The PIETY Study

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The PIETY Study
PurposeTo improve the quality of life of the U.S. Chinese population through education, research, and sustainable community-engagement.
Location
Methods Community-based participatory research
Official language
English, Mandarin, Cantonese, Taishanese, Teochew
Main organ
Chinese Health, Aging, and Policy Program, Rush Institute for Healthy Aging, Rush University Medical Center
AffiliationsNorthwestern University,

Chinese American Service League,

Xilin Asian Community Center
Budget
NIH funded
Website chinesehealthyaging.org/pinestudy.html

The PIETY Study is a U.S. longitudinal study of Chinese families derived from the PINE Study. [1] [ predatory publisher ] It is the product of a synergistic collaboration between the Chinese Health, Aging, and Policy Program (CHAP) at Rush University, Northwestern University, and many community-based organizations and social service providers. This academic-community partnership is led by XinQi Dong MD, MPH, at Rush University, Melissa A Simon, MD, MPH, at Northwestern University, and Esther Wong, ACSW and Bernarda Wong, ACSW, at Chinese American Service League. [2]

Contents

The goal of the PIETY Study is to better understand the health and well-being of Chinese adult children, and understand the factors impacting the health and aging of Chinese older adults from the perspectives and experiences of adult children. [3]

Since 2011, more than 4,000 face-to-face interviews were conducted. Each interview was personalized according to languages or dialects the participant preferred, including English, Mandarin, Cantonese, Toishanese, and Teochew. [1]

Background

The population of U.S. Chinese adults aged 65 and above has increased four times quicker than the general U.S. older adult population. [4] This rapid growth means there is an increasing demand for elder care within Chinese families. Traditionally, family-oriented values influence the planning and organization of elder care in Chinese families. Filial piety prescribes that adult children are obligated to provide adequate support to their elderly parents. This demand and cultural precedent calls for a better research understanding of Chinese adult children as family caregivers. [3]

Current data collection efforts mostly aggregate Asian as a single category, and therefore social and health data regarding Chinese Americans as specific ethnic group have been scarce. Moreover, conceptual frameworks that have been used in prior research were developed based on Western populations, failing to identify the importance of cultural values within minority populations. In light of those factors, the knowledge of culture and caregiving within Chinese families was rudimentarily understood. Without a full understanding, public health and policy goals remain under-developed to adequately support the family caregiving practices of Chinese adult children. With this mission in mind, the PIETY Study is built to understand the health and well-being of Chinese families in the Chicago metropolitan area. [3]

Methods

The PIETY Study is a community-based participatory population study investigating Chinese adult Children, who lives in the Chicago area. The criteria of participation are:

  1. The participants must be 21 of age or above [1]
  2. The participants need to have at least one living parent 60 years or older [1]
  3. An eligible participant needs to identify himself/ herself as Chinese [1]

Data collection is through face-to-face interviews using the website-based application. The survey is composed of questionnaires and qualitative questions, which capture adult children's perspectives on the topics regarding filial piety and caregiving. [1]

Findings

Socio-demographic profile

Health

Intergenerational solidarity

Caregiving

Family conflict

Psychological well-being

Social well-being

Implications

The data collected from the PIETY Study show that Chinese American adult children confront significant life and health challenges in providing care for their aging parents due to multiple social, structural, cultural and linguistic barriers. Nevertheless, these health challenges also represent tremendous opportunities for family members, community stakeholders, researchers, health professionals, social service agencies, and policy makers to work in concert to improve the health and well-being of all Chinese Americans. [3]

Future directions

Longitudinal studies are needed to better understand changes of biological, behavioral, familial, social, and cultural factors over time. Currently, the PIETY Study is undergoing the second wave of data collection. The third wave is starting in 2017 to examine how the health and intergenerational relationships of Chinese adults change, in order to better understand the causes of certain health outcomes. [3] [7]

Related Research Articles

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<span class="mw-page-title-main">Grandparent</span> Parent of ones parents

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<span class="mw-page-title-main">The PINE Study</span>

The Population Study of ChINese Elderly (PINE) Study is a collaborative effort between the Chinese Health, Aging, and Policy Program at Rutgers University, Northwestern University and several community services organizations, including Chinese American Service League, Midwest Asian Health Association (MAHA) and Xilin Asian Community Center as the main community partners. This synergistic academic-community partnership is led by XinQi Dong MD, MPH, at Rutgers University, Melissa A Simon, MD, MPH, Esther Wong, ACSW, Bernarda Wong, ACSW, and utilizes a community-based participatory research approach.

Caregiver burden is the stress which is perceived by caregivers due to the home care situation. The subjective burden is considered to be one of the most important predictors of negative outcomes from the home care situation.

XinQi Dong is a doctor of medicine in geriatric medicine and internal medicine, and President and CEO of the Institute for Population Health Sciences.Founded in 2022, the Institute for Population Health Sciences (IPHS) seeks to advance population health sciences through scientific research, adaptive training and coaching, and partnership development to improve health and wellbeing of diverse populations.

<span class="mw-page-title-main">Filial piety in Buddhism</span> Aspect of Buddhist ethics, story-telling traditions, apologetics and history

Filial piety has been an important aspect of Buddhist ethics since early Buddhism, and was essential in the apologetics and texts of Chinese Buddhism. In the Early Buddhist Texts such as the Nikāyas and Āgamas, filial piety is prescribed and practiced in three ways: to repay the gratitude toward one's parents; as a good karma or merit; and as a way to contribute to and sustain the social order. In Buddhist scriptures, narratives are given of the Buddha and his disciples practicing filial piety toward their parents, based on the qualities of gratitude and reciprocity. Initially, scholars of Buddhism like Kenneth Ch'en saw Buddhist teachings on filial piety as a distinct feature of Chinese Buddhism. Later scholarship, led by people such as John Strong and Gregory Schopen, has come to believe that filial piety was part of Buddhist doctrine since early times. Strong and Schopen have provided epigraphical and textual evidence to show that early Buddhist laypeople, monks and nuns often displayed strong devotion to their parents, concluding that filial piety was already an important part of the devotional life of early Buddhists.

References

  1. 1 2 3 4 5 6 Dong, XinQi; Bergren, Stephanie (Jun 2016). "Caregiver Burden among Chinese Adult Children in Greater Chicago Area- the Piety Study". Research & Reviews: Journal of Social Sciences. 2 (2): 1–8.
  2. "CHAP Investigators". Chinese Health, Aging, and Policy Program.
  3. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 "The PIETY Report" (PDF).
  4. Hoeffel, Elizabeth M.; Rastogi, Sonya; Kim, Myoung Ouk; Shahid, Hasan (March 2012). "The Asian Population: 2010" (PDF). United States Census Bureau. Retrieved 23 December 2016.
  5. 1 2 3 4 5 "Study Links Filial Piety to Caregiver Stress, Depression in Chinese Americans". Sing Tao Daily. February 4, 2016. Retrieved 21 December 2016.
  6. 1 2 3 4 "Study: Adult Children Of Chinese Americans Stressed Over Cultural Expectations". CBS Chicago. December 18, 2015. Retrieved December 18, 2015.
  7. "Chinese Health, Aging, and Policy Program". Chinese Health, Aging, and Policy Program.