I Chi
Biographic Data
| ID | 98798 |
|---|---|
| NAME | I Chi |
| GIVEN NAMES | I |
| FAMILY NAME | Chi |
| SIGNATURE | CHI I |
| AFFILIATIONS | University of Southern California |
| ORCID | 0000-0002-7940-7625 |
| VERIFIED | Yes |
| TOTAL WORKS | 79 |
| TOTAL CITATIONS | 297 |
| AUTHOR COUNT | 79 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 9 |
Loneliness as a Mediator in the Association Between Social Isolation and Psychological Distress: A Cross-Sectional Study With Older Korean Immigrants in the United States
The present study explored the role of loneliness in the association between social isolation and psychological distress, using a cross-sectional sample of older Korean immigrants in the U.S. Considering structural (unmarried and living alone) and relational (isolation from family and friends) social isolation, we hypothesized that (1) both types of social isolation would be associated with loneliness and psychological distress and (2) their effe…
A Social-Ecological Approach to Understanding Activity Engagement Patterns Among Older Chinese Immigrants
Few studies have focused on activity engagement among older immigrants. We aim to map the patterns of activity engagement and examine the associations with social-ecological factors in a sample of older Chinese immigrants. Participants were from the Population Study of Chinese Elderly in Chicago (PINE). Four patterns of activity engagement were identified through latent class analysis: restricted, diverse, informal social, and community-based soc…
Exploration of Social Exclusion among Older Chinese Immigrants in the USA
This study provides useful information and strategies for human and healthcare service providers to find ways to overcome social exclusion and enhance older Chinese immigrants' social inclusion in the U.S
Impacts of Caregiving on Health of New Spousal Caregivers to Older Adults in the United States: A Coarsened Exact Matching Analysis
Our results highlighted the needs to address mental health among new spousal caregivers and emphasized the importance of addressing mental health in long-term care programs and policies
Acculturation and Subsequent Oral Health Problems Among Foreign-Born Older Chinese Americans: Does Neighborhood Disorder Matter
Objectives: To investigate the relationship between acculturation and subsequent oral health problems in older Chinese Americans and to further test the moderating role of neighborhood disorder in such a relationship. Methods: The working sample included 2,706 foreign-born community-dwelling older Chinese Americans aged 60 years or older who participated in the Population Study of Chinese Elderly in Chicago at baseline between 2011 and 2013 and t…
The Effect of Support From Secondary Caregiver Network on Primary Caregiver Burden: Do Men and Women, Blacks and Whites Differ
Our findings support the role of SCN in reducing primary caregiver burden and demonstrate that the benefit of SCN support varies across the 4 gender-race groups. The results indicate that it is imperative to further examine caregiving experience and protective mechanisms of SCN support using an intersectional perspective
Immigration Experience and Cognitive Function Trajectories Among Older Chinese Immigrants
This study identifies a group of older Chinese immigrants who are especially vulnerable to cognitive impairment and indicates that the risk of cognitive decline appears to be elevated with lower levels of acculturation and unidentified racial discrimination. More research is needed to fully understand the underlying mechanisms that link the life-course immigration experiences to cognitive health outcomes in later life
Use of Home and Community Based Services in Urban China: Experiences of Older Adults with Disabilities
Intergenerational Solidarity and Being Primary Caregiver for Older Parents in Chinese American Families: Findings From Piety Study
Introduction: Guided by the intergenerational solidarity theory, this study examined how different dimension of intergenerational solidarity of adult children associated with their choice of being a primary caregiver for aging parents in the Chinese American families. Methodology: Secondary data from PIETY study were used. Logistic regressions were conducted to examine the relationships between each dimension of intergenerational solidarity and t…
Coresidence and Well-Being among Adult Child Caregivers in Urban China: Impacts of the Domain-Specific Caregiver Burden
This study investigated the relationship between coresidence and the well-being of adult child caregivers and examined the domain-specific caregiver burden as the cognitive appraisal pathway in such a relationship in the context of urban China. Data on adult child caregivers (N = 334) came from a regionally representative study using the Family Caregivers for the Frail and Very Elderly survey in 2010, in Shanghai, China. Multistage random samplin…
Harnessing mobile technology to support type 2 diabetes self-management among Chinese and Hispanic immigrants: A mixed-methods acceptability study
