Abstract
Host society acculturation (or reverse acculturation) is a complex, multifactorial process reflecting the attitude- and behavior-level impact of immigrants on the host society. However, this phenomenon has rarely been the subject of systematic research in the area of public health. Using qualitative and quantitative findings from different health behavior domains, we strove to identify potential individual- and environment-level determinants of host society acculturation. Next, we developed a context-driven multilevel public health research and intervention framework for the study of the relationship between host society acculturation and health practices and outcomes. The framework posits a number of associations to be evaluated by future multidisciplinary research nationally and internationally.
Similar content being viewed by others
References
Vega WA, Amaro H. Latino outlook: good health, uncertain prognosis. Annu Rev Public Health. 1994;15:39–67.
Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.
Borges G, Breslau J, Orozco R, Tancredi DJ, Anderson H, Aguilar-Gaxiola S, Mora ME. A cross-national study on Mexico-US migration, substance use and substance use disorders. Drug Alcohol Depend. 2011;117:16–23.
Delavari M, Sonderlund AL, Swinburn B, Mellor D, Renzaho A. Acculturation and obesity among migrant populations in high income countries—a systematic review. BMC Public Health. 2013;13:458.
Rote SM, Brown RL. Gender differences in alcohol and drug use among Hispanic adults: the influence of family processes and acculturation. J Addict Dis. 2013;32:354–64.
Holmboe-Ottesen G, Wandel M. Changes in dietary habits after migration and consequences for health: a focus on South Asians in Europe. Food Nutr Res. 2012;56. doi:10.3402/fnr.v56i0.18891.
Andreeva VA, Unger JB, Yaroch AL, Cockburn MG, Baezconde-Garbanati L, Reynolds KD. Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey. Am J Public Health. 2009;99:734–41.
Andreeva VA, Pokhrel P. Breast cancer screening utilization among Eastern European immigrant women worldwide: a systematic literature review and a focus on psychosocial barriers. Psychooncology. 2013;22:2664–75.
Limmer K, LoBiondo-Wood G, Dains J. Predictors of cervical cancer screening adherence in the United States: a systematic review. J Adv Pract Oncol. 2014;5:31–41.
Johnson-Kozlow M. Colorectal cancer screening of Californian adults of Mexican origin as a function of acculturation. J Immigr Minor Health. 2010;12:454–61.
Oh KM, Jacobsen KH. Colorectal cancer screening among Korean Americans: a systematic review. J Community Health. 2014;39:193–200.
Andreeva VA, Unger JB. Host society acculturation and health practices and outcomes in the United States: public health policy and research implications worldwide. J Public Health Policy. 2014;35:278–91.
LaFromboise T, Coleman HL, Gerton J. Psychological impact of biculturalism: evidence and theory. Psychol Bull. 1993;114:395–412.
Dinh KT, Bond MA. Introduction to special section: the other side of acculturation: changes among host individuals and communities in their adaptation to immigrant populations. Am J Community Psychol. 2008;42:283–5.
Dominguez S, Maya-Jariego I. Acculturation of host individuals: immigrants and personal networks. Am J Community Psychol. 2008;42:309–27.
Smith RS. The case of a city where 1 in 6 residents is a refugee: ecological factors and host community adaptation in successful resettlement. Am J Community Psychol. 2008;42:328–42.
Bourhis RY, Bougie E. Le modèle d’acculturation interactif: une étude exploratoire. Revue Québécoise de Psychologie. 1998;19:75–114.
Portes A, Stepick A. City on the edge: the transformation of Miami. Berkeley: University of California Press; 1993.
van Oudenhoven JP, Ward C, Masgoret AM. Patterns of relations between immigrants and host societies. Int J Intercult Relat. 2006;30:637–51.
Satia-Abouta J, Patterson RE, Neuhouser ML, Elder J. Dietary acculturation: applications to nutrition research and dietetics. J Am Diet Assoc. 2002;102:1105–17.
Larson N, Story M. A review of environmental influences on food choices. Ann Behav Med. 2009;38:S56–73.
Dinh KT, Weinstein TL, Nemon M, Rondeau S. The effects of contact with Asians and Asian Americans on White American college students: attitudes, awareness of racial discrimination, and psychological adjustment. Am J Community Psychol. 2008;42:298–308.
Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118:293–302.
Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: The National Academy Press; 2003.
U.S. Department of Health and Human Services (DHHS). National standards for culturally and linguistically appropriate services in health care. Executive summary. Rockville: U.S. DHHS, Office of Minority Health; 2001.
Shaw-Taylor Y. Culturally and linguistically appropriate health care for racial or ethnic minorities: analysis of the US Office of Minority Health’s recommended standards. Health Policy. 2002;62:211–21.
Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep. 2008;10:1–23.
Han GS, Ballis H. Ethnomedicine and dominant medicine in multicultural Australia: a critical realist reflection on the case of Korean-Australian immigrants in Sydney. J Ethnobiol Ethnomed. 2007;3:1.
Tyreman S. Values in complementary and alternative medicine. Med Health Care Philos. 2011;14:209–17.
Wetzel MS, Kaptchuk TJ, Haramati A, Eisenberg DM. Complementary and alternative medical therapies: implications for medical education. Ann Intern Med. 2003;138:191–6.
Coulter ID, Willis EM. The rise and rise of complementary and alternative medicine: a sociological perspective. Med J Aust. 2004;180:587–9.
Amundsen EJ. Low level of alcohol drinking among two generations of non-Western immigrants in Oslo: a multi-ethnic comparison. BMC Public Health. 2012;12:535.
