Differential Role of Social Connectedness in Geriatric Depression Among Southeast Asian Ethnic Groups

Abstract

Background: There is little empirical evidence on the effects of social connectedness on geriatric depression for Southeast Asians. Studies have rarely examined interethnic differences in the resilience factors for depression in this diverse population. Greater understanding is needed as the number of older Southeast Asians in the United States increases.

Objectives: We sought to examine the association between social connectedness and depressive symptoms in Vietnamese, Laotian, and Cambodian elders.

Methods: Using a community-based participatory research (CBPR) approach, bilingual/bicultural staff collected demographics, the Lubben Social Network Scale, and the Geriatric Depression Scale (GDS). Univariate and multivariate regression models were constructed for the full aggregated sample and for each ethnic subgroup.

Results: In the full aggregated sample analysis, Southeast Asian elders were at increased risk for depression and had low social connectedness. Marriage and English proficiency were resilience factors, whereas social connectedness did not play a significant role. In disaggregated analyses, high social connectedness, marriage, and younger age were resilience factors for Vietnamese elders. English proficiency was the only significant resilience factor for Laotians, and age at the time of immigration was the only significant resilience factor for Cambodian elders.

Conclusions: This study underscores the need for researchers to disaggregate data for ethnic subgroups in the Asian American population. Southeast Asian elders are at increased risk for depression and have low social connectedness. There exist important interethnic differences in resilience factors for geriatric depression, suggesting the need for more studies and interventions that are sensitive to subtle cultural differences among Southeast Asian subgroups.