The Impact of Social Determinants of Health and Acculturation on Quality of Life in Older Chinese American Adults With Chronic Pain: A Quantitative Study

Author:

Lam Chi1ORCID,Cuellar Norma2ORCID

Affiliation:

1. The University of Southern Mississippi, Hattiesburg, USA

2. Journal of Transcultural Nursing, USA

Abstract

Introduction: As of 2019, the United States houses 5.3 million Chinese Americans (CA), with 689,000 being older adults. The purpose of this study was to examine the relationships between social determinants of health (SDOH) and acculturation on quality of life in CA older adults, an underresearched area. Methods: Using a quantitative correlational descriptive design, CA older adults ( n = 110) in NYC with chronic pain were examined. Data were collected by utilizing the PRAPARE Screening Tool, Asian American Acculturation Scale, and SF-12 Questionnaire. Results: Regression revealed a negative correlation between SDOH and quality of life ( p = .001). The acculturation’s impact was nonsignificant ( p = .647). Discussion: While SDOH significantly impacted the quality of life, acculturation did not significantly predict the quality of life for older Chinese American adults with chronic pain. Further research is warranted to explore the nuanced dynamics between acculturation, SDOH, and quality of life in this population.

Publisher

SAGE Publications

Reference19 articles.

1. Administration of Community Living. (2021). 2020 Profile of Asian Americans age 65 and older. https://acl.gov/sites/default/files/Profile%20of%20OA/AsianProfileReport2021.pdf

2. Social Determinants of Health: Understanding the Basics and Their Impact on Chronic Kidney Disease

3. Centers for Disease Control and Prevention. (2018). HRQOL concepts. https://www.cdc.gov/hrqol/concept.htm

4. The influence of acculturation level and family relationships on quality of life among U.S. Chinese older adults

5. Acculturation Mitigates the Negative Impact of Perceived Stress on Depressive Symptoms Among U.S. Chinese Older Adults

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