Belonging across cultures and the negotiation of religious identity.
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176 to 200 of 747Afghan immigrant women's knowledge and behaviors around breast cancer screening.
Background: This community-based participatory research was conducted to provide a preliminary understanding of how Afghan women in Northern California view their breast health.
Methods: Results were based on demographics and in-depth semi-structured interviews conducted with 53 non-English-speaking first-generation immigrant Muslim Afghan women 40 years and older.
Results: Findings showed low levels of knowledge and awareness about breast cancer and low utilization of early-detection examinations for breast cancer among participants.
Conclusions: The findings also suggest a significant need for a community-based breast health education program that recognizes the unique social, cultural, and religious dynamics of the Muslim Afghan community.
matched on Cultural Characteristics (mesh), Emigrants and Immigrants (mesh)
Bekteshi V (2024)MEDLINE-indexed journal, not yet read by usBMC women's health2 citations Decoding acculturative stress and psychological distress in Mexican immigrant women: insights from a path mediation analysis.
Background: This study investigates acculturative stress and its impact on psychological distress among Mexican immigrant women in the United States, with a particular focus on contextual factors shaping these acculturative stress experiences. It also seeks to provide actionable insights to address Mexican immigrant women's mental health needs.
Methods: Using the data from a total of 257 Mexican immigrant women in the National Latino Asian American Survey (NLAAS), path analysis was conducted to examine the relationships between acculturative stress, psychological distress, and various contextual factors.
Results: Acculturative stress was found to significantly contribute to psychological distress among Mexican immigrant women. Key factors affecting acculturative stress include contentment with the decision to move to the United States, English language proficiency, experiences of racial …
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Explaining the Immigrant Paradox: The Influence of Acculturation, Enculturation, and Acculturative Stress on Problematic Alcohol Consumption.
The present study explored the Immigrant Paradox (IP), generational differences in problematic alcohol use (alcohol consumption and alcohol-related consequences), among immigrants and US born groups from a number of ethnic minority backgrounds. Our approach separates group differences in problematic alcohol consumption in a counterfactual manner for immigrants and the US born to answer the following counterfactual question: "What would problematic alcohol use levels be for the US born had they been exposed to the alcohol use generation (or protective) processes of immigrants and vice versa?" Multidimensional measures of enculturation (involvement with heritage culture), acculturation (involvement with US culture), acculturative stress, and demographic covariates were used to statistically explain these differences. The sample consisted of Asian American (n = 1,153), Black American (n = 8…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Gender Differences in Acculturative Stress and Habitual Sleep Duration in Korean American Immigrants.
Korean American immigrants (KAIs) face diverse sociocultural stressors in the acculturation process. While stress is known to cause short sleep, little is known about how acculturative stress affects sleep differently for KAI men and women. The purpose of this cross-sectional study was to examine gender differences in the association between diverse domains of acculturative stress and sleep duration among KAIs. Middle-aged KAIs were recruited in community settings and online. KAIs completed validated measures of acculturative stress (homesickness, social isolation, employment barriers, discrimination, civic disengagement, and family problems) and sleep duration. Multiple linear regression analysis was performed and stratified by gender. 343 KAIs participated (mean age = 41 ± 10 years, 47% female, 11% short sleepers [< 6 h]). After adjustment for covariates, higher homesickness (β = - 23.…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Does Acculturative Stress Influence Immigrant Sexual HIV Risk and HIV Testing Behavior? Evidence from a Survey of Male Mexican Migrants.
Objective: Migration is a structural factor that increases HIV vulnerability. Acculturative stress represents a possible mechanism through which migration may negatively impact HIV risk. This study investigated socio-ecological factors associated with acculturative stress levels and examined the association between acculturative stress and HIV-related behavior among Mexican im/migrants.
Methodology: We used data from a probability survey of Mexican im/migrants (N = 1383) conducted in Tijuana, Mexico, in 2009-2010. The sample included migrants returning to Mexico via deportation or voluntarily after a recent stay in the USA. Linear regression models were estimated to identify individual, migration, and contextual factors independently associated with overall acculturative stress levels. Logistic regression models were used to test for associations between acculturative stress, sexual HIV …
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women.
