21e7996db66ae83d758c9588b228f2f6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2435632978/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2435632978?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,315,786,790,891,11715,12873,21422,21423,27377,27957,27958,31034,33646,33647,33809,34565,34566,36095,36096,43768,44150,44398,74578,74996,75252</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32519152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kong, Dexia</creatorcontrib><creatorcontrib>Wong, Yin-Ling Irene</creatorcontrib><creatorcontrib>Dong, Xinqi</creatorcontrib><title>Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults</title><title>Journal of immigrant and minority health</title><addtitle>J Immigrant Minority Health</addtitle><addtitle>J Immigr Minor Health</addtitle><description>Face-saving represents a unique culturally salient construct among Chinese. However, our understanding regarding its relationship with psychological distress in this population remains limited. The objective of this cross-sectional study is to examine (1) the relationship between face-saving and depressive symptoms among U.S. Chinese older adults; and (2) whether face-saving mediates the relationship between acculturation and depressive symptoms. Data were from the Population Study of Chinese Elderly in Chicago (N = 3132), the largest epidemiologic study of Chinese older adults in Western countries. The relationship between face-saving and self-reported depressive symptoms was investigated by step-wise multivariable linear regression models. The Sobel test was used to test the mediating effect of face-saving. U.S. Chinese older adults with higher face-saving values experienced greater levels of depressive symptoms (
B
= 0.05,
p
< 0.001) than those with lower face-saving values, even after sociodemographic factors, health characteristics, and social support were accounted for. The mediation effect of face-saving was not statistically significant. The study findings underscore the significance of a unique cultural factor, specifically face-saving, in understanding U.S. Chinese older adults’ experience of depressive symptoms. Depression screening and treatment programs should pay attention to face-saving issues among U.S. Chinese older adults. Future studies need to incorporate cultural factors in mental health research in diverse populations.</description><subject>Acculturation</subject><subject>Adults</subject><subject>Aged</subject><subject>Aging (Individuals)</subject><subject>Asian</subject><subject>China - epidemiology</subject><subject>Comparative Law</subject><subject>Cross-Sectional Studies</subject><subject>Cultural factors</subject><subject>Cultural Influences</subject><subject>Depression - epidemiology</subject><subject>Epidemiology</subject><subject>Health research</subject><subject>Humans</subject><subject>International & Foreign Law</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Older Adults</subject><subject>Older people</subject><subject>Original Paper</subject><subject>Population studies</subject><subject>Private International Law</subject><subject>Psychological distress</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk Factors</subject><subject>Social interactions</subject><subject>Social support</subject><subject>Sociodemographics</subject><subject>Sociology</subject><subject>Statistical analysis</subject><subject>Symptoms</subject><subject>Tests</subject><subject>Treatment 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Dexia</au><au>Wong, Yin-Ling Irene</au><au>Dong, Xinqi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults</atitle><jtitle>Journal of immigrant and minority health</jtitle><stitle>J Immigrant Minority Health</stitle><addtitle>J Immigr Minor Health</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>22</volume><issue>5</issue><spage>888</spage><epage>894</epage><pages>888-894</pages><issn>1557-1912</issn><eissn>1557-1920</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Face-saving represents a unique culturally salient construct among Chinese. However, our understanding regarding its relationship with psychological distress in this population remains limited. The objective of this cross-sectional study is to examine (1) the relationship between face-saving and depressive symptoms among U.S. Chinese older adults; and (2) whether face-saving mediates the relationship between acculturation and depressive symptoms. Data were from the Population Study of Chinese Elderly in Chicago (N = 3132), the largest epidemiologic study of Chinese older adults in Western countries. The relationship between face-saving and self-reported depressive symptoms was investigated by step-wise multivariable linear regression models. The Sobel test was used to test the mediating effect of face-saving. U.S. Chinese older adults with higher face-saving values experienced greater levels of depressive symptoms (
B
= 0.05,
p
< 0.001) than those with lower face-saving values, even after sociodemographic factors, health characteristics, and social support were accounted for. The mediation effect of face-saving was not statistically significant. The study findings underscore the significance of a unique cultural factor, specifically face-saving, in understanding U.S. Chinese older adults’ experience of depressive symptoms. Depression screening and treatment programs should pay attention to face-saving issues among U.S. Chinese older adults. Future studies need to incorporate cultural factors in mental health research in diverse populations.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32519152</pmid><doi>10.1007/s10903-020-01033-2</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acculturation Adults Aged Aging (Individuals) Asian China - epidemiology Comparative Law Cross-Sectional Studies Cultural factors Cultural Influences Depression - epidemiology Epidemiology Health research Humans International & Foreign Law Medical research Medical screening Medicine Medicine & Public Health Mental depression Mental health Older Adults Older people Original Paper Population studies Private International Law Psychological distress Public Health Regression analysis Regression models Risk Factors Social interactions Social support Sociodemographics Sociology Statistical analysis Symptoms Tests Treatment programs |
title | Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults |
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