Elder mistreatment experiences, perceptions, and help-seeking behaviors of Asian American older adults.

This study examined the experiences and the perceptions of elder mistreatment (EM), as well as help-seeking knowledge and behaviors, particularly about Adult Protective Services (APS), among community samples of Asian American older adults, including Koreans, Chinese, and others (N = 288). Approximately 27% of the study participants experienced at least one EM incident in the past year. Between 27% and 38% of the participants reported that they were likely to seek help from APS for different types of EM. Significant differences were found across the three Asian groups in their perceptions toward EM and intention to seek help from APS in the event of EM. However, many Asian American older adults in the study did not know about APS prior to participating in the study (75.5%) and other formal sources of help (66.3%). Implications for helping professionals, particularly APS and community-based organizations serving Asian Americans, are discussed.

Ethnic differences in bullying victimization and psychological distress: A test of an ecological model.

This study examines ethnic differences in the prevalence of bullying victimization by peers as well as the associations between bullying victimization and psychological distress with relevant ecological factors including parental supervision, school support, and community safety. The study utilized the 2011-2012 California Health Interview Survey (CHIS) Adolescents Data, which was collected in the United States using a multi-stage stratified sampling design with a Random Digit-Dial method. The final study sample contained a total of 2367 adolescents, comprised of 48.7% Whites, followed by 35.8% Latinos, 11.1% Asians, and 4.4% African Americans. About 49.3% were males with an overall mean age of 14.6 (sd = 1.7). Results showed that there were significant differences in rates of bullying victimization among the four surveyed ethnic subgroups of adolescents. Black adolescents reported the highest and Asian adolescents the lowest level of victimization. The results of the SEM test using the calibration sample revealed an adequate fit to the data (CFI = 0.95, RMSEA = 0.04, Δχ2/Δdf = 2.99). Separate model tests with the four subgroups of adolescents revealed good fits with the subsample data with the exception of the subsample of African Americans. Additionally, results show that factors associated with psychological distress vary widely among the White, Latino and Asian subgroups.

Relationship Power, Sexual Decision Making, and HIV Risk Among Midlife and Older Women.

The number of midlife and older women with HIV/AIDS is high and increasing, especially among women of color. This article addresses these demographic realities by reporting on findings about self-esteem, relationship power, and HIV risk from a pilot study of midlife and older women. A purposive sample (N = 110) of ethnically, economically, and educationally diverse women 40 years and older from the Greater Los Angeles Area was surveyed to determine their levels of self-esteem, general relationship power, sexual decision-making power, safer sex behaviors, and HIV knowledge. Women with higher levels of self-esteem exercised greater power in their relationships with their partner. Women with higher levels of general relationship power and self-esteem tend to exercise greater power in sexual decision making, such as having sex and choosing sexual acts. Income and sexual decision-making power were statistically significant in predicting the use of condoms. Implications and recommendations for future HIV/AIDS research and intervention targeting midlife and older women are presented.

Comparative analysis on determinants of self-rated health among non-Hispanic White, Hispanic, and Asian American older adults.

The purpose of the study is (1) to compare the effects of factors on self-rated health (SRH) among older non-Hispanic Whites (NHW), Hispanic, and Asian Californians and (2) to provide estimated influence size of each factor on SRH. This study analyzed secondary data drawn from the 2005 California Health Interview Survey. Binary logit regressions were used to analyze data with the Jackknife replication sampling weights. Significant differences were found in SRH among the three groups. Hispanics and Asians reported poorer health than NHW. Socioeconomic status, acculturation, and health access significantly accounted for an association between ethnicity and SRH. However, the magnitudes of their effects on SRH varied across the groups and by the factors examined. This study discusses and concludes with some recommendations on the opportunities presented by the Affordable Care Act and Healthy People 2020.

Patterns of alcohol use and attitudes toward drinking among Chinese and Korean American college students.

This study examined the alcohol consumption patterns and cultural attitudes toward drinking among Chinese and Korean American college students in California. Data were collected from a total of 294 participants comprising 127 Chinese and 167 Korean college students. Some of the major findings revealed that distinct ethnic and gender differences existed in the use of alcohol and attitudes toward drinking. Korean students in the study generally drank more frequently and consumed greater amounts of alcohol than their Chinese counterparts. Female participants were likely to drink less frequently and in smaller quantities than their male counterparts regardless of ethnicity. Korean students were more likely to view drinking as a socially acceptable practice and a means of facilitating social interactions than their Chinese counterparts. Culturally appropriate campus-wide strategies were presented for prevention and intervention of alcohol abuse on college campuses.