Over half of pregnant women report anxiety symptoms and these symptoms may be precipitated by stressful experiences. Anxiety rates may be higher in Mexican-American women who experience sociocultural stressors, such as acculturation, acculturative stress and discrimination. However, the role of such stressors on the trajectory of anxiety symptoms across pregnancy is not yet known. Mexican-American women (n=151) completed surveys across pregnancy about acculturation, acculturative stress, perceived discrimination, and state anxiety. Multilevel modeling found that acculturation (Anglo orientation, b=0.050, SE=0.379, t (137.561)=0.134, p=0.894; Mexican orientation, b=0.775, SE=0.692, t (133.424)=1.121, p=0.264) and perceived discrimination (b=-1.259, SE=0.921, t (137.489)=-1.367, p=0.174) were not associated with the trajectory of anxiety symptoms. However, acculturative stress, even while …
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Stress, Place, and Allostatic Load Among Mexican Immigrant Farmworkers in Oregon.
Cumulative exposure to chronic stressors has been shown to contribute to immigrants' deteriorating health with more time in US residence. Few studies, however, have examined links among common psychosocial stressors for immigrants (e.g., acculturation-related) and contexts of immigrant settlement for physical health. The study investigated relationships among social stressors, stress buffers (e.g., family support), and allostatic load (AL)--a summary measure of physiological "wear and tear"--among 126 adult Mexican immigrant farm workers. Analyses examined social contributors to AL in two locales: (1) White, English-speaking majority sites, and (2) a Mexican immigrant enclave. Our six-point AL scale incorporated immune, cardiovascular, and metabolic measures. Among men and women, older age predicted higher AL. Among women, lower family support related to higher AL in White majority commu…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Psychosocial and contextual determinants of alcohol and drug use disorders in the National Latino and Asian American Study.
Background: In the U.S., Latino and Asian American immigrants and ethnic minorities may be at increased risk for alcohol and drug use disorders (AUDs/DUDs). The role of psychosocial and contextual characteristics as potential factors underlying this increased risk is unresolved.
Methods: Participants include 4649 adults from the National Latino and Asian American Study. Logistic regression was used to determine the relationship between acculturation, acculturative stress, neighborhood characteristics, family characteristics, and discrimination and AUDs/DUDs. Models were stratified by age of immigration and ethnicity and controlled for demographic and mental health characteristics.
Results: Overall, 9.6% of Latino and 4.1% of Asian participants met criteria for lifetime AUDs/DUDs. Acculturation, family conflict, and discrimination were positively associated with AUDs/DUDs (odds ratios [OR…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Acculturative stress and inflammation among Chinese immigrant women.
Objective: Among Chinese immigrant populations, increasing duration of US residence is associated with elevated risk for various chronic diseases. Although life-style changes after migration have been extensively studied in immigrant populations, the psychosocial impact of acculturative stress on biological markers of health is less understood. Thus, the purpose of the present study is to examine associations between acculturative stress and inflammatory markers in a Chinese immigrant population.
Methods: Study participants (n = 407 foreign-born Chinese American women) completed questionnaires assessing levels of stress, including acculturative stress and positive and negative life events in the previous year. Participant height and weight were measured using standard protocols, and blood samples were drawn for assessment of circulating serum levels of C-reactive protein (CRP) and solubl…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
The impact of acculturation and acculturative stress on alcohol use across Asian immigrant subgroups.
Acculturation and acculturative stress are examined as predictors of alcohol use among Asian immigrants, using the 2004 National Latino and Asian Americans Survey (NLAAS). Separate regression analyses were conducted for Chinese (n = 600), Filipino (n = 508), and Vietnamese (n = 520) immigrants. Alcohol use varied for the three groups. English proficiency was associated with drinking for all groups. Family conflict was associated with drinking for Chinese immigrants. General acculturative stress and discrimination were associated with drinking for Vietnamese immigrants. Results underscore acculturation and acculturative stress as being contributors to alcohol consumption, and the importance of considering the heterogeneity of Asian immigrants in research on their alcohol use. The study's limitations are noted.
