ROOTS: Revealing cognitive Outcomes in 'zeroth gen' Older immigranTS
openNIA - National Institute on Aging
PROJECT SUMMARY
Immigrant workers are integral to American society, contributing to its cultural intactness and economic growth.
While much attention has been given to understanding and addressing the health needs of these workers, the
equally important challenge of caring for their aging parents has been comparatively overlooked. These aging
parents, referred to in this proposal as the “zeroth generation” immigrants, represent a unique demographic
whose lives in the US are deeply intertwined with those of their adult children—the first generation. The zeroth
generation faces profound challenges, including cultural adjustments, language barriers, social isolation, loss of
independent access to resources, and the absence of familiar support systems. These challenges are especially
pronounced among zeroth-generation older Chinese immigrants, making their experience even more difficult
than that of their adult children. Emerging research underscores the critical role of sleep and circadian function
in healthy aging. Studies suggest that immigrant workers are susceptible to sleep disorders and circadian
disruptions, likely due to heightened migration stress and acculturation difficulties. Furthermore, immigrants who
arrive in adulthood often show poorer cognitive performance compared to those who immigrate earlier in life,
with earlier generations displaying more pronounced deficits than their offspring, especially among those with
low levels of acculturation. These sleep, circadian, and cognitive challenges may be even more severe in the
aging zeroth generation. To address this knowledge gap, we have assembled a multidisciplinary team with
expertise in sleep science, circadian rhythms, gerontology, immigrant health, and population health research,
uniquely positioning us to conduct this study. The proposed project will establish a cohort of 100 older Chinese
immigrants, aged 65 and above, who have joined their adult children in the US, with equal representation of men
and women. Participants will undergo comprehensive assessments, including immigrant history, acculturative
stress, and cognitive performance evaluations. Sleep and circadian rhythms will be measured using actigraphy,
complemented by sleep diaries and validated questionnaires. This two-year pilot project has two specific aims:
Aim 1 will investigate whether acculturative stress is associated with poorer sleep and circadian health, defined
by worse subjective sleep quality, shorter sleep duration (subjective and objective), greater daytime sleepiness,
and more disrupted rest-activity rhythms. Aim 2 will examine whether higher levels of acculturative stress are
linked to worse cognitive performance, and whether sleep and circadian health moderates this relationship. This
study will provide crucial insights into the cognitive aging of a vulnerable population, guiding future public health
interventions and initiatives aimed at supporting aging immigrant populations.
Up to $454K
Deadline: 2028-01-31
Health