Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Associations between Physical Disability and Chronic Diseases with Depressive Symptoms in Vietnamese-Origin Older Adults in the United States

Version 1 : Received: 30 December 2023 / Approved: 3 January 2024 / Online: 3 January 2024 (08:39:27 CET)

How to cite: Miyawaki, C.E.; Garcia, J.M.; Medina, L.D.; Nguyen, K.N.; Meyer, O.L.; Markides, K.S. Associations between Physical Disability and Chronic Diseases with Depressive Symptoms in Vietnamese-Origin Older Adults in the United States. Preprints 2024, 2024010145. https://doi.org/10.20944/preprints202401.0145.v1 Miyawaki, C.E.; Garcia, J.M.; Medina, L.D.; Nguyen, K.N.; Meyer, O.L.; Markides, K.S. Associations between Physical Disability and Chronic Diseases with Depressive Symptoms in Vietnamese-Origin Older Adults in the United States. Preprints 2024, 2024010145. https://doi.org/10.20944/preprints202401.0145.v1

Abstract

Background. A strong association between Activities of Daily Living (ADL)/Instrumental Activities of Daily Living (IADL) disability, chronic disease, and depressive symptoms among different racial/ethnic groups of older adults has been well established. However, whether this relationship remains true among refugee populations such as Vietnamese in the United States has not yet been investigated. Methods. Using linear regressions, we tested the relationships between ADL/IADL disability, common chronic diseases, and depressive symptoms among 208 Vietnamese-origin older adults from the two convenience samples in 2017 and 2018 (≥65 years) from the Vietnamese Aging and Care Survey (VACS) in the Houston, Texas area. Results. Study participants (N=208) were 56.2% female of average 75.4 years old with low education and low socioeconomic status. Most self-rated their health as fair/poor (80%). Regression analyses showed significant associations between liver disease and total ADL/IADL difficulties with higher depressive symptoms. Conclusions. Older Vietnamese with more ADL/IADL disability and liver disease reported higher depressive symptoms. Complications from chronic conditions and pain might limit activities and impact older Vietnamese psychologically. Healthcare professionals can connect older Vietnamese with culturally and linguistically relevant adult daycare centers to provide them with social and exercise opportunities.

Keywords

chronic diseases; depressive symptoms; disability; older adults; Vietnamese

Subject

Public Health and Healthcare, Public Health and Health Services

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