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251 to 275 of 843Psychosocial 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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
A life domains perspective on acculturation and psychological adjustment: a study of refugees from the former Soviet Union.
The study articulates a contextual approach to research on acculturation of immigrants, suggesting that the relationship between acculturation and adjustment is dependent on the cultural demands of the life domains considered. Specifically, the study investigated the mediating effects of adjustment in occupational and social life domains on the relationship between acculturation and psychological adjustment for 391 refugees from the former Soviet Union. The study used bilinear measures of acculturation to the host (American) and heritage (Russian) cultures. Using Structural Equation Modeling, the study confirmed the hypothesized relationships, such that the positive effects of American acculturation on psychological adjustment were mediated by occupational adjustment, and the effects of Russian acculturation on psychological adjustment were mediated by satisfaction with co-ethnic social …
matched on Emigration and Immigration (mesh), Acculturation (mesh), Refugees (mesh), immigrant (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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (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…
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Jang Y, Chiriboga DA (2010)MEDLINE-indexed journal, not yet read by usThe journals of gerontology. Series B, Psychological sciences and social sciences58 citations Living in a different world: acculturative stress among Korean American elders.
Using a sample of Korean American elders, this study examined internal mechanisms by which the level of acculturation influences mental health outcomes. We hypothesized that the impact of five domains of acculturation on mental distress (depressive symptoms and anxiety) would be mediated by individuals' subjectively appraised acculturative stress. The latter was indexed by measures of task-oriented and emotion-oriented stress. The results from structural equation modeling with 472 Korean American elders in Florida (M age = 69.9, SD = 7.04) provided support for the mediation model. Findings demonstrate that acculturation exerts an influence on mental health and that acculturative stress functions as a mediator in the linkage between the level of acculturation and mental distress. Findings suggest avenues for facilitating immigrant elders' positive adaptation and promoting their mental wel…
matched on Emigration and Immigration (mesh), Acculturation (mesh), Asian (mesh), immigrant (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 Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Racial discrimination and psychological distress: the impact of ethnic identity and age among immigrant and United States-born Asian adults.
The association between racial and ethnic discrimination and psychological distress was examined among 2,047 Asians (18 to 75 years of age) in the National Latino and Asian American Study, the first-ever nationally representative study of mental health among Asians living in the United States. Stratifying the sample by age in years (i.e., 18 to 30, 31 to 40, 41 to 50, 51 to 75) and nativity status (i.e., immigrant vs. U.S.-born), ethnic identity was tested as either a protective or exacerbating factor. Analyses showed that ethnic identity buffered the association between discrimination and mental health for U.S.-born individuals 41 to 50 years of age. For U.S.-born individuals 31 to 40 years of age and 51 to 75 years of age, ethnic identity exacerbated the negative effects of discrimination on mental health. The importance of age and immigrant status for the association between ethnic id…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Correlates of depression in the Korean American elderly: focusing on personal resources of social support.
Today's Korean American elderly are predominantly first-generation immigrants who face stern challenges of acculturation, which is often associated with depression. Social support has been identified as an effective personal resource for alleviating acculturative stress and achieving better mental health outcomes. The purposes of this study were to describe available sources of social support utilized by Korean elders and to examine the relationships among acculturative stress, social support, and depression. In particular, social support was operationalized as an integrative concept encompassing the size of the social network, satisfaction with the support received, and appraisals of the level of social support. This study was a secondary data analysis of an existing survey of 205 elderly Korean immigrants (>or=60 years) in a major metropolitan city on the East coast. Adult children wer…
matched on Emigration and Immigration (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Correlates of alcohol and tobacco use among Mexican immigrants in rural North Carolina.
