Acculturation and Mental Health Issues for Immigrant Family Caregivers and Home Care Workers

2.50
Hdl Handle:
http://hdl.handle.net/10755/304381
Category:
Full-text
Type:
Presentation
Title:
Acculturation and Mental Health Issues for Immigrant Family Caregivers and Home Care Workers
Author(s):
Miller, Arlene Michaels; Fogg, Louis; Sorokin, Olga
Lead Author STTI Affiliation:
Non-member
Author Details:
Arlene Michaels Miller, PhD, RN, FAAN, Arlene_Miller@rush.edu; Louis Fogg, PhD; Olga Sorokin, MPH;
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: Nearly one-fifth of the U.S. population is projected to be more than 65 years old by 2030. A proportional increase is expected in the demand for both family and non-family caregivers whose personal and household assistance enables elders to remain in their homes longer. Immigrants, who comprise a critical component of this workforce, are particularly vulnerable to isolation and depression. This study examines correlates of depressed mood among Russian-speaking family caregivers and non-family home care workers (HCWs).

Methods: Self-report questionnaires were distributed during in-service education at a Chicago home care agency. The sample includes 134 men and women, aged 24-70 years old, who immigrated after age 15 and lived in the US approximately 1-40 years. Approximately 80% were women and 58% were HCWs.

Results: Family caregivers lived in the US longer but did not differ from non-family HCWs on age. Depression scores were high for both groups. The two groups did not differ on number of years they had worked as caregivers, but differed on how many hours a week they worked, with family caregivers reporting significantly more hours. Non-family HCWs reported lower acculturation and higher alienation scores. Resilience, discrimination and social support scores did not differ significantly between the two groups. 'Multiple regression analysis indicated that when depression was regressed on demographic, acculturation, alienation, resilience, discrimination, and social support measures, significant predictors of depressed mood 'were years in the US, resilience, social support, and discrimination. Fewer years in the US, lower resilience and social support, and higher discrimination predicted higher depression scores. This model accounted for 34% of the variation in depression.

Conclusion: Findings suggest HCWs have fewer opportunities for acculturation and are more isolated from mainstream society. Employment with co-ethnics may serve as transitional social support, but this may delay integration. Implications for targeting and prioritizing proactive interventions will be discussed.

Keywords:
depression; elder home care; immigrant health
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleAcculturation and Mental Health Issues for Immigrant Family Caregivers and Home Care Workersen
dc.contributor.authorMiller, Arlene Michaelsen
dc.contributor.authorFogg, Louisen
dc.contributor.authorSorokin, Olgaen
dc.contributor.departmentNon-memberen
dc.author.detailsArlene Michaels Miller, PhD, RN, FAAN, Arlene_Miller@rush.edu; Louis Fogg, PhD; Olga Sorokin, MPH;en
dc.identifier.urihttp://hdl.handle.net/10755/304381-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b>Nearly one-fifth of the U.S. population is projected to be more than 65 years old by 2030. A proportional increase is expected in the demand for both family and non-family<b> </b>caregivers whose personal and household assistance enables elders to remain in their homes longer. Immigrants, who comprise a critical component of this workforce, are particularly vulnerable to isolation and depression. This study examines correlates of depressed mood among Russian-speaking family caregivers and non-family home care workers (HCWs). <p><b>Methods: </b>Self-report questionnaires were distributed during in-service education at a Chicago home care agency. The sample includes 134 men and women, aged 24-70 years old, who immigrated after age 15 and lived in the US approximately 1-40 years. Approximately 80% were women and 58% were HCWs. <p><b>Results: </b>Family caregivers lived in the US longer but did not differ from non-family HCWs on age. Depression scores were high for both groups. The two groups did not differ on number of years they had worked as caregivers, but differed on how many hours a week they worked, with family caregivers reporting significantly more hours. Non-family HCWs reported lower acculturation and higher alienation scores. Resilience, discrimination and social support scores did not differ significantly between the two groups. 'Multiple regression analysis indicated that when depression was regressed on demographic, acculturation, alienation, resilience, discrimination, and social support measures, significant predictors of depressed mood 'were years in the US, resilience, social support, and discrimination. Fewer years in the US, lower resilience and social support, and higher discrimination predicted higher depression scores. This model accounted for 34% of the variation in depression. <p><b>Conclusion: </b> Findings suggest HCWs have fewer opportunities for acculturation and are more isolated from mainstream society. Employment with co-ethnics may serve as transitional social support, but this may delay integration. Implications for targeting and prioritizing proactive interventions will be discussed.en
dc.subjectdepressionen
dc.subjectelder home careen
dc.subjectimmigrant healthen
dc.date.available2013-10-22T20:34:44Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:34:44Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.