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Journal of Immigrant and Minority Health

, Volume 17, Issue 6, pp 1597–1606 | Cite as

Role of Social Support in Examining Acculturative Stress and Psychological Distress Among Asian American Immigrants and Three Sub-groups: Results from NLAAS

  • Shipra Singh
  • Kimberly McBride
  • Vivek Kak
Original Research

Abstract

This study examined the impact of acculturative stress and social support (family and friend) on psychological distress among Asian American immigrants and three Asian sub-groups (Vietnamese, Filipino and Chinese) immigrants. The National Latino and Asian American Study 2002–2003 dataset was used. The study findings were: (1) among all Asian American immigrants high language barrier and discrimination stress were associated with increased level of psychological distress, but similar association was not present for legal stress; (2) among all Asian American immigrants high family social support decreased the levels of psychological distress, and in addition, friend social support buffered the relationship of discrimination and psychological distress; and (3) among Vietnamese, Filipino, and Chinese, differential association of social support and acculturative stress to psychological distress were observed. These findings highlight the importance of social support among Asian American immigrants, while also paying attention to the variation that may exist between different sub-groups.

Keywords

Asian American Immigrants Social support Acculturative stress Psychological distress National Latino Asian American Study 

References

  1. 1.
    Hoeffel EM, et al. The Asian Population: 2010. US Department of Commerce, Economics and Statistics Administration, US Census Bureau; 2012.Google Scholar
  2. 2.
    Escobar J, Vega W. Mental health and immigration’s AAAs: where are we and where do we go from here? J Nerv Ment Dis. 2000;188(11):736.CrossRefPubMedGoogle Scholar
  3. 3.
    Berry JW. Acculturation: living successfully in two cultures. Int J Intercul Relat. 2005;29(6):697–712.CrossRefGoogle Scholar
  4. 4.
    Hwang W, et al. Age of first onset major depression in Chinese Americans. Cult Divers Ethn Minority Psychol. 2005;11(1):16.CrossRefGoogle Scholar
  5. 5.
    Hwang W, Myers H. Major depression in Chinese Americans. Soc Psychiatry Psychiatr Epidemiol. 2007;42(3):189–97.CrossRefPubMedGoogle Scholar
  6. 6.
    Chu JP, Sue S. Asian American mental health: what we know and what we don’t know. Online Read Psychol Cult. 2011;3(1):4.Google Scholar
  7. 7.
    Okazaki S. Asian American and White American differences on affective distress symptoms: Do symptom reports differ across reporting methods? J Cross Cult Psychol. 2000;31(5):603–25.CrossRefGoogle Scholar
  8. 8.
    Ibrahim F, Ohnishi H, Sandhu DS. Asian American identity development: a culture specific model for South Asian Americans. J Multicult Couns Dev. 1997;25(1):34–50.CrossRefGoogle Scholar
  9. 9.
    Sue S, Chu JY. The mental health of ethnic minority groups: challenges posed by the supplement to the Surgeon General’s report on mental health. Cult Med Psychiatry. 2003;27(4):447–65.CrossRefPubMedGoogle Scholar
  10. 10.
    Frisbie WP, Cho Y, Hummer RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol. 2001;153(4):372.CrossRefPubMedGoogle Scholar
  11. 11.
    Takeuchi DT, Alegria M, Jackson JS. Immigration and mental health: diverse findings in Asian, Black, and Latino Populations. Am J Public Health. 2007;97(1):11–2.PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Crockett LJ, et al. Acculturative stress, social support, and coping: relations to psychological adjustment among Mexican American college students. Cult Divers Ethn Minority Psychol. 2007;13(4):347–55.CrossRefGoogle Scholar
  13. 13.
    Lazarus R, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.Google Scholar
  14. 14.
