This study investigated the relationship between neighborhood social cohesion and psychological distress among this highly stigmatized yet understudied population. Drawing on data from the 2021 to 2022 California Health Interview Survey (CHIS) Public Use Files, authors used weighted linear regression to examine the association between neighborhood social cohesion and psychological distress among Asian elders.

Findings: Results showed that lower neighborhood social cohesion (i.e., discohesion) was strongly associated with higher psychological distress, even after accounting for various sociodemographic and health-related variables. Specifically, for each unit increase in discohesion, a 0.093 unit increase in psychological distress was predicted. These findings highlight the importance of neighborhood social cohesion for understanding mental health among racially minoritized older adults. Directions for future research and implications for public health are discussed.