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Abstract：
OBJECTIVE: Low socioeconomic status and limited social support may put older residents in subsidized housing at high risk for developing fears of Alzheimer\'s disease or related dementias. This study examined the perceived threat of Alzheimer\'s disease or related dementias among older Chinese Americans in subsidized housing facilities in Phoenix, Arizona of the United States, and focused on the effect of cultural beliefs (i.e., beliefs toward Alzheimer\'s disease or related dementias, and beliefs toward intergenerational support) on the perceived threat of Alzheimer\'s disease or related dementias.
METHODS: Analyses were based upon a survey of 207 Chinese American older adults (Mage = 75.37, SD = 7.47) living in subsidized housing facilities in the Phoenix metropolitan area. Standardized survey questionnaires were delivered through face-to-face interviews.
RESULTS: Multivariate analyses suggest that fatalism related beliefs about Alzheimer\'s disease or related dementias, rather than stigmatization, were related to higher levels of concerns for developing Alzheimer\'s disease or related dementias, while beliefs in intergenerational support were related to lower levels of perceived threat of Alzheimer\'s disease or related dementias. However, the protective effect of beliefs in intergenerational support tended to diminish in those living with higher levels of depressive symptoms.
CONCLUSIONS: Cultural beliefs can entail both risks and strengths when low-income Chinese American elders attempt to comprehend the implications of Alzheimer\'s disease or related dementias. Health education or intervention programs need to address their fatalism beliefs toward Alzheimer\'s disease or related dementias, and facilitate the accessibility of intergenerational support for this group.
METHODS: Analyses were based upon a survey of 207 Chinese American older adults (Mage = 75.37, SD = 7.47) living in subsidized housing facilities in the Phoenix metropolitan area. Standardized survey questionnaires were delivered through face-to-face interviews.
RESULTS: Multivariate analyses suggest that fatalism related beliefs about Alzheimer\'s disease or related dementias, rather than stigmatization, were related to higher levels of concerns for developing Alzheimer\'s disease or related dementias, while beliefs in intergenerational support were related to lower levels of perceived threat of Alzheimer\'s disease or related dementias. However, the protective effect of beliefs in intergenerational support tended to diminish in those living with higher levels of depressive symptoms.
CONCLUSIONS: Cultural beliefs can entail both risks and strengths when low-income Chinese American elders attempt to comprehend the implications of Alzheimer\'s disease or related dementias. Health education or intervention programs need to address their fatalism beliefs toward Alzheimer\'s disease or related dementias, and facilitate the accessibility of intergenerational support for this group.
摘要：
目标：低社会经济地位和有限的社会支持可能使老年居民在补贴住房中面临对阿尔茨海默病或相关痴呆症的恐惧的高风险。这项研究检查了在凤凰城的补贴住房设施中，老年华裔美国人对阿尔茨海默病或相关痴呆症的感知威胁，美国的亚利桑那州,并专注于文化信仰的影响(即，对阿尔茨海默病或相关痴呆症的信念，以及对代际支持的信念）对阿尔茨海默病或相关痴呆症的感知威胁。
方法：分析基于对居住在凤凰城市区补贴住房设施中的207名华裔美国老年人（Mage=75.37，SD=7.47）的调查。标准化调查问卷通过面对面访谈的方式发放。
结果：多变量分析表明，关于阿尔茨海默病或相关痴呆的宿命论相关信念，而不是污名化，与发展阿尔茨海默病或相关痴呆的更高水平的担忧有关，而代际支持的信念与阿尔茨海默病或相关痴呆症的感知威胁水平较低有关。然而,代际支持信念的保护作用在抑郁症状程度较高的人群中趋于减弱.
结论：当低收入的华裔美国老年人试图理解阿尔茨海默病或相关痴呆的影响时，文化信仰可能带来风险和优势。健康教育或干预计划需要解决他们对阿尔茨海默病或相关痴呆症的宿命论信念，并促进该群体获得代际支持。
方法：分析基于对居住在凤凰城市区补贴住房设施中的207名华裔美国老年人（Mage=75.37，SD=7.47）的调查。标准化调查问卷通过面对面访谈的方式发放。
结果：多变量分析表明，关于阿尔茨海默病或相关痴呆的宿命论相关信念，而不是污名化，与发展阿尔茨海默病或相关痴呆的更高水平的担忧有关，而代际支持的信念与阿尔茨海默病或相关痴呆症的感知威胁水平较低有关。然而,代际支持信念的保护作用在抑郁症状程度较高的人群中趋于减弱.
结论：当低收入的华裔美国老年人试图理解阿尔茨海默病或相关痴呆的影响时，文化信仰可能带来风险和优势。健康教育或干预计划需要解决他们对阿尔茨海默病或相关痴呆症的宿命论信念，并促进该群体获得代际支持。
