Vaccination is one of the most effective ways to stop the spread of COVID-19. Understanding factors associated with intention to receive COVID-19 vaccines is the key to a successful vaccination programme. This cross-sectional study explored the rate of vaccination intention and identified its predictors using the health belief model (HBM) in the general population in Hong Kong during the pandemic. Data were collected between December 2020 and January 2021 via telephone surveys. Hierarchical logistic regression analysis was used to identify factors associated with intention to receive COVID-19 vaccines. A total of 1255 adults (>18 years, 53% female) completed the telephone survey. Overall, 42% indicated an intention to vaccinate, 31.5% showed vaccine hesitancy, and 26.5% reported refusal to receive any COVID-19 vaccines. Individuals who were men, older in age, working, with past experiences of other pandemics, less concerned with the vaccine safety, with poorer knowledge about COVID-19, and having greater levels of perceived susceptibility, self-efficacy, cues to action, and acceptance of governmental preventive measures related to COVID-19 were significantly more likely to report an intention to vaccinate. The low intention among the Hong Kong population reflects the importance of developing effective vaccination promotion campaigns with the predictors identified in this study.

BACKGROUND/OBJECTIVES: Among older adults, intergenerational support can help to improve well-being. This study examines the correlation between intergenerational relationships and the subjective well-being among older Chinese immigrants in the United States. DESIGN: Hierarchical multiple regression analyses were applied to test the association between intergenerational relationships and self-rated well-being. The mediating effects of sense of control and the moderation effects of support from friends were also tested. SAMPLE: A cross-sectional sample of 2717 older Chinese immigrants, aged 60 years and older, with children and grandchildren was drawn from the Population Study of Chinese Elderly. MEASUREMENTS: Study measures included four items concerning intergenerational relationships: the Pearlin Mastery Scale, two items on seeking support from friends, and single items measuring self-rated health status and quality of life. RESULTS: Only the feeling of closeness with children was positively linked with subjective well-being, while coresidence and frequency of talking were not. Support from friends moderated the association with self-rated health status, while sense of control partially mediated the association between feeling of closeness and both self-rated health status and quality of life. CONCLUSION: A stronger sense of closeness with children correlates to self-rated health status and quality of life among older Chinese immigrants. The effects of sociocultural changes affecting Chinese American families, and potential implications for older adults' health, could be addressed through strategies to develop emotional closeness with their families and to support sense of control and well-being among older Chinese adults.

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Although there is a growing volume of research on violence against women, violence against older women has received little attention to date. Little is known about the experience of elder abuse, discrimination, loneliness, and health among older women, in particular in the era of COVID-19 when our lives have been changed drastically. Using two waves of survey data ( N = 1,498), this study compared the estimates of elder abuse and age discrimination before and during the COVID-19 pandemic, examined their associations with physical and mental health, and explored the mediating effects of loneliness on the associations in two independent samples of older women in Hong Kong. Reductions in some forms of abuse and discrimination against older women during the pandemic were observed. Findings from regression analyses show that elder abuse and age discrimination were associated with poorer health, and these associations were mediated by loneliness.

BACKGROUND/ OBJECTIVES Prior research has shown that social engagement is beneficial to older adults' health and well‐being. This study examined the association between environmental factors and social engagement of older Chinese immigrants in the United States. SAMPLE A cross‐sectional data set of Chinese immigrants in the greater Chicago, IL, area (Population Study of Chinese Elderly; n = 3159), was used in this study. DESIGN Multiple regression models were used to test the associations between older adults' engagement in cognitive and social activities and environmental factors, including financial difficulties, social support, neighborhood cohesion, neighborhood disorder, and sense of community. MEASUREMENT Eight questions measuring participants' engagement in cognitive and social activities, a single‐item question measuring financial difficulties, a 12‐item social support measurement, an eight‐item neighborhood cohesion measurement, and a six‐item neighborhood disorder and sense of community scale. RESULTS Having fewer financial difficulties and a cohesive neighborhood is related to a higher level of engagement in both cognitive and social activities. More social support from family and friends and a sense of community are associated with higher levels of social activities engagement, but not cognitive activity engagement. Neighborhood cohesion has a stronger association with social engagement than other environmental factors and most individual‐level factors. Surprisingly, neighborhood disorder is positively related to social activity engagement, which needs further examination. The associations between environmental factors and social engagement showed no significant difference between healthy and unhealthy older adults. CONCLUSION This study highlights the need for policies and programs to promote an active lifestyle among older immigrants by creating facilitative social and physical environments. J Am Geriatr Soc 67:S571–S576, 2019.