Elderly Korean Immigrants Research Articles

Information and Communication Technology Use, Social Support, and Life Satisfaction among Korean Immigrant Elders

This study recruited 150 community dwelling Korean immigrant elders to understand the role of information and communication technology (ICT) use on social support and life satisfaction by utilizing purposive sampling methods. Hierarchical multiple regression results indicated that a high level of smartphone use was significantly related to a high level of social support from families. High levels of smartphone use and social media use were significantly related to a high level of social support from friends. In addition, a high level of social media use was significantly related to a high level of life satisfaction among Korean immigrant elders. The findings of this study may provide insights for social service practitioners working with Korean immigrant elders to develop culturally appropriate services by using ICTs for improving social support systems and quality of life among the population. Future research with a longitudinal and experimental design can be conducted to better understand the long-term patterns of findings and causal relationships.

Acculturative stress and coping among Korean immigrant elders residing in non-Korean ethnic enclaves

Few studies that have been conducted on Korean immigrant elders have been carried out in areas without Korean ethnic enclaves due to their small numbers and proportion. This nonprobability cross-sectional study utilized a structured survey to examine the relationships of acculturative stress, coping, and depressive symptoms among 108 non-institutionalized Korean immigrant elders residing in areas without Korean ethnic enclaves. Multivariate analysis results indicated that acculturative stress might be the most significant risk factor for depressive symptoms, which could decrease coping efficacy of social support and increase somatic symptoms of Korean immigrant elders residing in non-Korean ethnic enclaves. Implications for future research, practice, and policy are discussed.

Acculturative Stress and Depressive Symptoms Among Korean Immigrant Elders Residing in Non-Korean Ethnic Enclaves

ABSTRACTThis cross-sectional structured survey examined the relationships of personal factors, acculturative stress, and depressive symptoms among Korean immigrant elders (N = 108) residing in areas without any Korean ethnic enclave. Multiple regression and path analyses indicated that personal factors such as levels of acculturation and socioeconomic status might influence acculturative stress and depressive symptoms negatively; however, acculturative stress was the most significant risk factor for depressive symptoms. Culturally relevant programs and services are important vehicles through which to enhance personal resources and reduce lingual and cultural barriers among Korean immigrant elders residing in non-Korean ethnic enclaves.

Social Service Outreach Programs Using Elderly Korean Immigrants' Church Ties

ABSTRACTThis study examined how Protestant Korean-American churches and their pastors can serve as ties between Korean seniors and agencies that offer social services. Working in partnership with the North Central Texas Area Agency on Aging (NCTAAA) and 2-1-1 services at United Way, the researcher asked 53 Korean pastors in two counties in North Central Texas to participate in the study. Each was asked about his willingness to host an outreach program. Thirty telephone surveys and 11 face-to-face interviews inquired about current services and pastor willingness to serve as gatekeepers for seniors. Translation and transportation were the top social service needs. All pastors in the study agreed that their churches should be a vehicle to provide social service information to seniors. Indeed, five churches accommodated program outreach offered by the NCTAAA and 2-1-1 services. The host churches tended to have highly structured, regularly scheduled programs (e.g., ethnic senior schools) already in place. A total of 405 Korean seniors participated in the outreach events, and 28 seniors were assisted in benefit counseling by telephone. Altogether, the results suggest that social service agencies can use the church ties of Korean seniors for program outreach.

Differential Patterns of Healthcare Service Use Among Chinese and Korean Immigrant Elders.

Previous studies of healthcare service use among Asian immigrant elders have been conducted in major metropolitan areas with established ethnic enclaves. The factors that affect levels of utilization by Asian immigrant elders who live in places where systematic support from an ethnic community is not readily available are unknown. This study employed the Andersen-Newman healthcare service utilization model to examine unique correlates of healthcare service use among Chinese and Korean immigrant elders. Between 2005 and 2007, we used a snowball sampling method to collect data from Chinese (n=116) and Korean (n=101) immigrant elders living in Arizona. We then performed two negative binomial regressions based on ethnic background to identify factors associated with the number of annual physician visits. The results indicated that the number of medical conditions they experienced was positively associated with an increased likelihood of healthcare service utilization for both subgroups. However, the results indicated that each ethnic group had distinctive predisposing (sex and length of US stay for Chinese; marital status for Korean), enabling (English proficiency and cultural gap; insurance status), and need factors (depressive symptoms; self-reported health status) for predicting healthcare service utilization. Asian immigrant elders in this study experienced unique barriers and facilitators based on their ethnic backgrounds. Communicating with these two different groups in their native languages and better understanding their cultural backgrounds are imperative to understanding the factors related to their healthcare service utilization. Thus, rather than viewing Asians as a homogeneous population, the differences found in heterogeneous ethnic groups, such as language and cultural variations, should be taken into account when planning and implementing approaches to intervention.

