Cultural persistence and the 'herbal medicine paradox': Evidence from European data

The use of herbal or traditional medicines has survived the proliferation of modern medicine. The phenomenon has been labeled as the 'herbal medicines paradox' (HMP). We study whether such HMP hypothesis can be explained by the persistence of attitudes across cultural boundaries. We undertake a secondary analysis of individual-level migration data to test the persistence of the use of herbal medicines in relation to norms in the person's country of birth (or home country). We study the association between attitudes towards herbal medicine treatments of both first (N = 3630) and second-generation (N = 1618) immigrants in 30 European countries, and the average attitudes of their sending country origins. We find robust evidence of an association that is stronger for the second-generation migrants. We document a stronger effect among maternal than paternal lineages, as well as significant heterogeneity based on migrants' country of origin. Our estimates are robust to different sample analysis. Our estimates are consistent with a cultural explanation for the HMP.

Loneliness and Psychological Distress Among Older Californians: The Moderating Roles of Citizenship Status and English Proficiency

OBJECTIVES

Guided by the theory of stress proliferation, our study examined whether loneliness, citizenship status, and English proficiency were associated with psychological distress among older adults, and if citizenship status and English proficiency moderated these relationships.

METHODS

Using the older adult subsample (65+ years) of the 2019-2020 California Health Interview Survey (N = 15,210), we assessed cross-sectional associations between loneliness, citizenship status, and English proficiency on psychological distress by conducting multivariable linear regression models. Interaction terms were included in subsequent models to determine if citizenship status and English proficiency moderated the relationship between loneliness and psychological distress.

RESULTS

In unadjusted models, greater loneliness was associated with higher distress. Both naturalized citizens and noncitizens, and those with limited English proficiency (LEP) exhibited greater distress than US born citizens and those who speak English only (EO). After adjusting for sociodemographic and health covariables, loneliness remained significant for distress although the relationships between citizenship status and English proficiency became attenuated. With the inclusion of interactions, the magnitude of the relationship between loneliness and distress was stronger for naturalized citizens and those with LEP than native-born citizens and those who speak EO, respectively.

DISCUSSION

Loneliness was the most consistent stressor affecting multiple life domains. However, our findings demonstrate that stress proliferation is occurring among older immigrant adults and the interplay between loneliness, citizenship status, and English proficiency is contributing to heightened distress. Further attention is needed in understanding the role of multiple stressors influencing mental health among immigrant older adults.

The death of an adult child and trajectories of parental depressive symptoms: A gender-based longitudinal analysis

RATIONALE

Despite the existing body of research on the impact of child bereavement, little is known about whether time to the death of an adult child is longitudinally associated with changes in depressive symptoms among older parents.

OBJECTIVE

This study examines (a) trajectories of depressive symptoms before and after the loss of an adult child and (b) whether these trajectories differ across parent-child gender dyads (father-son, father-daughter, mother-son, and mother-daughter).

METHODS

Using eight waves of the Korean Longitudinal Study of Ageing (KLoSA), this study employs fixed effects models to mitigate potential bias due to unobserved individual-level heterogeneity. Gender-stratified fixed effects models were estimated to investigate potential heterogeneity in the trajectories of depressive symptoms by parent-child gender dyads.

RESULTS

The result of this study revealed that depressive symptoms increased within the first year following the loss of an adult child among bereaved parents. Within a year of the loss of a child, both mothers and fathers experienced an increase in depressive symptoms. However, only fathers experienced lasting effects for up to two years. Different patterns in psychological adjustment to bereavement were observed across different parent-child gender dyads. Among daughter-bereaved fathers, depressive symptoms surged within the first year and persisted even beyond the fourth year of loss. In contrast, for other dyads, only an immediate rise in depressive symptoms within the first year of loss was observed.

CONCLUSIONS

The loss of an adult child increases the depressive symptoms of parents. This study highlights the importance of considering the different trajectories of psychological adjustment to bereavement, particularly based on parent-child gender dyads, when formulating policies for providing psychological support to older parents who have experienced the loss of their child.

Duration of United States Residence and Self-Reported Health Among African-Born Immigrant Adults

Although researchers have found an inverse relationship between length of U.S. residence and health, research on this issue among African-born immigrants is limited. Data from the 2011-2015 National Health Interview Surveys were pooled for African-born immigrants (N = 1137) and used to estimate weighted ordinary least squares regression models on self-reported health, adjusting for common immigrant health predictors. Length of U.S. residence was associated with significant health status declines only among those that had lived in the U.S. for 10 to less than 15 years (b = - 0.235, p < 0.05), net of covariates. African-born immigrants may have both different selection processes than other immigrants and not follow common integration patterns. These findings suggest that existing immigrant health frameworks may need modification to fully apply to this growing U.S. immigrant population.

