Dexia Kong
Dados Biográficos
| ID | 321971 |
|---|---|
| NOME | Dexia Kong |
| PRENOMES | Dexia |
| SOBRENOME | Kong |
| ASSINATURA | KONG D |
| AFILIAÇÕES | Chinese University of Hong Kong |
| ORCID | 0000-0002-2512-0143 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 9 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Wounds passed across generations
This study examines the association between maternal economic abuse victimization and maternal financial socialization on offspring. We further investigate (1) whether maternal financial well-being and relational power mediate the economic abuse–financial socialization link; and (2) whether these pathways are stronger for daughters than for sons. Cross-sectional data from 500 Chinese mothers of early adolescents (10–14 years old) were used. Struc…
For Richer, for Poorer
Money, power, and mental health are highly interrelated in romantic unions. To further extend the literature, we integrated the family stress model and feminist perspective as theoretical frameworks. Three‐wave, dyadic data were collected from 1093 U.S. different‐gender couples before, during, and after the COVID‐19 pandemic (a period marked as heightened economic and social inequality). By conducting a Random‐Intercept, Actor‐Partner Interdepend…
Gender, harmony, and face
This study examines how configurations of gender ideology, harmony, and face beliefs within older Hong Kong couples relate to marital satisfaction, focusing specifically on couples where one partner is living with mild cognitive impairment (MCI). Drawing upon the Vulnerability-Stress-Adaptation Model and Ambivalent Sexism Theory, we conducted latent profile analysis using dyadic survey data collected from 202 community-dwelling, older adult coupl…
The Self-Management Support Needs of Elderly with Chronic Disease in China
Self-management is the main method of elderly to deal with chronic diseases, and effective self-management support should be designed according to their needs. Existing researches mostly focused on the elderly living in developed Western countries and did not consider the impact of daily activity ability on their self-management support needs. Adopting the qualitative method, 30 Chinese elderly were interviewed. And they were classed into three t…
Long-Term User Experience of Older Adults Living Alone on Home-Based Intelligent Care System
Knowledge on the long-term User Experience (UX) of older adults in using Home-based Intelligent Care System (HICS) is limited, even though it is imperative for older adults’ continuous use of HICS to promote their quality of life. This study aims to investigate the long-term User Experience (UX) of older adults in using Home-based Intelligent Care System (HICS), and to understand how its elements change over time and which system attributes cause…
Memory Fades, But Roles Remain
Background: This study investigates how dyadic coping interacts with gender identity and within-couple gender ideology (dis)similarity to influence marital satisfaction in 202 heterosexual married couples with mild cognitive impairment (MCI). Research Design: We utilized cross-sectional dyadic data and actor-partner interdependence moderation models to examine the interactions between dyadic coping, gender ideology (dis)similarity, and gender ide…
Functional Disability and Depressive Symptoms in Middle-Aged and Older Couples
ObjectivesThis study examines the bidirectional influences between functional disability and depressive symptoms in middle-aged and older couples, emphasizing the temporal dynamics and co-development of partners' experiences.MethodsLongitudinal data were drawn from the Health and Retirement Study (2002-2020), focusing on married couples ( N = 4109 couples). Dyadic cross-lagged panel models and latent trajectory analyses were employed.ResultsFunct…
A Tale of Two Societies
Objectives Previous research on social activity engagement in later life predominantly employed an individual-focused approach, restricting our understanding of how engagement in social activities as a couple can influence both relational and individual outcomes. This study examines the relationship between couples’ combination of social engagement and husbands’ and wives’ marital satisfaction, and subsequently, their depressive symptoms. Methods…
Linked Lives
Objectives Our study is among the first to analyze the developmental trajectories of cognitive function at the couple level. Methods Using longitudinal dyadic data obtained from 2,130 heterosexual couples who participated in the China Health and Retirement Longitudinal Study between 2011 and 2020, we employed the dyadic latent growth curve model to analyze the developmental trajectories of wives’ and husbands’ cognitive function from 2011 to 2018…
For richer, for poorer
Adopting feminist and intersectional perspectives, this study focused on gendered experiences in financial communication, power dynamics, and social sabotage across lower- versus higher-income couples. Three-wave, dyadic data were collected from 1,093 married couples between 2020 and 2022, covering the period before, during, and after the COVID-19 pandemic. Employing a random-intercept, actor-partner interdependence cross-lagged panel model (i.e.…
Happily ever affluence