Effect of a Randomized Controlled Trial Walking Program on Walking, Stress, Depressive Symptoms and Cardiovascular Biomarkers in Elderly Korean Immigrants

Purpose: Despite well-known benefits of walking on cardiovascular health, no structured walking exercise program has been formally tested on elderly Korean immigrants (EKIs). This pilot randomized controlled trial study assessed the effect of a walking program on walking behavior (pedometer steps count), stress (cortisol), depressive symptoms (CESD-10), and cardiovascular disease biomarkers (hs-CRP and fibrinogen) via venipuncture in EKIs. Methods: Seventy EKIs recruited from a Korean community were randomly assigned to a 12-week walking group or control group in a 3:2 ratio. The working program included a pedometer, buddy, monthly coffee card, weekly call for goal setting, and physical activity consultation. Walking group EKIs maintained the Centers for Disease Control and Prevention recommended exercise guidelines and good mental health status over 12 weeks. Results: There was no significant difference in the outcomes between control and walking groups. Conclusion: Social networking with Koreans in the senior center and church from a well-established Korean community might have positive effects on mental health.

Depression Among Korean Immigrant Elders Living in Canada and the United States: A Comparative Study

Korean immigrant elders in North America experience a high level of depression. This study explored the correlates of depression among a sample of 245 Korean immigrant elders living in metropolitan cities in Canada (n = 128) and a southwestern state in the United States (n = 117), using a stress-coping framework. Results revealed discrepancies between the 2 subgroups. Years since immigration and number of health concerns were positively associated, and English proficiency was negatively associated with depressive symptoms among Korean immigrant elders in the United States; only health status was significant among Korean immigrant elders in Canada. Implications of the study are presented.

Affordable housing에 거주하는 한인 노인 이민자의 주거적응행태

This study explores the daily life patterns and housing adjustment behaviors of low-income Korean elderly immigrants residing in affordable housing in the Chicago metropolitan area. Utilizing an intercultural perspective, the study focuses on identifying the immigrants' their cultural attributes of daily living and coping responses to residential misfits. These housing adjustment behaviors are classified into five modes consisting of residential mobility, structural adaptation, residential alteration, normative adaptation, and behavioral adaptation. Two-hour in-depth interviews with open-ended questions were conducted with 138 participants from 15 affordable housing complexes. Collected information includes demographic data, immigration experiences and cultural identity, daily life patterns, as well as housing evaluation and housing adjustment behaviors. The study results indicate that many research participants maintained their cultural attributes of daily living accumulated from past experiences (i.e. mostly based upon Korean cultural contexts), but also made adjustments as they complied with their aging body and new living conditions. This also reflects that immigrants' cultural needs are not limited to the use of language and ethnic goods, but are also embedded deeply in their daily life patterns to influence one's uses of the dwellings in a broader sense. All five modes of housing adjustment behaviors were observed with research participants within their residential settings. More importantly, normative and behavioral adaptations along with residential alterations occurred more simultaneously rather than sequentially when the respondents perceived discrepancy between oneself (i.e. including one's attributes, needs, and preferences) and his/her dwelling.

Factors that influence suicidal ideation among elderly Korean immigrants: focus on diatheses and stressors

Objectives: The study examined major diatheses and stressors directly related to suicidal ideation among elderly Korean immigrants. The study also explored the significant interactions among these factors.Method: Data were collected from a cross-sectional survey of 220 elderly Korean immigrants (age ≥ 65) in Los Angeles County.Results: Using a robust hierarchical regression, the study found that neuroticism and hopelessness were significantly associated with suicidal ideation. In addition, two interaction terms – neuroticism by hopelessness and neuroticism by acculturation – were both significant predictor variables with strong explanatory power.Conclusion: The theoretical implications as well as the practical implications for developing and implementing late-life suicide prevention strategies are discussed.

Social capital and life satisfaction among Chinese and Korean elderly immigrants

Summary Research has indicated that many Asian Americans experience life dissatisfaction. Studies have also found that social capital is a protective factor for life satisfaction. This study analyzed the impact of social capital and other demographic characteristics on the life satisfaction of 172 Chinese elderly immigrants and 205 Korean elderly immigrants. Chinese and Korean elderly immigrants participated in a structured survey, which measured social capital, life satisfaction, and demographic variables. Multiple regression analyses were conducted to test the impact of social capital on life satisfaction among Chinese and Korean elderly immigrants. Findings Social capital was a strong predictor of life satisfaction among Korean elderly immigrants ( p < . 05), while only one aspect of social capital, community partnership, was associated with life satisfaction of Chinese elderly immigrants ( p < .05). Applications Social workers and social service agencies may improve life satisfaction among Korean and Chinese elderly immigrants by increasing their social capital.

