Aging and Mental Well-being among Ethnic Minority Elderly in Hong Kong: A Culturally Ecological Perspective
The growing aging population has drawn increasing attention to aging arrangements and mental health issues among older adults. However, despite the rapid growth of ethnic minority (EM) older populations alongside overall demographic aging, their distinct needs remain largely neglected in policy planning and service provision. While extending literature has focused on discrimination, poverty, and ethnic inequality, this study adopts a more comprehensive, culturally informed perspective to examine EM aging and mental health challenges, and to propose policy-level strategies to address these issues.
To have a comprehensive view of EM aging and mental health challenges, this thesis builds on an ecological framework to enable a multi-level analysis, spanning individual, interpersonal, community, and policy dimensions. Through interviewing EM older adults in Hong Kong, the first study investigates the factors influencing their preferences for aging-in-place arrangements. The second study takes a global perspective, identifying the culturally shaped coping strategies they employed in response to mental health challenges. Recognizing the importance of traditional family values among ethnic minorities, the third study using self-collected survey data examines the mechanisms linking public transfers, private financial support, and the mental well-being of EM older adults.
Collectively, the findings highlight the critical importance of cultural inclusiveness in aging policy making. This thesis contributes not only empirical evidence on aging and mental well-being among ethnic minorities, but also emphasizes the crucial role of cultural context in shaping EM mental health, influencing decisions related to aging arrangements, and determining the effectiveness of social protection policies.