This study examined the relationship among sociodemographic, cultural, and psychological factors associated with alcohol and tobacco use among Mexican immigrants in the rural south. Questionnaires including sociodemographics, alcohol and tobacco use, acculturation, and stress were administered to 173 Mexican immigrants residing in rural eastern North Carolina. Gender, preimmigration use, and occupational/economic stress were significant predictors for alcohol use, with preimmigration use significant for tobacco use, suggesting that alcohol and tobacco use may be related to previous behavior, rather than acculturation to American society. Stress, setting, and preimmigration substance use would be important factors to address in the immigrant's health history.
matched on Emigration and Immigration (mesh), Acculturation (mesh), Mexican Americans (mesh), immigrant (text)
Immigration and attendant psychological sequelae: a comparison of three waves of Iraqi immigrants.
Acculturation, the process by which individuals or groups transition from one or more cultures into another, can be complex and often stressful. In many cases, reason for immigration can contribute, both positively and negatively, to levels of acculturative stress. Immigrants to the United States from Iraq over the past several decades have shifted in terms of prevalence, reason for and ease of immigration, and pre and postmigration trauma among individuals and groups. The authors examined the psychological by-products of acculturative stress by measuring posttraumatic stress disorder, anxiety, and depression among three distinct waves of immigrants from Iraq. The authors found support for the hypotheses that these variables were positively correlated with recency of immigration. Implications for psychological practitioners are discussed.
matched on Emigration and Immigration (mesh), Acculturation (mesh), Refugees (mesh), immigrant (text)
Bernstein KS (2007)MEDLINE-indexed journal, not yet read by usJournal of transcultural nursing : official journal of the Transcultural Nursing Society17 citations Mental health issues among urban Korean American immigrants.
Korean immigrants' perception and understanding of mental health and illness were surveyed during four monthly mental health seminars in New York City. In all, 86 Korean immigrants attended the seminars and 34 completed the survey. The seminar participants were primarily financially stable Korean women who were married, educated, and had lived in America more than 10 years. All seminar leaders were Korean immigrants who were working in the mental health field and/or educational setting. Most of the participants acknowledged the need for mental health services but did not seek professional help and coped with the stressors of immigrant life by endurance, patience, and religion. Feedback from seminar leaders noted the following: (a) greater seminar attendance than anticipated, (b) participants' openness to their mental illness issues, (c) need for tailored mental health program for Koreans…
matched on Emigration and Immigration (mesh), Acculturation (mesh), Asian (mesh), immigrant (text)
Mental distress, economic hardship and expectations of life in Canada among Sudanese newcomers.
As part of a settlement needs assessment of 220 recently arrived Sudanese refugees and immigrants in seven cities, we examined overall health status, indicators of mental distress, economic hardship and expectations of life in Canada. Data were collected in a community-based study using qualitative and quantitative techniques. Results indicate that those Sudanese for whom life in Canada was not what they expected and those who experienced economic hardship as measured by worry over having enough money for food or medicine experienced poorer overall health and reported a greater number of symptoms of psychological distress. After controlling for demographic and related variables, we found that individuals who were experiencing economic hardship were between 2.6 and 3.9 times as likely to experience loss of sleep, constant strain, unhappiness and depression, and bad memories as individuals…
matched on Emigration and Immigration (mesh), Acculturation (mesh), Refugees (mesh), immigrant (text)
Youth as contested sites of culture: The intergenerational acculturation gap amongst new migrant communities-Parental and young adult perspectives.
Background: Immigration often results in changes in family dynamics, and within this process of dynamic relational adjustment youth can be conceptualised as contested sites of culture and associated intergenerational conflicts. This paper considers the experiences of migrant youth in Greater Western Sydney, New South Wales, Australia using conflict as a useful lens through which to view issues of migrant youth identity and their sense of social connectedness, belonging, and agency. The aim of this study was twofold: 1) to explore how migrant youth cope with acculturative stress and intergenerational conflicts, and 2) to better understand the systemic and family-related factors that facilitate positive settlement experiences for migrant youth.
Methods: A total of 14 focus group discussions, comprising 164 people, were carried out in Greater Western Sydney, New South Wales, Australia. Thes…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), immigrant (text), migrant (text)
Morawa E, Erim Y (2014)MEDLINE-indexed journal, not yet read by usInternational journal of environmental research and public health42 citations Acculturation and depressive symptoms among Turkish immigrants in Germany.