Svensson M. Alcohol use and social interactions among adolescents in Sweden: do peer effects exist within and/or between the majority population and immigrants? Soc Sci Med. 2010;70:1858–64.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice Hall; 1986.
Acevedo-Garcia D, Pan J, Jun HJ, Osypuk TL, Emmons KM. The effect of immigrant generation on smoking. Soc Sci Med. 2005;61:1223–42.
Chen W. Demystifying multiculturalism: a study for understanding reverse acculturation among Anglo-Americans. Doctoral dissertation, The University of Texas at Austin, Austin, TX; 1997.
Ruddock HC, de Turner S. Developing cultural sensitivity: nursing students’ experiences of a study abroad programme. J Adv Nurs. 2007;59:361–9.
Sapienza I, Hichy Z, Guarnera M, Nuovo SD. Effects of basic human values on host community acculturation orientations. Int J Psychol. 2010;45:311–9.
Simmons SJ, Wittig MA, Grant SK. A mutual acculturation model of multicultural campus climate and acceptance of diversity. Cult Divers Ethn Minor Psychol. 2010;16:468–75.
Finch BK, Boardman JD, Kolody B, Vega WA. Contextual effects of acculturation on perinatal substance exposure among immigrant and native-born Latinas. Soc Sci Q. 2000;81:421–39.
Eschbach K, Mahnken JD, Goodwin JS. Neighborhood composition and incidence of cancer among Hispanics in the United States. Cancer. 2005;103:1036–44.
Chaix B. Geographic life environments and coronary heart disease: a literature review, theoretical contributions, methodological updates, and a research agenda. Annu Rev Public Health. 2009;30:81–105.
Tseng V, Yoshikawa H. Reconceptualizing acculturation: ecological processes, historical contexts, and power inequities. Commentary for AJCP special section on “The other side of acculturation: changes among host individuals and communities in their adaptation to immigrant populations”. Am J Community Psychol. 2008;42:355–8.
Emmons KM, Barbeau EM, Gutheil C, Stryker JE, Stoddard AM. Social influences, social context, and health behaviors among working-class, multi-ethnic adults. Health Educ Behav. 2007;34:315–34.
Shoemaker PJ, Reese SD, Danielson WA. Spanish-language print media use as an indicator of acculturation. Journal Q. 1985;62(734–740):762.
Cooper RA, Laud P, Dietrich CL. Current and projected workforce of nonphysician clinicians. JAMA. 1998;280:788–94.
Alter AL, Kwan VS. Cultural sharing in a global village: evidence for extracultural cognition in European Americans. J Pers Soc Psychol. 2009;96:742–60.
James S, Prilleltensky I. Cultural diversity and mental health. Towards integrative practice. Clin Psychol Rev. 2002;22:1133–54.
Grieco EM, Trevelyan EN. Place of birth of the foreign-born population: 2009. Washington, DC: U.S. Census Bureau; 2010.
Collins D, Villagran MM, Sparks L. Crossing borders, crossing cultures: barriers to communication about cancer prevention and treatment along the U.S./Mexico border. Patient Educ Couns. 2008;71:333–9.
Acevedo-Garcia D, Bates LM, Osypuk TL, McArdle N. The effect of immigrant generation and duration on self-rated health among US adults 2003–2007. Soc Sci Med. 2010;71:1161–72.
Glynn TJ. Psychological sense of community: measurement and application. Hum Relat. 1981;34:789–818.
Yu MY, Wu TY, Mood DW. Cultural affiliation and mammography screening of Chinese women in an urban county of Michigan. J Transcult Nurs. 2005;16:107–16.
Stephenson M. Development and validation of the Stephenson Multigroup Acculturation Scale (SMAS). Psychol Assess. 2000;12:77–88.
van der Zee KI, van Oudenhoven JP. The multicultural personality questionnaire: a multidimensional instrument of multicultural effectiveness. Eur J Pers. 2000;14:291–309.
United Nations. International migration 2009: Graphs and maps from the 2009 wallchart. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2009.
Shmueli A, Igudin I, Shuval J. Change and stability: use of complementary and alternative medicine in Israel: 1993, 2000 and 2007. Eur J Public Health. 2011;21:254–9.
Mishra GD, McNaughton SA, Bramwell GD, Wadsworth EJ. Longitudinal changes in dietary patterns during adult life. Br J Nutr. 2006;96:735–44.
Wharry S. Canada—a country of two solitudes when smoking rates among anglophones, francophones compared. CMAJ. 1997;156:244–5.
Nierkens V, Krumeich A, de Ridder R, van Dongen M. The future of intercultural mediation in Belgium. Patient Educ Couns. 2002;46:253–9.
Kelly BD. Health services, psychiatry and citizenship in a globalizing world: a perspective from Ireland. Health Policy. 2009;93:48–54.
Schwartz SJ, Zamboanga BL. Testing Berry’s model of acculturation: a confirmatory latent class approach. Cult Divers Ethnic Minor Psychol. 2008;14:275–85.
U.S. Census Bureau. Nation’s population one-third minority. Washington, DC: U.S. Census Bureau; 2006.
Acknowledgments
This work was supported in part by a doctoral dissertation fellowship from the Department of Preventive Medicine, Keck School of Medicine, University of Southern California (Dr. Andreeva).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Andreeva, V.A., Unger, J.B. Determinants of Host Society Acculturation and Its Relationship with Health Behaviors and Outcomes: A New Research and Intervention Framework. J Immigrant Minority Health 17, 1420–1426 (2015). https://doi.org/10.1007/s10903-014-0104-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-014-0104-x