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Acculturative stress and psychotic-like experiences among Asian and Latino immigrants to the United States.
Previous studies have shown variation in the prevalence and incidence of psychosis across immigrant groups, but the underlying mechanisms are not fully understood. Stress related to acculturation may increase risk for psychosis among immigrant groups. In this study we examine the association between acculturative stress and psychotic-like experiences in a sample of Latino- and Asian-American immigrants to the United States in the National Latino and Asian American Study (n=2434). Acculturative stress was associated with visual and auditory hallucinations among Asians, but only with hearing voices among Latinos. Increased risk for psychotic-like experiences among Latinos was primarily associated with younger age of immigration. Acculturative stress appears to be a promising candidate mechanism explaining the relationship between immigration and psychosis, particularly among Asian American…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Factors associated with sleep disturbance in women of Mexican descent.
Aims: The aims were to identify the most useful parameters of acculturation in relation to self-reported sleep disturbance and describe risk factors for sleep disturbance in women of Mexican descent.
Background: Little is known about acculturation as a factor for poor sleep in the context of other personal factors such as income or sense of resilience or mastery for Latinas in the United States.
Design: This study was a secondary analysis of cross sectional survey data.
Methods: Personal factors were incorporated into a modification of the conceptual framework of impaired sleep to guide our secondary analysis of self-reported sleep disturbance. Data were collected from a convenience sample of 312 women of Mexican descent of childbearing age (21-40 years) located in an urban California community were collected and previously analysed in relation to depressive symptoms and post-traumatic s…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Language proficiency and health status: are bilingual immigrants healthier?
Bilingual immigrants appear to have a health advantage, and identifying the mechanisms responsible for this is of increasing interest to scholars and policy makers in the United States. Utilizing the National Latino and Asian American Study (NLAAS; n = 3,264), we investigate the associations between English and native-language proficiency and usage and self-rated health for Asian and Latino U.S. immigrants from China, the Philippines, Vietnam, Mexico, Cuba, and Puerto Rico. The findings demonstrate that across immigrant ethnic groups, being bilingual is associated with better self-rated physical and mental health relative to being proficient in only English or only a native language, and moreover, these associations are partially mediated by socioeconomic status and family support but not by acculturation, stress and discrimination, or health access and behaviors.
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Blair TR (2012)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)14 citations "Community ambassadors" for South Asian elder immigrants: late-life acculturation and the roles of community health workers.
Elder immigrants face multiple barriers to accessing health care and other basic services. The Community Ambassador Program for Seniors (CAPS), based in Fremont, California, trains volunteer "ambassadors" from several ethnic and faith communities to perform information and referral services for elders, particularly immigrants. The purpose of this study is to examine the roles of ambassadors in ecologic context as community health workers (CHWs) for clients undergoing late-life acculturation. Ambassadors from three different communities, all of South Asian heritage, were interviewed using a semi-structured guide. 20 out of 23 ambassadors from these communities participated, from December 2008 to December 2009. Data collection and analysis followed grounded theory methodology. Results are presented as an integrated explanatory model, with three major components: (1) acculturative stress, p…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
A life course perspective on migration and mental health among Asian immigrants: the role of human agency.
The relationship between human agency and health is an important yet under-researched topic. This study uses a life course perspective to examine how human agency (measured by voluntariness, migratory reasons, and planning) and timing (measured by age at immigration) affect mental health outcomes among Asian immigrants in the United States. Data from the National Latino and Asian American Study showed that Asian immigrants (n=1491) with multiple strong reasons to migrate were less likely to suffer from mental health problems (i.e., psychological distress and psychiatric disorders in the past 12 months) than those without clear goals. Moreover, Asian immigrants with adequate migratory planning had lower levels of distress and lower rates of 12-month psychiatric disorders than those with poorly planned migration. Compared with migrants of the youngest age category (six or younger), those w…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Acculturation, discrimination and depressive symptoms among Korean immigrants in New York City.