Money scripts are deep-seated but typically unconscious beliefs individuals hold about money. We considered four money scripts: money avoidance, money focus (also known as money worship), money status, and money privacy (adapted from money vigilance). While money scripts have been studied in conjunction with financial outcomes, our study is among the first to test relational outcomes of money scripts and among the first to examine money scripts o…
Racial/ethnic/gender-Based Differences in Health Trajectories Among American Older Adults
Health disparity by race/ethnicity or gender has been well-documented. However, few researchers have examined health outcomes based on the intersection of individuals’ race, ethnicity, and gender or investigated various health dimensions. Guided by an intersectionality framework, this study explores racial/ethnic/gender-based differences in trajectories of multiple health outcomes over a ten-year period among American older adults. Longitudinal d…
Community-Based Residential Relocation in Middle and Older Age
Objectives This study compared the United States and China in examining the predictors of community-based residential relocation and its associated mortality risk. Methods Data from the 2010 to 2018 US Health and Retirement Study and from 2011 to 2018 China Health and Retirement Longitudinal Study were used (N US = 20,292 and N China = 11,694). Community-dwelling respondents (aged 50+) reported whether they had relocated and were followed up unti…
Actions for solutions
Young adults are at high risk of experiencing economic abuse-a form of intimate partner violence (IPV)-and Chinese young adults in non-marital cohabitation are especially vulnerable. To reduce economic abuse, an important question to answer is: What factors are associated with economic abuse? After controlling for constructs (e.g., demographic information and other types of IPV) that were linked to economic abuse, we investigated how financial be…
Health Behavior Patterns and Associated Risk of Memory-Related Disorders Among Middle-Aged and Older Chinese Couples
Objectives: Studies on the interdependence of couples’ health behaviors and subsequent cognitive outcomes remain limited. Methods: Longitudinal data from the China Health and Retirement Longitudinal Study (2011–2018) were used ( N = 1869 heterosexual couples). Latent class analysis identified the dyadic pattern of health behaviors in 2011 (i.e., alcohol consumption, smoking, and physical inactivity). Stratified Cox models examined the association…
Participation in mahjong and the associated smoking and alcohol consumption behaviors among Chinese older adults
This study examined the relationship of playing mahjong with smoking and alcohol consumption behaviors among Chinese older adults. We used a large and nationally representative dataset, the 8th wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Older adults who were 65 years old or above were included in the final analysis sample ( n = 10,954). Multivariable logistic regressions were used to examine the associations of playing mah…
Material Hardship and Mental Health Among Older Americans During the Covid-19 Pandemic
Objective: Mental health issues among older adults have been widely reported during the COVID-19 pandemic. This study examines the relationship between material hardship and three mental health measures among older Americans. Method: Data are from the Health and Retirement Study collected between 2020 and 2021. Respondents ages ≥ 50 years ( = 1,504) reported whether they had experienced seven types of material hardship (e.g., missed rent or mortg…
Intergenerational Interactions and Relationship Quality
The findings highlight the importance of daily reciprocity and daily support exchanges on relationship quality during a public health emergency
Memory Trajectories and Disability Among Older Couples
The wife's low and rapid decline trajectory was associated with her own and her husband's more depressive symptoms, which in turn increased the disability risk for both partners. Timely identification and treatment of memory decline among wives have the potential to mitigate couples' depressive symptoms and, ultimately, disability risks
Child-Parent Relationships and Older Adults' Health
This study compared the associations of child-parent relationships with older adults' multidimensional health in the United States and China. Two waves of data from the US Health and Retirement Study and its sister study in China (2012-2015) were used (2174 non-Hispanic [NH] White Americans and 4467 Chinese). Linear regression models were conducted for cross-sectional and longitudinal comparisons. Results showed most child-parent relationships ha…
Intersectional Discrimination Attributions and Health Outcomes Among American Older Adults
Guided by an intersectionality framework, this study examined intersectional discrimination attributions and their associations with health outcomes. Older respondents (aged ≥50) from the Health and Retirement Study in 2014-2015 were included ( N = 6286). Their reasons for discrimination (age, gender, sexual orientation, race, national origin, religion, financial status, weight, physical appearance, disability, and others) were examined. Latent c…
Mental health-related stigma and attitudes toward patient care among providers of mental health services in a rural Chinese county
