Immigrant Status,Social Support From Children,and Resilience for Older Parents’ Perceived Oral Health Among Chinese Americans

Abstract

Background: Improving the oral health of older immigrants is an important public health priority in the United States, but the role of children’s support has received little attention. This study investigated the relationship between support from adult children and perceived oral health among foreign-born and U.S.-born Chinese Americans. We also examined the mediating role of resilience. Methods: Data were derived from a sample of 377 Chinese American older adults aged 55 or older in Honolulu, Hawai’i. Using a path analysis with structural equation models, we conducted a comparison of self-rated oral health and oral health problems between foreign-born and U.S.-born Chinese Americans. Results: For foreign-born participants, more emotional support from children was directly associated with better perceived oral health and indirectly linked to perceived oral health via resilience. For U.S.–born Chinese Americans, financial support from children was directly related to worse perceived oral health. Conclusions: This study provides evidence for resilience pathways linking social support from children and older immigrants’ oral health, which can help health professionals and family counselors develop culturally tailored interventions.

Keywords

oral health immigrant status social support from children resilience Chinese Americans

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References

Anderson

C. N.

Kim

(2009). An examination of older immigrants’ use of dental services in the United States. Journal of Aging & Social Policy, 22(1), 18–32. https://doi.org/10.1080/08959420903385593

Baker

(2007). Testing a conceptual model of oral health: A structural equation modeling approach. Journal of Dental Research, 86(8), 708–712. https://doi.org/10.1177/154405910708600804

Burr

J. A.

Lee

H. J.

(2013). Social relationships and dental care service utilization among older adults. Journal of Aging and Health, 25(2), 191–220. https://doi.org/10.1177/0898264312464497

Connor

K. M.

Davidson

J. R.

(2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113

Cooke

B. D.

Rossmann

M. M.

McCubbin

H. I.

Patterson

J. M.

(1988). Examining the definition and assessment of social support: A resource for individuals and families. Family Relations, 37(2), 211–216. https://doi.org/10.2307/584322

Cruz

G. D.

Chen

Salazar

C. R.

Karloopia

LeGeros

R. Z.

(2010). Determinants of oral health care utilization among diverse groups of immigrants in New York City. The Journal of the American Dental Association, 141(7), 871–878. https://doi.org/10.14219/jada.archive.2010.0286

Dahlan

Ghazal

Saltaji

Salami

Amin

(2019). Impact of social support on oral health among immigrants and ethnic minorities: A systematic review. PLoS One, 14(6), Article e0218678. https://doi.org/10.1371/journal.pone.0218678

Documet

P. I.

Troyer

M. M.

Macia

(2019). Social support, health, and health care access among Latino immigrant men in an emerging community. Health Education & Behavior, 46(1), 137–145. https://doi.org/10.1177/1090198118763870

Donnellan

W. J.

Bennett

K. M.

Soulsby

L. K.

(2017). Family close but friends closer: Exploring social support and resilience in older spousal dementia carers. Aging & Mental Health, 21(11), 1222–1228. https://doi.org/10.1080/13607863.2016.1209734

10.

Jiang

Tai

Zhou

Bian

(2009). Root caries patterns and risk factors of middle‐aged and elderly people in China. Community Dentistry and Oral Epidemiology, 37(3), 260–266. https://doi.org/10.1111/j.1600-0528.2009.00461.x

11.

Elliot

A. J.

Chapman

B. P.

(2016). Socioeconomic status, psychological resources, and inflammatory markers: Results from the MIDUS study. Health Psychology, 35(11), 1205–1213. https://doi.org/10.1037/hea0000392

12.

Gallo

L. C.

Penedo

F. J.

Espinosa de los Monteros

Arguelles

(2009). Resiliency in the face of disadvantage: Do Hispanic cultural characteristics protect health outcomes? Journal of Personality, 77(6), 1707–1746. https://doi.org/10.1111/j.1467-6494.2009.00598.x

13.

Dong

(2018). Associations between acculturation and oral health among older Chinese immigrants in the United States. Gerontology and Geriatric Medicine, 4(13), 2333721418778197. https://doi.org/10.1177/2333721418778197

14.

Griffin

S. O.

Jones

J. A.

Brunson

Griffin

P. M.

Bailey

W. D.

(2012). Burden of oral disease among older adults and implications for public health priorities. American Journal of Public Health, 102(3), 411–418. https://doi.org/10.2105/AJPH.2011.300362

15.

Hao

Qin

(2021). Sleep quality in relation to social support and resilience among rural empty-nest older adults in China. Sleep Medicine, 82(6), 193–199. https://doi.org/10.1016/j.sleep.2021.03.026

16.

Hybels

C. F.

Bennett

J. M.

Landerman

L. R.

Liang

Plassman

B. L.

(2016). Trajectories of depressive symptoms and oral health outcomes in a community sample of older adults. International Journal of Geriatric Psychiatry, 31(1), 83–91. https://doi.org/10.1002/gps.4292

17.

Iciaszczyk

(2016). Social connectedness, social support and the health of older adults: A comparison of immigrant and native-born Canadians. Western University.

18.

Lui

C. W.

Chui

W. H.

(2007). Veiled entrapment: A study of social isolation of older Chinese migrants in Brisbane, Queensland. Ageing and Society, 27(5), 719–738. https://doi.org/10.1017/s0144686x07006083

19.

Jiang

Kaushal

(2020). How children’s education affects caregiving: Evidence from parent’s last years of life. Economics and Human Biology, 38(4), 100875. https://doi.org/10.1016/j.ehb.2020.100875

20.

