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The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population.
J Gerontol A Biol Sci Med Sci. 2014 Nov; 69 Suppl 2:S90-7.JG

Abstract

BACKGROUND

Suicidal ideation is a public health issue that has a significant impact at the individual, family, community, and societal levels. This study aimed to examine the association between filial piety and suicidal ideation among U.S. Chinese older adults.

METHODS

Guided by a community-based participatory research approach, 3,159 community-dwelling Chinese older adults in the Greater Chicago area were interviewed in person between 2011 and 2013. Independent variables were expectations and receipt of filial piety from the older adult's perspective. Dependent variables were suicidal ideation in the last 2 weeks and last 12 months. Logistic regression analyses were performed.

RESULTS

Of the 3,159 participants interviewed, 58.9% were female and the mean age was 72.8 years. After adjusting for age, sex, education, income, medical comorbidities, and depressive symptoms, lower receipt of filial piety was associated with increased risk for 2-week suicidal ideation (odds ratio: 1.07, 95% confidence interval: 1.03-1.11) and 12-month suicidal ideation (odds ratio: 1.07, 95% confidence interval: 1.04-1.11). The lowest tertiles of filial piety receipt was associated with greater risk for 2-week suicidal ideation (odds ratio: 1.95, 95% confidence interval: 1.12-3.38) and 12-month suicidal ideation (odds ratio: 2.17, 95% confidence interval: 1.35-3.48). However, no statistically significant associations were found between overall filial piety expectations and suicidal ideation in the last 2 weeks or in the last 12 months.

DISCUSSION

This study suggests that filial piety receipt is an important risk factor for suicidal ideation among U.S. Chinese older adults. Future longitudinal studies are needed to quantify the temporal association between filial piety and suicidal ideation.

Authors+Show Affiliations

Department of Obstetrics/Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. m-simon2@northwestern.edu.Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25378454

Citation

Simon, Melissa A., et al. "The Association Between Filial Piety and Suicidal Ideation: Findings From a Community-dwelling Chinese Aging Population." The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, vol. 69 Suppl 2, 2014, pp. S90-7.
Simon MA, Chen R, Chang ES, et al. The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population. J Gerontol A Biol Sci Med Sci. 2014;69 Suppl 2:S90-7.
Simon, M. A., Chen, R., Chang, E. S., & Dong, X. (2014). The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 69 Suppl 2, S90-7. https://doi.org/10.1093/gerona/glu142
Simon MA, et al. The Association Between Filial Piety and Suicidal Ideation: Findings From a Community-dwelling Chinese Aging Population. J Gerontol A Biol Sci Med Sci. 2014;69 Suppl 2:S90-7. PubMed PMID: 25378454.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population. AU - Simon,Melissa A, AU - Chen,Ruijia, AU - Chang,E-Shien, AU - Dong,XinQi, Y1 - 2014/11/05/ PY - 2014/11/8/entrez PY - 2014/11/8/pubmed PY - 2015/1/6/medline KW - Chinese aging. KW - Filial piety KW - Suicidal ideation SP - S90 EP - 7 JF - The journals of gerontology. Series A, Biological sciences and medical sciences JO - J. Gerontol. A Biol. Sci. Med. Sci. VL - 69 Suppl 2 N2 - BACKGROUND: Suicidal ideation is a public health issue that has a significant impact at the individual, family, community, and societal levels. This study aimed to examine the association between filial piety and suicidal ideation among U.S. Chinese older adults. METHODS: Guided by a community-based participatory research approach, 3,159 community-dwelling Chinese older adults in the Greater Chicago area were interviewed in person between 2011 and 2013. Independent variables were expectations and receipt of filial piety from the older adult's perspective. Dependent variables were suicidal ideation in the last 2 weeks and last 12 months. Logistic regression analyses were performed. RESULTS: Of the 3,159 participants interviewed, 58.9% were female and the mean age was 72.8 years. After adjusting for age, sex, education, income, medical comorbidities, and depressive symptoms, lower receipt of filial piety was associated with increased risk for 2-week suicidal ideation (odds ratio: 1.07, 95% confidence interval: 1.03-1.11) and 12-month suicidal ideation (odds ratio: 1.07, 95% confidence interval: 1.04-1.11). The lowest tertiles of filial piety receipt was associated with greater risk for 2-week suicidal ideation (odds ratio: 1.95, 95% confidence interval: 1.12-3.38) and 12-month suicidal ideation (odds ratio: 2.17, 95% confidence interval: 1.35-3.48). However, no statistically significant associations were found between overall filial piety expectations and suicidal ideation in the last 2 weeks or in the last 12 months. DISCUSSION: This study suggests that filial piety receipt is an important risk factor for suicidal ideation among U.S. Chinese older adults. Future longitudinal studies are needed to quantify the temporal association between filial piety and suicidal ideation. SN - 1758-535X UR - https://www.unboundmedicine.com/medline/citation/25378454/The_association_between_filial_piety_and_suicidal_ideation:_findings_from_a_community_dwelling_Chinese_aging_population_ L2 - https://academic.oup.com/biomedgerontology/article-lookup/doi/10.1093/gerona/glu142 DB - PRIME DP - Unbound Medicine ER -