TY - JOUR
AU - Y. C. Cheng
AU - W. You
AU - F. K. Koo
AU - M. H. Ho
AU - S . Y. Wang
AU - J. W. Huang
AU - Y. R. Chen
AU - H. R. Chang
A1 - 
AB - AIMS: To assess cognitive impairment, frailty, and depression among culturally and linguistically diverse (CALD) older adults, and to examine their associations with age, cultural background, education, and health-related factors. DESIGN: Cross-sectional study. METHODS: Data were collected from June to September 2023 across two community healthcare organisations in Sydney. Three validated instruments were used: the Eight-item Informant Interview to Differentiate Aging and Dementia (AD8), the FRAIL Scale, and the Geriatric Depression Scale-5 (GDS-5). Descriptive statistics summarised participant characteristics. Spearman's rank correlation assessed relationships among the AD8, FRAIL, and GDS-5 scores, and independent t-tests were used to examine differences across demographic subgroups. RESULTS: A total of 221 older adults participated (mean age = 75.31 years), with 67.4 % reporting one or more chronic conditions. Participants who spoke Mandarin or Cantonese (65.6 %) had significantly lower scores for cognitive impairment, frailty, and depression compared to Arabic-speaking participants (29 %). More than half (53.9 %) scored above the threshold for cognitive impairment (AD8 > 2), with a mean AD8 score of 2.37. Significant positive correlations were observed among cognitive impairment, frailty, and depression. Older age (≥70), lower educational attainment, and the presence of chronic illness were significantly associated with higher levels of cognitive and depressive symptoms. CONCLUSION: The findings underscore the need for culturally tailored interventions and integrated care strategies to address the complex health needs of CALD older adults. Ensuring equitable access to linguistically and culturally appropriate healthcare is essential to promoting healthy ageing in multicultural populations.
AD - School of Nursing and Midwifery, Western Sydney University, Parramatta South Campus, NSW, Australia.; School of Nursing and Midwifery, Western Sydney University, Parramatta South Campus, NSW, Australia; Adelaide Nursing School, the University of Adelaide, SA, Australia; Adelaide Medical School, the University of Adelaide, SA, Australia.; School of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, NSW, Australia; Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown 2006, NSW, Australia.; School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.; School of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle; School of Health, University of New England, Armidale 2351, NSW, Australia; School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD, Australia.; Chinese Australian Services Society (CASS), 44-50 Sixth Avenue, Campsie, NSW 2194, Australia.; Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown 2006 NSW, Australia.; School of Nursing and Midwifery, Western Sydney University, Parramatta South Campus, NSW, Australia. Electronic address: Rita.chang@westernsydney.edu.au.
AN - 40774049
BT - Geriatr Nurs
C5 - Healthcare Disparities
DA - Sep-Oct
DO - 10.1016/j.gerinurse.2025.103569
DP - NLM
ET - 20250806
JF - Geriatr Nurs
LA - eng
N2 - AIMS: To assess cognitive impairment, frailty, and depression among culturally and linguistically diverse (CALD) older adults, and to examine their associations with age, cultural background, education, and health-related factors. DESIGN: Cross-sectional study. METHODS: Data were collected from June to September 2023 across two community healthcare organisations in Sydney. Three validated instruments were used: the Eight-item Informant Interview to Differentiate Aging and Dementia (AD8), the FRAIL Scale, and the Geriatric Depression Scale-5 (GDS-5). Descriptive statistics summarised participant characteristics. Spearman's rank correlation assessed relationships among the AD8, FRAIL, and GDS-5 scores, and independent t-tests were used to examine differences across demographic subgroups. RESULTS: A total of 221 older adults participated (mean age = 75.31 years), with 67.4 % reporting one or more chronic conditions. Participants who spoke Mandarin or Cantonese (65.6 %) had significantly lower scores for cognitive impairment, frailty, and depression compared to Arabic-speaking participants (29 %). More than half (53.9 %) scored above the threshold for cognitive impairment (AD8 > 2), with a mean AD8 score of 2.37. Significant positive correlations were observed among cognitive impairment, frailty, and depression. Older age (≥70), lower educational attainment, and the presence of chronic illness were significantly associated with higher levels of cognitive and depressive symptoms. CONCLUSION: The findings underscore the need for culturally tailored interventions and integrated care strategies to address the complex health needs of CALD older adults. Ensuring equitable access to linguistically and culturally appropriate healthcare is essential to promoting healthy ageing in multicultural populations.
PY - 2025
SN - 0197-4572
SP - 103569
ST - Cognitive impairment, physical frailty and depression in older adults from culturally and linguistically diverse community: A cross-sectional study
T1 - Cognitive impairment, physical frailty and depression in older adults from culturally and linguistically diverse community: A cross-sectional study
T2 - Geriatr Nurs
TI - Cognitive impairment, physical frailty and depression in older adults from culturally and linguistically diverse community: A cross-sectional study
U1 - Healthcare Disparities
U3 - 10.1016/j.gerinurse.2025.103569
VL - 65
VO - 0197-4572
Y1 - 2025
ER -