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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
- Format:
- Text-based Document
- Type:
- Presentation
- Title:
- Acculturation and Mental Health Issues for Immigrant Family Caregivers and Home Care Workers
- Author(s):
- Lead Author STTI Affiliation:
- Author Details:
- Arlene Michaels Miller, PhD, RN, FAAN; 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:
- Repository Posting Date:
- 22-Oct-2013
- Date of Publication:
- 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.
- Note:
- Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.language.iso | en | en |
dc.type.category | Full-text | en |
dc.format | Text-based Document | en |
dc.type | Presentation | en |
dc.title | Acculturation and Mental Health Issues for Immigrant Family Caregivers and Home Care Workers | en |
dc.contributor.author | Miller, Arlene Michaels | en |
dc.contributor.author | Fogg, Louis | en |
dc.contributor.author | Sorokin, Olga | en |
dc.contributor.department | Non-member | en |
dc.author.details | Arlene Michaels Miller, PhD, RN, FAAN; Louis Fogg, PhD; Olga Sorokin, MPH | en |
dc.identifier.uri | http://hdl.handle.net/10755/304381 | - |
dc.description.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. | en |
dc.subject | depression | en |
dc.subject | elder home care | en |
dc.subject | immigrant health | en |
dc.date.available | 2013-10-22T20:34:44Z | - |
dc.date.issued | 2013-10-22 | - |
dc.date.accessioned | 2013-10-22T20:34:44Z | - |
dc.conference.date | 2013 | en |
dc.conference.name | 24th International Nursing Research Congress | en |
dc.conference.host | Sigma Theta Tau International, the Honor Society of Nursing | en |
dc.conference.location | Prague, Czech Republic | en |
dc.description | 24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel. | en |
dc.description.note | Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository. | - |
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