Immigrant populations are more likely to suffer a significant amount of distress caused by type 2 diabetes mellitus (T2DM). Mobile health applications (mHealth apps) make T2DM self-care knowledge and tools more accessible, which holds promise to improve diabetes outcomes among immigrants. The social distancing protocol and concerns about virus spread in healthcare facilities during the COVID-19 pandemic further highlights the value of mobile tech…
Engaging Chinese older adults in death education and advance planning: Clinical practice implications
We live in a death-denying society, but not planning for death and dying in advance might leave individuals and the family with unfinished business and regrets. Chinese societies are rapidly aging. Thus, it has been increasingly significant to provide death education to enlighten the public on the importance of making plans and the information of current end-of-life care services and support. However, such educational programs are lacking in the …
Importance of Activity Engagement and Neighborhood to Cognitive Function Among Older Chinese Americans
This study investigates the differential associations of activity engagement and perceived neighborhood characteristics (i.e., cohesion, disorder, sense of community) with cognitive measures. Using data of 2,713 Chinese older adults in Chicago, who completed two interviews between 2011 and 2015, we identified three activity domains: reading, social, and games. In general, engagement in more reading and social activities was associated with better…
Intergenerational support and self-rated health among older Chinese immigrants: Do depressive symptoms play a mediating role
It is particularly important to consider the psychological pathways between intergenerational support and health in the context of immigration, as individuals are often subject to interrupted or lost social ties and consequently increased vulnerabilities to stress, feelings of loneliness and depression. This study investigated the relationship between intergenerational support and self-rated health among older Chinese immigrants; and whether and …
The Reciprocal Relationship between Instrumental Support from Children and Self-Rated Health among Older Adults over Time in Rural China
Objective: To investigate the dynamic interplay between instrumental support from children and self-rated health (SRH) among older adults over time in rural China. Methods: Data came from a regional representative, longitudinal study The Well-Being of Older People in Anhui Province collected in 2001, 2003, 2006, 2009, and 2012. At baseline, 1636 respondents reported having at least one child. Bivariate latent change score modeling was conducted, …
Internet Use and Loneliness of Older Adults Over Time: The Mediating Effect of Social Contact
These findings imply that internet use may be an effective tool for reducing loneliness in older people by maintaining social contact
Beyond Just Giving Care: Exploring the Role of Culture in Chinese American Personal Care Aides’ Work
Life transitions and leisure activity engagement among older Americans: Findings from a national longitudinal study
One of the major aspects of successful ageing is active engagement in later life. Retirement and widowhood are two significant life transitions that may largely influence leisure engagement patterns among older adults. Limited findings exist regarding the impact of life transitions on leisure activity engagement due to the scarcity of longitudinal data with repeated measurement of older individuals’ leisure engagement. This study longitudinally e…
Health Awareness, Attitudes, and Behaviors Among Young-Adult Tutors in the Intergenerational Mobile Technology Opportunities Program in Taiwan
Objective: Health-risk behaviors (e.g., inadequate dietary choices, physical inactivity) predispose young adults to a greater risk for diabetes. This study examines young-adult tutors’ experience in a nonfamilial intergenerational program with older diabetic adults and the tutors’ perceptions of program benefits relative to promoting their own healthy behavior. Method: Using a qualitative purposive sampling method, we recruited 146 college studen…
Retirement, Leisure Activity Engagement, and Cognition Among Older Adults in the United States
Objective: Retirement is a salient later-life transition that may influence cognition. Leisure activities can help individuals better adjust to life after significant life transitions. This study examined the role of leisure activity engagement in the relationship between retirement and cognition. Method: A path analysis ( N = 2,827) was conducted using three waves of the Health and Retirement Study (2004, 2006, 2008) and its supplementary Consum…
Hospital Utilization Among Chinese Older Adults: Patterns and Predictors
Objectives: Our study aimed to explore patterns and predictors of hospital utilization among Chinese older adults in the context of a rapidly aging population and increasing health care costs in contemporary China. Methods: This study used a national representative sample aged 60 years or older ( N = 11,511) from the China Longitudinal Aging Social Survey in 2014. We applied Andersen's social behavioral model and stepwise logistic regression to i…
Intergenerational support and functional limitations among older Chinese immigrants: Does acculturation moderate their relationship
