Stigma, isolation, and depression in Chinese and Korean American dementia caregivers

INTRODUCTION: Affiliate stigma may cause depressive symptoms among Asian American dementia caregivers, yet few studies have examined the underlying mechanisms or cross-ethnic differences. METHODS: We analyzed data from 338 older dementia caregivers (176 Chinese Americans, 162 Korean Americans; mean age 68.8 years) who completed measures of affiliate stigma, social isolation, loneliness, and depressive symptoms. RESULTS: for interaction < 0.01). DISCUSSION: These findings identify affiliate stigma as an important risk factor for dementia caregivers' depressive symptoms, operating through both objective and emotional forms of social disconnection. Culturally sensitive efforts to reduce caregivers' stigma and social disconnection may improve mental health outcomes in Asian American communities.