Immigrant mental health issues, especially depression in relation to discrimination and acculturation, are reported to be serious problems in the United States. The current study examines the prevalence of depressive symptoms among Korean immigrants in New York City (NYC) and its relation to self-reported discrimination and acculturation. A sample of 304 Korean immigrants residing in NYC completed a survey utilizing the Center for Epidemiologic Studies Depression Scale-Korean version, Discrimination Scale, and Acculturation Stress Scale. Results indicated that 13.2% of the sample population demonstrated some symptoms of depression and that variable such as living alone, marital status, education, years in US and income impact high depression scores. Results also indicate that higher self-reported exposure to discrimination and lower self-reported language proficiency were related to high…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Hopelessness, family stress, and depression among Mexican-heritage mothers in the southwest.
This article reports on the findings of a study conducted with a sample of 136 Mexican-heritage mothers residing in a large southwestern metropolitan area. From a risk-and-resiliency perspective, hopelessness was approached as a culturally specific response to family stress and other challenges encountered by Mexican immigrants. Although Mexican-heritage women and other Latinas have higher prevalence rates of psychiatric disorders than their male counterparts, they experience disparity in accessing mental health services. Multiple regression analysis was used to explore the relationships among hopelessness, depression, social support, and other variables. Culturally rooted resiliency and a sense of optimism connected to immigration appear to shelter Mexican-heritage mothers from hopelessness and depression. A very large households and nonworking status were found to elevate the risk of h…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), Mexican Americans (mesh), acculturation (text)
Lau AS (2010)MEDLINE-indexed journal, not yet read by usCultural diversity & ethnic minority psychology20 citations Physical discipline in Chinese American immigrant families: An adaptive culture perspective.
Research on ethnic minority parenting has examined heritage cultural influences and contextual stressors on parenting processes. However, rarely are adaptive cultural processes considered, whereby ethnic minority parents bring their cultural values to bear in adapting to contextual demands in the host society. A survey of 107 Chinese American immigrant parents examined whether use of physical discipline can be predicted by cultural values, contextual stressors, and their interactions. Results indicated that distinct domains of cultural values were related to physical discipline in disparate ways, with some values decreasing risk and others indirectly increasing risk. There was some evidence that cultural values interacted with contextual stress to predict physical discipline. Parent-child acculturation conflicts were only related to physical discipline when parents held strong values abo…
matched on Acculturation (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Meca A, Zamboanga BL, Lui PP, Schwartz SJ, Lorenzo-Blanco EI, Gonzales-Backen MA, Cano MÁ, Szapocznik J, Soto DW, Unger JB, Baezconde-Garbanati L, Kubilus R, Villamar JA, Lizzi KM (2019)MEDLINE-indexed journal, not yet read by usThe American journal of orthopsychiatry18 citations Alcohol initiation among recently immigrated Hispanic adolescents: Roles of acculturation and sociocultural stress.
There is a growing recognition for the need for research to explore the unique and interactive effects of acculturation and sociocultural stress on alcohol initiation. Building on this research agenda, the current study sought to explore the independent and interactive effects of acculturation (i.e., heritage and U.S. cultural practices and identification) and sociocultural stress (i.e., perceived discrimination, perceived context of reception, and bicultural stress) on alcohol initiation among recently immigrated Hispanic adolescents. Data were taken from a 6-wave longitudinal study with 302 recently immigrated Hispanic adolescents (53% boys; Mage = 14.51 years at baseline; range = 14-17 years) and their families. Discrete-time survival models indicated that none of the acculturation indicators directly predicted alcohol initiation. Sociocultural stress-and specifically, bicultural stre…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), acculturation (text), bicultural (text)
The role of bicultural adaptation, familism, and family conflict in Mexican American adolescents' cortisol reactivity.