The present study explores the impact of acculturation on depressive symptoms among Turkish immigrants in Germany, taking into account different dimensions of cultural orientation. A total of 471 patients from two selected samples (254 primary care patients and 217 outpatients of a psychosomatic department) participated. Levels of acculturation were measured as orientation towards culture of origin (CO), and orientation towards the host culture (HC). Acculturation strategies (integration, assimilation, separation, and marginalization) were also assessed as well as their association with depressive symptoms (BDI). Furthermore, gender- and migration-related differences in terms of acculturation and levels of depressive symptomatology were analyzed. Integration was the acculturation strategy associated with the lowest level of depressive symptoms (M = 14.6, SD = 11.9), while marginalization…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), immigrant (text), migrant (text)
Life events trajectories, allostatic load, and the moderating role of age at arrival from Puerto Rico to the US mainland.
Our aim was to examine the effects of trajectories of stressful life events on allostatic load, measured over a two year time period, and to investigate the roles of language acculturation and age at migration in this association, in a sample of Puerto Rican migrants. We used data from the Boston Puerto Rican Health Study; a population-based prospective cohort of older Puerto Ricans recruited between the ages of 45 and 75 years. The Institutional Review Boards at Tufts Medical Center and Northeastern University approved the study. We used latent growth mixture modeling (LGMM) to identify different classes of two-year trajectories of stressful life events; analysis of variance to examine group differences by stress trajectory; and linear regression to test for the modifying effects of age at arrival on the association of stress trajectory with allostatic load at follow-up. In LGMM analysi…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), immigrant (text), migrant (text)
Determinants of psychological distress among migrants from Ecuador and Romania in a Spanish city.
Background: Migration may have consequences on the mental health of those who enter a new cultural environment. In Spain, migration has increased tenfold in 20 years. It is important to study how these migrants are interacting within this new context and which variables hinder their personal and social development.
Aims: To analyze acculturation differences in Spain between first-generation immigrants from two different countries; to analyze the self-reported mental health of these participants; and to evaluate which variables best predict mental health disorders.
Method: One hundred and thirty five (135) respondents from Romania and Ecuador responded to a questionnaire analyzing mental health by means of the GHQ-12, coupled with other personal, social and psychosocial acculturation variables.
Results: Both cultural groups differed significantly regarding the impact of personal and socia…
matched on Emigrants and Immigrants (mesh), Acculturation (mesh), immigrant (text), migrant (text)
Do Parental and Peer Support Protect Adjustment in the Face of Ethnic Discrimination? A Comparison between Refugee Youth and Youth of Immigrant Descent.
Applying a risk and protection perspective, this study paid special attention to the protective roles of parental and peer support in the face of perceived ethnic discrimination (PED) at school. Responding to the inconsistent findings of previous research, the survey study provides greater clarity regarding the interactions between PED at school, social support and positive adjustment (self-esteem, self-efficacy, optimism and school integration). The sample comprised 104 ethnic-minority youth (Mage = 17.73, SD = 3.29, 61% female), including refugee youth (n = 55) and second- and third-generation youth of immigrant descent (n = 49). Structural equation models across the whole sample confirmed peer support as a significant moderator, indicating that ethnic-minority youth who received low peer support were less optimistic when facing PED. In multi-group models, we tested whether results dif…
matched on Emigrants and Immigrants (mesh), resettlement (text), Refugees (mesh), immigrant (text)
Determinants of refugee naturalization in the United States.
