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Warren J, Nigbur D. Lived experiences of Sri Lankan Tamil refugees in the UK: Migration and identity. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2024. [PMID: 38456575 DOI: 10.1111/bjso.12736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 02/12/2024] [Indexed: 03/09/2024]
Abstract
Sri Lankan Tamil refugees (SLTRs) have lived in the United Kingdom in substantial numbers for about three decades. However, they remain under-represented in academic and public discourse, and little is known about their migration experiences. This study examined first-hand accounts of such experiences, with special attention paid to identity and acculturation. Data were collected through four semi-structured interviews and analysed using interpretative phenomenological analysis (IPA). The results suggest that SLTRs' experience of conflict as an imposed life disruption continues to shape their adaptation, identity, and meaning-making ("Afflicted life"). Changing social identities mediate protection from, as well as risk of, trauma. SLTRs try to remedy the socio-economic and emotional losses suffered in the conflict, but achieve only a partial compensation. Consequently their repair efforts are a source not only of positive emotions but also of dissatisfaction ("Living past"). Finally, participants' sense of belonging and quest for home represent a challenging socio-emotional process in which they continue to engage even decades after migration ("Continuing quest for home"). This nuanced analysis of how the past continues to shape lived experience, contributes to the under-developed literature on qualitative psychological investigations of acculturation, research on forced migration, and the establishment of IPA in social psychology.
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Affiliation(s)
- Jana Warren
- Department of Psychology, Faculty of Arts, Charles University Prague, Brno, Czech Republic
| | - Dennis Nigbur
- School of Psychology and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK
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Kreienkamp J, Bringmann LF, Engler RF, de Jonge P, Epstude K. The Migration Experience: A Conceptual Framework and Systematic Scoping Review of Psychological Acculturation. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2024; 28:81-116. [PMID: 37571846 PMCID: PMC10851656 DOI: 10.1177/10888683231183479] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023]
Abstract
ACADEMIC ABSTRACT One of the key challenges to researching psychological acculturation is the immense heterogeneity in theories and measures. These inconsistencies make it difficult to compare past literature, hinder straightforward measurement selections, and stifle theoretical integration. To structure acculturation, we propose to utilize the four basic aspects of human experiences (wanting, feeling, thinking, and doing) as a conceptual framework. We use this framework to build a theory-driven assessment of past theoretical (final N = 92), psychometric (final N = 233), and empirical literature (final N = 530). We find that the framework allows us to examine and compare past conceptualizations. For example, empirical works have understudied the more internal aspects of acculturation (i.e., motivations and feelings) compared with theoretical works. We, then, discuss the framework's novel insights including its temporal resolution, its comprehensive and cross-cultural structure, and how the framework can aid transparent and functional theories, studies, and interventions going forward. PUBLIC ABSTRACT This systematic scoping review indicates that the concept of psychological acculturation can be structured in terms of affect (e.g., feeling at home), behavior (e.g., language use), cognition (e.g., ethnic identification), and desire (e.g., independence wish). We find that the framework is useful in structuring past research and helps with new predictions and interventions. We, for example, find a crucial disconnect between theory and practice, which will need to be resolved in the future.
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Affiliation(s)
| | - Laura F. Bringmann
- University of Groningen, The Netherlands
- Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, The Netherlands
| | | | - Peter de Jonge
- University of Groningen, The Netherlands
- Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, The Netherlands
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Meyer OL, Park VT, Kanaya AM, Farias ST, Hinton L, Tiet QQ, Vuong Q, Nguyen S, Harvey D, Whitmer RA. Inclusion of Vietnamese Americans: Opportunities to understand dementia disparities. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2023; 9:e12392. [PMID: 37251911 PMCID: PMC10209515 DOI: 10.1002/trc2.12392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 03/23/2023] [Accepted: 04/24/2023] [Indexed: 05/31/2023]
Abstract
There is a dearth of research on cognitive aging and dementia in Asian Americans, particularly Vietnamese Americans, who are the fourth largest Asian subgroup in the United States. The National Institutes of Health is mandated to make certain that racially and ethnically diverse populations are included in clinical research. Despite the widespread recognition to ensure that research findings can be generalizable to all groups, there are no estimates of the prevalence or incidence of mild cognitive impairment and Alzheimer's disease and related dementias (ADRD) in Vietnamese Americans, nor do we understand ADRD risk and protective factors in this group. In this article, we posit that studying Vietnamese Americans contributes to a better understanding of ADRD in general and offers unique opportunities for elucidating life course and sociocultural factors that contribute to cognitive aging disparities. That is, the unique context of Vietnamese Americans may provide understanding in terms of within-group heterogeneity and key factors in ADRD and cognitive aging. Here, we provide a brief history of Vietnamese American immigration and describe the large but often ignored heterogeneity of Asian Americans in the United States, elucidate how early life adversity and stress might influence late-life cognitive aging, and provide a basis for the role of sociocultural and health factors in the study of Vietnamese cognitive aging disparities. Research with older Vietnamese Americans provides a unique and timely opportunity to more fully delineate the factors that contribute to ADRD disparities for all populations.
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Affiliation(s)
- Oanh L. Meyer
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Van Ta Park
- University of California, San FranciscoSan FranciscoCaliforniaUSA
| | - Alka M. Kanaya
- University of California, San FranciscoSan FranciscoCaliforniaUSA
| | | | - Ladson Hinton
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Quyen Q. Tiet
- California School of Professional Psychology at Alliant International UniversityEmeryvilleCaliforniaUSA
- National Center for PTSDDissemination and Training DivisionVA Palo Alto Health Care SystemMenlo ParkCaliforniaUSA
| | - Quyen Vuong
- International Children Assistance Network (ICAN)San JoseCaliforniaUSA
| | | | - Danielle Harvey
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
| | - Rachel A. Whitmer
- School of MedicineUniversity of California, DavisSacramentoCaliforniaUSA
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Valenzuela MA, Schwartz SJ. Acculturation spillovers between work and nonwork settings. JOURNAL OF INTERNATIONAL MANAGEMENT 2023. [DOI: 10.1016/j.intman.2023.101013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Li M, Lu SE, Hoover DR, Flynn L, Silverstein M, Wu B, Dong X. Family type and cognitive function in older Chinese Americans: acculturation as a moderator. Aging Ment Health 2022; 26:1642-1653. [PMID: 34038643 PMCID: PMC8718330 DOI: 10.1080/13607863.2021.1926426] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Acculturation to the mainstream culture and the settlement contexts could shape cognitive function of older immigrants. Guided by ecological theory, this study examines the interaction effect between individual acculturation and ecology of family on cognitive function among older Chinese Americans. METHODS Data were derived from the Population Study of Chinese Elderly in Chicago (n = 3,019). Family types included tight-knit (high solidarity and low conflicts), unobligated-ambivalent (high solidarity and conflicts), commanding-conflicted (low solidarity and high conflicts), and detached (low solidarity and low conflicts). Acculturation was measured via language ability, media use, and ethnic social relations. Cognitive function was evaluated by global cognition, episodic memory, working memory, processing speed, and mini-mental state examination. Multiple regression analyses and interaction terms were used. RESULTS Older adults in the commanding-conflicted type had the lowest cognitive function. After controlling confounding variables, higher levels of acculturation (b = 0.009, SE = 0.003, p < .01) were associated with higher levels of global cognition. Acculturation buffered the negative impact of having a commanding-conflicted relationship with children on global cognition (b = 0.070, SE = 0.016, p < .001). Language ability, media use, and ethnic social relations played a unique role in the relationships between family types and cognitive domains. CONCLUSION Acculturation to the dominant culture is identified as a cultural asset for cognitive function in older Chinese Americans. Social services could protect cognitive function of older immigrants in the commanding-conflicted type through enhancing cultural participation. Future research could test how affective and cognitive aspects of acculturation affect health.
