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Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States.
J Am Geriatr Soc. 2019 08; 67(S3):S564-S570.JA

Abstract

BACKGROUND/OBJECTIVES

Focusing on Chinese immigrants, this study examined (1) whether filial obligation, the core social norm in the Chinese culture, is related to caregiving burdens; and (2) whether level of acculturation of the caregivers moderates the above relationships.

DESIGN

Cross-sectional.

SETTING

Chicago, Illinois.

PARTICIPANTS

A purposive sample of 393 Chinese adult immigrants who were primary caregivers of parents aged 60 years or older.

MEASURES

Sense of filial obligation was captured by felt responsibility toward parents in six domains (respect, make happy, care, greet, obey, and provide financial support). Caregiving burdens were measured by the Caregiver Burden Inventory. Acculturation was measured by 12 questions about respondents' language preference in different settings and ethnicity of individuals they interact with.

RESULTS

A stronger sense of filial obligation was significantly associated with lower levels of developmental (β = -.15), emotional (β = -.18), social (β = -.20), and physical (β = -.10) burdens. For subjective burdens (developmental, social burdens), such a protective effect of filial obligation was stronger among caregivers with lower acculturation levels. For more objective burdens (time-dependent, physical burdens), stronger filial obligation was actually associated with greater burdens among caregivers with higher acculturation levels.

CONCLUSION

Programs focusing on celebrating the cultural heritage of immigrants and improving the relationship between the parents and children may be helpful to reduce caregiving burdens. Intervention programs that help Chinese immigrant caregivers to find the most appropriate way to balance traditional and new social norms are important to provide successful care to aging Chinese immigrants. J Am Geriatr Soc 67:S564-S570, 2019.

Authors+Show Affiliations

School of Social Work, University of Iowa, Iowa City, Iowa.College of Nursing, University of Iowa, Iowa City, Iowa.Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403202

Citation

Guo, Man, et al. "Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States." Journal of the American Geriatrics Society, vol. 67, no. S3, 2019, pp. S564-S570.
Guo M, Kim S, Dong X. Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States. J Am Geriatr Soc. 2019;67(S3):S564-S570.
Guo, M., Kim, S., & Dong, X. (2019). Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States. Journal of the American Geriatrics Society, 67(S3), S564-S570. https://doi.org/10.1111/jgs.15735
Guo M, Kim S, Dong X. Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States. J Am Geriatr Soc. 2019;67(S3):S564-S570. PubMed PMID: 31403202.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sense of Filial Obligation and Caregiving Burdens Among Chinese Immigrants in the United States. AU - Guo,Man, AU - Kim,Sohyun, AU - Dong,XinQi, PY - 2018/07/31/received PY - 2018/11/02/revised PY - 2018/11/30/accepted PY - 2019/8/13/entrez PY - 2019/8/14/pubmed PY - 2020/5/21/medline KW - Chinese KW - caregiving burden KW - cultural context KW - ethnic minority KW - filial piety SP - S564 EP - S570 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - S3 N2 - BACKGROUND/OBJECTIVES: Focusing on Chinese immigrants, this study examined (1) whether filial obligation, the core social norm in the Chinese culture, is related to caregiving burdens; and (2) whether level of acculturation of the caregivers moderates the above relationships. DESIGN: Cross-sectional. SETTING: Chicago, Illinois. PARTICIPANTS: A purposive sample of 393 Chinese adult immigrants who were primary caregivers of parents aged 60 years or older. MEASURES: Sense of filial obligation was captured by felt responsibility toward parents in six domains (respect, make happy, care, greet, obey, and provide financial support). Caregiving burdens were measured by the Caregiver Burden Inventory. Acculturation was measured by 12 questions about respondents' language preference in different settings and ethnicity of individuals they interact with. RESULTS: A stronger sense of filial obligation was significantly associated with lower levels of developmental (β = -.15), emotional (β = -.18), social (β = -.20), and physical (β = -.10) burdens. For subjective burdens (developmental, social burdens), such a protective effect of filial obligation was stronger among caregivers with lower acculturation levels. For more objective burdens (time-dependent, physical burdens), stronger filial obligation was actually associated with greater burdens among caregivers with higher acculturation levels. CONCLUSION: Programs focusing on celebrating the cultural heritage of immigrants and improving the relationship between the parents and children may be helpful to reduce caregiving burdens. Intervention programs that help Chinese immigrant caregivers to find the most appropriate way to balance traditional and new social norms are important to provide successful care to aging Chinese immigrants. J Am Geriatr Soc 67:S564-S570, 2019. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/31403202/Sense_of_Filial_Obligation_and_Caregiving_Burdens_Among_Chinese_Immigrants_in_the_United_States_ L2 - https://doi.org/10.1111/jgs.15735 DB - PRIME DP - Unbound Medicine ER -