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This dissertation revolves around the older and younger Chinese immigrants in the Netherlands. Specifically, the topic of study was the wellbeing of the older Chinese immigrants, and cultural elements as filial piety may play part in the in the wellbeing of this population.Comparative studies regarding frailty, loneliness and Quality of Life were conducted in China and the Netherlands, among older Chinese adults. In general, the older Chinese immigrant adults are predominantly socially vulnerable, such as a high prevalence of loneliness, whereas the native Chinese adults report a high prevalence of frailty. A second cross-national study provided insights in the cross-cultural equivalence of the De Jong Gierveld loneliness scale among the native and diasporic older Chinese adults.The cultural element filial piety is found to be relevant both to the first- and second-generation Chinese immigrants in the Netherlands. It is specifically of importance to the mental wellbeing of the older first-generation Chinese immigrants. Moreover, a qualitative study shows that filial piety frames how filial caregiving takes place among the second-generation Chinese immigrants. Lastly, a normative filial piety scale was translated to Dutch and psychometric validated among second-generation Chinese immigrants.These findings indicate that older Chinese immigrants are socially vulnerable. Secondly, filial piety is of relevance to the Chinese immigrants in the Netherlands. It is of importance to consider these aspects for professionals working both with older and younger Chinese immigrants in the Netherlands.
Filial piety is important to Chinese adults and is associated with mental health among older Chinese immigrants in the United States. However, it is unclear whether filial piety is linked to the mental health of Chinese immigrants in European countries. Therefore, this study aims to gain insights into the association between mental health and filial piety of first-generation Chinese immigrants in the Netherlands. A random sample of 143 participants took part in the study. A cross-sectional design was used. Data were collected through a postal survey conducted in the Chinese language between January 2021 and March 2021. The survey included a Mental Health Continuum-Short Form (MHC), and expected and perceived filial piety scale. The results indicated that in general, perceived filial piety exceeded expected filial piety ('filial piety sufficient'). Regression analysis revealed that 'filial piety sufficient' is associated with a higher emotional MHC (B =.498, p =.035). This study provided new insights into the wellbeing of older Chinese immigrants in the Netherlands and showed accordance with the literature that filial piety remains an important factor for mental health.
BACKGROUND: Global migration has increased in the past century, and aging in a foreign country is relevant to the Chinese diaspora.OBJECTIVE: With regard to migration, this study focuses on the places of aging as the context of older Chinese adults. This study aimed to describe the general health and wellbeing of this population with respect to their location.DESIGN: This study has a cross sectional design.SETTING AND PARTICIPANTS: Participants were recruited who were "aging in place" from Tianjin, China (199 participants), and "aging out of place" from the Netherlands (134 participants). Data from April to May 2019 in China and November 2018 to March 2019 in the Netherlands were aggregated.MEASUREMENTS: frailty, QoL and loneliness were used in both samples.RESULTS: T-tests and regression analyses demonstrated that social domains of frailty and QoL, as well as loneliness and frailty prevalence characterized the major differences between both places of aging. A correlation analysis and visual correlation network revealed that frailty, quality of life (QoL), and loneliness were more closely related in the aging out of place sample. Social domains of frailty and QoL, as well as the prevalence of loneliness and frailty, characterized the major differences between both places of aging.CONCLUSIONS: The findings indicate that frailty, QoL, and loneliness have a complex relationship, confirming that loneliness is a major detriment to the general wellbeing of older Chinese adults aging out of place. This study examined the places of aging of the larger Chinese population and allows a comprehensive understanding of health and wellbeing. The social components, especially loneliness, among the aging out of place Chinese community should receive more attention practice and clinical wise. On the other hand, frailty as well as its prevention is of more importance for the Chinese community aging in place.