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Affiliation(s)
- Mengting Li
- Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey,School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey
| | - Shou-En Lu
- School of Public Health, Rutgers, The State University of New Jersey, New Brunswick, New Jersey
| | - Donald R. Hoover
- Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey
| | - Linda Flynn
- School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey
| | - Merril Silverstein
- Department of Sociology, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, New York,Department of Human Development and Family Science, David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, New York
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York
| | - XinQi Dong
- Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, New Jersey
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Theorizing to Improve Mental Health in Multicultural Construction Industries: An Intercultural Coping Model. BUILDINGS 2021. [DOI: 10.3390/buildings11120662] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Construction workers are exposed to a range of stressors that lead to mental ill-health. In a multicultural construction workplace, the interactions between workers with different cultural backgrounds may aggravate mental health issues. Existing studies on coping typically focus on a reactive approach to managing stressors in the absence of cultural-related factors. This approach is inadequate in addressing mental health issues in a culturally diverse construction workplace. This paper presents a critical review that synthesizes and analyses theories and models of stress and coping, proactive coping, occupational stress, acculturative stress, and intercultural competence to develop a conceptual model for managing mental health in a multicultural construction workforce. The proposed model relies upon a positive coping mechanism, i.e., intercultural coping, to manage stressful events during the entire coping process in a multicultural workplace, towards achieving sustained good mental health. The proposed conceptual model contributes to the development of coping theories and positive psychology approaches and provides effective coping strategies to enhance psychological well-being in a multicultural context.
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Queiroz Telmo Romano A, Pizzinato A. TRAJETÓRIA DE MIGRAÇÃO DE MULHERES HAITIANAS EM PORTO ALEGRE: UM ESTUDO QUALITATIVO. PSICOLOGIA EM ESTUDO 2021. [DOI: 10.4025/psicolestud.v26i0.47781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O presente artigo visa abordar a recente imigração haitiana no estado do Rio Grande do Sul, explorando o significado do fenômeno migratório para mulheres haitianas. Na introdução é traçado um panorama sobre a feminização da migração, em especial da imigração haitiana. Os objetivos desta pesquisa são: (1) conhecer as diferentes trajetórias de migração de mulheres haitianas e (2) compreender como ocorrem as relações de gênero no processo migratório. Foram realizadas entrevistas narrativas com dez imigrantes, cujas perguntas se reportavam à trajetória de migração. A partir da análise das entrevistas busca-se compreender como é a trajetória de migração dessas mulheres e o que foi encontrado de semelhanças e diferenças com o que vem sendo publicado sobre migração de mulheres haitianas. Algumas questões, como idioma, família e trabalho, tiveram destaque e foram aprofundadas. Em suas falas foi observado como ser haitiana encontra-se vinculada vivência de migração. Também foi visto que suas trajetórias são marcadas por protagonismo ao decidirem migrar sozinhas para outros países. Os achados desta pesquisa oferecem um panorama ainda circunscrito e delimitado da realidade das mulheres haitianas em Porto Alegre, mas que pode servir de suporte para pensar políticas públicas e intervenções que visem tanto conscientizar a população brasileira sobre esse tema tão emergente, quanto apresentar possibilidades de acolhimento e fomentação de direitos humanos para a população imigrante e refugiada.
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Khawaja NG, Moisuc O, Ramirez E. Developing an Acculturation and Resilience Scale for Use with Culturally and Linguistically Diverse Populations. AUSTRALIAN PSYCHOLOGIST 2020. [DOI: 10.1111/ap.12052] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Nigar G Khawaja
- School of Psychology & Counselling, Queensland University of Technology, and
| | - Olga Moisuc
- School of Psychology & Counselling, Queensland University of Technology, and
| | - Elvia Ramirez
- Queensland Health, Queensland Transcultural Mental Health Centre
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Aggarwal NK, Jarvis GE, Gómez-Carrillo A, Kirmayer LJ, Lewis-Fernández R. The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice. Transcult Psychiatry 2020; 57:496-514. [PMID: 32838655 DOI: 10.1177/1363461520940481] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.
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Hu S, Hu L, Wang G. Moderating role of addiction to social media usage in managing cultural intelligence and cultural identity change. INFORMATION TECHNOLOGY & PEOPLE 2020. [DOI: 10.1108/itp-10-2019-0518] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThis paper aims to investigate the adverse effects of addiction to social media usage on expatriates' cultural identity change in cross-cultural settings.Design/methodology/approachA questionnaire survey was conducted in two public universities in China. Among the questionnaires distributed, 333 useful responses were obtained from international students for data analysis.FindingsRegression results show addiction to social media usage exerts adverse effects by negatively moderating the relationship between associations with locals and the three dimensions of cultural intelligence. Addiction to social media usage impairs expatriates from developing cultural intelligence from associations with locals, which in turn affects their cultural identity change.Research limitations/implicationsResearch findings suggest that expatriates, administrators and educators should be highly aware of the adverse effects of addiction to social media usage in complex cross-cultural settings wherein expatriates are more dependent on information technology. The important role of cultural intelligence should also be highlighted for its bridging role in managing cultural identity change for acculturation purpose. No causal relationships between variables can be established considering the cross-sectional design of the research. Longitudinal or experimental design could be a promising methodology for future efforts.Originality/valueThe current research contributes to the knowledge on information management applied to cross-cultural settings. The present study combines an IT contingent view with cross-cultural study to explore the adverse effects of addiction to social media usage on the development of expatriates' cultural intelligence from associations with locals, thereby influencing cultural identity change. The research provides new perspectives to expand the nomological framework of cross-cultural studies by combining the enabling roles of information technology.
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The Effects of Family Financial Stress and Primary Caregivers' Levels of Acculturation on Children's Emotional and Behavioral Problems among Humanitarian Refugees in Australia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082716. [PMID: 32326523 PMCID: PMC7215682 DOI: 10.3390/ijerph17082716] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/09/2020] [Accepted: 04/11/2020] [Indexed: 11/17/2022]
Abstract
The present study evaluated the application of the basic and extended (incorporated primary caregivers' levels of acculturation) Family Stress Model (FSM) to understand the effect of family financial stress and primary caregivers' levels of acculturation on children's emotional and behavioral problems among refugees in Australia. A total of 658 refugee children aged 5-17 and their primary caregivers (n = 410) from the third wave of a nationwide longitudinal project were included in this study. We used multilevel structural equation models with bootstrapping to test the indirect effects of family financial stress and caregivers' levels of acculturation (including English proficiency, self-sufficiency, social interaction, and self-identity) on children's emotional and behavioral problems through caregivers' psychological distress and parenting styles. The results showed that the extended FSM improved the model fit statistics, explaining 45.8% variation in children's emotional and behavioral problems. Family financial stress, caregivers' English proficiency, and self-identity had indirect effects on children's emotional and behavioral problems through caregivers' psychological distress and hostile parenting. The findings showed that interventions aimed at reducing caregivers' psychological distress and negative parenting could be effective in alleviating the adverse effects of family financial stress and caregivers' low levels of acculturation on refugee children's mental health.