    Lee J-S, Koeske GF, Sales E. Social support buffering of acculturative stress: a study of mental health symptoms among Korean international students. Int J Intercul Relat. 2004;28(5):399–414.CrossRefGoogle Scholar
  15. 15.
    Beckerman NL, Corbett L. Immigration and families: treating acculturative stress from a systemic framework. Fam Ther. 2008;35(2):63–81.Google Scholar
  16. 16.
    Walker RL, et al. An empirical investigation of acculturative stress and ethnic identity as moderators for depression and suicidal ideation in college students. Cult Divers Ethn Minority Psychol. 2008;14(1):75–82.CrossRefGoogle Scholar
  17. 17.
    Williams CL, Berry JW. Primary prevention of acculturative stress among refugees: application of psychological theory and practice. Am Psychol. 1991;46(6):632–41.CrossRefPubMedGoogle Scholar
  18. 18.
    Chae DS, et al. Unfair treatment, racial/ethnic discrimination, ethnic identification, and smoking among Asian Americans in the National Latino and Asian American Study. Am J Public Health. 2008;98(3):485.PubMedCentralCrossRefPubMedGoogle Scholar
  19. 19.
    Finch BK, et al. The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hisp J Behav Sci. 2001;23(4):399–429.CrossRefGoogle Scholar
  20. 20.
    Gee GC, et al. The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Soc Sci Med. 2007;64(10):1984–96.PubMedCentralCrossRefPubMedGoogle Scholar
  21. 21.
    Noh S, Kasper V. Perceived discrimination and depression: moderating effects of coping, acculturation, and ethnic support. Am J Public Health. 2003;93(2):232–9.PubMedCentralCrossRefPubMedGoogle Scholar
  22. 22.
    Samuel N, Violet K, Wickrama KAS. Overt and subtle racial discrimination and mental health: preliminary findings for Korean immigrants. Am J Public Health. 2007;97(7):1269.CrossRefGoogle Scholar
  23. 23.
    Christine JY, Mayuko I. International students’ reported English fluency, social support satisfaction, and social connectedness as predictors of acculturative stress. Couns Psychol Q. 2003;16(1):15.CrossRefGoogle Scholar
  24. 24.
    Diwan S. Limited english proficiency, social network characteristics, and depressive symptoms among older immigrants. J Gerontol B Psychol Sci Soc Sci. 2008;36B(3):S184–91.CrossRefGoogle Scholar
  25. 25.
    Salant T, Lauderdale DS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57(1):71–90.CrossRefPubMedGoogle Scholar
  26. 26.
    Mirsky J. Mental health implications of migration: a review of mental health community studies on Russian-speaking immigrants in Israel. Soc Psychiatry Psychiatr Epidemiol. 2009;44(3):179–87.CrossRefPubMedGoogle Scholar
  27. 27.
    Mallinckrodt B, Leong F. International graduate students, stress, and social support. J Coll Stud Dev. 1992;33(1):71–8.Google Scholar
  28. 28.
    Heaney CA, et al. Social networks and social support, in health behavior and health education: theory, research, and practice. In: Anonymous, editor. Jossey-Bass: San Francisco; 2002. p. 185–209.Google Scholar
  29. 29.
    Barrera M, Social support research in community psychology. Handbook of community psychology, 2000. p. 215‚ Äì245.Google Scholar
  30. 30.
    Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310–57.CrossRefPubMedGoogle Scholar
  31. 31.
    Cohen SL Underwood, and B. Gottlieb, social support measurement and intervention: a guide for health and social scientists. In: Anonymous, editor. Oxford University Press: USA; 2000.Google Scholar
  32. 32.
    Kawachi I, Berkman L. Social ties and mental health. J Urban Health. 2001;78(3):458–67.PubMedCentralCrossRefPubMedGoogle Scholar
  33. 33.
    Vega WA, et al. Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Arch Gen Psychiatry. 1998;55:771–8.CrossRefPubMedGoogle Scholar
  34. 34.
    Yoshikawa H, et al. Do family and friendship networks protect against the influence of discrimination on mental health and HIV risk among Asian and Pacific Islander Gay Men? AIDS Educ Prev. 2004;16(1):84–100.CrossRefPubMedGoogle Scholar