Using a purposive sample of 236 older Chinese immigrants in Los Angeles, California, this study investigated the association between intergenerational support and functional limitations and the potential moderating effect of acculturation in such a relationship. The results of multiple regression analyses showed that receiving financial support from children and coresiding with offspring were significantly correlated with more limitations in inst…
Intergenerational relationships and well-being of East Asian older adults in migrant families
Developing the Asian Pacific Islander Caregiver Train-the-Trainer Program in the United States
This article describes our project to design the Asian Pacific Islander Caregiver Train-the-Trainer (APICTT) Program in the United States. The project relied on a sequential approach to gathering and building upon (1) evidence mapping to identify existing caregiver training programs in the United States available in API languages; (2) assessment of API caregiver training needs among community-based organizations using survey and focus group; and …
Geographic distance and intergenerational relationships in Chinese migrant families
This study examines the effect of adult Chinese migrants’ geographic distance from home on their intergenerational relationships with parents who remain behind. We compared monetary and family care support as well as emotional relationships among four parent-child groups: older adults and international migrant children, older adults and internal migrant children (who migrated to other cities in China), older adults and coresiding children, and ol…
The Structure of Intergenerational Relations in Rural China: A Latent Class Analysis
Most existing typology studies of intergenerational relations have used samples in North America and Europe. The present study expands on previous research by determining whether similar family relation typologies could be found using a sample of Chinese rural elders. The data were derived from a survey of 1,224 older adults in China's rural Anhui province in 2009. Latent class analysis revealed 5 types of intergenerational relations in rural Chi…
Self-rated economic condition and the health of elderly persons in Hong Kong
Sources of Older Parents' Ambivalent Feelings Toward Their Adult Children: The Case of Rural China
We interpreted the findings in the larger social context of strong son preference, large-scale rural-to-urban migration, and rigid rural-urban division in China due to the household registration system. Our findings demonstrate that individual feelings of ambivalence are culturally structured and are determined within complex social environment
Correlates of depressive symptoms among North Korean refugees adapting to South Korean society: The moderating role of perceived discrimination
Internet Use and Loneliness of Older Adults Over Time: The Mediating Effect of Social Contact
These findings imply that internet use may be an effective tool for reducing loneliness in older people by maintaining social contact
Intergenerational Relationships and Psychological Well-Being of Chinese Older Adults With Migrant Children: Does Internal or International Migration Make a Difference
Relying on a purposive sample of 550 Chinese older adults in Beijing, China, this study examined the potential influence of children's out-migration, internally or internationally, on intergenerational relationships and parental well-being. By comparing older adults in nonmigrant, internal migrant, transnational, and hybrid (have both migrant and nonmigrant children) families, we found that children's out-migration only compromised intergeneratio…
Filial piety of children as perceived by aging parents in China
Mao W, Chi I. Filial piety of children as perceived by aging parents in China Int J Soc Welfare 2011: 20: S99–S108 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. How aging parents perceive their children's filial piety has been shown to be an important indicator of older adults' well‐being. The few studies that have discussed factors associated with pe…
Trends in Disability-Free Life Expectancy Among Chinese Older Adults
Trends in DFLE by age and severity of disability as well as the delayed onset of disability provide evidence for the compression of morbidity among the oldest old in China. But a similar trend was not found among the young-old
Life satisfaction among rural Chinese grandparents: The roles of intergenerational family relationship and support exchange with grandchildren
Xu L, Chi I. Life satisfaction among rural Chinese grandparents: the roles of intergenerational family relationship and support exchange with grandchildren Int J Soc Welfare 2011: 20: S148–S159 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. In this study, we examined how the life satisfaction of rural Chinese grandparents is affected by their intergene…
Social work in China: Guest editorial for the special issue
Child care preferences among low-income minority families
Parent–child relationships among older Chinese immigrants: The influence of co-residence, frequent contact, intergenerational support and sense of children's deference
