Abstract
Vietnamese Americans are a heterogeneous group with varied migration histories. The life course perspective (LCP) suggests that different migration histories (immigrant vs. refugee) may affect their psychological health. Using Vietnamese refugee (n = 291) and immigrant (n = 211) subsamples from the National Latino and Asian American Study, selected LCP factors relevant to foreign-born Vietnamese were examined for their associations with psychological distress. Two separate regressions were conducted to examine differential factors across the subgroups. Results showed that sex, age at immigration, and pre- and post-migration traumas were significant factors for refugees. Among immigrants, only racial discrimination was significant factor. The results suggest that applying LCP among Vietnamese Americans helps to discern factors associated with their psychological distress outcomes depending on their initial immigration status. The results also indicate that healthcare professionals should consider the migration background of foreign-born Vietnamese in screening for potential psychological issues, particularly around their trauma history and discriminatory experiences.
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References
Birman, D., & Tran, N. (2008). Psychological distress and adjustment of Vietnamese refugees in the United States: Association with pre- and postmigration factors. American Journal of Orthopsychiatry, 78(1), 109–120. https://doi.org/10.1037/0002-9432.78.1.109.
Brown, A., & Schribner, T. (2014). Unfulfilled promises, future possibilities: The refugee resettlement system in the United States. Journal on Migration and Human Security, 78(1), 101–120. https://doi.org/10.14240/jmhs.v2i2.27.
Buchwald, D., Manson, S. M., Dinges, N. G., Keane, E. M., & Kinzie, J. D. (1993). Prevalence of depressive symptoms among established Vietnamese refugees in the United States. Journal of General Internal Medicine, 8(2), 76–81. https://doi.org/10.1007/bf02599987.
Center for Disease Control and Prevention. (2008). Promoting cultural sensitivity: A practical guide for tuberculosis programs that provide services to persons from Vietnam. Atlanta, GA: U.S. Department of Health and Human Services.
Chan, K. T.-K., Tran, T. V., & Nguyen, T.-N. (2012). Cross-cultural equivalence of a measure of perceived discrimination between Chinese-Americans and Vietnamese-Americans. Journal of Ethnic & Cultural Diversity in Social Work: Innovation in Theory, Research & Practice, 21(1), 20–36. https://doi.org/10.1080/15313204.2011.647348.
Chung, R. C.-Y., & Kagawa-Singer, M. (1993). Predictors of psychological distress among southeast Asian refugees. Social Science & Medicine, 36(5), 631–639. https://doi.org/10.1016/0277-9536(93)90060-H.
Clark, R. L., Glick, J. E., & Bures, R. M. (2009). Immigrant families over the life course: Research directions and needs. Journal of Family Issues, 30(6), 852–872. https://doi.org/10.1177/0192513X09332162.
Cortes, K. E. (2004). Are refugees different from economic immigrants? Some empirical evidence on the heterogeneity of immigrant groups in the United States. Review of Economics and Statistics, 86(2), 465–480.
Elder, G. H. Jr. (1994). Time, human agency, and social change: Perspectives on the life course. Social Psychology Quarterly, 57(1), 4–15.
Elder, G. H. Jr., Johnson, M. K., & Crosnoe, R. (2003). The emergence and development of life course theory. In J. T. Mortimer & M. J. Shanahan (Eds.), (pp. 3–19). New York: Kluwer.
Espiritu, Y. L. (2014). Body counts: The Vietnam war and militarized refuge(es). Berkeley, CA: University of California Press.
Gee, G. C., Ro, A., Gavin, A., & Takeuchi, D. T. (2008). Disentangling the effects of racial and weight discrimination on body mass index and obesity among Asian Americans. American Journal of Public Health, 98(3), 493–500.
Gee, G. C., Ro, A., Shariff-Marco, S., & Chae, D. H. (2009). Racial discrimination and health among Asian Americans: Evidence, assessment, and directions for future research. Epidemiological Reviews, 31(1), 130–151. https://doi.org/10.1093/epirev/mxp009.
