Journal of Immigrant and Minority Health

, Volume 21, Issue 1, pp 14–20 | Cite as

Examining Difference in Immigration Stress, Acculturation Stress and Mental Health Outcomes in Six Hispanic/Latino Nativity and Regional Groups

  • Richard C. Cervantes
  • Karina A. GattamortaEmail author
  • Jodi Berger-Cardoso
Original Paper


Little is known about the specific behavioral health impact of acculturation stressors that affect Hispanic/Latino immigrant sub-groups. These immigration-related stressors and traumatic events may have differential impact on depression depending on country/region of origin. Using a measure of immigration and acculturation stress, the current study sought to determine differences in the impact of stress on six sub-groups of Hispanic immigrants. Data on stress and depression were examined using a large, representative adult immigrant sample (N = 641). Controlling for age, gender and years in the US, factorial analysis of covariance revealed significant differences on total Hispanic Stress Inventory 2 (HSI2) stress appraisal scores based on country/region of origin. Pair wise comparisons between country/region of origin groups revealed that Mexicans had higher levels of stress compared to Cuban or Dominican immigrants. Several patterns of differential stress were also found within sub-domains of the HSI2. Using regression models, HSI2 stress appraisals and their interaction with country of origin proved to not be significant predictors of depression (PHQ9), while gender and age were significant. Differences in HSI2 stress that are based on nativity may be moderated by cultural resilience that ultimately serves a protective role to prevent the onset of depression.


Acculturation stress Hispanics Latinos Depression 



This research was supported by National Institute of Minority Health and Health Disparities 2R44MD004792-02/Grant No. 10671624 to the first author and by the National Institute of Minority Health and Health Disparities Award U54MD002266 supporting the second author. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.