Mental health service utilization among Korean elders in Korean churches: preliminary findings from the Memory and Aging Study of Koreans in Maryland (MASK-MD)

Background: Korean Americans (KA) comprise the fourth largest Asian-American subgroup, with a population estimated at nearly 1.7 million, and the vast majority (up to 85%) of KA elders attends ethnic churches. Despite the rapid increase of the KA elderly population, data on mental health service utilization among KA elders are scarce.Method: Based on a cluster sampling method, the Memory and Aging Study among Koreans in Maryland (MASK-MD) recruited and assessed 630 KA elders (mean age: 70.9 ± 6.1 years; 68.9% female) in KA churches for depression, dementia, and level of mental health service utilization. The Korean versions of the Patient Health Questionnaire (PHQ-9K) and Mini-mental Status Examination (MMSE-KC) were administered by trained community health workers.Results: Of the 630 participants, 23.2% and 7.3% had PHQ-9 scores of 5 (‘mild depression’) or above and 10 or above (‘clinical depression’), respectively. In addition, 7.0% scored below the age- and education-specific cutoff values for probable dementia based on the MMSE-KC. Of the 92 participants with ‘clinical depression’ or having thoughts of death or self-injury, only 16 (17%) reported utilizing mental health services. Likewise, of 56 participants with probable dementia, only 3 (7.3%) sought treatment from a health care provider.Conclusion: The prevalence of depression and cognitive impairment are high in community-dwelling KA elders attending KA churches, but the rate of mental health service utilization among depressed or cognitively impaired Korean elders is low. Further research is warranted to identify barriers to and strategies for adequate mental health care for Korean immigrant elders.

General Well-Being of Korean Immigrant Elders: The Significance of Religiousness/Spirituality and Social Support

ABSTRACT This study examined how religiousness/spirituality (values/beliefs, private religious practice, religious/spiritual coping, and religious support) and social support are related to the general well-being (positive well-being, general health, vitality, self-control, anxiety, and depression) of 177 Korean immigrant elders (KIEs). Regression analysis revealed a significant association between religious/spiritual coping, religious support, and social support and the general well-being of KIEs. Social workers need to provide spiritually sensitive religious support and coping skills to KIEs to enhance their well-being. A future study needs to use a probability sampling method to confirm generalizable findings concerning the relationship between religiousness/spirituality and general well-being among KIEs.

Correlates of Health-Related Quality of Life Among Korean Immigrant Elders

Health-related quality of life (HRQOL) is a key clinical outcome, particularly for individuals with chronic conditions such as hypertension (HTN). While no previous research has examined contributors to HRQOL among Asian Americans in the United States, this study was conducted to identify correlates of HRQOL in hypertensive Korean immigrant elders (≥ 60 years of age) to address the gap. A total of 440 Korean elders with HTN participated in the study. The hierarchical regression model for HRQOL explained 32.8% of the variance. Female gender (β = .109, p = .036), a greater number of comorbid conditions (β = .183, p = .000), lower social support (β = -.240, p = .000), and greater depressive symptoms (β = .402, p = .000) were associated with poorer HRQOL. Depression was the most potent correlate of HRQOL among elderly Korean Americans (KA) with HTN. Future intervention should consider managing depression as an essential component of comprehensive HTN care for this minority population.

Correlates of Depression Among Chinese and Korean Immigrant Elders in the United States

This study examines the effects of life stresses, religiosity and family coping resources on depression in a regional probability sample of older Chinese (n = 105) and older Korean (n = 100) immigrants. A major focus is placed on assessing the ethnic differences found in the relationship between religiosity and depressive symptoms, as experienced by the two Asian ethnic groups. The data for this secondary analysis was derived from a landmark study, Asian American Elders in New York City Survey. Findings suggest that about 46 % of the Chinese sample and 24 % of the Korean sample were depressed, indicating higher depression rates than those found among older Americans of other ethnicities in the literature. Data also show that Korean immigrant elders reported higher levels of religiosity (attended religious services at least once a week and felt that religion was very important in their lives) than their Chinese counterparts. Multivariate analyses confirm ethnic differences in depressive symptoms. Other things being equal, factors of religiosity have an overall significant positive impact on depression among the Korean group, but appear to have no effect on the Chinese group. This data shows that the impact of religiosity on psychological well-being is crucial for mental health professionals in maintaining cultural competency when working with clients from different Asian immigrant subgroups.