Gee, G. C., Spencer, M. S., Chen, J., Yip, T., & Takeuchi, D. T. (2007). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science & Medicine, 64(10), 1984–1996.
Gee, G. C., Walsemann, K. M., & Brondolo, E. (2012). A life course perspective on how racism may be related to health inequities. American Journal of Public Health, 102, 967–974. https://doi.org/10.2105/AJPH.2012.300666.
Gong, F., Xu, J., Fujishiro, K., & Takeuchi, D. T. (2011). A life course perspective on migration and mental health among Asian immigrants: The role of human agency. Social Science & Medicine, 73, 1618–1626. https://doi.org/10.1016/j.socscimed.2011.09.014.
Han, M., Cao, L., & Anton, K. (2015). Exploring the role of ethnic media and the community readiness to combat stigma attached to mental illness among Vietnamese immigrants: The pilot project Tam an (inner peace in Vietnamese). Community Mental Health Journal, 51(1), 63–70. https://doi.org/10.1007/s10597-014-9745-4.
Heeringa, S. G., Wagner, J., Torres, M., Duan, N., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240. https://doi.org/10.1002/mpr.179.
Hinton, W. L., Tiet, Q., Tran, C. G., & Chesney, M. (1997). Predictors of depression among refugees from Vietnam: A longitudinal study of new arrivals. Journal of Nervous and Mental Disease, 185(1), 39–45.
Hung, N. M., & Haines, D. W. (1997). Vietnamese. In D. W. Haines (Ed.), Case studies in diversity: Refugees in America in the 1990s (pp. 34–56). Westpost, CT: Praeger.
Hutchison, E. D. (2015). A life course perspective (5th edn., pp. 1–39). Thousand Oaks, CA: Sage.
Jasso, G. (2003). Migration, human development, and the life course. In J. T. Mortimer & M. J. Shanahan (Eds.), (pp. 331–368). New York: Kluwer.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L. T., .… Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(06), 959–976. https://doi.org/10.1017/S0033291702006074
Kim, I. (2016). Beyond trauma: Post-resettlement factors and mental health outcomes among Latino and Asian refugees in the United States. Journal of Immigrant and Minority Health, 18(4), 740–748. https://doi.org/10.1007/s10903-015-0251-8.
Kim, I., Chen, J., & Spencer, M. S. (2012). Social determinants of health and mental health among Asian Americans in the United States. Journal of the Society for Social Work and Research, 3, 346–361. https://doi.org/10.5243/jsswr.2012.21.
Knipscheer, J. W., Sleijpen, M., Mooren, T., ter Heide, F. J. J., & van der Aa, N. (2015). Trauma exposure and refugee status as predictors of mental health outcomes in treatment-seeking refugees. BJPsych Bulletin, 39(4), 178–182. https://doi.org/10.1192/pb.bp.114.047951.
Luu, T. D., Leung, P., & Nash, S. G. (2009). Help-seeking attitudes among Vietnamese Americans: The impact of acculturation, cultural barriers, and spiritual beliefs. Social Work in Mental Health, 7(5), 476–493. https://doi.org/10.1080/15332980802467456.
Mereish, E. H., Liu, M. M., & Helms, J. E. (2012). Effects of discrimination on Chinese, Pilipino, and Vietnamese Americans’ mental and physical health. Asian American Journal of Psychology, 3(2), 91–103. https://doi.org/10.1037/a0025876.
Mollica, R. F., Wyshak, G., & Lavelle, J. (1987). The psychosocial impact of war trauma and torture on Southeast Asian refugees. American Journal of Psychiatry, 144(12), 1567–1987.
Nguyen, D., & Goel, M. (2015). Social determinants and the psychological distress of Vietnamese immigrants. International Journal of Culture and Mental Health, 8(1), 22–33. https://doi.org/10.1080/17542863.2014.892518.
Niedzwiecki, M., & Duong, T. C. (2004). Southeast Asian American statistical profile. Washington, D.C.: Southeast Asia Resource Action Center (SEARAC).
Ong, A. (2003). Buddha is hiding: Refugees, citizenship, the new America. Berkeley, CA: University of California Press.
