Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy

被引:3
作者
Jang, Yuri [1 ,2 ]
Rhee, Min-Kyoung [3 ]
Park, Juyoung [1 ]
Ko, Jung Eun [4 ]
Park, Nan Sook [5 ]
Henwood, Benjamin F. [1 ]
Niemiec, Stacey L. Schepens [6 ]
Chung, Soondool [2 ]
机构
[1] Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, SC 90007 USA
[2] Ewha Womans Univ, Dept Social Welf, Seoul 120750, South Korea
[3] Univ Southern Calif, Leonard Davis Sch Gerontol, Los Angeles, CA USA
[4] Kyung Hee Cyber Univ, Dept Counseling, Seoul, South Korea
[5] Univ S Florida, Sch Social Work, Sarasota, FL 34243 USA
[6] Univ Southern Calif, Mrs T H Chan Div Occupat Sci & Occupat Therapy, Los Angeles, CA USA
基金
新加坡国家研究基金会;
关键词
Falls; fall-related self-efficacy; mental health; older immigrants; senior housing; OLDER-ADULTS; FEAR; DEPRESSION; VALIDITY; ANXIETY;
D O I
10.1080/13607863.2024.2407586
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
ObjectivesThe study examined the mediating role of fall-related self-efficacy in the association between falls and mental health among older Korean Americans living in subsidized senior housing in the greater Los Angeles area. We focused on serious fall incidents (i.e. multiple falls or any fall with a fracture) and used symptoms of depression and anxiety as indicators of mental health.MethodSurvey data from 315 participants (M age = 79.4 years) were used to examine the direct effects of serious fall incidents on mental health symptoms, as well as indirect effects through fall-related self-efficacy.ResultsThe mediating effect of fall-related self-efficacy was found to be significant in both models for depressive symptoms (B [SE] = 0.15 [0.07], bias-corrected 95% CI = [0.03, 0.31]) and anxiety symptoms (B [SE] = 0.11 [0.05], bias-corrected 95% CI = [0.02, 0.23]).ConclusionThe mental health impact of serious fall incidents was shaped by older individuals' perceived concerns about falls and confidence in performance. The findings highlight the importance of addressing fall-related psychological responses in preventing falls and promoting mental health among senior housing residents.
引用
收藏
页码:542 / 548
页数:7
相关论文
共 40 条
[1]   The Psychometric Properties and Clinical Utility of the Korean Version of GAD-7 and GAD-2 [J].
Ahn, Jung-Kwang ;
Kim, Yeseul ;
Choi, Kee-Hong .
FRONTIERS IN PSYCHIATRY, 2019, 10
[2]  
[Anonymous], 1985, WHO TECH REP SER, P1
[3]  
[Anonymous], 2023, Older adult fall prevention
[4]  
Brody Debra J, 2018, NCHS Data Brief, P1
[5]  
Budiman A., 2021, Key facts about Asian origin groups in the U.S
[6]   Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay [J].
Choi, Namkee G. ;
Marti, C. Nathan ;
Choi, Bryan Y. ;
Kunik, Mark M. .
JOURNAL OF APPLIED GERONTOLOGY, 2023, 42 (05) :1089-1100
[7]   Fear of falling and depressive symptoms in Chinese elderly living in nursing homes: Fall efficacy and activity level as mediator or moderator? [J].
Chou, KL ;
Yeung, FKC ;
Wong, ECH .
AGING & MENTAL HEALTH, 2005, 9 (03) :255-261
[8]  
Esterline C., 2022, Korean immigrants in the United States
[9]  
Fillenbaum G.G., 1988, MULTIDIMENSIONAL FUN
[10]  
FOLSTEIN MF, 1975, J PSYCHIATR RES, V12, P189, DOI [10.1037/t07757-000, DOI 10.1037/T07757-000, DOI 10.1016/0022-3956(75)90026-6]