The asylum-process, bicultural identity and depression among unaccompanied young refugees

INTRODUCTION

The overall aim of the present study was to expand our knowledge about depression among unaccompanied refugee minors in the years after they were granted protection in Norway. Predictors were contextual variables in terms of the asylum-process, acculturation variables in terms of bicultural identity, and demographic information such as residence-time.

METHOD

Register data and cross-sectional self-report questionnaire data were collected from 895 unaccompanied young refugees (UYRs). They originated in 31 different countries, the majority was from Afghanistan, 82.4% were boys, and average residence-time was 2.5 years.

RESULTS

The length of the asylum-process was not associated with depression while heritage identity and residence-time were. Moderating analyses showed that an over-time steady decrease in depression was present for UYRs with a strong heritage identity. The prevalence of depression symptoms dropped from an initial 40%-14% among youth with 10 years of residence. Majority identity had neither direct nor indirect effects on depression.

CONCLUSION

To optimize the psychosocial support offered to unaccompanied refugee minors during transition to stable resettlement, we need more substantial information about the aspects of the asylum-seeking process that increase the risk for mental health problems among them. In the years following resettlement, a strong heritage, but not majority identity was associated with lower levels of depressive symptoms. The findings are discussed in relation to structural barriers to bicultural identity formation and integration embedded in the way psychosocial support and education for these youths are structured, and implication for future research.

Marriage Aspiration, Perceived Marriage Squeeze, and Anomie Among Unmarried Rural Male Migrant Workers in China

Using data from a survey of rural–urban migrants conducted in Xiamen City, China, during 2009, this study explores determinants of anomie among unmarried rural male migrant workers in the context of China’s gender imbalance. Results indicate that the perceived marriage squeeze has exerted direct effects on anomie, and marriage aspiration has indirect effects on anomie among rural male migrant workers. The perceived marriage squeeze also has a mediating effect between marriage aspiration and anomie among unmarried rural male migrant workers. Social integration in the destination city is also a determinant of anomie among these unmarried migrant workers.

Cultural Competence Considerations for Health-System Pharmacists

Purpose: An introduction to cultural competency is provided for health system pharmacists, including communication tools and considerations to personalize care for diverse patient populations. Summary: Disparities in patient outcomes, health care utilization, and treatment adherence exist across diverse patient populations in the United States. Cultural competence of health system pharmacists is important to optimize medication use in diverse patient populations. The LARA (Listen, Affirm, Respond, and Add) methodology, Kleinman's explanatory model, and the teach-back method are communication tools to facilitate culturally integrated discussions with patients. Health system pharmacists should be cognizant of cultural considerations that may emphasize spiritual care, nonpharmacologic therapy, patient privacy, and potential distrust of health care professionals. Conclusion: Health system pharmacists should strive to increase awareness of the impact that cultural beliefs and traditions have on patient care.

Sex Difference in Homicide: Comparing Male and Female Violent Crimes in Korea

The comparison of the South Korean male and female homicide offenders' characteristics and crime scene behaviours is presented in this study. A total of 537 cases of homicide offenders prosecuted in Korea between 2006 and 2010 were analyzed in terms of offenders' characteristics, victim-offender interaction, places of crime, and crime scene actions. Significant differences between male and female offenders were revealed in prior criminal history, offenders' personal characteristics, choice of victim, crime scene behaviours during and after the homicide, and choice of weapon. The parallel with the gender differences in homicides found in Western countries is discussed as well as the possible explanations for the gender-related characteristics found in this study.

Moderators of Stress in Salvadoran Refugees: The Role of Social and Personal Resources

Refugee research has tended to focus exclusively on the mental health consequences of migration with little attention being devoted to factors that facilitate adjustment. Recently, several cross-cultural researchers have suggested that the growing literature on moderators of stress may elucidate why some migrants experience adverse effects whereas others remain relatively unscathed. This study examines the moderating effects of social and personal resources on the relationship between stress and subjective well-being in 60 recently-arrived and 60 established Salvadoran refugees in Canada. The participants completed a questionnaire that included scales pertaining to stress (life events, hassles, migration-related events), resources (social support, locus of control, self-esteem) and well-being (quality of life, life satisfaction). Varying results were found for both groups. For Recent Refugees, personal resources were found to moderate migration stress. In particular, locus of control buffered the relationships between migration stress and quality of life and life satisfaction, whereas self-esteem buffered the migration stress-quality of life relation. For Established Refugees, social support and self-esteem moderated the relationship between life events and life satisfaction. In addition, social support buffered the effects of hassles on quality of life. The findings underscore the relevance of integrating more firmly the study of refugee adjustment with current developments in stress research.

