Kyle Waldman1, Ai Koyanagi2,3, Julia Shu-Huah Wang4, Justine Ko5, Jordan DeVylder6, Hans Oh7. 1. Sol Price School of Public Policy, University of Southern California, 650 Childs Way, Los Angeles, CA, 90089-0411, USA. kewaldma@usc.edu. 2. Universitat de Barcelona, Parc Sanitari Sant Joan de Déu, Barcelona, Spain. 3. Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain. 4. Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China. 5. Keck School of Medicine, Univeristy of Southern California, Los Angeles, USA. 6. Graduate School of Social Service, Fordham University, New York, USA. 7. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, USA.
Abstract
PURPOSE: Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States. METHODS: Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress. RESULTS: Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates. CONCLUSIONS: Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals.
PURPOSE: Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States. METHODS: Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress. RESULTS: Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates. CONCLUSIONS: Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals.
Authors: Jordan E Devylder; Hans Y Oh; Lawrence H Yang; Leopoldo J Cabassa; Fang-Pei Chen; Ellen P Lukens Journal: Schizophr Res Date: 2013-08-07 Impact factor: 4.939
Authors: Rosa M Gonzalez-Guarda; Allison M Stafford; Gabriela A Nagy; Deanna R Befus; Jamie L Conklin Journal: Biol Res Nurs Date: 2020-11-03 Impact factor: 2.318