Abstract
While many studies have documented the health outcomes of immigrants, little is known about the direct and intersectional influences of generational status on mental health. We conducted a population-based cross-sectional study using data from the California Health Interview Survey from 2015 to 2016 (N = 41,754) to compare the prevalence of psychological distress among first-generation immigrants and non-immigrants relative to second-generation immigrants, overall and across intersections of race, poverty status, and gender. Second-generation and non-immigrant respondents had a significantly higher prevalence (10.1% and 9.4%, respectively) of psychological distress compared to first-generation immigrants (5.9%). Prevalence ratios comparing first-generation to second-generation immigrants were suggestive of an association where first-generation immigrants had lower prevalence of psychological distress compared to second-generation, though not statistically significant (0.81, 95% Confidence interval 0.63, 1.04). Prevalence ratios of non-immigrants relative to second-generation immigrants were not statistically significant (1.12, 95% Confidence interval 0.84, 1.50).
References
Bowleg, L. (2012). The problem with the phrase women and minorities intersectionality—An important theoretical framework for public health. American Journal of Public Health, 102(7), 1267–1273.
Burgos-Cienfuegos, R., Vasquez-Salgado, Y., Ruedas-Gracia, N., & Greenfield, P. M. (2015). Disparate cultural values and modes of conflict resolution in peer relations: The experience of Latino first-generation college students. Hispanic Journal of Behavioral Sciences, 37(3), 365–397.
Burns, J. K. (2015). Poverty, inequality and a political economy of mental health. Epidemiology and Psychiatric Sciences, 24(02), 107–113.
California Health Interview Survey 2015–2016 Sample Design. (2017).
Crenshaw, K. (2005). Mapping the margins: Intersectionality, identity politics, and violence against women of color (1994).
Giguère, B., Lalonde, R., & Lou, E. (2010). Living at the crossroads of cultural worlds: The experience of normative conflicts by second generation immigrant youth. Social and Personality Psychology Compass, 4(1), 14–29.
Hamilton, H. A., Noh, S., & Adlaf, E. M. (2009). Adolescent risk behaviours and psychological distress across immigrant generations. Canadian Journal of Public Health/Revue Canadienne de Sante'e Publique, 100, 221–225.
Harker, K. (2001). immigrant generation, assimilation, and adolescent psychological well-being. Social Forces, 79(3), 969–1004.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L.,..., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E.,..., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189.
Kim, J., Nicodimos, S., Kushner, S. E., Rhew, I. C., Mccauley, E., & Stoep, A. V. (2018). Comparing mental health of US children of immigrants and non-immigrants in 4 racial/ethnic groups. Journal of School Health, 88(2), 167–175.
Kinser, P. A., & Lyon, D. E. (2014). A conceptual framework of stress vulnerability, depression, and health outcomes in women: Potential uses in research on complementary therapies for depression. Brain and Behavior, 4(5), 665–674.
Lara-Cinisomo, S., Xue, Y., & Brooks-Gunn, J. (2013). Latino youths internalising behaviours: Links to immigrant status and neighbourhood characteristics. Ethnicity & Health, 18(3), 315–335.
Leong, F., Park, Y. S., & Kalibatseva, Z. (2013). Disentangling immigrant status in mental health: Psychological protective and risk factors among Latino and Asian American immigrants. American Journal of Orthopsychiatry, 83(2pt3), 361–371.
Lorant, V. (2003). Socioeconomic inequalities in depression: A meta-analysis. American Journal of Epidemiology, 157(2), 98–112. https://doi.org/10.1093/aje/kwf182.
Mistry, R. S., Benner, A. D., Tan, C. S., & Kim, S. Y. (2009). Family economic stress and academic well-being among Chinese-American youth: The influence of adolescents’ perceptions of economic strain. Journal of Family Psychology, 23(3), 279.
Myers, H. F. (2009). Ethnicity-and socio-economic status-related stresses in context: An integrative review and conceptual model. Journal of Behavioral Medicine, 32(1), 9–19.
Nadeem, E., Lange, J. M., Edge, D., Fongwa, M., Belin, T., & Miranda, J. (2007). Does stigma keep poor young immigrant and US-born black and Latina women from seeking mental health care? Psychiatric Services, 58(12), 1547–1554.
Peña, J. B., Wyman, P. A., Brown, C. H., Matthieu, M. M., Olivares, T. E., Hartel, D., et al. (2008). Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among latino adolescents in the USA. Prevention Science, 9(4), 299–310. https://doi.org/10.1007/s11121-008-0105-x.
Portes, A., Fernandez-Kelly, P., & Haller, W. (2005). Segmented assimilation on the ground: The new second generation in early adulthood. Ethnic and Racial Studies, 28(6), 1000–1040.
Pumariega, A. J., Rothe, E., & Pumariega, J. B. (2005). Mental health of immigrants and refugees. Community Mental Health Journal, 41(5), 581–597.
Ruiz, J. M., Hamann, H. A., Mehl, M. R., & O’Connor, M. F. (2016). The Hispanic health paradox: From epidemiological phenomenon to contribution opportunities for psychological science. Group Processes & Intergroup Relations, 19(4), 462–476.
StataCorp. (2015). Stata statistical software: Release 14. College Station: StataCorp LP.
Trevelyan, E., Gambino, C., Gryn, T., Larsen, L., Acosta, Y., Grieco, E.,…, Walters, N. (2016). Characteristics of the U.S. population by generational status: 2013 (pp. 23–214, Rep.). U.S. Census Bureau.
Viruell-Fuentes, E. A., Miranda, P. Y., & Abdulrahim, S. (2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science & Medicine, 75(12), 2099–2106.
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93(2), 200–208.
Zhang, W., & Ta, V. M. (2009). Social connections, immigration-related factors, and self-rated physical and mental health among Asian Americans. Social Science & Medicine, 68(12), 2104–2112.
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Mancenido, A., Williams, E.C. & Hajat, A. Examining Psychological Distress Across Intersections of Immigrant Generational Status, Race, Poverty, and Gender. Community Ment Health J 56, 1269–1274 (2020). https://doi.org/10.1007/s10597-020-00584-w
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DOI: https://doi.org/10.1007/s10597-020-00584-w