Pearlin, L. I., Schieman, S., Fazio, E. M., & Meersman, S. C. (2005). Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior, 46, 205–219. https://doi.org/10.1177/002214650504600206.
Pennell, B.-E., Bowers, A., Carr, D., Chardoul, S., Cheung, G., Dinkelmann, K., .… Torres, M. (2004). The development and implementation of the National Comorbidity Survey replication, the National Survey of American Life, and the National Latino and Asian American Survey. International Journal of Methods in Psychiatric Research, 13(4), 241–269. https://doi.org/10.1002/mpr.180.
Rumbaut, R. G. (1996). A legacy of war: Refugees from Vietnam, Laos and Cambodia. In S. Pedraza & R. G. Rumbaut (Eds.), Origins and destinies: Immigration, race, and ethnicity in America (pp. 315–333). Belmont, CA: Wadsworth.
Rumbaut, R. G. (2005). Turning points in the transition to adulthood: Determinants of educational attainment, incarceration, and early childbearing among children of immigrants. Ethnic and Racial Studies, 28(6), 1041–1086. https://doi.org/10.1080/01419870500224349.
Shapiro, J., Douglas, K., & de la Rocha, O. (1999). Generational differences in psychosocial adaptation and predictors of psychological distress in a population of recent Vietnamese immigrants. Journal of Community Health, 24(2), 95–113. https://doi.org/10.1023/A:1018702323648.
Statacorp. (2011). Stata Statistical Software: Release 12. College Station, TX: StataCorp, LP.
Takeuchi, D. T., Chung, R. C.-Y., Lin, K.-M., Shen, H., Kurasaki, K., Chun, C.-A., & Sue, S. (1998). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry, 155(10), 1407–1414. https://doi.org/10.1176/ajp.155.
Tran, T. V. (1993). Psychological traumas and depression in a sample of Vietnamese people in the United States. Health and Social Work, 18(3), 184–194.
U.S. Immigration, and Naturalization Service. (1997). Statistical Yearbook of the Immigration and Naturalization Service, 1995. Washington, D.C.: U.S. Government Printing Office.
Vega, W. A., Gil, A. G., Warheit, G. J., Zimmerman, R. S., & Apospori, E. (1993). Acculturation and delinquent behavior among Cuban American Adolescents: Toward an empirical model. American Journal of Community Psychology, 21(1), 113–125. https://doi.org/10.1007/BF00938210.
Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of Health Psychology, 2(3), 335–351.
Wingens, M., de Valk, H., Windzio, M., & Aybek, C. (2011). The sociological life course approach and research on migration and integration. In M. Wingens, M. Windzio, H. de Valk & C. Aybek (Eds.), (pp. 1–26). New York: Springer.
Yamane, L. (2012). Labor market discrimination: Vietnamese immigrants. Journal of Southeast Asian American Education and Advancement. https://doi.org/10.7771/2153-8999.1046.
Yip, T., Gee, G. C., & Takeuchi, D. T. (2008). Racial discrimination and psychological distress: The impact of ethnic identity and age among immigrant and United States-born Asian adults. Developmental Psychology, 44(3), 787–800.
Zhang, W., Hong, S., Takeuchi, D. T., & Mossakowski, K. N. (2012). Limited English proficiency and psychological distress among Latinos and Asian Americans. Social Science & Medicine, 75(6), 1006–1014. https://doi.org/10.1016/j.socscimed.2012.05.012.
Zong, J., & Batalova, J. (2016). Vietnamese immigrants in the United States. Migration Policy Institute. Retrieved October 18, 2016, from http://www.migrationpolicy.org/article/vietnamese-immigrants-united-states.
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Kim, I., Keovisai, M., Kim, W. et al. Trauma, Discrimination, and Psychological Distress Across Vietnamese Refugees and Immigrants: A Life Course Perspective. Community Ment Health J 55, 385–393 (2019). https://doi.org/10.1007/s10597-018-0268-2
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DOI: https://doi.org/10.1007/s10597-018-0268-2