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Hoyt AT, Ramadhani T, Le MT, Shumate CJ, Canfield MA, Scheuerle AE. Acculturation and selected birth defects among non-Hispanic Blacks in a population-based case-control study. Birth Defects Res 2020; 112:535-554. [PMID: 32134219 DOI: 10.1002/bdr2.1665] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/14/2020] [Accepted: 02/20/2020] [Indexed: 01/31/2023]
Abstract
BACKGROUND There are noted birth defects prevalence differences between race/ethnicity groups. For instance, non-Hispanic (NH) Black mothers are more likely to have an infant with encephalocele, although less likely to have an infant with anotia/microtia compared to NH Whites. When stratifying by nativity and years lived within the United States, additional variations become apparent. METHODS Data from the National Birth Defects Prevention Study were used to calculate descriptive statistics and estimate crude/adjusted odds ratios (aORs) and 95% confidence intervals (95%CIs) among NH Blacks with one of 30 major defects and non-malformed controls. Total case/controls were as follows: U.S.- (2,773/1101); Foreign- (343/151); African-born (161/64). Study participants were also examined by number of years lived in the U.S. (≤5 vs. 6+ years). RESULTS Compared to U.S.-born, foreign-born NH Black controls tended to be older, had more years of education, and were more likely to have a higher household income. They also had fewer previous livebirths and were less likely to be obese. In the adjusted analyses, two defect groups were significantly attenuated: limb deficiencies, aORs/95%CIs = (0.44 [0.20-0.97]) and septal defects (0.69 [0.48-0.99]). After stratifying by years lived in the United States, the risk for hydrocephaly (2.43 [1.03-5.74]) became apparent among those having lived 6+ years in the United States. When restricting to African-born mothers, none of the findings were statistically significant. CONCLUSIONS Foreign-born NH Blacks were at a reduced risk for a few selected defects. Results were consistent after restricting to African-born mothers and did not change considerably when stratifying by years lived in the United States.
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Affiliation(s)
- Adrienne T Hoyt
- Department of Health and Human Performance, University of Houston, Houston, Texas, USA.,Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA
| | | | - Mimi T Le
- Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA
| | - Charlie J Shumate
- Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA
| | - Mark A Canfield
- Birth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA
| | - Angela E Scheuerle
- Department of Pediatrics, Division of Genetics and Metabolism, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Haase A, Asbrock F, Rohmann A. Right‐wing authoritarianism and majority members’ preferences for minority acculturation. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2020. [DOI: 10.1002/ejsp.2665] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Anna Haase
- Department of Psychology, Community Psychology FernUniversität in Hagen Hagen Germany
| | - Frank Asbrock
- Psychology Chemnitz University of Technology Chemnitz Germany
| | - Anette Rohmann
- Department of Psychology, Community Psychology FernUniversität in Hagen Hagen Germany
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Osei-Kwasi HA, Boateng D, Danquah I, Holdsworth M, Mejean C, Terragni L, Powell K, Schulze MB, Owusu-Dabo E, Meeks K, Beune E, Agyemang C, Klipstein-Grobusch K, Stronks K, Galbete C, Nicolaou M. Acculturation and Food Intake Among Ghanaian Migrants in Europe: Findings From the RODAM Study. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:114-125. [PMID: 31601528 DOI: 10.1016/j.jneb.2019.09.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 09/04/2019] [Accepted: 09/05/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE This study examined the role of migration and acculturation in the diet of Ghanaian migrants in Europe by (1) comparing food intake of Ghanaian migrants in Europe with that of Ghanaians living in Ghana and (2) assessing the association between acculturation and food intake. DESIGN Data from the cross-sectional multicenter study Research on Obesity and Diabetes among African Migrants were used. Food intake was assessed using a Ghana-specific food propensity questionnaire (134 items and 14 food groups); foods were grouped based on a model of dietary change proposed by Koctürk-Runefors. SETTING Ghana, London, Amsterdam, and Berlin. PARTICIPANTS A total of 4,534 Ghanaian adults living in Ghana and Europe, with complete dietary data. Of these, 1,773 Ghanaian migrants had complete acculturation data. MAIN OUTCOME MEASURE Food intake (the weighted intake frequency per week of food categories). ANALYSIS Linear regression. RESULTS Food intake differed between Ghanaians living in Ghana and Europe. Among Ghanaian migrants in Europe, there were inconsistent and small associations between acculturation and food intake, except for ethnic identity, which was consistently associated with intake only of traditional staples. CONCLUSIONS AND IMPLICATIONS Findings indicate that migration is associated with dietary changes that cannot be fully explained by ethnic, cultural, and social acculturation. The study provides limited support to the differential changes in diet suggested by the Koctürk-Runefors' model of dietary change.
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Affiliation(s)
- Hibbah Araba Osei-Kwasi
- Public Health Section, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom; Department of Clinical Sciences and Nutrition, University of Chester, Parkgate Road, Tower Building, United Kingdom.
| | - Daniel Boateng
- Julius, Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, The Netherlands; School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Ina Danquah
- Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany
| | - Michelle Holdsworth
- Public Health Section, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom; Institute of Research for Development, UMR Nutripass IRD, UM, SupAgro, Montpellier, France
| | - Caroline Mejean
- MOISA, University of Montpellier, INRA, CIRAD, CIHEAM-IAMM, Montpellier SupAgro, Montpellier, France
| | - Laura Terragni
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet-Oslo Metropolitan University, Oslo, Norway
| | - Katie Powell
- Public Health Section, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom
| | - Matthias B Schulze
- Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany; Institute of Nutritional Sciences, University of Potsdam, Nuthetal, Germany
| | - Ellis Owusu-Dabo
- Kumasi Centre for Collaborative Research in Tropical Medicine, College of Health Sciences, KNUST, Kumasi, Ghana
| | - Karlijn Meeks
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Erik Beune
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Charles Agyemang
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Kerstin Klipstein-Grobusch
- Julius, Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, The Netherlands; Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Karien Stronks
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Cecilia Galbete
- Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany
| | - Mary Nicolaou
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
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Tan YW, Burgess GH, Green RJ. The effects of acculturation on neuropsychological test performance: A systematic literature review. Clin Neuropsychol 2020; 35:541-571. [DOI: 10.1080/13854046.2020.1714740] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Affiliation(s)
- Yi Wen Tan
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, United Kingdom
| | - Gerald H. Burgess
- Salomons Institute for Applied Psychology Canterbury, Christ Church University, Canterbury, United Kingdom
| | - Robin J. Green
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, United Kingdom
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Shahin W, Kennedy GA, Stupans I. The impact of personal and cultural beliefs on medication adherence of patients with chronic illnesses: a systematic review. Patient Prefer Adherence 2019; 13:1019-1035. [PMID: 31303749 PMCID: PMC6611718 DOI: 10.2147/ppa.s212046] [Citation(s) in RCA: 98] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 06/04/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Patients' adherence to therapeutic regimes may be influenced by subjective beliefs about chronic conditions. One of the challenges for health professionals in enhancing adherence is taking patients' understanding into account when giving health advice and/or providing medical treatment. PURPOSE This review aimed to evaluate the consequent effects of personal and cultural beliefs on medication adherence, in patients with chronic conditions such as hypertension, diabetes mellitus, chronic obstructive pulmonary disease and asthma. METHOD A systematic review methodology was used. PubMed, CINAHL, EMBASE and PsychINFO, databases were searched for relevant articles. The main terms analyzed were illness perceptions, health beliefs, cultural beliefs, chronic conditions and medication adherence. RESULTS From 2,646 articles, 127 were retained for further assessment, and finally 25 met the inclusion criteria. A cross-sectional questionnaire survey research design was conducted in all included articles. Of these most (n=22) targeted hypertension or diabetes mellitus. A number of personal and cultural based factors were identified as being associated with adherence to medication regimes - 40% of articles (n=10) examined perception of illness, 20% (n=5) health literacy, 16% (n=4) cultural beliefs, 12% (n=3) self-efficacy, 16% (n=4) spiritual and religious beliefs, as well as 20% (n=5) illness knowledge. Statistically significant associations between medication adherence and these personal and cultural factors were found in 80% (n=20) of the included studies. However, the direction of associations varied between studies depending on the factor that was examined. CONCLUSION This review has evaluated the impact of personal and cultural factors on medication adherence and highlighted the gaps in literature regarding adherence. Further research is required to fully identify the associations between religious beliefs, control beliefs and illness knowledge and medication adherence.