Integration of Vietnamese Refugees into the Norwegian Labor Market: The Impact of War Trauma

One hundred forty-five Vietnamese boat refugees were interviewed on arrival and after three years in Norway. The integration into the labor market was poor and the rate of unemployment was relatively high (16%). Eighty-two (63%) were members of the labor force, the rest being students (n=41) or housewives (n=6). Both loss of social status in Vietnam in 1975 and experiences of war trauma were independently related to labor force participation, when age, sex and mental health were controlled for. The risk of unemployment was increased among men and among refugees with low formal education and with no accompanying spouse. The results indicate that war trauma may have an impact on career choice and integration into the labor market which is independent of mental health. Future immigration policies should probably improve the refugees’ opportunities to establish intraethnic social networks to facilitate job finding and entrepreneurship.

Job-related stress and chronic health conditions among Filipino immigrants

OBJECTIVES

We investigate how duration in the US impacts the relationship between job-related stress and health conditions among Filipino immigrants.

METHODS

Using data from the Filipino American Community Epidemiologic Study, a cross-sectional sample of 1,381 immigrant Filipinos was obtained. Negative binomial regression was used to examine the interaction between years residing in the US and job concerns on number of self-reported health conditions.

RESULTS

Job concern is positively associated with health conditions for all immigrants no matter what length of time they have spent in the US. This association is strongest for recent immigrants and the strength of the association weakened with increasing time spent in the US.

CONCLUSIONS

Findings suggest that job-related stressors are associated with adverse health outcomes among Filipino immigrants and that this relationship is strongest for newer immigrants. New immigrants should be recognized as a vulnerable group with regard to the impact of work on their well-being.

Correlates of resilience in the face of adversity for Korean women immigrating to the US

OBJECTIVES

To explore the association between resilience and psychosocial variables of theoretical relevance such as self-esteem, optimism, religiousness, cultural interdependency, and belief in higher education in a population of elderly Korean women and their daughters who experienced great adversity.

METHODS

Surveys were conducted with 200 elderly Korean women and 170 of their daughters in several community locations.

RESULTS

Both mothers and daughters experienced great adversities in their lives such as psychological and physical losses from war as well as current and past difficulties with relocation. The mothers' bivariate correlations indicate that self-esteem, optimism, religiousness, and cultural interdependency were significantly correlated with resilience. Length of time in the US, age entering the US, physical and psychological war-related adversities, current relocation difficulties, self-esteem, optimism, cultural interdependency, and belief in education were all significantly associated with daughters' resilience. In linear regression, self-esteem and optimism were significant predictors of resilience in both mothers and daughters.

CONCLUSIONS

Self-esteem and optimism deserve further attention as psychological factors that may increase the likelihood of developing resilience. Implications of these findings for health professionals are discussed.

Demography, immigration background, difficulties with living in Japan, and psychological distress among Japanese Brazilians in Japan

This study examined the relationship of demography, immigration background, and concerns and difficulties associated with living in Japan to nonpsychotic psychological disturbance (i.e., "caseness") measured by the GHQ-12. Data are from a sample of 265 Japanese Brazilians (JB) residing outside the Tokyo Metropolitan area. Employing multiple logistic regression analyses, it was found that JB who experienced lower economic conditions, lived alone, stayed relatively longer in Japan, migrated to Japan due to their dissatisfaction with the socio-economic conditions in Brazil, and who experienced severe family life concerns had a significantly higher ratio of "caseness," that is psychologically distressed. In contrast, JB over the age of 25 years, who acquired moderate Japanese language proficiency and decided to return to Brazil as soon as possible, were observed to have a significantly lower ratio of psychological distress. Socio-cultural and situational interpretations of the findings are presented.

Negative consequences of acculturation on health behaviour, social support and stress among pregnant Southeast Asian immigrant women in Montreal: an exploratory study

It is frequently assumed that migrant status constitutes a health risk because migration is inevitably associated with a period of significant adjustment and stress. This paper describes the role of acculturation in understanding the relationship between migration and low birthweight (LBW). Psychosocial and behavioural risk factors for LBW were explored using semi-structured interviews with 17 pregnant Southeast Asian women who represented different levels of acculturation. Findings suggested that acculturation had negative consequences for immigrant women. Higher levels of acculturation were associated with dieting during pregnancy, inadequate social support and stressful life experiences.