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43/100

✓ Peer-reviewed alzhub usefulness score 43 out of 100. Caregiving

Topic: Risk, prevention and care in population studies

Abstract 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 Higher stigma was associated with more severe depressive symptoms ( p < 0.001). Mediation analyses suggest this effect is partly explained by increased social isolation (12.8% mediated) and, especially, greater loneliness (44.4% mediated) among highly stigmatized caregivers. The stigma–depression relationship was stronger for Korean than for Chinese American caregivers ( p 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.

Key findings

RESULTS Higher stigma was associated with more severe depressive symptoms ( p < 0.001).
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.

Why it matters

Among 338 Chinese and Korean American dementia caregivers, higher affiliate stigma was associated with more severe depressive symptoms, partly explained by social isolation and especially loneliness. The authors say culturally sensitive efforts to reduce stigma and social disconnection may improve mental health outcomes, but no dementia treatment or cure was tested.

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Study details

Effect size12.8%; 44.4%
Evidence strengthLow

How this study scored 43/100

Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 41 of the 96 points we could judge it on, which is 43 out of 100.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring)
Journal's citation record	1 / 4	Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring: journal h-index 86 (OpenAlex, 2026-10-29)
Study design	0 / 12	No study design recorded — scores zero, not guessed (not stated in the record — scored 0)
Strength of evidence	1 / 5	Rated “low” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	5 / 5	2026 — within 1 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	2 / 3	Effect reported as a number, without an interval or test
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 4 times (OpenAlex, 2026-10-10)
Citations per year	1 / 5	2.0 citations a year over 2 year(s) since 2026
Impact for its field and year	4 / 6	Cited 19.0× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	— / 4	OpenAlex's profile for last-listed author Bei Wu holds only 2 work(s), too few to judge a track record — left out of this score
Institution's track record	2 / 3	New York University: institution h-index 1,612 (OpenAlex)
Multi-centre collaboration	2 / 3	OpenAlex lists 4 institution(s) in 2 countries
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 41953933)
Free to read	2 / 2	Free to read
Points	41 / 96	Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 41 of the 96 points we could judge it on is 43 out of 100.
Total	43 / 100	—

What each of these 20 components measures, and what this score is not →

Read the original

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.

APA 7th

Qi, X., Ko, E., Ruan, J., Wang, J., Leong, T., Jung, J. H., et al. (2026). Stigma, isolation, and depression in Chinese and Korean American dementia caregivers. Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring. https://doi.org/10.1002/dad2.70272

Vancouver

Qi X, Ko E, Ruan J, Wang J, Leong T, Jung JH, et al. Stigma, isolation, and depression in Chinese and Korean American dementia caregivers. Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring. 2026. doi:10.1002/dad2.70272. PMID: 41953933.

BibTeX

@article{qi2026-41953933,
  author  = {Qi, Xiang and Ko, Eunjung and Ruan, Jia and Wang, Jing and Leong, Tek and Jung, Ju Hye and Su, Jin and Pei, Yaolin and others},
  title   = {{Stigma, isolation, and depression in Chinese and Korean American dementia caregivers}},
  journal = {Alzheimer s \& Dementia Diagnosis Assessment \& Disease Monitoring},
  year    = {2026},
  doi     = {10.1002/dad2.70272},
  pmid    = {41953933},
  url     = {https://doi.org/10.1002/dad2.70272}
}

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