ArticleThe Gerontologist2023
Residential Segregation and Depressive Symptoms in Older Chinese Immigrants: The Mediating Role of Social Processes.
Article in The Gerontologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- The association of social networks and depression in community-dwelling older adults: a systematic review.Systematic reviews · 2024Pooled it
- Social determinants of health as predictors of latent symptom clusters in patients undergoing maintenance hemodialysis: A secondary analysis of the HOPE consortium randomized trial.The journal of pain · 2026Article
- Associations between residential segregation, ambient air pollution, and hippocampal features in recent trauma survivors.Translational psychiatry · 2026Article
- Immigrant generational status, late-life social support and mental well-being, and cognitive change in the Kaiser Healthy Aging and Life Experiences cohort.BMJ public health · 2026Article
- Depressive symptoms among migrant Chinese grandparents and intergenerational family conflict: a moderated mediation model.BMC psychology · 2025Article
- Racial/Ethnic Residential Clustering, Experiences with Discrimination, and Self-Rated Health across the Houston Area.Journal of racial and ethnic health disparities · 2025Article
- The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles.Frontiers in psychiatry · 2025Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesOlder Chinese immigrants are at risk for depression due to acculturative stress and language barriers. Residential segregation with respect to language use plays an important role in the mental health of historically marginalized populations. Previous research provided mixed evidence about the segregation effect among older Latino and Asian immigrants. Guided by a model of social processes, we examined the direct and indirect effects of residential segregation on depressive symptoms via multiple mechanisms of acculturation, discrimination, social network, social support, social strain, and social engagement. RESEARCH DESIGN AND
methodsFour waves of depressive symptoms were assessed in the Population Study of Chinese Elderly (2011-19, N = 1,970), and linked to the 2010-14 American Community Survey estimates of neighborhood context. Residential segregation was measured by the Index of Concentrations at the Extremes which simultaneously assesses Chinese and English language use within a given census tract. Latent growth curve models with adjusted cluster robust standard errors were estimated after controlling for individual-level factors.
resultsResidents of segregated Chinese-speaking neighborhoods had fewer baseline depressive symptoms but a slower rate of symptom reduction than those living in neighborhoods segregated with English-only speakers. Racial discrimination, social strain, and social engagement partially mediated the association between segregation and baseline depressive symptoms; social strain and social engagement partially mediated the association with long-term reduction in depressive symptoms. DISCUSSION AND IMPLICATIONS: This study demonstrates the importance of residential segregation and social processes in shaping mental well-being among older Chinese immigrants and suggests potential mechanisms to alleviate mental health risks.
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