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

[11]

Gallagher-Thompson D., Area P., Coon D., Menendez A., Takagi K., Haley W.E., Et al., Development and implementation of intervention strategies for culturally diverse caregiving populations, Handbook on Dementia Caregiving, pp. 151-185, (2000)

[12]

Goffman E., Stigma, (1963)

[13]

Gold S.J., Mental health and illness in Vietnamese refugees, Western Journal of Medicine, 157, pp. 290-294, (1992)

[14]

Guo Z., Levy B., Hinton L., Weitzman P.F., Levkoff S.E., The power of labels: Recruiting dementia-affected Chinese American elders and their caregivers, Journal of Mental Health and Aging, 6, pp. 103-111, (2000)

[15]

Henderson J.N., Henderson L.C., Cultural construction of disease: A "supernormal" construct of dementia in an American Indian tribe, Journal of Cross-Cultural Gerontology, 17, pp. 197-212, (2002)

[16]

Herskovits E.J., Struggling over subjectivity: Debates about the "self" and Alzheimer's disease, Medical Anthropology Quarterly, 9, pp. 146-164, (1995)

[17]

Herskovits E., Mitteness L., Transgressions and sickness in old age, Journal of Aging Studies, 8, pp. 327-340, (1994)

[18]

Hinton L., Introduction: Exploring the relationships among aging, ethnicity, and family dementia caregiving, Culture, Medicine and Psychiatry, 23, pp. 403-413, (1999)

[19]

Hinton L., Benjamin L., Bourgeois J., Dementia: Practical strategies for primary care, Primary Psychiatry, 8, pp. 83-87, (2001)

[20]

Hinton L., Fox F., Levkoff S., Exploring the relationships among aging, ethnicity, and family dementia caregiving, Culture, Medicine and Psychiatry, 23, pp. 403-413, (1999)

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