The Relationship Between Activities of Daily Living (ADL), Chronic Diseases, and Depression Among Older Korean Immigrants

Abstract

It has been identified that performance of Activities of Daily living (ADL) and chronic disease are predictors of depression for older Asian immigrants. This study examined the independent and interactive effects of ADL performance and chronic disease on depressive symptoms among older Korean immigrants. Data from 210 older Korean immigrants in Los Angeles County were analyzed. Self-reported measures included sociodemographic characteristics, ADL performance, chronic disease, and depressive symptoms. A hierarchical regression model indicated that performance of activities of daily living were negatively associated with depressive symptoms. Also, older Korean immigrants with more chronic diseases were more likely to have depressive symptoms. The interaction between ADL performance and chronic diseases was significantly associated with lower levels of depressive symptoms (β = .46, p < .05). Findings suggest that it is critical to develop various strategies for enhancing immigrants’ ability to perform activities of daily living; this can lead to increased independence and reduced chronic illnesses, thus, improving overall quality of life.