A perceived community typology in older Korean Americans: implications for mental health.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Nan Sook Park, Jeongsuk Kim, Jung Eun Ko, Soondool Chung, David A Chiriboga, Yuri Jang
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Abstract

Objectives: The aims of this study were to identify a community typology in older Korean Americans and to examine how the typology is associated with feelings of loneliness and mental distress. We hypothesized that distinct community groups would be identified and that they would be differentially associated with mental health and background characteristics.

Method: Data were drawn from a survey with older Korean Americans aged 60 and older, collected during 2017-2018 in diverse locations (n = 2138). To identify a community typology, a series of latent profile analyses (LPA) were conducted using 15 community-related variables in three domains (neighbourhood characteristics, social cohesion, ethnic attachment).

Results: Based on model evaluation criteria, an LPA model with five community groups was identified as the best fit. The five groups were identified as "safe/integrated" (10%), "safe/distant" (10%), "moderate integration" (38%), "marginal" (31%), and "vulnerable" (11%). After examining descriptive characteristics of the identified groups, regression models of loneliness and mental distress were estimated. Using the safe/integrated group as reference, the marginal and vulnerable groups were consistently associated with elevated feelings of loneliness and mental distress.

Conclusions: The results suggest the need to understand community profiles and their relationships with health/well-being among older immigrants.

美籍韩裔老年人的社区感知类型:对心理健康的影响。
研究目的本研究旨在确定美国韩裔老年人的社区类型,并研究该类型与孤独感和精神痛苦之间的关系。我们假设会发现不同的社区群体,而且这些群体与心理健康和背景特征有不同的关联:数据来自 2017-2018 年期间在不同地点对 60 岁及以上的韩裔美国老年人进行的调查(n = 2138)。为了确定社区类型,我们使用三个领域(邻里特征、社会凝聚力、种族依恋)的15个社区相关变量进行了一系列潜在特征分析(LPA):结果:根据模型评估标准,一个包含五个社区群体的 LPA 模型被认为是最合适的。这五个群体被确定为 "安全/融合"(10%)、"安全/疏远"(10%)、"适度融合"(38%)、"边缘"(31%)和 "弱势"(11%)。在研究了已确定群体的描述性特征后,对孤独感和精神痛苦的回归模型进行了估计。以安全/融入群体为参照,边缘群体和弱势群体始终与孤独感和精神痛苦的增加有关:结果表明,有必要了解社区概况及其与老年移民健康/福祉的关系。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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