Factors associated with mental health among Chinese older adults in the U.S. during the COVID-19 pandemic

Introduction: This research examined the prevalence of Chinese older adults’ risk factors (perceived racial discrimination, fear of COVID-19), protective factors (resilience, community support), and mental health status (depression, PTSD) in Chinese older adults aged 65 years and above during the COVID-19 pandemic. Furthermore, the relationships between risk and protective factors and their mental health outcomes were explored. Methods: This study was a secondary data analysis using the anonymous survey data collected by a research team. Descriptive statistics were used to describe the distributions of the variables; and hierarchical multiple regression models were conducted to examine their relationships. Results: The sample included 90 Chinese older adults in the United States. The participants demonstrated a moderate level of fear of COVID-19 (M= 21.55, SD = 4.75; range 10-33). The participants scored on the lower end of the perceived discrimination scale (M = .40, SD = 1.44 before COVID-19; M = .77, SD = 1.54 during COVID-19; range 0-7). Resilience (M = 29.02, SD = 5.78 on a scale of 0-40) demonstrated a moderate to moderately high level of resilience. As for community support, 40.3% of participants reported receiving assistance or information regarding COVID-19 from local Asian organizations, indicating a moderate level of community support. The participants reported a relatively low score for PTSD (M = 0.75 SD = 1.17 on a scale from 0 to 5) or depression (M = 2.76 SD = 2.72 on a scale from 0 to 27). Consistent with hypotheses, findings of hierarchical regression models suggested that the risk factors fear of COVID-19 and perceived racial discrimination were positively associated with PTSD symptoms while resilience was negatively associated with PTSD symptoms. Differently, none of the risk factors were significantly associated with depression symptoms while resilience showed a negative relationship with depression symptoms. Conclusion: The findings of this research will help public health officials better understand the needs of minority and aging communities to best support them during crises similar to the COVID-19 pandemic.