BACKGROUND AND AIMS: The increasing prevalence of mental illness and low treatment rate presents a pressing public health issue in China. Pervasive stigma is a significant barrier to mental health recovery and community inclusion. In particular, stigmatizing or supportive attitudes held by healthcare providers could either perpetuate or mitigate self-stigma of people with mental illness. Moreover, mental health resources are unevenly distributed …
Depressive Symptom Trajectories and Cognition Among Older American Couples
Older adults with increasing and persistently high depressive symptoms may experience worse memory. Psychosocial interventions targeting depressive symptoms among older men may be beneficial to their spouses' memory
Design of Care Decision Support System Based on Home-Based Behavior of Elderly
With the development of Information Technology and Internet of Things, using unobtrusive sensors to monitor the home-based behavior of the elderly, and assisting the care givers to make care decisions based on this data plays an important role in ensuring the health and safety of the elderly living alone. Adopting the Design Science Approach, this study designs, implements, and evaluates a care decision support system based on home-based behavior…
Unmet Community Service Needs and Life Satisfaction Among Chinese Older Adults
This study examined the gap between need and provision of community services in China and its association with older adults’ life satisfaction over time. Longitudinal data from the Chinese Longitudinal Healthy Longevity Survey from 2008 to 2014 were used (3 waves, N = 16,199). Respondents reported if they needed nine types of community service and if their community provided such service. Growth curve models analyzed whether individual- and/or pr…
Risk Perception, Preventive Behavior, and Medical Care Avoidance among American Older Adults During the Covid-19 Pandemic
Objectives: This study investigated the predictors of risk perception and its effect on older adults' preventive behavior and/or medical care avoidance during the COVID-19 pandemic. Methods: Older respondents (age >50 years) from the MIT COVID-19 Preventive Health Survey reported their social distancing, hand washing, mask wearing, and medical care avoidance between July and October 2020 ( n = 4395). Structural equation models were used. Results:…
Actions for solutions
Young adults are at high risk of experiencing economic abuse-a form of intimate partner violence (IPV)-and Chinese young adults in non-marital cohabitation are especially vulnerable. To reduce economic abuse, an important question to answer is: What factors are associated with economic abuse? After controlling for constructs (e.g., demographic information and other types of IPV) that were linked to economic abuse, we investigated how financial be…
Happily ever affluence
Money scripts are deep-seated but typically unconscious beliefs individuals hold about money. We considered four money scripts: money avoidance, money focus (also known as money worship), money status, and money privacy (adapted from money vigilance). While money scripts have been studied in conjunction with financial outcomes, our study is among the first to test relational outcomes of money scripts and among the first to examine money scripts o…
Material Hardship and Mental Health Among Older Americans During the Covid-19 Pandemic
Objective: Mental health issues among older adults have been widely reported during the COVID-19 pandemic. This study examines the relationship between material hardship and three mental health measures among older Americans. Method: Data are from the Health and Retirement Study collected between 2020 and 2021. Respondents ages ≥ 50 years ( = 1,504) reported whether they had experienced seven types of material hardship (e.g., missed rent or mortg…
Advance Directive Completion Among Older American Couples
The spousal interdependence of AD warrants practitioner efforts to facilitate family-oriented end-of-life planning. Wives and husbands may have different thoughts regarding their spouse's cognitive capacity to surrogate. Facilitating couple-based discussions may be a feasible approach to promote engagement with AD among older adults
Correlates of Emergency Department Service Utilization Among U.S. Chinese Older Adults
Face-Saving and Depressive Symptoms Among U.S. Chinese Older Adults
Unmet Community Service Needs and Life Satisfaction Among Chinese Older Adults
This study examined the gap between need and provision of community services in China and its association with older adults’ life satisfaction over time. Longitudinal data from the Chinese Longitudinal Healthy Longevity Survey from 2008 to 2014 were used (3 waves, N = 16,199). Respondents reported if they needed nine types of community service and if their community provided such service. Growth curve models analyzed whether individual- and/or pr…
Risk Perception, Preventive Behavior, and Medical Care Avoidance among American Older Adults During the Covid-19 Pandemic