  1. 1.
    Alegría M, Canino G, Stinson FS, Grant BF. Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino Whites in the United States: results from the National Epidemiologic Survey on alcohol and related conditions. J Clin Psychiatry. 2006;67(1):56–65. Scholar
  2. 2.
    Alegría M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G. Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health. 2007;97(1):68–75. Scholar
  3. 3.
    Alegría M, Canino G, Shrout PE, Woo M, Duan N, Vila D, Meng X-L. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165(3):359–69. Scholar
  4. 4.
    Araújo BY, Borrell LN. Understanding the link between discrimination, mental health outcomes, and life chances among Latinos. Hisp J Behav Sci. 2006;28:245–66. Scholar
  5. 5.
    Arroyo-Johnson C, Mincey KD, Ackermann N, Milam L, Goodman MS, Colditz GA. Racial and ethnic heterogeneity in self-reported diabetes across Hispanic subgroups, National Health Interview Survey, 1997–2012. Prev Chronic Dis. 2016;13:E10. Scholar
  6. 6.
    Bernal G, Rodriguez D. Advances in Latino family research: cultural adaptations of evidence-based interventions. Fam Process. 2009;48(2):169. Scholar
  7. 7.
    Brown A, Patten E. Statistical portrait of Hispanics in the United States, 2012. Washington, DC: Pew Research Center. 2014.
  8. 8.
    Castro FG, Garfinkle J, Naranjo D, Rollins M, Brook JS, Brook DW. Cultural traditions as “protective factors” among Latino children of illicit drug user. J Subst Use Misuse. 2007;42(4):621–42. Scholar
  9. 9.
    Cervantes RC, Castro FG. Stress, coping and Mexican American mental health: a systematic review. Hisp J Behav Sci. 1985;7(1):1–73. Scholar
  10. 10.
    Cervantes RC, Fisher DG, Padilla AM, Napper LE. The Hispanic Stress Inventory Version 2: improving assessment of acculturative stress. Psychol Assess. 2016;28(5):509–22. Scholar
  11. 11.
    Chaudry A, Fortuny K. A comprehensive review of immigrant access to health and human services. 2011.
  12. 12.
    Ensel WM. Important life events and depression among older adults: the role of psychological and social resources. J Aging Health. 1991;3(4):546–66. Scholar
  13. 13.
    Hollander A-C, Bruce D, Burström B, Ekblad S. Gender-related mental health differences between refugees and non-refugee immigrants: a cross-sectional register-based study. BMC Public Health. 2011;11:180. Scholar
  14. 14.
    Hunt LM, Schneider S, Comer B. Should acculturation be a variable in health research? A critical review of research on US Hispanics. Social Sci Med. 2004;59(5):973–86. Scholar
  15. 15.
    Jones R. Immigrants outside megalopolis: ethnic transformation in the heartland. Lehman: Rowman & Littlefield; 2008.Google Scholar
  16. 16.
    Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression measure. J Gen Intern Med. 2001;16(9):606–13. Scholar
  17. 17.
    Krogstad MJ, Passel JS, Cohn D. 5 facts about illegal immigration in the U.S., Online Report. Pew Hispanic Research Center. 2016.
  18. 18.
    Lara M, Gamboa C, Kahramanian MI, Morales L, Hayes-Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26(1):367–97. Scholar
  19. 19.
    Lazarus RS, Folkman S. Stress, appraising and coping. New York: Springer; 1984.Google Scholar
  20. 20.
    Leao TS, Sundquist J, Frank G, Johansson LM, Johansson SE, Sundquist K. Incidence of schizophrenia or other psychoses in first- and second-generation immigrants: a national cohort study. J Nerv Mental Dis. 2006;194(1):27–33. Scholar
  21. 21.
    Lorenzo-Blanco EI, Cortina LM. Latino/a depression and smoking: an analysis through the lens of culture, gender and ethnicity. Am J Community Psychol. 2013;51(3–4):332–46. Scholar
  22. 22.
    Martinez-Tyson D, Barnett Pathak E, Soler-Vila H, Flores AM. Looking under the Hispanic umbrella: cancer mortality among Cubans, Mexicans, Puerto Ricans, and other hispanics in Florida. J Immigr Minor Health. 2009;11(4):249–57. Scholar
  23. 23.
    Otiniano Verissimo AD, Grella CE, Amaro H, Gee GE. Discrimination and substance use disorders among Latinos: the role of gender, nativity and ethnicity. Am J Public Health. 2014;104(8):1421–8. Scholar
  24. 24.
    Pabon-Nau L, Cohen A, Meigs J, Grant RW. Hypertension and diabetes prevalence among U.S. Hispanics by country of origin: The National Health Interview Survey 2000–2005. J Gen Intern Med. 2010;25(8):847–52. Scholar
  25. 25.
    Pearlin LI. The sociological study of stress. J Health Soc Behav. 1989;30(3):241–56. Scholar
  26. 26.
    Pew Hispanic Center. Statistical Portrait of Hispanics in the United States, 1980–2013. 2013.
  27. 27.
    Rusch D, Reyes K. Examining the effects of Mexican serial migration and family separations on acculturative stress, depression, and family functioning. Hisp J Behav Sci. 2013;35(2):139–59. Scholar
  28. 28.
    SAMHSA: Substance Abuse and Mental Health Services Authority. Hispanic subgroup differences in rates of substance use treatment need and receipt. Washington D.C.: U.S. Department of Health and Human Services, The National Survey on Drug Use and Health. 2013. Accessed 21 Sept 2016.
  29. 29.
    Smith HA, Furuseth O. Latinos in the New South: transformations of place. Aldershot: Ashgate; 2006.Google Scholar
  30. 30.
    Torres L, Driscoll MW, Voell M. Discrimination, acculturation, and acculturative stress, and Latino psychological distress: a moderated mediation model. Cult Divers Ethnic Minor Psychol. 2012;18(1):17–25. Scholar
  31. 31.
    U.S. Department of Health and Human Services. The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020. Phase I report: Recommendations for the framework and format of Healthy People 2020 [Internet]. Section IV: Advisory Committee findings and recommendations [cited 2010 January 6]. 2010.
  32. 32.
    Vega WA, Rodriguez MA, Gruskin E. Health disparities in the Latino population. Epidemiol Rev. 2009;31(1):99–112. Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Behavioral Assessment, Inc.Beverly HillsUSA
  2. 2.University of MiamiCoral GablesUSA
  3. 3.University of HoustonHoustonUSA

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