- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Migration, Health and Trauma
- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Racial and Ethnic Identity Research
- Urban Transport and Accessibility
- Urban, Neighborhood, and Segregation Studies
- Aging and Gerontology Research
- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Migration, Aging, and Tourism Studies
- Migration and Labor Dynamics
- Health Policy Implementation Science
- Health, Environment, Cognitive Aging
- Posttraumatic Stress Disorder Research
- Urban Green Space and Health
- Ethics in Clinical Research
- Counseling Practices and Supervision
- COVID-19 and Mental Health
- Family Support in Illness
- Patient-Provider Communication in Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Traumatic Brain Injury Research
- Health and Wellbeing Research
University of California, Davis
2015-2025
Alzheimer’s Disease Neuroimaging Initiative
2015-2025
Center for Asian American Media
2024-2025
University of California, San Francisco
2024-2025
Landscape Research Group
2023
Authorised Association Consortium
2023
Neurology, Inc
1999-2020
Objectives. We investigated the underlying mechanisms of influence socioeconomic status (SES) on mental health and self-rated (SRH), evaluated how these relationships might vary by race/ethnicity, age, gender. Methods. analyzed data 44 921 adults who responded to 2009 California Health Interview Survey. used a path analysis test effects SES, neighborhood safety, physical activity SRH. Results. Low SES was associated with greater safety concerns, which were negatively activity, then related...
Research suggests that Asian Americans underutilize mental health services but an understanding of the multiple factors involved in utilization has not been examined a nationally representative sample. The current study analyzed data from National Latino and American Study (NLAAS) 368 individuals with disorders to understand what were related specialty services. Significant underutilization was found for Americans; moreover, especially acute among immigrants. For U.S.-born Americans, use...
Clinicians and researchers have pointed to the need for culturally sensitive mental health interventions. Yet it has not been determined if inclusion of cultural elements affects way clients experience services. This study examined 102 who had received treatment from outpatient clinics investigate whether related involving race ethnicity were important they client satisfaction perceived outcomes. Ethnic minority generally felt that issues regarding more than did White clients. When these...
Abstract In 2016, the UC Davis Latino Aging Research Resource Center and Alzheimer's Disease brought together experts from across country to consolidate current knowledge identify future directions in aging diversity research. This report disseminates research priorities that emerged this conference, building on an earlier Gerontological Society of America preconference. We review key racial/ethnic differences cognitive dementia gaps field. advocate for a systems‐level framework whereby...
We examined whether educational attainment differentially contributes to cognitive reserve (CR) across race/ethnicity.
The development of effective treatments for Asian Americans is important because treatment disparities continue to exist this population. Because their theoretical grounding in East philosophies, mindfulness and acceptance-based psychotherapies appear constitute promising ways provide culturally responsive mental health care Americans. However, practice these approaches often reflect conceptions that are more consistent with Western world views. We review points intersection divergence...
The goal of this qualitative study was to describe the beliefs and experiences Vietnamese caregivers caring for a family member with dementia elicit their ideas about promising interventions. We recruited 10 from support groups, Alzheimer's Association, local community-based organizations in Northern California. conducted semi-structured in-depth interviews all caregivers, as well focus group obtain supportive strategies. Several themes emerged data: (1) Filial piety influential caregiving;...
Reports of escalated discrimination among Asian Americans and Pacific Islanders (AAPIs) due to COVID-19 are alarming, making this a public health priority. However, there limited empirical studies on the scope impact COVID-19-related AAPIs. Using Effects Mental Physical Health AAPI Survey Study (COMPASS) data (N = 4971; survey period: October 2020–February 2021), which is U.S.-wide multi-lingual survey, we examined prevalence of, factors associated with experiences attributable being an...
Abstract Introduction Clinical research focused on aging, Alzheimer's disease and related dementias (ADRD), caregiving often does not recruit Asian Americans Pacific Islanders (AAPIs). Methods With funding from the National Institute Aging, we designed launched Collaborative Approach for AAPIs Research Education (CARE), a recruitment registry to increase AAPIs’ participation in ADRD, research. We present design of this novel program. Results CARE uses community‐based participatory methods...
