Abstract
This study examined the moderating effect of family functioning on the relationship between perceived discrimination and depressive symptoms in immigrant women. A total of 239 immigrant women were selected from four administrative regions in Central Taiwan. Questionnaires concerning perceived discrimination, family functioning (including family cohesion and family adaptability), depressive symptoms, and demographic characteristics were completed by either women themselves (N = 120) or their husbands (N = 119). The moderating effect of family functioning on the relationship between perceived discrimination and depression symptoms was analyzed using multiple regression analysis. Findings showed that a higher level of perceived discrimination among immigrant women is associated with more severe depressive symptoms. Family functioning serves as a moderator between the relationship of perceived discrimination and depressive symptoms, but the moderating effect of family adaptability was evident only in data reported by immigrant women. The results indicate that perceived discrimination has negative mental health implications, and also point to the importance of family functioning for depression. Findings suggest that providers should consider addressing immigrant women’s mental health needs through declining their psychosocial distress at multiple ecological levels.
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References
Bronfenbrenner U (1979) The ecology of human development: experiments by nature and design. Harvard University Press, Cambridge
Chae DH, Lee S, Lincoln KD, Ihara ES (2012) Discrimination, family relationships, and major depression among Asian Americans. J Immigr Minor Health 14:361–370
Chien SC, Yeh YP, Wu JY, Lin CH, Chang PC, Fang CH, Yang HJ (2012) Factors associated with intensiveness of use of child preventive health services in Taiwan: a comparative study between cross-cultural immigrant families and native-born families. Ethn Health. doi:10.1080/13557858.2012.668876
Chou K-L (2012) Perceived discrimination and depression among new migrants to Hong Kong: the moderating role of social support and neighborhood collective efficacy. J Affect Disord 138:63–70
Dillon FR, De La Rosa M, Ibañez GE (2013) Acculturative stress and diminishing family cohesion among recent Latino immigrants. J Immigr Minor Health 15:484–491
Epel OB, Kaplan G, Moran M (2010) Perceived discrimination and health-related quality of life among Arabs and Jews in Israel: a population-based survey. BMC Public Health 10:282
Fincham FD, Beach SRH, Harold GT, Osborne LN (1997) Marital satisfaction and depression: different causal relationships for men and women? Psychol Sci 8:351–357
Flores E, Tschann JM, Dimas JM, Bachen EA, Pasch LA, de Groat CL (2008) Perceived discrimination, perceived stress, and mental and physical health among Mexican-origin adults. Hisp J Behav Sci 30:401–424
Gonzalez-Castro JL, Ubillos S (2011) Determinants of psychological distress among migrants from Ecuador and Romania in a Spanish city. Int J Soc Psychiatry 57:30–44
Hsia H-C (2007) Imaged and imagined threat to the nation: the media construction of the “foreign brides’ phenomenon” as social problems in Taiwan. Inter-Asia Cultural Studies 8:55–85
John DA, de Castro AB, Martin DP, Duran B, Takeuchi DT (2012) Does an immigrant health paradox exist among Asian Americans? Associations of nativity and occupational class with self-rated health and mental disorders. Soc Sci Med 75:2085–2098
Jones CA (2000) Levels of racism: a theoretic framework and a gardener’s tale. Am J Public Health 90:1212–1215
Juang LP, Alvarez AA (2010) Discrimination and adjustment among Chinese American adolescents: family conflict and family cohesion as vulnerability and protective factors. Am J Public Health 100:2403–2409
Lara M, Gamboa C, Kahramanian MI, Morales LS, Hays Bautista DE (2005) Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health 26:367–397
Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K et al (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381:55–62
Lee MB, Liao SC, Lee YJ, Wu CH, Tseng MC, Gau SF, Rau CL (2003) Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc 102:687–694
Lee S, Juon H-S, Martinez G, Hsu CE, Robinson ES, Bawa J, Ma GX (2009) Model minority at risk: expressed needs of mental health by Asian American young adults. J Community Health 34:144–152
Link B, Phelan J (2005) Fundamental causes of health inequalities. In: Mechanic D (ed) Policy challenges in modern health care. Rutgers University Press, New Brunswick
McKeown RE, Garrison CZ, Jackson KL, Cuffe SP, Addy CL, Waller JL (1997) Family structure and cohesion, and depressive symptoms in adolescents. J Res Adolesc 7:267–281
National Immigration Agency (2013) Number of foreign spouse. http://www.immigration.gov.tw/ct.asp?xItem=1210695&ctNode=29699&mp=1. Accessed 3 July 2013
Olson DH, Russell CS, Sprenkle DH (1989) Circumplex model: systemic assessment and treatment of families. Haworth Press, New York
Panchanadeswaran S, Dawson BA (2011) How discrimination and stress affects self-esteem among Dominican immigrant women: an exploratory study. Soc Work Public Health 26:60–77
Park M, Unützer J, Grembowski D (2013) Ethnic and gender variations in the associations between family cohesion, family conflict, and depression in older Asian and Latino adults. J Immigr Minor Health. doi:10.1007/s10903-013-9926-1
Perry-Jenkins M, Folk K (1994) Class, couples, and conflict: effects of the division of labor on assessments of marriage in dual-earner families. J Marriage Fam 56:165–180
Sanders-Phillips K, Settles-Reaves B, Walker D, Brownlow J (2009) Social inequality and racial discrimination: risk factors for health disparities in children of color. Pediatrics 124:S176–S186
Schulz A, Israel B, Williams D, Parker E, Becker A, James S (2000) Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area. Soc Sci Med 51:1639–1653
Taylor DM, Wright SC, Ruggiero KM (1991) The personal/group discrimination discrepancy: responses to experimentally induced personal and group discrimination. J Soc Psychol 131:847–858
Vega WA (1995) The study of Latino families: a point of departure. In: Zambrana RE (ed) Understanding Latino families: scholarship, policy, and practice. Sage, Thousand Oaks, pp 3–17
Vega WA, Gil AG, Warheit GJ, Zimmerman RS, Apospori E (1993) Acculturation and delinquent behavior among Cuban American adolescents: toward an empirical model. Am J Community Psychol 21:113–125
Wu Q, Chow JC (2013) Social service utilization, sense of community, family functioning and the mental health of new immigrant women in Hong Kong. Int J Environ Res Public Health 10:1735–1746
Yang HJ, Kuo YJ, Wang L, Yang CY (2013) Culture, parenting, and child behavioral problems: a comparative study of cross-cultural immigrant families and native-born families in Taiwan. Transcult Psychiatry (in press)
Zlotnick C, Kohn R, Keitner G, Della Grotta S (2000) The relationship between quality of interpersonal relationships and major depressive disorder: findings from the National Comorbidity Survey. J Affect Disord 59:205–215
Acknowledgements
This research was funded by a grant from the National Science Council, Taiwan (NSC99-2511-S-040-004-MY3) to the corresponding author. The authors would like to thank all participants in this study, their families, and the principals and teachers of the participating schools that assisted our research staff.
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Yang, HJ., Wu, JY., Huang, SS. et al. Perceived discrimination, family functioning, and depressive symptoms among immigrant women in Taiwan. Arch Womens Ment Health 17, 359–366 (2014). https://doi.org/10.1007/s00737-013-0401-8
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DOI: https://doi.org/10.1007/s00737-013-0401-8