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Affiliation(s)
- Wejdan Shahin
- School of Health & Biomedical Sciences, RMIT University, Bundoora, Victoria3083, Australia
| | - Gerard A Kennedy
- School of Health & Biomedical Sciences, RMIT University, Bundoora, Victoria3083, Australia
| | - Ieva Stupans
- School of Health & Biomedical Sciences, RMIT University, Bundoora, Victoria3083, Australia
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Shi L, Chen W, Bouey JH, Lin Y, Ling L. Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study. BMJ Open 2019; 9:e022712. [PMID: 31061011 PMCID: PMC6502018 DOI: 10.1136/bmjopen-2018-022712] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES The aim of this study was to examine the pathway and associations among acculturation (ie, language, social interaction and lifestyle), psychological adjustment and mental health of internal migrant adolescents in China. DESIGN Cross-sectional questionnaire study. SETTING Six private migrant junior high schools located in Tianhe and Baiyun districts in Guangzhou were chosen as the study sites. PARTICIPANTS A total of 1122 migrant adolescents aged 11-17 years old completed the study. MAIN OUTCOME MEASURES Mental health was measured by using the Social Anxiety Scale for Children (SASC) and major depression disorder (MDD) in a Brief Child and Family Phone Interview. Acculturation and psychological adjustment were measured by a self-designed and verified questionnaire. Multiple regression models and structural equation models were performed to analyse the association among acculturation, psychological adjustment and mental health while controlling for participant demographic characteristics. RESULTS The average MDD score for boys was 8.78 (SD=2.17) and for girls was 8.56 (SD=2.22), while the average SASC score for boys was 14.67 (SD=3.72) and for girls was 13.41 (SD=4.01). Psychological adjustment had a direct positive effect on MDD (p<0.001, β=0.30) and SASC (p<0.001, β=0.28), and it was the key variable fully mediating the impact of acculturation components on MDD and partly mediating the impact of acculturation on SASC, whereas lifestyle showed a direct negative effect (p=0.003, β=-0.17) on SASC. Of the three acculturation components, lifestyle had the strongest influence on psychological adjustment (p<0.001, β=0.37 and 0.51), followed by social interaction (p<0.001, β=0.24 and 0.13) and language (p<0.001, β=0.17 and 0.11). CONCLUSIONS The association between acculturation and the mental health of internal migrant adolescents was complex and could be mediated by psychological adjustment. Interventions such as promoting local language and social interaction are needed to enhance psychological adjustment and further improve the mental health of migrant adolescents.
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Affiliation(s)
- Lishuo Shi
- Faculty of Medical Statistics and Epidemiology, Sun Yat-sen University-School of Public Health, Guangzhou, China
- Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
| | - Wen Chen
- Faculty of Medical Statistics and Epidemiology, Sun Yat-sen University-School of Public Health, Guangzhou, China
- Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
| | - Jennifer Huang Bouey
- Department of International Health, Georgetown University-School of Nursing and Health Studies, Washington, District of Columbia, USA
| | - Yanwei Lin
- Faculty of Medical Statistics and Epidemiology, Sun Yat-sen University-School of Public Health, Guangzhou, China
- Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
| | - Li Ling
- Faculty of Medical Statistics and Epidemiology, Sun Yat-sen University-School of Public Health, Guangzhou, China
- Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
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18
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Dahlan R, Badri P, Saltaji H, Amin M. Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review. PLoS One 2019; 14:e0212891. [PMID: 30818332 PMCID: PMC6395030 DOI: 10.1371/journal.pone.0212891] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 02/11/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Cultural changes faced by immigrants and ethnic minorities after moving to a host country may have a detrimental or beneficial influence on their oral health and oral health-related behaviors. Therefore, this paper reviews the literature to see the impact of acculturation on immigrants and ethnic minorities' oral health outcomes. METHODS We searched seven electronic databases up to January 2018. All cross-sectional and longitudinal quantitative studies that examined associations between acculturation and oral health status and/or oral health behaviors among ethnic minority and immigrant population[s] were included. Study selection, data extraction, and risk of bias assessment were completed in duplicate. The Newcastle-Ottawa checklist was used to appraise the methodological quality of the quantitative studies. A meta-analytic approach was not feasible. RESULTS A total of 42 quantitative studies were identified. The studies showed a positive association between acculturation and oral health status/behaviors. The most frequently used acculturation indicators were language spoken by immigrant and ethnic minorities and length of stay at the host country. High-acculturated immigrant and ethnic minority groups demonstrated better oral health outcomes, oral health behaviors, dental care utilization, and dental knowledge. CONCLUSIONS According to existing evidence, a positive effect of acculturation on oral health status and behaviors was found. PRACTICAL IMPLICATIONS Dental practitioners should be culturally competent to provide the appropriate services and treatments to immigrant and ethnic minorities. Policymakers should also be sensitive to cultural diversities and properly address the unique needs of each group in order to maintain oral health equity.
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Affiliation(s)
- Rana Dahlan
- School of Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Parvaneh Badri
- School of Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Humam Saltaji
- School of Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Maryam Amin
- School of Dentistry, University of Alberta, Edmonton, Alberta, Canada
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Vercammen KA, McClain AC, Tucker KL, Falcón LM, Mattei J. The association between baseline acculturation level and 5-year change in adiposity among Puerto Ricans living on the mainland United States. Prev Med Rep 2019; 13:314-320. [PMID: 30792946 PMCID: PMC6369330 DOI: 10.1016/j.pmedr.2019.01.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 01/21/2019] [Accepted: 01/23/2019] [Indexed: 10/28/2022] Open
Abstract
While it is recognized that acculturation influences adiposity risk, the direction and magnitude of this relationship remain unclear. Previous studies' use of proxy acculturation measures and exclusively cross-sectional study designs have limited understanding of this research question. The aim of this study was to examine associations between acculturation and adiposity among Puerto Ricans (45-75 years) living on the mainland United States. We analyzed data from the longitudinal (baseline, 2-year, 5-year) Boston Puerto Rican Health Study (n = 1114). Language-based and psychological-based acculturations were assessed at baseline using questionnaires. Acculturation scores were divided into tertile categories; higher tertiles indicate greater English- and U.S.-based acculturation. Adiposity was assessed using BMI and waist circumference at baseline and each follow-up. Linear mixed effects regression models were fit with baseline acculturation tertile as the predictor and baseline or change in adiposity as the outcome. When examining baseline associations with language acculturation tertiles, participants in the middle acculturation tertile (bilingual) had 2.48 cm (95%CI: -4.64, -0.31) lower waist circumference compared to the more Spanish-based acculturation tertile. When examining the associations between baseline language acculturation tertiles and change in adiposity, those in the more English-based acculturation tertile had higher annual gains in BMI (0.13 kg/m2 (95%CI: 0.01, 0.25)) and waist circumference (0.44 cm (95%CI: 0.01, 0.88)) over 5-years compared to those in the more Spanish-based acculturation tertile. No significant differences in adiposity were found across psychological-based acculturation tertiles. In conclusion, English language-based acculturation at baseline influences long-term adiposity. Psychological-based acculturation may capture distinct acculturation processes from the language-based construct.
