Kyoung Hag Lee

Risk and protective factors for depressive symptoms among American Indian older adults: adverse childhood experiences and social support.

Objectives: Despite efforts to promote health equity, many American Indian and Alaska Native (AI/AN) populations, including older adults, experience elevated levels of depression. Although adverse childhood experiences (ACE) and social support are well-documented risk and protective factors for depression in the general population, little is known about AI/AN populations, especially older adults. The purpose of this study was to examine factors related to depression among a sample of AI older adults in the midwest. Method: Data were collected using a self-administered survey completed by 233 AIs over the age of 50. The survey included standardized measures such as the Geriatric Depression Scale-Short Form, ACE Questionnaire, and the Multidimensional Scale of Perceived Social Support. Hierarchical multivariate regression analyses were conducted to evaluate the main hypotheses of the study. Results: Two dimensions of ACE (i.e., childhood neglect, household dysfunction) were positively associated with depressive symptoms; social support was negatively associated with depressive symptoms. Perceived health and living alone were also significant predictors. Conclusion: ACE may play a significant role in depression among AI/AN across the life course and into old age. Social support offers a promising mechanism to bolster resilience among AI/AN older adults.

General Well-Being of Korean Immigrant Elders: The Significance of Religiousness/Spirituality and Social Support

ABSTRACT This study examined how religiousness/spirituality (values/beliefs, private religious practice, religious/spiritual coping, and religious support) and social support are related to the general well-being (positive well-being, general health, vitality, self-control, anxiety, and depression) of 177 Korean immigrant elders (KIEs). Regression analysis revealed a significant association between religious/spiritual coping, religious support, and social support and the general well-being of KIEs. Social workers need to provide spiritually sensitive religious support and coping skills to KIEs to enhance their well-being. A future study needs to use a probability sampling method to confirm generalizable findings concerning the relationship between religiousness/spirituality and general well-being among KIEs.

Predicting Help-Seeking Attitudes Toward Mental Health Services Among American Indian Older Adults Is Andersen’s Behavioral Model a Good Fit?

American Indian (AI) older adults are vulnerable to mental health disparities, yet very little is known about the factors associated with help-seeking for mental health services among them. The purpose of this study was to investigate the utility of Andersen’s Behavioral Model in explaining AI older adults’ help-seeking attitudes toward professional mental health services. Hierarchical regression analysis was used to examine predisposing, enabling, and need variables as predictors of help-seeking attitudes toward mental health services in a sample of 233 AI older adults from the Midwest. The model was found to have limited utility in the context of older AI help-seeking attitudes, as the proportion of explained variance was low. Gender, perceived stigma, social support, and physical health were significant predictors, whereas age, perceived mental health, and health insurance were not.

Stressors, social support, religious practice, and general well-being among Korean adult immigrants

Through this cross-sectional study the authors explore how stressors, social support, and religious practice are associated with the general well-being of 147 Korean adult immigrants through interviews. Hierarchical regression analysis reveals that low English proficiency and financial hardship are significantly related to low general well-being. However, high social support and religious practice are significantly associated with high general well-being. Social service and health care providers need to carefully assess stressors, social support systems, and spiritual issues for providing appropriate services/programs for English, culture, or social activities as well as spiritual intervention to maximize the strengths of Korean immigrants coping with health issues.

Private Religious Practice, Spiritual Coping, Social Support, and Health Status among Older Korean Adult Immigrants

This study explored the role of spiritual factors and social support on the health status of 246 older Korean adult immigrants age 65 years or older. Ordinary least squares regression results revealed that private religious practice, spiritual coping, and social support were significantly associated with improved health status. However, stressors such as the lack of English proficiency and transportation, longer residency in the United States, and financial problems were significantly associated with lower health status. Social workers need to consider providing appropriate spiritual interventions and social support programs for older Korean adult immigrants so that they may better handle their stressors and health problems.

