Immigrant Status, Resilience, and Perceived Oral Health Among Chinese Americans in Hawaii

Wu, Bei; Pei, Yaolin; Zhang, Wei; Northridge, Mary E.

doi:10.1177/0164027520912493

Cited by 12 publications

(22 citation statements)

References 48 publications

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“…How psychosocial stressors are related to oral health largely remains unanswered. On the other hand, psychosocial resources measured by resilience, social support, and social networks are shown to be protective in this population (Calvasina et al 2015;Mao et al 2019;Wu et al 2020). Besides direct relationships between psychosocial resources and oral health outcomes, how such resources interact with other factors toward promoting oral health stays uncharted.…”

Section: Knowledge Gaps and Discussionmentioning

confidence: 93%

“…In terms of psychosocial stressors, having more perceived stress was associated with a higher likelihood of reporting oral dryness among older Chinese Americans (Mao et al 2019), whereas the experience of discrimination due to ethnicity, culture, race/skin color, language/accent, or religion was associated with more self-reported dental problems over time among Canadian immigrants (Calvasina et al 2015). In terms of psychosocial resources, resilience was associated with a higher likelihood of reporting good self-rated oral health in older Chinese Americans (Wu et al 2020). Support from friends was associated with a lower likelihood of reporting oral dryness among older Chinese Americans (Mao et al 2019).…”

Section: Current State Of the Evidencementioning

confidence: 96%

“…Ge et al (2018), Mao et al (2019), and Mao et al (2020) used the same data set but investigated different oral health outcomes with different research questions; therefore, we classified them as 3 separate studies. Among the eligible studies, most were conducted among East Asian immigrants (8 articles; Calvasina et al 2015;Jang et al 2017;Jung et al 2017;Ge et al 2018;Jang et al 2019;Mao et al 2019;Wu et al 2020;Mao et al 2020)…”

Section: Brief Summary Of Included Studiesmentioning

confidence: 99%

“…Immigrants persistently differ in oral health outcomes as compared with native-born populations (Liu 2016;Wu et al 2020). They have worse oral health outcomes, such as a higher number of decayed teeth (Aarabi et al 2018) and a higher prevalence of oral diseases and discomfort (Olerud et al 2016).…”

Section: Current State Of Evidencementioning

confidence: 99%

“…These factors are assumed to work together and mutually constituted a complex system of oppression that results in profound health inequality. A growing number of older immigrants globally has resulted in an increased interest in examining oral health status among this population (Aarabi et al 2018;Jang et al 2019;Mao et al 2020;Wu et al 2020). Developing a conceptual framework to systematically 990649J DRXXX10.1177/0022034521990649Journal of Dental ResearchImmigration and Oral Health in Older Adults research-article2021 evaluate the impact of immigration on oral health may provide further insights and directions for future policy, research, and practice.…”

Section: Introductionmentioning

confidence: 99%

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Immigration and Oral Health in Older Adults: An Integrative Approach

Mao

et al. 2021

J Dent Res

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The aim of this study was to develop an integrative framework on aging, immigration, and oral health. The methodology was a critical review that used immigration as a social determinant framework through which to evaluate its impact on the oral health of older immigrants. We reviewed recent empirical evidence on factors related to oral health in older immigrants. In a systematic search across multiple databases, we identified 12 eligible studies in this review. Among the eligible studies, most were conducted among East Asian immigrants (8 articles), followed by non-Hispanic White/European origin (2 articles), Mexican origins (1 article), and Iran and other Middle East regions (1 article). The research revealed knowledge gaps in the evidence base, including the dynamic relationship between acculturation and oral health, the role of environmental factors on oral health for immigrants, psychosocial stressors and their relationship with oral health, and oral health literacy, norms, and attitude to dental care utilization and oral hygiene practices. The development of the integrative framework suggests the pathways/mechanisms through which immigration exerts influences on oral health in later life. This provides opportunities for researchers, practitioners, and policy makers to gain greater insights into the complex associations between immigration and oral health among older adults.