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Affiliation(s)
- Kelsey A Vercammen
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Amanda C McClain
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Katherine L Tucker
- Department of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, MA, USA
| | - Luis M Falcón
- College of Fine Arts, Humanities & Social Sciences, University of Massachusetts Lowell, MA, USA
| | - Josiemer Mattei
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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20
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Mattei J, McClain AC, Falcón LM, Noel SE, Tucker KL. Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure. J Nutr 2018; 148:1804-1813. [PMID: 30383277 PMCID: PMC6669953 DOI: 10.1093/jn/nxy174] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Accepted: 07/10/2018] [Indexed: 01/14/2023] Open
Abstract
Background The role of acculturation in dietary behaviors among Hispanics/Latinos in the United States remains unclear. Discrepancies may be explained by variations in acculturation constructs or ethnicity-specific dynamics. Objective We aimed to compare relations between 3 different acculturation constructs with dietary quality and patterns among Puerto Ricans in the mainland United States. Methods We analyzed cross-sectional data with 1194-1380 Puerto Ricans, aged 45-75 y. Acculturation was measured with the use of a language-based scale (0-100; higher score denotes more English use), a psychological-based scale (0-50; higher score denotes stronger US orientation), and years living in the mainland United States. Diet quality scores (higher scores denote healthier diet) were defined with the use of the Alternate Healthy Eating Index-2010 (AHEI) and the Mediterranean Diet Score (MeDS). Three dietary patterns were previously derived with the use of principal components analysis. Adjusted multivariable regression models tested the association of each acculturation construct with diet quality score or pattern. Interaction terms were included for income or education status. Results Psychological-based acculturation, but not the other constructs, was positively associated with AHEI (β ± SE: 0.013 ± 0.004; P = 0.002) and MeDS (0.009 ± 0.005; P = 0.041). Income, but not education, moderated this association (P = 0.03), with higher diet quality observed with higher income (>$25,000) and stronger US orientation. All constructs were inversely associated with a traditional dietary pattern, with the language-based scale being stronger (z score β ± SE: -0.160 ± 0.032; P < 0.0001) than the psychological-based scale (-0.097 ± 0.028; P = 0.001) or years living in the mainland United States (-0.058 ± 0.028; P = 0.041). No associations were observed for the Western or sweets/desserts patterns. Conclusions In Puerto Rican adults, stronger psychological US orientation was associated with higher diet quality, particularly with higher income. More Spanish use, stronger psychological Puerto Rican orientation, and shorter length of mainland-US residency were associated with traditional dietary patterns. Appropriate diet-related acculturation constructs should be carefully considered among Hispanics/Latinos. This trial was registered at clinicaltrials.gov as NCT01231958.
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Affiliation(s)
- Josiemer Mattei
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA,Address correspondence to JM (e-mail: )
| | - Amanda C McClain
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA
| | - Luis M Falcón
- College of Fine Arts, Humanities & Social Sciences, University of Massachusetts, Lowell, MA
| | - Sabrina E Noel
- Department of Biomedical and Nutritional Sciences, University of Massachusetts, Lowell, MA
| | - Katherine L Tucker
- Department of Biomedical and Nutritional Sciences, University of Massachusetts, Lowell, MA
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dela Cruz FA, Yu CH, Vindua KI. The factor structure of a short acculturation scale for Filipino Americans in an adult U.S.-born sample. JOURNAL OF COMMUNITY PSYCHOLOGY 2018; 46:535-550. [PMID: 31682290 PMCID: PMC6190797 DOI: 10.1002/jcop.21955] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 11/28/2017] [Accepted: 12/20/2017] [Indexed: 06/10/2023]
Abstract
The influx of non-European immigrants since 1965 ushered the development and use of acculturation measures in immigrant health studies. A Short Acculturation Scale for Filipino Americans (ASASFA) represents a validated, unidirectional ethnic-specific measure used with first-generation FAs. ASASFA's psychometric properties with adult U.S.-born children-the second generation-remain unexplored. This study determined (a) the factor structure of ASASFA with adult U.S.-born FAs and (b) the predictors of their acculturation scores. A secondary analysis was conducted on ASASFA data from a mental health survey of 116 U.S.-born FAs. Exploratory factor and parallel analyses showed a two-factor solution: language use and preference (Factor 1) and ethnic social relations (Factor 2). Ordinary least squares regression indicated gender and ethnic self-identification predict Factor 1 scores; self-identification solely predicts Factor 2 scores. Results demonstrate ASASFA's validity and parsimony, supporting its use in FA health studies when lengthy bidirectional acculturation measures become impractical.
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22
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Reynolds AL, Sodano SM, Ecklund TR, Guyker W. Dimensions of Acculturation in Native American College Students. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2017. [DOI: 10.1177/0748175611428330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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23
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Cook SA, Ogata H, Elwell MG, Ikeda M. Acculturation in context: knowledge sharing through ubiquitous technologies. RESEARCH AND PRACTICE IN TECHNOLOGY ENHANCED LEARNING 2015; 10:19. [PMID: 30613228 PMCID: PMC6302919 DOI: 10.1186/s41039-015-0017-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In this paper, we assess the feasibility of using a retooled mobile and ubiquitous computer system to facilitate knowledge dissemination between users during the process of acculturation. Focused on the foreign population of a Japanese post-graduate university, the system provides a platform on which to study not only the behavior of participants but also the process of acculturation dynamically in context. Both quantitative and qualitative data were analyzed, with quantitative data being obtained through the use of survey instruments based on proven instruments in the field of acculturation and qualitative data obtained via the use of semi-structured interviews. The results of this study demonstrate that the retooled mobile and ubiquitous computer system used had measurable benefit in aiding participants undergoing the process of acculturation.
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Affiliation(s)
- Steven A. Cook
- Japan Advanced Institute of Science and Technology, Ishikawa, Japan
| | | | | | - Mitsuru Ikeda
- Japan Advanced Institute of Science and Technology, Ishikawa, Japan
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Miyoshi M, Asner-Self K, Yanyan S, Koran JM. Psychometric Properties of the Abbreviated Multidimensional Acculturation Scale and the Multigroup Ethnic Identity Measure With Japanese Sojourners. Assessment 2015; 24:104-114. [PMID: 26297010 DOI: 10.1177/1073191115601208] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The current study examined psychometric properties of the Japanese version of Abbreviated Multidimensional Acculturation Scale (AMAS-ZABB-JP) and the 20-item Multigroup Ethnic Identity Measure (MEIM-JP) with 273 Japanese sojourners and immigrants to the United States. The theoretical six-factor structure for the AMAS-JP and two-factor structure for the MEIM-JP was consistent with the literature. The subscales of the AMAS and MEIM showed expected patterns of correlation with each other and with additional variables (i.e., number of years in the United States), providing evidence for construct validity. Cronbach's alpha reflected high levels of reliability for both scales. Despite strong psychometric findings, there were translational and cultural-based findings that suggest the need for further research.
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Affiliation(s)
| | | | - Sheng Yanyan
- Southern Illinois University, Carbondale, IL, USA
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25
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Behrens K, del Pozo MA, Großhennig A, Sieberer M, Graef-Calliess IT. How much orientation towards the host culture is healthy? Acculturation style as risk enhancement for depressive symptoms in immigrants. Int J Soc Psychiatry 2015; 61:498-505. [PMID: 25466582 DOI: 10.1177/0020764014560356] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AIMS As the specific acculturative tasks and challenges involved in the migration process can lead to an increased risk for depressive symptoms, the study was designed to gain further insight into the interrelation between acculturation styles and mental health. METHODS A total of n = 90 patients with different ethnic backgrounds from an outpatient consultation service for immigrants at the Hannover Medical School were investigated by the Hannover Migration and Mental Health Interview (HMMH), the Centre for Epidemiologic Studies Depression Scale (CES-D) and the Frankfurt Acculturation Scale (FRAKK). RESULTS The majority of the subjects (84.4%) had a clinically significant depression. The extent of depressive symptoms was determined by the selected acculturation style (1) (F = 3.29, p = .025): Subjects with integration as acculturation style showed less depressive symptoms than subjects with assimilation as acculturation style. Furthermore, subjects with segregation as acculturation style also showed less depressive symptoms than subjects with assimilation. CONCLUSION The results suggest that even when undergoing extreme emotional distress, eventually leading to mental disorder, integration, as an acculturation style, seems to serve as a protective resource and possibly prevents further decline.