  35. 35.
    Zhang W, Ta V. Social connections, immigration-related factors, and self-rated physical and mental health among Asian Americans. Soc Sci Med. 2009;68(12):2104.CrossRefPubMedGoogle Scholar
  36. 36.
    Mulvaney-Day NE, Alegria M, Sribney W. Social cohesion, social support, and health among Latinos in the United States. Soc Sci Med. 2007;64(2):477–95.PubMedCentralCrossRefPubMedGoogle Scholar
  37. 37.
    Takizawa T, et al. ‘Stress buffering effects of social support on depressive symptoms in middle age: reciprocity and community mental health’: corrigendum. Psychiatry Clin Neurosci. 2007;61(3):336–7.CrossRefGoogle Scholar
  38. 38.
    Kim H, McKenry P. Social networks and support: a comparison of African Americans, Asian Americans, Caucasians, and Hispanics. J Comp Fam Stud. 1998;29(2):313–334.Google Scholar
  39. 39.
    Kramer EJ, et al. Cultural factors influencing the mental health of Asian Americans. West J Med. 2002;176(4):227.PubMedCentralPubMedGoogle Scholar
  40. 40.
    Yeung A, Kung WW. How culture impacts on the treatment of mental illnesses among Asian-Americans. Psychiatric Times. 2004;21(1):34–6.Google Scholar
  41. 41.
    Alegria M, et al. Considering context, place and culture: the National Latino and Asian American Study. Int J Methods Psychiatric Res. 2004;13(4):208–20.CrossRefGoogle Scholar
  42. 42.
    Heeringa S, et al. Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). Int J Methods Psychiatric Res. 2004;13(4):221–40.CrossRefGoogle Scholar
  43. 43.
    Heeringa S. Technical Sample Design Documentation 2002–2003 National Latino and Asian American Study (NLAAS). Ann Arbor: Institute for Social Research, University of Michigan; 2004.Google Scholar
  44. 44.
    Pennell BE, et al. The development and implementation of the National Comorbidity Survey Replication, the National Survey of American Life, and the National Latino and Asian American Survey. Int J Methods Psychiatr Res. 2004;13(4):241–69.CrossRefPubMedGoogle Scholar
  45. 45.
    Takeuchi DT, Zane N, Hong S. Immigration-related factors and mental disorders among Asian Americans. Am J Public Health. 2007;97(1):84–90.PubMedCentralCrossRefPubMedGoogle Scholar
  46. 46.
    Kessler RC, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRefPubMedGoogle Scholar
  47. 47.
    Cervantes R, Padilla A, de Snyder N. The hispanic stress inventory: a culturally relevant approach to psychosocial assessment. Psychol Assess. 1991;3(3):438–47.CrossRefGoogle Scholar
  48. 48.
    Gee GC, et al. Social support as a buffer for perceived unfair treatment among Filipino Americans: differences between San Francisco and Honolulu. Am J Public Health. 2006;96(4):677.PubMedCentralCrossRefPubMedGoogle Scholar
  49. 49.
    Krieger N. Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv. 1999;29(2):295–352.CrossRefPubMedGoogle Scholar
  50. 50.
    Williams DR, Neighbors HW, Jackson JS. Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003;93:200–8.PubMedCentralCrossRefPubMedGoogle Scholar
  51. 51.
    USDHHS. Mental Health: Culture, Race, and Ethnicity-A Supplement to Mental Health: A Report of the Surgeon General-Executive Summary, US Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001.Google Scholar
  52. 52.
    Cho Y, et al. Nativity, duration of residence, and the health of Hispanic adults in the United States. Int Migrat Rev. 2004;38(1):184–211.CrossRefGoogle Scholar
  53. 53.
    Gellis ZD. Kin and Nonkin social supports in a community sample of Vietnamese immigrants. Soc Work. 2003;48(2):248–58.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Health and Recreation Professions, College of Health SciencesUniversity of ToledoToledoUSA
  2. 2.Internal Medicine ResidencyHealth AllegianceJacksonUSA

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