Immigration disrupts the bonding process in families. Maintaining close relationships with adult children can be an important protective factor for older immigrants' health and wellbeing. Quantitative research explaining such close relationships is rare. This study examined factors associated with close parent–child relationships in a purposive sample of 236 older Chinese immigrants in Los Angeles who provided information regarding 365 children. …
Grandparent-Grandchild Family Capital and Self-Rated Health of Older Rural Chinese Adults: The Role of the Grandparent-Parent Relationship
Grandparent-grandchild family capital had a unique direct effect on the self-rated health of older rural Chinese adults, enriching our theoretical understanding of sources of family capital and their impacts in a collectivist cultural context that emphasizes intergenerational interaction and exchange. The findings also highlighted the mediation effects of grandparent-parent relationships on the relationship between grandparent-grandchild family c…
Intergenerational support and depression among Chinese older adults: Do gender and widowhood make a difference
Using four-wave panel data of 1,327 older adults in rural China, this study examined potential gender and marital status differences in the relationships between three forms of intergenerational support (monetary, instrumental and emotional support) and the level of depression of the older adults. Results from a pooled time-series fixed-effects model showed that receiving and providing monetary support had a comparable beneficial effect on mother…
Widowhood, family support, and self‐rated health among older adults in China
Li Y, Chi I, Krochalk PC, Xu L. Widowhood, family support, and self‐rated health among older adults in China Int J Soc Welfare 2011: 20: S72–S85 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. Although widowhood can be an extended life experience, research generally treats the widowed as one homogenous group, thus masking the variability within this gro…
Constructing a Quality of Life Scale for Older Chinese People in Hong Kong (HKQoLocp)
Family Relationships, Social Connections, and Depressive Symptoms Among Chinese Older Adults in International Migrant Families
This study explored whether and how family relationships and social connections influence depressive symptoms of older migrants and older adults in transnational families using the data gathered from a cross-sectional survey in Los Angeles, California, United States, and Beijing, China. Regression results showed that the older migrants reported significantly higher levels of depression than the elders in transnational families. The findings highl…
Leisure participation amongst Hong Kong Chinese older adults
Gerontologists have recognised the important influence of leisure activity on the mental and physical health of older adults. To date, however, there have been few studies of the patterns of participation in leisure activity among older adults in Hong Kong. This study examines a large representative sample of Hong Kong older adults and the associations between their socio-economic and health characteristics and their leisure activities. The data …
The Effect of Support From Secondary Caregiver Network on Primary Caregiver Burden: Do Men and Women, Blacks and Whites Differ
Our findings support the role of SCN in reducing primary caregiver burden and demonstrate that the benefit of SCN support varies across the 4 gender-race groups. The results indicate that it is imperative to further examine caregiving experience and protective mechanisms of SCN support using an intersectional perspective
Retirement, Leisure Activity Engagement, and Cognition Among Older Adults in the United States
Objective: Retirement is a salient later-life transition that may influence cognition. Leisure activities can help individuals better adjust to life after significant life transitions. This study examined the role of leisure activity engagement in the relationship between retirement and cognition. Method: A path analysis ( N = 2,827) was conducted using three waves of the Health and Retirement Study (2004, 2006, 2008) and its supplementary Consum…
Determinants of Support Exchange Between Grandparents and Grandchildren in Rural China: The Roles of Grandparent Caregiving, Patrilineal Heritage, and Emotional Bonds
Mutuality of support provision is a necessary precondition of family solidarity. However, the exchange of care between grandparents and grandchildren has largely been neglected. Using data from the fourth wave of the Anhui Study in China, this study investigated determinants of support exchange between grandparents and grandchildren. Results showed that more grandparents received support from than provided support to their grandchildren. A higher…
Correlates of Physician Visits Among Older Adults in China: The Effects of Family Support
Financial sufficiency as indicated by the exchange of financial resources within families indicates the importance of money in predicting older adults' physician visits. Living with children may indicate a higher level of support, which substitutes some of physician services. Perceiving children as being filial may render psychological protective effects to older adults which results in less health service use