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Affiliation(s)
- Katharina Behrens
- Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany
| | - Melina A del Pozo
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany
| | - Anika Großhennig
- Institute of Biostatistics, Hannover Medical School, Hannover, Germany
| | - Marcel Sieberer
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany
| | - Iris T Graef-Calliess
- Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany Center for Transcultural Psychiatry & Psychotherapy, Wahrendorff Clinic, Sehnde, Hannover, Germany
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Acculturation and dietary patterns among residents of Surinamese origin in the Netherlands: the HELIUS dietary pattern study. Public Health Nutr 2015; 19:682-92. [PMID: 25994983 DOI: 10.1017/s1368980015001391] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Insight into the role of acculturation in dietary patterns is important to inform the development of nutrition programmes that target ethnic minority groups. Therefore, the present study aimed to investigate how the adherence to dietary patterns within an ethnic minority population in the Netherlands varies by acculturation level compared with the host population. DESIGN Cross-sectional study using data of the HELIUS study. Dietary patterns were assessed with an ethnic-specific FFQ. Acculturation was operationalized using unidimensional proxies (residence duration, age at migration and generation status) as well as on the basis of the bidimensional perspective, defined by four distinct acculturation strategies: assimilation, integration, separation and marginalization. SETTING Amsterdam, the Netherlands. SUBJECTS Participants of Dutch (n 1370) and Surinamese (n 1727) origin. RESULTS Three dietary patterns were identified: (i) 'noodle/rice dishes and white meat' (traditional Surinamese pattern); (ii) 'red meat, snacks and sweets'; and (iii) 'vegetables, fruit and nuts'. Surinamese-origin respondents adhered more to the traditional Surinamese pattern than the other dietary patterns. Neither the unidimensional proxies nor the bidimensional acculturation strategies demonstrated consistent associations with dietary patterns. CONCLUSIONS The lack of consistent association between acculturation and dietary patterns in the present study indicates that dietary patterns are quite robust. Understanding the continued adherence to traditional dietary patterns when developing dietary interventions in ethnic minority groups is warranted.
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Spiegler O, Leyendecker B, Kohl K. Acculturation Gaps Between Turkish Immigrant Marriage Partners. JOURNAL OF CROSS-CULTURAL PSYCHOLOGY 2015. [DOI: 10.1177/0022022115578686] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Research on acculturation gaps has traditionally focused on parent–child dyads and the negative implications for youths’ psycho-social adaptation. The current study explored the impact of acculturation gaps in Turkish immigrant couples ( N = 121) on each spouse’s acculturation stress. Wives and husbands reported their acculturation across two domains (language and identity) and dimensions (German and Turkish), and two facets of stress (homesickness and upholding traditions). Actor–partner interdependence models were used to estimate effects (Cook & Kenny, 2005). While homesickness was a burden for both partners, upholding traditions was not an immense stressor but was higher among husbands. Host culture adaptation was associated with lower levels of homesickness among wives and higher levels of stress with traditions among husbands. Heritage culture maintenance was associated with lower levels of stress with traditions among husbands. Overall, there were very few partner effects although better Turkish language abilities of wives were related to less homesickness among husbands. Acculturation gaps were either unrelated to spouses’ acculturation stress or associated with lower levels of stress. Results are discussed with respect to an interpersonal perspective on immigrants’ acculturation strategies. We promote the idea that biculturalism can be achieved within the couple.
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Abstract
Cultural adaptation is important to assess; however, most acculturation measures are unidimensional with little psychometric data for older immigrants. This study assessed a bidimensional measure, the Vancouver Index of Acculturation (VIA; Ryder, Alden, & Paulhus, 2000), among 149 (mean age: 73.92 years) Chinese Canadians. Internal consistencies were .84 and .83 for the Mainstream and Heritage subscales respectively, and they were orthogonal. Convergent and discriminant validity were demonstrated by predicted correlations between the VIA subscales and age at immigration, years in Canada, English fluency, and the Belief in Chinese Culture and Values Scale (BCCV; Lai & Chau, 2007). The VIA accounted for significantly more variance in language ability than the BCCV, above and beyond acculturation proxies. Exploratory factor analysis replicated the two-factor structure reported by Ryder et al. (2000). A confirmatory factor analysis indicated poor fit. This study supports a bidimensional model of cultural adaptation among older Chinese Canadians.
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Nodora JN, Gallo L, Cooper R, Wertheim BC, Natarajan L, Thompson PA, Komenaka IK, Brewster A, Bondy M, Daneri-Navarro A, Meza-Montenegro MM, Gutierrez-Millan LE, Martínez ME. Reproductive and hormonal risk profile according to language acculturation and country of residence in the Ella Binational Breast Cancer Study. J Womens Health (Larchmt) 2014; 23:532-40. [PMID: 24475760 DOI: 10.1089/jwh.2013.4498] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND We compared the distribution of breast cancer reproductive and hormonal risk factors by level of acculturation and country of residence in women of Mexican descent. METHODS To compare the distribution of breast cancer reproductive and hormonal risk factors by level of acculturation and country of residence in women of Mexican descent, taking into account level of education, we analyzed data on 581 Mexican and 620 Mexican American (MA) women with a history of invasive breast cancer from the Ella Binational Breast Cancer Study. An eight-item language-based acculturation measure was used to classify MA women. Multivariate logistic regression was used to test associations between language acculturation, country of residence, and reproductive and hormonal risk factors. RESULTS After adjustment for age and education, compared to women residing in Mexico, English-dominant MAs were significantly more likely to have an earlier age at menarche (<12 years; odds ratio [OR]=2.08; 95% confidence interval [CI], 1.30-3.34), less likely to have a late age at first birth (≥30 years; OR=0.49; 95% CI, 0.25-0.97), and less likely to ever breastfeed (OR=0.13; 95% CI, 0.08-0.21). CONCLUSIONS Differences in reproductive and hormonal risk profile according to language acculturation and country of residence are evident; some of these were explained by education. Results support continued efforts to educate Mexican and MA women on screening and early detection of breast cancer along with promotion of modifiable factors, such as breastfeeding.
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Affiliation(s)
- Jesse N Nodora
- 1 Moores University of California San Diego Cancer Center, University of California , San Diego, La Jolla, California
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Fox RS, Merz EL, Solórzano MT, Roesch SC. Further Examining Berry's Model: The Applicability of Latent Profile Analysis to Acculturation. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2013; 46:270-288. [PMID: 28819336 PMCID: PMC5557052 DOI: 10.1177/0748175613497036] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study used latent profile analysis (LPA) to identify acculturation profiles. A 3-profile solution fit the data best, and comparisons on demographic and psychosocial outcomes as a function of profile yielded expected results. The findings support using LPA as a parsimonious way to model acculturation without anticipating profiles in advance.
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Ozer S. Theories and Methodologies in Acculturation Psychology: The Emergence of a Scientific Revolution? PSYCHOLOGICAL STUDIES 2013. [DOI: 10.1007/s12646-013-0203-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Effects of length of stay and language proficiency on health care experiences among immigrants in Canada and the United States. Soc Sci Med 2012; 74:1062-72. [PMID: 22326103 DOI: 10.1016/j.socscimed.2011.11.031] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2011] [Revised: 09/01/2011] [Accepted: 11/26/2011] [Indexed: 11/21/2022]
Abstract
This study sought to examine the influence of length of stay and language proficiency on immigrants' access to and utilization of care in Canada and the United States (U.S,). Data came from the 2007-2008 Canadian Community Health Survey and the National Health Interview Survey. Analyses were limited to foreign-born, non-elderly adults in each country (n = 12,870 in Canada and n = 7440 in the U.S.). Health care indicators included having a usual source of care; annual consultation with a health professional, dentist, and eye doctor; flu shot in the past year; and Pap test in the past 3 years. Logistic regression models were employed to estimate the relative odds of access or use of care, adjusting for need, demographic factors, socioeconomic status, and insurance coverage. In general, rates of health care access and utilization were higher in Canada than the U.S. among all immigrant groups. In both countries, adjusted analyses indicated that immigrants with shorter length of stay (less than 10 years) and limited language proficiency generally had lower rates of access/use compared with those with longer length of stay (10 years or more) and proficiency in each country's official language(s), respectively. There was one exception to this pattern in the U.S.: immigrants with limited English had higher odds of having a recent Pap test relative to English-proficient immigrants. The persistence of disparities in health care experiences based on length of stay and language proficiency in Canada suggests that universal health insurance coverage may not be sufficient for ensuring access to and utilization of primary and preventive care for this population.