Some studies on mental health outcomes research have found that when clients and therapists are ethnically or racially matched, this tends to be related greater satisfaction better outcomes. However, the precise underlying mechanism for match effect has not been extensively examined. In experimental study, we tested of racial critical counseling processes (i.e., therapist credibility working alliance) using a sample 171 Asian American respondents. We also examined ethnic identification as...
Although individual-level socioeconomic status is associated with poor outcomes, less known regarding how the social context might affect cognitive outcomes. We examined effect of neighborhood (NSES) on baseline function and trajectories decline.The sample (N = 480) came from a longitudinal cohort recruited to study function. Mixed effects models influence NSES rate change in executive function, semantic memory, episodic memory.NSES was positively memory scores at baseline, but not or...
Health literacy is critical for understanding information from health-care providers and correct use of medications includes the capacity to filter other in navigating health care systems. Older adults with low exhibit more chronic conditions, worse physical functioning, poorer mental health. This study examined relationship between sociodemographic variables literacy, impact cognitive training on change over 10 years older adults.
Willingness to get the COVID-19 vaccine is crucial reduce current strain on healthcare systems and increase herd immunity, but only 71% of U.S. public said they would vaccine. It remains unclear whether Asian Americans Pacific Islanders (AAPI), a population with existing inequalities in infection mortality, are willing vaccine, factors associated willingness. Given this imperative, we used data from national, cross-sectional, community-based survey called
We investigated associations between neighborhood racial/ethnic segregation and cognitive change.
Abstract Objectives Vietnamese Americans are the fourth-largest Asian subgroup in United States (US), but little qualitative work has been done on their war and migration experiences. In this study, we delineated war-related traumas strength participants of Insights into Cognitive Aging Program (VIP). Methods VIP is a longitudinal study 548 aged 65+ years living Northern California. During visit 1, semi-structured interview was conducted participants’ life experiences Vietnam immigration to...
Abstract Previous studies have found a strong association between activities of daily living (ADL)/instrumental (IADL) disability, chronic conditions, and depressive symptoms, these associations with specific disability diseases varied by racial/ethnic groups. However, information is unavailable on associations, especially the older generation refugee populations. Authors examined explored which might be associated symptoms among 208 Vietnamese-origin adults (≥65 years) from Vietnamese Aging...
Abstract Novel anti‐amyloid beta (Aβ) immunotherapies for Alzheimer's disease (AD) have achieved regulatory approval and offer promising results patients with mild cognitive impairment (MCI) dementia. Given the importance of early intervention, uncertainties arise populations, such as Vietnamese Americans, who are challenged by systemic barriers cultural health beliefs that may hinder access to timely diagnoses. While clinical trials demonstrated significant slowing in functional decline MCI...
Abstract INTRODUCTION Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities are among the fastest growing segments of older adults in United States yet remain underrepresented aging, dementia, caregiving research. METHODS The Collaborative Approach for AANHPI Research & Education (CARE), a recruitment registry, aims to improve representation We describe activity date, as well planned expansions cultural groups, language capacity, data collection registry. RESULTS...
Asian patients preferentially seek mental health care from their primary providers but are unlikely to receive it. Primary need culturally-informed strategies for addressing stigmatizing illnesses.
Racial disparities in cognitive outcomes may be partly explained by differences locus of control. African Americans report more external control than non-Hispanic Whites, and is associated with poorer health cognition. The aims this study were to compare training gains between American White participants the Advanced Cognitive Training for Independent Vital Elderly (ACTIVE) determine whether racial are mediated sample comprised 2,062 (26% American) adults aged 65 older who participated...
Abstract Introduction Few longitudinal studies have examined the joint impact of neighborhood segregation and socioeconomic status (NSES) in cognitive decline over time. Methods This study included non‐Hispanic White (NHW, n = 209) Black participants ( 118) whose cognition was evaluated as part an ongoing study. Four distinct categories NSES were for their association with outcomes (episodic memory, semantic executive function, spatial ability) using race‐specific mixed‐effects models....