Reexamining the relationships among dementia, stigma, and aging in immigrant Chinese and Vietnamese family caregivers

被引：128

作者：

Liu D. ^{[1
]}

Hinton L. ^{[1
,4
]}

Tran C. ^{[1
]}

Hinton D. ^{[2
]}

Barker J.C. ^{[3
]}

机构：

[1] University of California, Davis Medical Center, Sacramento, CA

[2] Massachusetts General Hospital, Boston, MA

[3] University of California San Francisco, San Francisco, CA

[4] Sacramento, CA 95817

来源：

Journal of Cross-Cultural Gerontology | 2008年 / 23卷 / 3期

基金：

美国国家卫生研究院;

关键词：

Aging; Caregivers; Chinese; Dementia; Stigma; Vietnamese;

D O I：

10.1007/s10823-008-9075-5

中图分类号：

学科分类号：

摘要：

Prior literature emphasizes that Asian Americans with dementia may be particularly vulnerable to the stigma of chronic and severe mental illness. However, there is a dearth of empirical research to support this claim. This study examines the relationship of stigma and dementia in 32 qualitative interviews with Chinese and Vietnamese family caregivers. Stigma was a common theme in the interviews (91%). Further analysis revealed two sources: the stigma of chronic and severe mental illness and a stigma reflecting negative stereotypes of aging or the aged. Chinese and Vietnamese cultural views of normal aging are not unitary but accommodate different trajectories of aging, some more and some less desired. When applied to persons with dementia, a "normalized" but negative trajectory of aging carried with it significant stigma that was distinct from but in addition to the stigma of chronic and severe mental illness. Older Chinese and Vietnamese with dementia are thus at risk of experiencing multiple stigmas that include but go beyond the stigma associated with chronic and severe mental illness. © 2008 Springer Science+Business Media, LLC.

引用

页码：283 / 299

页数：16

共 42 条

[1]

Ayalon L., Arean P.A., Knowledge of Alzheimer's disease in four ethnic groups of older adults, International Journal of Geriatric Psychiatry, 19, pp. 51-57, (2004)

[2]

Barnes J.S., Bennett C.E., The Asian Population: 2000 - Census 2000 Brief, (2002)

[3]

Bernard H., Research Methods in Anthropology: Qualitative and Quantitative Approaches, (2005)

[4]

Braun K.L., Browne C.V., Perceptions of dementia, caregiving and help seeking among Asian and Pacific Islander Americans, Health & Social Work, 23, pp. 262-273, (1998)

[5]

Chin S.Y., This, that, and the other: Managing illness in a first generation Korean-American family, Western Journal of Medicine, 157, pp. 305-309, (1992)

[6]

Chung H., Access to mental health treatment for Asian Americans-Where are we?, New York Coalition for Asian Mental Health 1st National Conference, (2004)

[7]

Cohen L., No Aging in India: alzheimer'S, the Bad Family, and Other Modern Things, (1998)

[8]

Crocker J., Major B., Steele C., Gilbert D., Fiske S.T., Lindzey G., Social stigma, The Handbook of Social Psychology, Vol. 2, pp. 504-553, (1998)

[9]

Elliott K.S., Di Minno M., Lam D., Tu A.M., Yeo G., Gallagher-Thompson D., Working with Chinese families in the context of dementia, Ethnicity & the Dementias, pp. 89-109, (1996)

[10]

Pacific Bridges: The New Immigration from Asia and the Pacific Islands, (1987)

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