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Calliess IT, Bauer S, Behrens K. Kulturdynamisches Modell der bikulturellen Identität. PSYCHOTHERAPEUT 2012. [DOI: 10.1007/s00278-011-0879-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Ricciardelli LA, Mellor D, McCabe MP, Mussap AJ, Hallford DJ, Tyler M. Promoting fit bodies, healthy eating and physical activity among Indigenous Australian men: a study protocol. BMC Public Health 2012; 12:28. [PMID: 22236166 PMCID: PMC3281781 DOI: 10.1186/1471-2458-12-28] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2011] [Accepted: 01/11/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Overall the physical health of Indigenous men is among the worst in Australia. Research has indicated that modifiable lifestyle factors, such as poor nutrition and physical inactivity, appear to contribute strongly to these poor health conditions. To effectively develop and implement strategies to improve the health of Australia's Indigenous peoples, a greater understanding is needed of how Indigenous men perceive health, and how they view and care for their bodies. Further, a more systematic understanding of how sociocultural factors affect their health attitudes and behaviours is needed. This article presents the study protocol of a community-based investigation into the factors surrounding the health and body image of Indigenous Australian men. METHODS AND DESIGN The study will be conducted in a collaborative manner with Indigenous Australian men using a participatory action research framework. Men will be recruited from three locations around Australia (metropolitan, regional, and rural) and interviewed to understand their experiences and perspectives on a number of issues related to health and health behaviour. The information that is collected will be analysed using modified grounded theory and thematic analysis. The results will then be used to develop and implement community events in each location to provide feedback on the findings to the community, promote health enhancing strategies, and determine future action and collaboration. DISCUSSION This study will explore both risk and protective factors that affect the health of Indigenous Australian men. This knowledge will be disseminated to the wider Indigenous community and can be used to inform future health promotion strategies. The expected outcome of this study is therefore an increased understanding of health and health change in Indigenous Australian men, the development of strategies that promote healthy eating and positive patterns of physical activity and, in the longer term, more effective and culturally-appropriate interventions to improve health.
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Affiliation(s)
- Lina A Ricciardelli
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
| | - David Mellor
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
| | - Marita P McCabe
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
| | - Alexander J Mussap
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
| | - David J Hallford
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
| | - Matthew Tyler
- School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia
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Padela AI, Rasheed S, Warren GJW, Choi H, Mathur AK. Response to Letter to the Editor. Clin Transplant 2011. [DOI: 10.1111/j.1399-0012.2011.01437.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Matera C, Stefanile C, Brown R. The role of immigrant acculturation preferences and generational status in determining majority intergroup attitudes. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2011. [DOI: 10.1016/j.jesp.2011.03.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Cormier DC, McGrew KS, Evans JJ. Quantifying the “Degree of Linguistic Demand” in Spoken Intelligence Test Directions. JOURNAL OF PSYCHOEDUCATIONAL ASSESSMENT 2011. [DOI: 10.1177/0734282911405962] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The linguistic demand of spoken instructions on individually administered norm-referenced psychological and educational tests is of concern when examining individuals who have varying levels of language processing ability or varying cultural backgrounds. The authors present a new method for analyzing the level of verbosity, complexity, and total demand of spoken directions for individually administered test batteries. This preliminary methodological investigation suggests it is possible, and relatively easy, to gather useful empirical information regarding the complexity of spoken test directions using existing (readily available) text readability programs. It is suggested that best practice for individually administered psychological and educational tests may benefit from including this information when tests are published and/or compared.
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Padela AI, Rasheed S, Warren GJW, Choi H, Mathur AK. Factors associated with positive attitudes toward organ donation in Arab Americans. Clin Transplant 2010; 25:800-8. [DOI: 10.1111/j.1399-0012.2010.01382.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Wang SC, Schwartz SJ, Zamboanga BL. Acculturative Stress Among Cuban American College Students: Exploring the Mediating Pathways Between Acculturation and Psychosocial Functioning. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2010. [DOI: 10.1111/j.1559-1816.2010.00684.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Choudhry K, Wallace LM. 'Breast is not always best': South Asian women's experiences of infant feeding in the UK within an acculturation framework. MATERNAL AND CHILD NUTRITION 2010; 8:72-87. [PMID: 22136221 DOI: 10.1111/j.1740-8709.2010.00253.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Acculturating to a host country has a negative impact on immigrant women's breastfeeding practices, particularly when coming from countries where breastfeeding rates are higher than Western countries. Whether this is true of those immigrating to the UK remains to be investigated. The study aimed to explore whether acculturating to the UK had detrimental effects on breastfeeding practices of South Asian women, and to provide explanations as to how acculturation may have exerted its influence. Twenty South Asian women completed semi-structured interviews exploring infant feeding experiences. Data were thematically analysed. A bidimensional measure assessed women's acculturation status. Women displaying low acculturation levels were aware of living in a formula-feeding culture but this had little influence on breastfeeding intentions/behaviours; drawing upon South Asian cultural teachings of the psychological benefits of breast milk. These women opted to formula-feed in response to their child's perceived demands or in a bid to resolve conflict; either when receiving information about the best feeding method or between their roles as a mother and daughter-in-law. Highly acculturated women also experienced such conflict; their awareness of the formula-feeding culture governed feeding choice. The findings provide a picture of how acculturation may affect South Asian women's breastfeeding intentions and behaviours; encouraging health service providers to meet the varying needs of an acculturating population. If breastfeeding is to be encouraged, it is necessary to understand factors influencing feeding choice; with particular attention to the acculturation pathways that may govern such decisions. This paper highlights ways to tailor information for South Asian women depending on levels of acculturation.
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Affiliation(s)
- Kubra Choudhry
- The Applied Research Centre in Health and Lifestyle Interventions, Faculty of Health and Life Sciences Coventry University, Coventry, UK.
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Friedman M, Saroglou V. Religiosity, Psychological Acculturation to the Host Culture, Self-Esteem and Depressive Symptoms Among Stigmatized and Nonstigmatized Religious Immigrant Groups in Western Europe. BASIC AND APPLIED SOCIAL PSYCHOLOGY 2010. [DOI: 10.1080/01973531003738387] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Mike Friedman
- a Catholic University of Mons-Louvain School of Management
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Li Z, Hicks MHR. The CES-D in Chinese American women: construct validity, diagnostic validity for major depression, and cultural response bias. Psychiatry Res 2010; 175:227-32. [PMID: 20006386 DOI: 10.1016/j.psychres.2009.03.007] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2008] [Revised: 03/01/2009] [Accepted: 03/09/2009] [Indexed: 10/20/2022]
Abstract
Previous studies of the Center for Epidemiologic Studies Depression Scale (CES-D) in Chinese Americans describe internal reliability and factor structure. We report CES-D construct validity and diagnostic validity for major depression in a probability sample of 168 community-dwelling Chinese American women. Internal consistency was satisfactory (Cronbach's alpha=0.86). Good construct validity was indicated by significantly higher mean CES-D scores for respondents who reported lower social support, worse self-perceived general health, or stressful life events, including intimate partner violence. Cultural response bias was found, with positively-stated CES-D items (e.g. "I was happy") producing higher depression scores in immigrants and subjects who preferred to speak Chinese. Diagnostic validity for major depression was assessed using the Composite International Diagnostic Interview. A CES-D cut-off score of 16 had sensitivity of 100% (95% CI: 44% to 100%), specificity of 76% (95% CI: 69% to 82%), PPV of 7% (95% CI: 3% to 19%) and NPV of 100% (95% CI: 97% to 100%). Our findings suggest that the CES-D is useful for screening out non-depressed subjects in a first-stage assessment. However, it should be followed by a diagnostic tool in Chinese American women with scores above the cut-off in order to identify those with clinical depression.
