Evidence map›Paper›PMID 38801317›Full record

ArticleJournal of the American Geriatrics Society2024

"Hate has chipped away at my sense of security": A survey study of the impacts of anti-Asian hate on the health of older Asians.

Lingsheng Li, Jasmine Kang, Brian Nguyen, Maxwell Ho, Andrew T Li, Jonathan J Shih, Ashwin Kotwal, Jarmin Yeh, Leah Karliner, Russell Jeung and 1 more

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Discrimination and depressive symptoms: the role of psychological resilience across racial and ethnic groups.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  2. Mental and Physical Health Impacts of Anti-Asian Violence on Chinese Older Adults.Journal of racial and ethnic health disparities · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lingsheng LiDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-1278-0126
Jasmine KangDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Brian NguyenUC Davis School of Medicine, Sacramento, California, USA.
Maxwell HoSchool of Medicine, University of California, San Francisco, California, USA.
Andrew T LiSchool of Medicine, University of California, San Francisco, California, USA.ORCID 0009-0006-6098-2060
Jonathan J ShihSchool of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-8651-7806
Ashwin KotwalDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-6137-8512
Jarmin YehInstitute for Health and Aging, School of Nursing, University of California, San Francisco, California, USA.
Leah KarlinerDivision of General Internal Medicine, Department of Medicine, University of California, San Francisco, California, USA.
Russell JeungAsian American Studies, College of Ethnic Studies, San Francisco State University, San Francisco, California, USA.
Alexander SmithDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) IIR24AG063718 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PARK, VAN MY TA · 2019 to 2021
$4.4M
Mentoring Researchers in Prognosis Research in Alzheimer’s Disease and Related DementiasK24AG068312 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2020 to 2026
$1.2M
Mentoring Researchers on Clinical Communication With Diverse Aging PopulationsK24AG067003 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KARLINER, LEAH S · 2021 to 2025
$943k
NIA NIH HHS K24 AG067003NIA NIH HHS K24 AG068312NIA NIH HHS K24AG068312NIA NIH HHS P30 AG044281NIA NIH HHS R24 AG063718NIA NIH HHS R24AG063718NIA NIH HHS T32 AG000212NIA NIH HHS T32-AG000212University of California, San Francisco
6 · The paper itself

Abstract

backgroundSince the beginning of the COVID-19 pandemic, older Asians have experienced a rise in racism and discrimination based on their race and ethnicity. This study examines how anti-Asian hate impacts older Asians' mental, social, and physical health.

methodsFrom March 18, 2022 to January 24, 2023, we conducted a cross-sectional survey study of community-dwelling Asian/Asian American adults aged ≥50 years from the San Francisco Bay Area. Measures included perceptions of anti-Asian hate; direct encounters with hate incidents; indirect experiences with hate incidents (e.g. knowing a friend who was a victim); reports of anxiety, depression, loneliness, and changes in daily activities; ways to address these issues; and discussions with clinicians about hate incidents.

resultsOf the 293 older Asians, 158 (54%) were Vietnamese and 97 (33%) Chinese. Eighty-five (29%) participants were direct victims of anti-Asian hate, 112 (38%) reported anxiety, 105 (36%) reported depression, 161 (55%) reported loneliness, and 142 (48%) reported decreased daily activities. Compared with those who were "not-at-all" to "moderately" worried about hate incidents, participants who were "very" to "extremely" worried experienced heightened anxiety (42% versus 16%), loneliness (30% versus 14%), and changes in daily activities (66% versus 31%), p < 0.01 for all. Most participants (72%) felt comfortable discussing hate incidents with clinicians; however, only 31 (11%) reported that a clinician had talked with them about these incidents.

conclusionBoth directly and indirectly, anti-Asian hate negatively impacts older Asians' mental, social, and physical health. Clinicians have a role in addressing the health impacts of anti-Asian hate.

Indexed as

AsianCOVID-19HateLonelinessActivities of Daily LivingAgedAged, 80 and overAnxietyCross-Sectional StudiesDepressionFemaleHealth StatusHumansMaleMiddle AgedRacismanti‐Asian hate incidentsolder Asians/Asian Americansracism and discrimination

Identifiers

PMID38801317
PMCPMC11226351

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.