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Section: Knowledge Gaps and Discussionmentioning

confidence: 93%

Section: Current State Of the Evidencementioning

confidence: 96%

Section: Brief Summary Of Included Studiesmentioning

confidence: 99%

Section: Current State Of Evidencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Immigration and Oral Health in Older Adults: An Integrative Approach

Mao

et al. 2021

J Dent Res

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Social isolation and psychological well‐being among older Chinese Americans: Does resilience mediate the association?

Zhang

Wang

et al. 2022

Int J Geriat Psychiatry

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Objectives Social isolation imposes risks to an individual's psychological well‐being. However, few studies have examined the role of resilience on these associations among older Chinese Americans, the fastest‐growing aging population across all racial/ethnic groups in the United States. We aim to examine the associations of social isolation with indicators of psychological well‐being and the mediating role of resilience in these associations. Methods Data were derived from 398 Chinese older adults aged over 55 residing in Honolulu, Hawaii, in 2018. Psychological well‐being was measured by psychological distress, life satisfaction, and happiness. Multivariate linear regressions and ordered logistic regressions were conducted. Results Social isolation was positively associated with psychological distress and negatively associated with life satisfaction and happiness (all p < 0.05). By contrast, resilience was associated with lower levels of psychological distress and higher levels of life satisfaction and happiness (all p < 0.05). Moreover, the findings supported our hypothesis that resilience mediated the association between social isolation and psychological well‐being. With regard to social isolation, resilience contributed to 32.0% of its association with distress, 24.9% of the association with life satisfaction, and 16.3% of the association with happiness. Conclusion Our findings revealed a significant association between social isolation and psychological well‐being and the mediating role of resilience in the association of older Chinese Americans in Hawaii. The study findings expand our understanding of psychological resources in older Chinese Americans and emphasize the importance of developing intervention programs to foster social connection and resilience among an understudied population.

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Experiences of discrimination and oral health‐related quality of life among foreign‐born older Chinese Americans: Does resilience play a mediating role?

Mao

Chi

et al. 2021

Comm Dent Oral Epid

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Objectives: It is well-established that racial discrimination influences quality of life, but there is scarce evidence about how racial discrimination affects oral health-related quality of life (OHRQoL). Furthermore, the pathways linking racial discrimination and OHRQoL remain unknown. Guided by the integrative framework of immigration, ageing, and oral health, psychosocial stressors and resources exert influences on OHRQoL. In addition, according to the compensatory model of resilience, resilient resources could counteract risk exposures to stressors given specific outcomes.Hence, this study examined the relationship between experiences of discrimination and OHRQoL and investigated resilience as a mediator in such a relationship among older Chinese immigrants. Methods: Data came from the Population Study of Chinese Elderly in Chicago collected between 2017 and 2019. The working sample included 3054 foreign-born older Chinese Americans aged 60 years or older. OHRQoL was measured by seven items from the Geriatric Oral Health Assessment Index. Experiences of discrimination (yes or no) were measured by the 9-item Experiences of Discrimination instrument. Resilience was measured by the 10-item Connor Davidson Resilience Scale. Mediation analysis was conducted to examine the direct and indirect pathways towards OHRQoL. Results: Experiences of discrimination were directly associated with poorer OHRQoL (b = −0.98, P < .05). Resilience partially mediated the relationship between discrimination experiences and OHRQoL. Specifically, discrimination experiences were associated with weaker resilience (b = −1.58, P < .05), and weaker resilience was associated with poorer OHRQoL (b = 0.06, P < .05). Conclusions: Findings illustrate the importance of studying racial discrimination and resilience in OHRQoL. Interventions need to consider individuals' discrimination experiences and stress coping abilities to promote OHRQoL.

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Immigrant Status, Resilience, and Perceived Oral Health Among Chinese Americans in Hawaii

Cited by 12 publications

References 48 publications

Immigration and Oral Health in Older Adults: An Integrative Approach

Immigration and Oral Health in Older Adults: An Integrative Approach

Social isolation and psychological well‐being among older Chinese Americans: Does resilience mediate the association?

Experiences of discrimination and oral health‐related quality of life among foreign‐born older Chinese Americans: Does resilience play a mediating role?

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