Contributing Factors of Depressive Symptoms Among Elderly Korean Immigrants in Texas

This study examined various life stresses associated with relocation that may contribute to depressive symptoms among Korean immigrant elders in Texas. A sample of 120 elders was assessed using the Geriatric Depression Scale–Short Form and a 90-min face-to-face interview. Over 1/3 of respondents (37.5%) had symptoms of depression. Regression analyses (R2 = .331) indicate that self-rated health, stressful life events, English language proficiency, satisfaction of visiting one's birth place, and watching TV were correlates of depressive symptoms among them. The findings of this observational study may be used as a baseline for designing service program for this population.

Health Care Utilization and Hypertension Management in Community-Based Elderly Korean Immigrants

Despite the nation-wide efforts to improve the health status of minority immigrants, studies documenting the outcomes of these efforts are lacking. The purpose of this study is to examine health care utilization and hypertension management in community-based elderly Korean immigrants to the US In this descriptive study, 70 elderly Korean immigrants were recruited from a Korean senior center and church. Health care utilization was assessed with a self-report questionnaire and hypertension management was ascertained through the objective measurement of blood pressure and a self-report questionnaire. Result indicated that 87% of elderly Korean immigrants received regular health check-ups. Although their hypertension was not managed effectively, all participants with a diagnosis of hypertension were aware of it and were taking blood pressure medications. This study provides an overview of health care utilization and hypertension management in elderly Korean immigrants as well as ideas on ways to reach out to minority older adults for further health promoting interventions.

Exploring Definitions of Financial Abuse in Elderly Korean Immigrants: The Contribution of Traditional Cultural Values

The purpose of this study is to explore the cultural definitions of financial abuse from the perspective of 124 elderly Korean immigrants and to examine the role of traditional cultural values in their definitions by using a mixed methods approach. The qualitative analysis generated four themes relevant to definition of financial abuse. A binary logistic regression indicated that those with stronger cultural adherence to traditional values had higher odds of providing culture-based definitions of financial abuse. Education is needed for health professionals, social service providers, and adult protective workers to increase their understanding of culture-specific experiences of financial abuse among ethnic minority elders.

Daily spiritual experiences, social support, and depression among elderly Korean immigrants

Objectives: This study examined the associations of daily spiritual experiences (DSE) and social support with depression to find viable coping resources and enhance the quality of life among elderly Korean immigrants. Method: We used Smith's (2003) theory of religious effects and Baron and Kenny's (1986) approach for mediation analysis to explain the mediating role of social support between DSE and depression. The sample consisted of 200 elderly Korean immigrants who were aged 65 or older (mean age = 72.5, range = 65–89) living in the New York City Metropolitan area. Hierarchical regression model was used with SPSS version 17.0 to analyze cross-sectional data. Results: Elderly Korean immigrants in the present sample were found to be moderately engaged in DSE but not experiencing a fair level of social support. Respondents reported no depression on the average but 30% of them (60 out of 200 respondents) were experiencing mild to severe depression. Both DSE and social support were inversely related with depression, and the relationship between DSE and depression was mediated by social support. Conclusion: These findings are only suggestive and should not be generalized to a larger population. However, this study supports the importance of DSE and social support in the life of elderly Korean immigrants as a way to alleviate depression. Mental health professionals may consider facilitating social network when elderly Korean immigrants suffer from depression.

Social networks among lower income Korean elderly immigrants in the U.S.

This study examines the composition and cultural context of the social networks of a sample of primarily lower-income Korean elderly immigrants and the resources and supports available through those network ties. In-depth, in-person interviews were used to investigate categories of network ties and the nature of network exchanges. Non-kin and organizational contacts were primary sources of emotional and instrumental support among this sample, with the norms and institutions of elder care in the U.S. shaping expectations regarding sources of support.

Effects of acculturation and social network support on depression among elderly Korean immigrants

Objective: Acculturation and social network support have been identified as predictors of mental health for immigrant and elderly populations. The present study examined both independent and interactive effects of acculturation and social network support on depressive symptomatology among elderly Korean immigrants. Method: Self-reported measures included sociodemographic characteristics, acculturation, social network support, and depressive symptoms. This study used cross-sectional analysis of a community-based cohort. Results: After controlling for the effects of demographic variables, a robust hierarchical regression model indicated that social network support was negatively associated with depressive symptoms. Also, the interaction between acculturation and social network was significantly associated with lower levels of depressive symptoms (β = −0.29, p < 0.05). In other words, elderly Korean immigrants who had high social network support and were highly acculturated exhibited lower levels of depression compared to those who had low support and were highly acculturated. Conclusion: Our findings call attention to the role of social network support in the mental health of elderly Korean immigrants. Service providers can develop strategies for decreasing depression by increasing social network support, especially with family members, among their elderly parents.