"Hate has chipped away at my sense of security": A survey study of the impacts of anti-Asian hate on the health of older Asians

Since the beginning of the COVID-19 pandemic, older Asians have experienced a rise in racism and discrimination based on their race and ethnicity. This study examines how anti-Asian hate impacts older Asians' mental, social, and physical health. From March 18, 2022 to January 24, 2023, we condu...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2024-07, Vol.72 (7), p.2174-2183
Main Authors: Li, Lingsheng, Kang, Jasmine, Nguyen, Brian, Ho, Maxwell, Li, Andrew T, Shih, Jonathan J, Kotwal, Ashwin, Yeh, Jarmin, Karliner, Leah, Jeung, Russell, Smith, Alexander
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Aged
Aged, 80 and over
Anxiety
Anxiety - ethnology
Anxiety - psychology
Asian - psychology
Asian people
COVID-19
COVID-19 - psychology
Cross-Sectional Studies
Depression - ethnology
Depression - psychology
Female
Hate
Health Status
Humans
Loneliness
Loneliness - psychology
Male
Mental depression
Middle Aged
Older people
Racism - psychology
Racism - statistics & numerical data
San Francisco - epidemiology
Surveys
Surveys and Questionnaires
Citations: Items that this one cites
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Summary:Since the beginning of the COVID-19 pandemic, older Asians have experienced a rise in racism and discrimination based on their race and ethnicity. This study examines how anti-Asian hate impacts older Asians' mental, social, and physical health. From March 18, 2022 to January 24, 2023, we conducted a cross-sectional survey study of community-dwelling Asian/Asian American adults aged ≥50 years from the San Francisco Bay Area. Measures included perceptions of anti-Asian hate; direct encounters with hate incidents; indirect experiences with hate incidents (e.g. knowing a friend who was a victim); reports of anxiety, depression, loneliness, and changes in daily activities; ways to address these issues; and discussions with clinicians about hate incidents. Of the 293 older Asians, 158 (54%) were Vietnamese and 97 (33%) Chinese. Eighty-five (29%) participants were direct victims of anti-Asian hate, 112 (38%) reported anxiety, 105 (36%) reported depression, 161 (55%) reported loneliness, and 142 (48%) reported decreased daily activities. Compared with those who were "not-at-all" to "moderately" worried about hate incidents, participants who were "very" to "extremely" worried experienced heightened anxiety (42% versus 16%), loneliness (30% versus 14%), and changes in daily activities (66% versus 31%), p 
ISSN:0002-8614
1532-5415
1532-5415
DOI:10.1111/jgs.19016