Willingness to consider applying for reverse mortgage in Hong Kong Chinese middle-aged homeowners
Domestic Helpers as Moderators of Spousal Caregiver Distress
The findings suggest that domestic help may moderate the effect of stressors on spousal caregivers. Domestic helpers provide support not just to frail older adults but also to spousal caregivers. Further studies are recommended to explore the precise effect of domestic help on family caregivers, care receivers, and the caregiving process
Emotional Closeness between Grandparents and Grandchildren in Rural China: The Mediating Role of the Middle Generation
Grandparent-grandchild relationships are important in Chinese society and the middle generation plays an important role in them. The present study drew on data from the 2009 wave of the Longitudinal Study of Older Adults in Anhui Province, China, to examine variation in emotional closeness between grandparents and their grandchildren. Our focus was on the middle generation as a relational bridge to grandchildren in terms of grandparents’ gender, …
IUD-associated Hospitalization in Less Developed Countries
Data on 11,977 insertions of an intrauterine device (IUD) from 25 collaborating centers in 16 less developed countries (LDCs) were investigated for IUD-associated hospitalizations. These centers maintained regular follow-up and reported at least one hospitalization among their IUD cases. The Lippes Loop, Copper T, Delta Loop, and Delta T were the most commonly used devices, and three-fourths of all devices were inserted in postpartum women. Fifty…
Health Promotion for the Rural Elderly
There has been increased interest in developing health promotion programs for the rural elderly as a means to foster successful aging. The present study describes one such program and identifies rural and urban differences in health promotion activities. Data corne from the California Preventive Health Cane for the Aging Program (PHCAP) which is one of the oldest and largest such programs in the United States. A sample of over 5,000 PHCAP clients…
Heavy drinking among young adult Asian males
Health practices of the elderly poor
The purpose of the present study was to describe the health practices of the elderly poor and to examine the association between specific health practices and subsequent hospital use. Data came from a sample of 931 Medicaid elderly living in California. Smoking, limited social networks, and lack of regular exercise significantly increased the odds of subsequent hospital utilization. Implications of these findings, which could benefit health promo…
Cognitive impairment and hospital use
BACKGROUND. An increasing number of older people are at higher risk of developing Alzheimer's Disease or another dementias. The resultant cognitive impairment has been well identified as one of the risk factors for nursing home placement but it has not been well studied as a risk for hospitalization. METHODS. To study the association between cognitive impairment and hospital use, this study examined data from a randomly selected cohort of communi…
Child care preferences among low-income minority families
Social Support of Cancer Patients in Hong Kong
This article reports the significant findings of an empirical investigation of 60 Chinese cancer patients receiving chemotherapy in Hong Kong. Taking into consideration its multi-faceted characteristics, social support was operationalized in social network analysis, subjective perception of social support and the natural helping behaviour. It was found that cancer patients trusted their spouse and their parents most: Emotional support and sociall…
The California Preventive Health Care for the Aging Program: Differences between the younger old and the oldest old
Persons 85 years and older are the most rapidly growing segment of the aged population. Their use of health services is exceptionally large and preventive measures to decrease medical costs as well as improve quality of life in old age have been suggested. The present study used data from California Preventive Health Care for the Aging Program to examine age differences in health promotional activities which included assessment, referral and heal…
Living Arrangement Choices of the Elderly in Hong Kong
The traditional preference of the Chinese is for the elderly to live with their children. It is also observed that there is a growing preference among the elderly to lead an independent life. It is not clear how well received this new preference for independent living among the elderly in Hong Kong is. This paper is an attempt to find out the factors that differentiate co-residence and independent living of the elderly persons in Hong Kong
Community attitudes toward living arrangements between the elderly and their adult children in Hong Kong
Self-rated economic condition and the health of elderly persons in Hong Kong
Gender Differences in Expectations Predictive of Volunteer Experience Among Older Chinese Professionals in Hong Kong