Objectives: This study investigated the predictors of risk perception and its effect on older adults' preventive behavior and/or medical care avoidance during the COVID-19 pandemic. Methods: Older respondents (age >50 years) from the MIT COVID-19 Preventive Health Survey reported their social distancing, hand washing, mask wearing, and medical care avoidance between July and October 2020 ( n = 4395). Structural equation models were used. Results:…
Advance Directive Completion Among Older American Couples
The spousal interdependence of AD warrants practitioner efforts to facilitate family-oriented end-of-life planning. Wives and husbands may have different thoughts regarding their spouse's cognitive capacity to surrogate. Facilitating couple-based discussions may be a feasible approach to promote engagement with AD among older adults
Intersectional Discrimination Attributions and Health Outcomes Among American Older Adults
Guided by an intersectionality framework, this study examined intersectional discrimination attributions and their associations with health outcomes. Older respondents (aged ≥50) from the Health and Retirement Study in 2014-2015 were included ( N = 6286). Their reasons for discrimination (age, gender, sexual orientation, race, national origin, religion, financial status, weight, physical appearance, disability, and others) were examined. Latent c…
Mental health-related stigma and attitudes toward patient care among providers of mental health services in a rural Chinese county
BACKGROUND AND AIMS: The increasing prevalence of mental illness and low treatment rate presents a pressing public health issue in China. Pervasive stigma is a significant barrier to mental health recovery and community inclusion. In particular, stigmatizing or supportive attitudes held by healthcare providers could either perpetuate or mitigate self-stigma of people with mental illness. Moreover, mental health resources are unevenly distributed …
Depressive Symptom Trajectories and Cognition Among Older American Couples
Older adults with increasing and persistently high depressive symptoms may experience worse memory. Psychosocial interventions targeting depressive symptoms among older men may be beneficial to their spouses' memory
Design of Care Decision Support System Based on Home-Based Behavior of Elderly
With the development of Information Technology and Internet of Things, using unobtrusive sensors to monitor the home-based behavior of the elderly, and assisting the care givers to make care decisions based on this data plays an important role in ensuring the health and safety of the elderly living alone. Adopting the Design Science Approach, this study designs, implements, and evaluates a care decision support system based on home-based behavior…
Health Behavior Patterns and Associated Risk of Memory-Related Disorders Among Middle-Aged and Older Chinese Couples
Objectives: Studies on the interdependence of couples’ health behaviors and subsequent cognitive outcomes remain limited. Methods: Longitudinal data from the China Health and Retirement Longitudinal Study (2011–2018) were used ( N = 1869 heterosexual couples). Latent class analysis identified the dyadic pattern of health behaviors in 2011 (i.e., alcohol consumption, smoking, and physical inactivity). Stratified Cox models examined the association…
Participation in mahjong and the associated smoking and alcohol consumption behaviors among Chinese older adults
This study examined the relationship of playing mahjong with smoking and alcohol consumption behaviors among Chinese older adults. We used a large and nationally representative dataset, the 8th wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Older adults who were 65 years old or above were included in the final analysis sample ( n = 10,954). Multivariable logistic regressions were used to examine the associations of playing mah…
Material Hardship and Mental Health Among Older Americans During the Covid-19 Pandemic
Objective: Mental health issues among older adults have been widely reported during the COVID-19 pandemic. This study examines the relationship between material hardship and three mental health measures among older Americans. Method: Data are from the Health and Retirement Study collected between 2020 and 2021. Respondents ages ≥ 50 years ( = 1,504) reported whether they had experienced seven types of material hardship (e.g., missed rent or mortg…
Intergenerational Interactions and Relationship Quality
The findings highlight the importance of daily reciprocity and daily support exchanges on relationship quality during a public health emergency
Memory Trajectories and Disability Among Older Couples
The wife's low and rapid decline trajectory was associated with her own and her husband's more depressive symptoms, which in turn increased the disability risk for both partners. Timely identification and treatment of memory decline among wives have the potential to mitigate couples' depressive symptoms and, ultimately, disability risks
Child-Parent Relationships and Older Adults' Health
This study compared the associations of child-parent relationships with older adults' multidimensional health in the United States and China. Two waves of data from the US Health and Retirement Study and its sister study in China (2012-2015) were used (2174 non-Hispanic [NH] White Americans and 4467 Chinese). Linear regression models were conducted for cross-sectional and longitudinal comparisons. Results showed most child-parent relationships ha…