Jollineau

S. J.

Bowen

R. M.

(2023) (In press). A practical guide to using path analysis: Mediation and moderation in accounting research. Journal of Financial Reporting, 8(1), 11–40. https://doi.org/10.2308/JFR-2021-004

21.

Kline

R. B.

(2023). Principles and practice of structural equation modeling. Guilford Publications.

22.

Liu

Guo

Mao

Chi

(2017). Family relationships, social connections, and depressive symptoms among Chinese older adults in international migrant families. Journal of Ethnic & Cultural Diversity in Social Work, 26(3), 167–184. https://doi.org/10.1080/15313204.2016.1206496

23.

Lye

D. N.

(1996). Adult child–parent relationships. Annual Review of Sociology, 22(1), 79–102. https://doi.org/10.1146/annurev.soc.22.1.79

24.

Mao

Chen

Yang

Chi

Dong

(2019). Perceived stress, social support, and dry mouth among US older Chinese adults. Journal of the American Geriatrics Society, 67(S3), S551–S556. https://doi.org/10.1111/jgs.15890

25.

Mao

Chi

(2015). Oral health among older Chinese immigrants and implications for social work practice: Figure 1:. Health & Social Work, 40(3), e75–e82. https://doi.org/10.1093/hsw/hlv035

26.

Mao

Chi

Yang

Dong

(2021). Psychological sense of community and oral health problems among older Chinese Americans: Family reunification matters. Aging and Health Research, 1(1), 100004. https://doi.org/10.1016/j.ahr.2021.100004

27.

Mikulincer

Shaver

P. R.

(2005). Attachment security, compassion, and altruism. Current Directions in Psychological Science, 14(1), 34–38. https://doi.org/10.1111/j.0963-7214.2005.00330.x

28.

Zhao

(2014). Cultural consideration of resilience for Chinese immigrant children and adolescents. North American Journal of Medical Sciences, 7(3), 123–128. https://doi.org/10.7156/najms.2014.0703123

29.

Nihtilä

Tuuliainen

Komulainen

Autonen-Honkonen

Nykänen

Hartikainen

Ahonen

Tiihonen

Suominen

A. L.

(2017). Preventive oral health intervention among old home care clients. Age and Ageing, 46(5), 846–851. https://doi.org/10.1093/ageing/afx020

30.

Sabbah

Tsakos

Chandola

Newton

Kawachi

Sheiham

Marmot

M. G.

Watt

R. G.

(2011). The relationship between social network, social support and periodontal disease among older Americans. Journal of Clinical Periodontology, 38(6), 547–552. https://doi.org/10.1111/j.1600-051X.2011.01713.x

31.

Sano

Abada

(2019). Immigration as a social determinant of oral health: Does the ‘healthy immigrant effect’ extend to self-rated oral health in Ontario, Canada? Canadian Ethnic Studies, 51(1), 135–156. https://doi.org/10.1353/ces.2019.0005

32.

Stephens

Breheny

Mansvelt

(2015) (In press). Healthy ageing from the perspective of older people: A capability approach to resilience. Psychology & health, 30(6), 715–731. https://doi.org/10.1080/08870446.2014.904862

33.

Tong

Sentell

(2017). Insights in public health: Challenges investigating health outcomes in Chinese Americans using population-based survey data. Hawai‘i Journal of Medicine & Public Health, 76(1), 27–32.

34.

Turiano

N. A.

Chapman

B. P.

Agrigoroaei

Infurna

F. J.

Lachman

(2014). Perceived control reduces mortality risk at low, not high, education levels. Health Psychology, 33(8), 883–890. https://doi.org/10.1037/hea0000022

35.

Ward

R. A.

(2008). Multiple parent–adult child relations and well-being in middle and later life. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(4), S239–S247. https://doi.org/10.1093/geronb/63.4.s239

36.

Watt

R. G.

Sheiham

(2012). Integrating the common risk factor approach into a social determinants framework. Community Dentistry and Oral Epidemiology, 40(4), 289–296. https://doi.org/10.1111/j.1600-0528.2012.00680.x

37.

Liang

Landerman

Plassman

(2013). Trends of edentulism among middle-aged and older Asian Americans. American Journal of Public Health, 103(9), e76–e82. https://doi.org/10.2105/AJPH.2012.301190

38.

Mao

Pei

(2021). Immigration and oral health in older adults: An integrative approach. Journal of Dental Research, 100(7), 686–692. https://doi.org/10.1177/0022034521990649

39.

Pei

Zhang

Northridge

(2020). Immigrant status, resilience, and perceived oral health among Chinese Americans in Hawaii. Research on Aging, 42(5-6), 186–195. https://doi.org/10.1177/0164027520912493

40.

Tran

T. V.

Khatutsky

(2005). Comparison of utilization of dental care services among Chinese‐and Russian‐speaking immigrant elders. Journal of Public Health Dentistry, 65(2), 97–103. https://doi.org/10.1111/j.1752-7325.2005.tb02793.x

41.

Zhang

Liu

(2018). Defining successful aging: Perceptions from elderly Chinese in Hawai’i. Gerontology and Geriatric Medicine, 4(7), 2333721418778182. https://doi.org/10.1177/2333721418778182

42.

Zhang

Liu

Zhang

(2020a). Neighborhood social cohesion, resilience, and psychological well-being among Chinese older adults in Hawai’i. The Gerontologist, 60(2), 229–238. https://doi.org/10.1093/geront/gnz104

43.

Zhang

Liu

(2020b). Anxiety about aging, resilience and health status among Chinese older adults: Findings from Honolulu and Wuhan. Archives of Gerontology and Geriatrics, 88(1), 104015. https://doi.org/10.1016/j.archger.2020.104015

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