The purpose of this study was to examine gender differences in expectations predictive of volunteer experience. Volunteering is one pathway to remaining actively engaged in later life and active engagement is considered one of the cornerstones of successful aging. The global feminization of aging underscores the need to consider gender differences when exploring factors associated with volunteerism. There is also a growing international interest …
Leisure participation amongst Hong Kong Chinese older adults
Gerontologists have recognised the important influence of leisure activity on the mental and physical health of older adults. To date, however, there have been few studies of the patterns of participation in leisure activity among older adults in Hong Kong. This study examines a large representative sample of Hong Kong older adults and the associations between their socio-economic and health characteristics and their leisure activities. The data …
Factors associated with the use of publicly funded services by Hong Kong Chinese older adults
Constructing a Quality of Life Scale for Older Chinese People in Hong Kong (HKQoLocp)
Social work in China: Guest editorial for the special issue
Utilization and accessibility of social services for Chinese Canadians
English The findings show that the awareness of service agencies and opinions on the services provided are predictors of Chinese Canadians’ service utilization, and that one-third of Chinese Canadians have not used any social services, for various reasons. When planning services for an ethnic minority group like Chinese Canadians, planners should consider socio-cultural and structural factors alike. French Les résultats de cette étude démontrent …
Validity and normative data for thirty‐second chair stand test in elderly community‐dwelling Hong Kong Chinese
It is important to establish valid field measures of lower body strength in the elderly, and to provide representative normative values that are culturally specific in order to help health professionals in the risk assessment of this group. A sample of 1,038 elderly Hong Kong Chinese undertook a 30‐sec chair stand test (30CST), with a subsample of 143 completing isometric measures of maximal hip flexion and knee extension, plus a habitual physica…
Willingness to consider applying for reverse mortgage in Hong Kong Chinese middle-aged homeowners
Economic status of the elderly in Hong Kong: Homogeneous or heterogeneous
English This article examines the economic status of elderly people in Hong Kong based on data collected by the government. The Hong Kong elderly population is not a homogeneous group, as their economic status is significantly related to their gender, age, marital status, education and employment status. French Se basant sur des données recueillies par le gouvernement, cet article examine le statut économique des personnes âgées à Hong Kong. La p…
The temporal relationship between falls and fear-of-falling among Chinese older primary-care patients in Hong Kong
Although the association between falls and fear-of-falling has been established by previous studies, the temporal ordering of the two is uncertain. Moreover, the common and unique risk factors that contribute to falls and to fear-of-falling have not been investigated in either primary health-care settings or Asian societies. The aims of this study were to examine the temporal sequencing of fear-of-falling and a fall, and to identify the risk fact…
Trends in Disability-Free Life Expectancy Among Chinese Older Adults
Trends in DFLE by age and severity of disability as well as the delayed onset of disability provide evidence for the compression of morbidity among the oldest old in China. But a similar trend was not found among the young-old
Regional variations in and correlates of disability-free life expectancy among older adults in China
The pattern of differences in DFLE by region mirrors the pattern of regional economic development in China. Countermeasures to decrease regional differences in DFLE include accelerating regional economic development and improving health care distribution
The Demographic Window and Economic Dependency Ratio in the Hong Kong Sar
Hong Kong, like other countries with developed economies, is experiencing significant population ageing. The shift in the population age structure results from a combination of decreasing mortality rates and prolonged low fertility rates. This paper investigates the economic impact of changes in a population's age structure. We forecast on sex-specific labour force participation rates (LFPRs) and the economic dependency ratio (EDR) using differen…
Care Management Service and Falls Prevention: A Case-Control Study in a Chinese Population
These findings indicate that CMS recipients have a lower chance for falls compared to their counterparts. The two features of CMS (comprehensive assessment and multidisciplinary actions to reduce fall risks) are discussed
Psychology (64 works) · Medicine (58 works) · Gerontology (46 works) · Intergenerational Family Dynamics and Caregiving (43 works) · Health disparities and outcomes (42 works) · Sociology (41 works) · Social Psychology (29 works) · Migration, Aging, and Tourism Studies (28 works) · Demography (27 works) · Geography (27 works)