Racial/ethnic/gender-Based Differences in Health Trajectories Among American Older Adults
Health disparity by race/ethnicity or gender has been well-documented. However, few researchers have examined health outcomes based on the intersection of individuals’ race, ethnicity, and gender or investigated various health dimensions. Guided by an intersectionality framework, this study explores racial/ethnic/gender-based differences in trajectories of multiple health outcomes over a ten-year period among American older adults. Longitudinal d…
Community-Based Residential Relocation in Middle and Older Age
Objectives This study compared the United States and China in examining the predictors of community-based residential relocation and its associated mortality risk. Methods Data from the 2010 to 2018 US Health and Retirement Study and from 2011 to 2018 China Health and Retirement Longitudinal Study were used (N US = 20,292 and N China = 11,694). Community-dwelling respondents (aged 50+) reported whether they had relocated and were followed up unti…
Actions for solutions
Young adults are at high risk of experiencing economic abuse-a form of intimate partner violence (IPV)-and Chinese young adults in non-marital cohabitation are especially vulnerable. To reduce economic abuse, an important question to answer is: What factors are associated with economic abuse? After controlling for constructs (e.g., demographic information and other types of IPV) that were linked to economic abuse, we investigated how financial be…
The Self-Management Support Needs of Elderly with Chronic Disease in China
Self-management is the main method of elderly to deal with chronic diseases, and effective self-management support should be designed according to their needs. Existing researches mostly focused on the elderly living in developed Western countries and did not consider the impact of daily activity ability on their self-management support needs. Adopting the qualitative method, 30 Chinese elderly were interviewed. And they were classed into three t…
Long-Term User Experience of Older Adults Living Alone on Home-Based Intelligent Care System
Knowledge on the long-term User Experience (UX) of older adults in using Home-based Intelligent Care System (HICS) is limited, even though it is imperative for older adults’ continuous use of HICS to promote their quality of life. This study aims to investigate the long-term User Experience (UX) of older adults in using Home-based Intelligent Care System (HICS), and to understand how its elements change over time and which system attributes cause…
Memory Fades, But Roles Remain
Background: This study investigates how dyadic coping interacts with gender identity and within-couple gender ideology (dis)similarity to influence marital satisfaction in 202 heterosexual married couples with mild cognitive impairment (MCI). Research Design: We utilized cross-sectional dyadic data and actor-partner interdependence moderation models to examine the interactions between dyadic coping, gender ideology (dis)similarity, and gender ide…
Functional Disability and Depressive Symptoms in Middle-Aged and Older Couples
ObjectivesThis study examines the bidirectional influences between functional disability and depressive symptoms in middle-aged and older couples, emphasizing the temporal dynamics and co-development of partners' experiences.MethodsLongitudinal data were drawn from the Health and Retirement Study (2002-2020), focusing on married couples ( N = 4109 couples). Dyadic cross-lagged panel models and latent trajectory analyses were employed.ResultsFunct…
A Tale of Two Societies
Objectives Previous research on social activity engagement in later life predominantly employed an individual-focused approach, restricting our understanding of how engagement in social activities as a couple can influence both relational and individual outcomes. This study examines the relationship between couples’ combination of social engagement and husbands’ and wives’ marital satisfaction, and subsequently, their depressive symptoms. Methods…
Linked Lives
Objectives Our study is among the first to analyze the developmental trajectories of cognitive function at the couple level. Methods Using longitudinal dyadic data obtained from 2,130 heterosexual couples who participated in the China Health and Retirement Longitudinal Study between 2011 and 2020, we employed the dyadic latent growth curve model to analyze the developmental trajectories of wives’ and husbands’ cognitive function from 2011 to 2018…
For richer, for poorer
Adopting feminist and intersectional perspectives, this study focused on gendered experiences in financial communication, power dynamics, and social sabotage across lower- versus higher-income couples. Three-wave, dyadic data were collected from 1,093 married couples between 2020 and 2022, covering the period before, during, and after the COVID-19 pandemic. Employing a random-intercept, actor-partner interdependence cross-lagged panel model (i.e.…
Psychology (20 obras) · Medicine (19 obras) · Gerontology (16 obras) · Psychiatry (11 obras) · Cognition (10 obras) · Health disparities and outcomes (10 obras) · Developmental psychology (9 obras) · Demography (8 obras) · Demography (8 obras) · Depressive symptoms (8 obras)