A comparison of risk and protective factors related to depressive symptoms among American Indian and caucasian older adults

Despite efforts to reduce health disparities, many American Indian and Alaska Native (AI/AN) populations, including older adults, experience elevated levels of depression and associated suicide. Although adverse childhood experiences (ACEs) and social support are well-documented risk and protective factors for depression in the general population, little is known about AI/AN populations, especially older adults. The purpose of this study was to examine factors related to depression among a sample of AI older adults in the Midwest. Data were collected using a self-administered survey completed by 479 AI and Caucasian respondents over the age of 50. The survey included standardized measures such as the Geriatric Depression Scale-Short Form, ACE Questionnaire, and Multidimensional Scale of Perceived Social Support. Hierarchical multivariate regression analyses were conducted to evaluate the main hypotheses of the study. Results indicate that two dimensions of ACEs (childhood neglect and household dysfunction) were positively associated with depressive symptoms; social support was negatively associated with depressive symptoms. Perceived health and living alone were also significant predictors of depressive symptoms. ACEs may play a significant role in depression among AI/AN populations across the life course and into old age. Social support offers a promising mechanism to bolster resilience among AI/AN older adults.

Religion, Social Support, and Life Satisfaction Among American Indian Older Adults

This study examined the associations among religion, social support, and life satisfaction with 233 older American Indians in the Northern Plains region. Hierarchical regression indicated that those with higher religiousness and greater social support were found to have greater life satisfaction. Findings suggest that religion and social support provide promising pathways to build upon existing strengths to ameliorate mental health disparities. Health professionals must be sensitive to the complexities of religion and social support, and consider ways to incorporate cultural practices into health education and interventions to promote the quality of life for older American Indians.

Age Differences in Stressors, Coping Resources, and General Well-Being Among Korean Immigrants

ABSTRACT This study explored 346 Korean immigrants living in California to examine: a) differences in stressors, coping resources, and general well-being (anxiety, depression, positive well-being, self-control, vitality, and general health) between younger (18–64 years old) and older (65–96 years old) Korean immigrants; and b) differences in associations of stressors and coping resources with general well-being in the 2 groups. Results revealed that the older immigrants experienced higher levels of socioeconomic stressors and psychological/physical problems. In addition, English-language problems, low education, and financial difficulties were more consistently associated with lower levels of general well-being in the older immigrants than in the younger immigrants. Social support, religious practice, and spiritual coping were more likely to alleviate the detrimental consequences of stressors on general well-being in the older immigrants than in the younger immigrants. To improve the general well-being of older Korean immigrants, the results suggest: a) emphasis of social and health care services with bilingual capability; b) improved social support systems; and c) utilization of spiritual assessments and interventions. Future research should extend the current study with longitudinal data of a more generalizable sample of Korean immigrants.

Stressors, Coping Resources, Functioning, and Role Limitations Among Older Korean Immigrants: Gender Differences

This study explored the differential impacts of stressors and coping resources on the functioning and roles of 246 older Korean immigrant men and women. Older Korean immigrant women were significantly more likely than men to have acculturation and socioeconomic stressors, physical/social functioning problems, and role limitations. English-language barriers and lack of transportation were significantly related to lower functioning and higher role limitations of older Korean women compared to those of older men. Providing social and health care services with bilingual and transportation services to older Korean immigrant women is recommended to increase their physical/social functioning and role performance.

Determinants of unemployment and economic hardship of welfare leavers who have reached their lifetime limits

ABSTRACT A cross-sectional survey design is used to explore the determinants of unemployment and economic hardship among former welfare recipients who have reached their 5-year lifetime limits in a sample of 276 former WV WORKS recipients in West Virginia. The findings of the study indicate that respondents with mental problems; physical disabilities; or without a high school diploma, child care, or transportation were more likely than others to be unemployed. In addition, either mental health problems or a lack of transportation were significantly associated with the economic hardships of the welfare leavers. Policy implications suggest that the lifetime-limit policy be exempted for those with mental problems or physical disabilities, or extended for those who have children under age 2 and comply with mandatory work requirements.