Scarce research has examined stress responsivity among Latino youths, and no studies have focused on the role of acculturation in shaping cortisol stress response in this population. This study assessed Mexican American adolescents' Mexican and Anglo cultural orientations and examined prospective associations between their patterns of bicultural orientation and hypothalamic-pituitary-adrenal cortisol reactivity to an adapted Trier Social Stress Test. The sample included 264 youths from a longitudinal birth cohort study who completed the Trier Social Stress Test and provided saliva samples at age 14. The youths completed assessments of cultural orientation at age 12, and family conflict and familism at age 14. Analyses testing the interactive effects of Anglo and Mexican orientation showed significant associations with cortisol responsivity, including the reactivity slope, peak levels, an…
matched on Acculturation (mesh), Mexican Americans (mesh), acculturation (text), bicultural (text)
Acculturation and school adjustment of children and youth from culturally diverse backgrounds: Predictors and interventions for school psychology.
In recent decades, classrooms in many countries have become more culturally diverse. However, students from ethnic minorities and students with immigrant backgrounds are at greater risk of lower social, psychological, and academic adjustment than their native peers. Therefore, schools all over the world are challenged by the question of how to help diverse students adjust to school independent of their ethnic background and family resources. The current special issue focuses on how schools and school psychologists can support positive interethnic attitudes and positive relationships in ethnically diverse classrooms as well as individual well-being, belonging, and academic achievement as different facets of school adjustment. The special issue includes three studies with empirical findings on the role of contextual and individual factors for school adjustment among minority and majority y…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Social identity makes group-based social connection possible: Implications for loneliness and mental health.
This review argues that a distinctly positive form of social connection is made possible by the social identities that people derive from psychologically meaningful group memberships. These connections have important implications for mental health by virtue of their distinct capacity to furnish people with a sense of collective meaning, purpose, support, and efficacy. This analysis suggests that loneliness and its toxic effects arise in part from the challenges of achieving this distinct form of social connection in contemporary society. However, it also suggests that a good way to tackle loneliness and support mental health is by building, restoring, and sustaining social identities through meaningful group-based connections. We conclude by reflecting on the success of interventions that do precisely this - most notably Groups 4 Health.
matched on Social Identification (mesh)
Systematic review: Acculturation strategies and their impact on the mental health of migrant populations.
Objectives: This study aims to examine the correlation between the different types of migrant acculturation strategies according to Berry's model of acculturation (integration, assimilation, separation, and marginalisation) and their effects on mental health conditions, such as depression, anxiety and PTSD.
Study design: Systematic Review.
Methods: Three databases (PubMed, Ovid and Ebsco) were searched using different combinations of search terms to identify relevant articles to be included. The search terms were pre-identified using relevant synonyms for "migrants", "mental health" and "integration". The list of article titles from these searches were then filtered using predefined inclusion and exclusion criteria. The mental health consequences included a range of common conditions including suicide/self-harm, depressive disorders, psychosis, as well as substance misuse.
Results: 21 pr…
matched on Acculturation (keyword), acculturation (text)
Life Change, Social Identity, and Health.
Life change affects health. Research aimed at understanding the consequences of life change has primarily focused on the important roles played by stress, social support, individual differences, and broader socioeconomic factors in shaping health outcomes, most notably mental health decline. In this review we extend these accounts by exploring social identity-based determinants of adjustment to life change. We do so by drawing on social identity theorizing and, in particular, the Social Identity Model of Identity Change (SIMIC). This points to the importance of multiple, maintained, new, and compatible group memberships as determinants of people's responses and adjustment to life change. We apply this model to understand the health consequences of adjustment to life change in four diverse areas: pursuit of higher education, migration, trauma and resilience, and recovery from illness and …
matched on Social Identification (mesh)
A conceptual review of identity integration across adulthood.
Though Erikson recognized identity development as a lifelong project, most research on identity has focused on adolescents and emerging adults. Less is known about how the identity formed in adolescence is maintained and adapted across the adult life span. The purpose of the present paper is to provide a conceptual review and elaboration of Erikson's (1968) theory focused on identity integration, a construct that is particularly relevant to adult identity development. Identity integration describes the process of bringing together various aspects of one's self into a coherent whole, and the sense of self-continuity and wholeness that emerges as a result of these processes. Informed by the identity and life span development literatures, we present a conceptual framework that describes how identity integration is maintained across the adult life span, and how it is reestablished when chang…
matched on Social Identification (mesh)