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This study examines how anti\u2010Asian hate impacts older Asians' mental, social, and physical health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From March 18, 2022 to January 24, 2023, we conducted a cross\u2010sectional survey study of community\u2010dwelling Asian\/Asian American adults aged \u226550\u2009years from the San Francisco Bay Area. Measures included perceptions of anti\u2010Asian hate; direct encounters with hate incidents; indirect experiences with hate incidents (e.g. knowing a friend who was a victim); reports of anxiety, depression, loneliness, and changes in daily activities; ways to address these issues; and discussions with clinicians about hate incidents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 293 older Asians, 158 (54%) were Vietnamese and 97 (33%) Chinese. Eighty\u2010five (29%) participants were direct victims of anti\u2010Asian hate, 112 (38%) reported anxiety, 105 (36%) reported depression, 161 (55%) reported loneliness, and 142 (48%) reported decreased daily activities. Compared with those who were \u201cnot\u2010at\u2010all\u201d to \u201cmoderately\u201d worried about hate incidents, participants who were \u201cvery\u201d to \u201cextremely\u201d worried experienced heightened anxiety (42% versus 16%), loneliness (30% versus 14%), and changes in daily activities (66% versus 31%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01 for all. Most participants (72%) felt comfortable discussing hate incidents with clinicians; however, only 31 (11%) reported that a clinician had talked with them about these incidents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both directly and indirectly, anti\u2010Asian hate negatively impacts older Asians' mental, social, and physical health. Clinicians have a role in addressing the health impacts of anti\u2010Asian hate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19016","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:40:01Z","timestamp":1716802801000},"page":"2174-2183","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["\u201cHate has chipped away at my sense of security\u201d: A survey study of\n                    <scp>the impacts of anti\u2010Asian<\/scp>\n                    hate on the health of older Asians"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1278-0126","authenticated-orcid":false,"given":"Lingsheng","family":"Li","sequence":"first","affiliation":[{"name":"Division of Geriatrics, Department of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Kang","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Nguyen","sequence":"additional","affiliation":[{"name":"UC Davis School of Medicine  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell","family":"Ho","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6098-2060","authenticated-orcid":false,"given":"Andrew T.","family":"Li","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8651-7806","authenticated-orcid":false,"given":"Jonathan J.","family":"Shih","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6137-8512","authenticated-orcid":false,"given":"Ashwin","family":"Kotwal","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine University of California  San Francisco California USA"},{"name":"Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarmin","family":"Yeh","sequence":"additional","affiliation":[{"name":"Institute for Health and Aging, School of Nursing University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Karliner","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell","family":"Jeung","sequence":"additional","affiliation":[{"name":"Asian American Studies, College of Ethnic Studies San Francisco State University  San Francisco California USA"},{"name":"Stop AAPI Hate Coalition (https:\/\/stopaapihate.org\/)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine University of California  San Francisco California USA"},{"name":"Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Center for the Study of Hate & Extremism.Report to the Nation: 2020s \u2013 Dawn of a Decade of Rising Hate."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/08862605221107056"},{"key":"e_1_2_12_4_1","unstructured":"Asian Americans report over 650 racist acts over last week new data says. 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