Child abuse and neglect in Cambodian refugee families: characteristics and implications for practice.

This study examines the characteristics and patterns of child maltreatment among Cambodian refugee families in Los Angeles and assesses the implications for child welfare practice with Cambodian refugee families. Data were extracted from 243 active Cambodian case files maintained by the Los Angeles County Department of Children and Family Services (LAC-DCFS). Some of the major findings include (1) Cambodian child maltreatment cases were most frequently reported to the LAC-DCFS among various Asian Pacific ethnic groups; (2) Cambodian refugee families were more likely to be charged with neglect, while their Asian Pacific counterparts were more likely charged with physical abuse; (3) the circumstances under which maltreatment occurred most frequently were parental substance abuse and mental illness; and (4) while fathers who maltreated their child were likely to use alcohol, mothers were also more likely to have a mental health problem such as depression. This study suggests the importance of collaboration between Child Protective Service agencies, substance abuse programs, traditional healers, mental health services, and other social service agencies for effective child abuse prevention and intervention efforts.

Child maltreatment among immigrant Chinese families: characteristics and patterns of placement.

This study examined the characteristics of child abuse among immigrant Chinese families in Los Angeles. The study also identified some of the critical variables contributing to the selection of one of two types of placement (in home or out of home) by the child protective services system. Data were obtained from 221 active Chinese case files maintained by the Asian Pacific Unit of the Los Angeles County Department of Children and Family Services. The extracted data were presented with logistic regression analysis to examine the odds of children being removed from the home. The most prevalent type of maltreatment experienced by the Chinese victims was physical abuse, and the rate of physical abuse was higher than in the general child welfare population. Chinese children are less likely to be removed from their homes than are non-Chinese children. Implications for practice include the need for focusing services on Chinese parent education and family preservation.

Characteristics of child abuse in immigrant Korean families and correlates of placement decisions.

OBJECTIVE: This study examined the characteristics and patterns of child abuse among immigrant Korean families in Los Angeles and critical variables that contribute to the type of placement made by the child protective services (CPS) system. METHOD: Data were obtained from reviewing and analyzing 170 active Korean case files maintained by the Asian Pacific Unit (APU) of the Los Angeles County Department of Children and Family Services (LAC-DCFS) during July through September, 2001. Logistic regression analysis was employed to examine the odds of children being kept in or removed from the home. RESULTS: Some of the major findings from this study include: (1) immigrant Korean families are more likely to be charged with physical abuse (49.4%) and less likely to be charged with neglect (20.6%) in comparison with all other groups in Los Angeles (13.2% and 27.1%, respectively); (2) the circumstance under which physical abuse occurred most frequently was corporal punishment used by Korean parents with an intention to discipline their children; and (3) the context under which emotional abuse occurred among the Korean families was likely to be children's witnessing domestic violence. In addition, the logistic regression showed that response status, referral source, living arrangement, victim's relationship to perpetrator, and chronicity of abuse were significant in predicting out-of-home placement. CONCLUSIONS: An analysis of Korean child abuse cases reported to child protective service revealed that culture and child rearing practices shaped the patterns of child maltreatment. A culturally sensitive approach is strongly suggested for effective child abuse prevention and intervention services with this group by CPS agencies.

Ethnic identity as a predictor of problem behaviors among Korean American adolescents.

This study examined three dimensions of ethnic identity (level of ethnic identity, attitudes toward other groups, and perceived discrimination) as predictors of adolescent problem behaviors among Korean American adolescents. Multiple regression analyses were carried out, and the results indicated that level of ethnic identity, perceived discrimination, and academic performance were significant predictors of both internalizing and externalizing problems. Implications for the provision of mental health services and strengthening multicultural education are discussed.

Acculturation, communication patterns, and self-esteem among Asian and Caucasian American adolescents.

This study examined level of acculturation, openness in communication with parents, peer interaction, and self-esteem in two ethnic groups-Asian and Caucasian American adolescents who grew up in the same neighborhood. The findings provide evidence of significant ethnic differences in behavioral patterns, peer networks, family contexts, and levels of self-esteem. In general, Asian adolescents expressed more difficulty discussing problems with their parents when compared to their Caucasian counterparts. Further, self-esteem was found to be significantly lower among Asians than Caucasians. Implications for the provision of mental health services are discussed.