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Affiliation(s)
- Zhonghe Li
- Department of Health Policy and Management, Kresge Building #414, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02114, USA
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Arfken CL, Kubiak SP, Farrag M. Acculturation and polysubstance abuse in Arab-American treatment clients. Transcult Psychiatry 2009; 46:608-22. [PMID: 20028679 DOI: 10.1177/1363461509351364] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Acculturation to U.S. culture by Latinos and Asian Americans has been associated with increased prevalence of substance abuse. However, little is known about the association between acculturation and substance use among Arab Americans, or more specifically, among Arab-American treatment clients. In 156 Arab-American male treatment clients, we found that higher levels of U.S. acculturation were positively associated with increased prevalence of polysubstance abuse. This first report on a large series of Arab-American clients also found considerable within-group variability. These results can be used to develop treatment plans and work-force training on the importance of U.S. acculturation and variability within Arab Americans.
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Affiliation(s)
- Cynthia L Arfken
- Department of Psychiatry and Behavioral Neurosciences at Wayne State University, Michigan 48207, USA.
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Schrauf RW. English use among older bilingual immigrants in linguistically concentrated neighborhoods: social proficiency and internal speech as intracultural variation. J Cross Cult Gerontol 2009; 24:157-79. [PMID: 19184621 DOI: 10.1007/s10823-009-9091-0] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This research focuses on patterns of English proficiency and use-of-English among older immigrants living in linguistically concentrated, ethnic neighborhoods. A sample (n = 60) of older Puerto Ricans, who moved from the island to the mainland in their twenties, were divided into English proficiency groups (fluent, high intermediate, low intermediate) via the Adult Language Assessment Scales. Participants then provided self-ratings of their English proficiency (understanding, speaking, reading, and writing), their use of English in social domains (language spoken with own-family, in-laws, spouse, children, neighbors, and workmates), and their use of English in private psychological domains (language of talking to oneself, counting, writing notes to oneself, thinking, dreaming, praying, and expressing feelings). Finally, all participants completed the Puerto Rican Bicultural Scale. Results show a cohort of immigrant elders whose first language is protected by their ethnic neighborhoods but whose domestic and private lives are increasingly permeated by English. In particular, children emerge as powerful forces of language socialization in English for their parents. Further, there are important individual differences by level of proficiency, with a lowest proficiency group that is less acculturated, lower in socioeconomic status, and even more linguistically isolated than groups with higher proficiency. In essence, level of second language proficiency is a potent source of intracultural variation. Methodologically, the paper makes the important point that self-rated patterns of language use are consistent with scores on formal measures of proficiency. The paper also provides empirical verification of the logic of dividing language use into external, social speech and internal, psychological speech.
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Affiliation(s)
- Robert W Schrauf
- Department of Linguistics and Applied Language Studies, Pennsylvania State University, 305 Sparks Building, University Park, Philadelphia, PA 16802, USA.
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Alegria M. The challenge of acculturation measures: what are we missing? A commentary on Thomson & Hoffman-Goetz. Soc Sci Med 2009; 69:996-8. [PMID: 19664868 DOI: 10.1016/j.socscimed.2009.07.006] [Citation(s) in RCA: 92] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2009] [Indexed: 11/27/2022]
Affiliation(s)
- Margarita Alegria
- Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street, Somerville, MA 02143, USA
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Thomson MD, Hoffman-Goetz L. Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. Soc Sci Med 2009; 69:983-91. [PMID: 19525050 DOI: 10.1016/j.socscimed.2009.05.011] [Citation(s) in RCA: 238] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2008] [Indexed: 10/20/2022]
Abstract
In this systematic review we sought to identify how the public health literature focusing on Hispanic populations in the United States defined and measured the concept of acculturation. A review of 134 studies found considerable variation in the definition and measurement of this construct. The ten acculturation scales used provided little theoretical orientation. It was unclear the extent to which acculturative changes in attitudes, beliefs and behaviors were captured by current measurement tools, as these primarily measure linguistic elements. We suggest future research should refine existing tools, determine their validity and usefulness across ethnic and subethnic groups, and identify which aspects of acculturation these scales and indices reliably measure. Recommendations for use of acculturation instruments in public health practice with Hispanic populations are included.
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Affiliation(s)
- Maria D Thomson
- University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada
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López FA. Developmental Considerations and Acculturation of Children. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2009. [DOI: 10.1177/0739986308327958] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article presents the secondary validation of the Brief Acculturation Rating Scale for Mexican Americans-II (Brief ARSMA-II) for use with children— carried out using two samples of Mexican-descent children (ages = 9-11) from two states ( N = 295). The Brief ARSMA-II was originally normed on adolescents and adults but has been validated and used with children. Ethnic identity development perspectives suggest that the interpretation of scores derived from acculturation measures normed on adolescents and adults may not extend accurately to children. Convergent validity and differential discrimination between groups were examined using scores on the Brief ARSMA-II; scores on an acculturation measure designed for the present study, the Things About Me (TAM); and traditional proxy measures of acculturation. Results from this study do not support the use of the Brief ARSMA-II with children. The importance of considering contextual effects in the interpretation of scores of children's acculturation experience is discussed.
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Abstract
This study explored the relationship between multidimensional acculturation attitudes and depressive symptoms in 78 Korean American adults. Approximately 30% of Korean Americans reported scores higher than 16 on the Center for Epidemiologic Studies-Depression Scale, indicating the presence of elevated depressive symptoms. In multiple regressions controlling for family income, integration was negatively related to depressive symptoms, whereas marginalization was positively linked to depressive symptoms. Findings can be used in developing an intervention program that targets increasing integration and decreasing marginalization and, therefore, decreasing depressive symptoms of Korean Americans.
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Affiliation(s)
- Eunjung Kim
- Department of Family and Child Nursing, University of Washington, Seattle, Washington 98195, USA.
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Eytan A, Jene-Petschen N, Gex-Fabry M. Bicultural identity among economical migrants from three south European countries living in Switzerland. Adaptation and validation of a new psychometric instrument. BMC Psychiatry 2007; 7:17. [PMID: 17490478 PMCID: PMC1876229 DOI: 10.1186/1471-244x-7-17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2007] [Accepted: 05/09/2007] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Acculturation is one of the determinants of mental health among immigrants. Evaluating adaptation to the host culture is insufficient, since immigrants will develop various degrees of bi- or multicultural identity. However, mental health professionals lack simple and easy to use instruments to guide them with bicultural identity evaluation in their practice. Our aim was to develop such an instrument to be used for clinical purposes among economical migrants from three South European countries living in Geneva, Switzerland. METHODS We adapted from existing instruments a 24 item bi-dimensional scale to assess involvement in both culture of origin and host culture. The study included 93 immigrant adults from three south European countries (Italy, Portugal and Spain). Thirty-eight patients were recruited in an outpatient treatment program for alcohol-related problems and 55 participants were hospital employees. RESULTS The questionnaire was rated as easy or rather easy by 97.8% of participants. Median time to complete it was 5 minutes. The instrument allowed discriminating between patients and healthy subjects, with scores for Swiss culture significantly higher among hospital workers. The subscales related to culture of origin and host culture displayed adequate internal consistency (Cronbach's alpha 0.77 and 0.73 respectively). CONCLUSION It is possible to assist clinicians' assessment of cultural identity of Italian, Portuguese and Spanish economical immigrants in Switzerland with a single and easy to use instrument.
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Affiliation(s)
- Ariel Eytan
- Department of Psychiatry, Adult Psychiatric Service, Geneva University Hospitals, Switzerland
| | - Nuria Jene-Petschen
- Department of Psychiatry, Adult Psychiatric Service, Geneva University Hospitals, Switzerland
| | - Marianne Gex-Fabry
- Department of Psychiatry, Adult Psychiatric Service, Geneva University Hospitals, Switzerland
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