The United States operates the world's largest refugee resettlement program. However, there is almost no systematic evidence on whether refugees successfully integrate into American society over the long run. We address this gap by drawing on linked administrative data to directly measure a long-term integration outcome: naturalization rates. Assessing the full population of refugees resettled between 2000 and 2010, we find that refugees naturalize at high rates: 66% achieved citizenship by 2015. This rate is substantially higher than among other immigrants who became eligible for citizenship during the same period. We also find significant heterogeneity in naturalization rates. Consistent with the literature on immigration more generally, sociodemographic characteristics condition the likelihood of naturalization. Women, refugees with longer residency, and those with higher education le…
matched on Emigration and Immigration (mesh), resettlement (text), Refugees (mesh), immigrant (text)
Intergovernmental collaboration for the health and wellbeing of refugees settling in Australia.
As outlined in the Department of Immigration and Border Protection Annual report 2016-17, Australia granted 21 928 humanitarian visas in 2016-17, 13 760 of them offshore. This number will increase in future to a planned offshore program of 18 750 in 2018-19. The report notes that the United Nations High Commissioner for Refugees ranks Australia third for the number of refugees resettled. With such a massive program and commitment by the Australian Government, the need to ensure that health and wellbeing are maintained or gained during the settlement process is paramount. This article outlines how collaboration between like-minded national governments can improve premigration health screening through information sharing, collaborative learning and increased capability in countries of origin to not only screen for illness and disability, but to more effectively put measures in place to add…
matched on Emigration and Immigration (mesh), resettlement (text), Refugees (mesh), immigrant (text)
Healthy Immigrant Effect: Preterm Births Among Immigrants and Refugees in Syracuse, NY.
Objectives: The healthy immigrant effect is the phenomenon by which immigrants experience more positive health outcomes than the native-born population in developed countries. The strength of this effect appears to be related to country of origin, health outcome, healthcare and integration policies of receiving countries, as well as immigration class. This secondary analysis of birth records examines whether immigrants and mothers from refugee countries have lower adjusted risk of preterm births than US-born mothers in Syracuse, NY, a preferred refugee resettlement area.
Methods: This secondary analysis included 6354 electronic birth records for residents in the city of Syracuse, NY who gave birth to singleton infants between 2009 and 2011. Multivariate log-binomial regression was used to calculate the adjusted relative risk for preterm birth among foreign-born mothers and mothers from r…
matched on Emigrants and Immigrants (mesh), resettlement (text), Refugees (mesh), immigrant (text)
Rosso E, McGrath R (2016)MEDLINE-indexed journal, not yet read by usHealth promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals14 citations Promoting physical activity among children and youth in disadvantaged South Australian CALD communities through alternative community sport opportunities.
Issue addressed: Recently arrived migrants and refugees from a culturally and linguistically diverse background (CALD) may be particularly vulnerable to social exclusion. Participation in sport is endorsed as a vehicle to ease the resettlement process; however, in Australia, this is often thought as a simple matter of integration into existing sport structures (e.g. clubs). This approach fails to place actual community needs at the centre of sport engagement efforts. Methods: A consultation framework was established with South Australian CALD community leaders and organisations to scope needs for community-based alternatives to participation in traditional sport (e.g. clubs), co-design a suitable community sport program and pilot it in five communities. Interviews and questionnaire surveys were conducted with participants, community representatives, stakeholders and volunteers. Results: …
matched on Emigrants and Immigrants (mesh), resettlement (text), Refugees (mesh), migrant (text)
Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees.
Objective: This paper explores the impact of pre-migration trauma, post-migration living difficulties and social support on the current mental health of 63 resettled Sudanese refugees.
Method: A semistructured interview including questionnaires assessing sociodemographic information, pre-migration trauma, anxiety, depression and posttraumatic stress, post-migration living difficulties and perceived social support were administered assisted by a bilingual community worker.
Results: Resettled refugees from Sudan evidenced a history of trauma. Less than 5% met criteria for posttraumatic stress but 25% reported clinically high levels of psychological distress. The results indicate that social support--particularly perceived social support from the migrant's ethnic community--play a significant role in predicting mental health outcomes. Pre-migration trauma, family status and gender were also…
matched on Emigration and Immigration (mesh), resettlement (text), Refugees (mesh), migrant (text)