Journal of Immigrant and Minority Health

, Volume 19, Issue 2, pp 373–380 | Cite as

Acculturation Strategies Among South Asian Immigrants: The Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study

  • Belinda L. Needham
  • Bhramar Mukherjee
  • Pramita Bagchi
  • Catherine Kim
  • Arnab Mukherjea
  • Namratha R. Kandula
  • Alka M. Kanaya
Original Paper


In the past, epidemiologic research on acculturation and health has been criticized for its conceptual ambiguity and simplistic measurement approaches. This study applied a widely-used theoretical framework from cross-cultural psychology to identify acculturation strategies among South Asian immigrants in the US and to examine sociodemographic correlates of acculturation strategies. Data were from the Mediators of Atherosclerosis in South Asians Living in America study. We used latent class analysis to identify groups of individuals that were similar based on cultural attitudes and behaviors. We used latent class regression analysis to examine sociodemographic correlates of acculturation strategies. We found that South Asian immigrants employed three acculturation strategies, including separation (characterized by a relatively high degree of preference for South Asian culture over US culture), assimilation (characterized by a relatively high degree of preference for US culture over South Asian culture), and integration (characterized by a similar level of preference for South Asian and US cultures). Respondents with no religious affiliation, those with higher levels of income, those who lived a greater percentage of their lives in the US, and those who spoke English well or very well were less likely to use the separation strategy than the assimilation or integration strategies. Using epidemiologic cohort data, this study illustrated a conceptual and methodological approach that addresses limitations of previous research on acculturation and health. More work is needed to understand how the acculturation strategies identified in this study affect the health of South Asian immigrants in the US.


Acculturation South Asian immigrants US Latent class analysis 



The authors wish to thank Lakshman Mulpuri for his assistance. The MASALA study was supported by the NIH Grant No. 1R01 HL093009. Data collection at UCSF was also supported by NIH/NCRR UCSF-CTSI Grant No. UL1 RR024131.

Supplementary material

10903_2016_372_MOESM1_ESM.docx (14 kb)
Supplementary material 1 (DOCX 14 kb)


  1. 1.
    Delavari M, Sonderlund AL, Swinburn B, et al. Acculturation and obesity among migrant populations in high income countries—a systematic review. BMC Public Health. 2013;13:458.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Gao XL, McGrath C. A review on the oral health impacts of acculturation. J Immigr Minor Health. 2011;13:202–13.CrossRefPubMedGoogle Scholar
  3. 3.
    Koinis-Mitchell D, Sato AF, Kopel SJ, et al. Immigration and acculturation-related factors and asthma morbidity in Latino children. J Pediatr Psychol. 2011;36:1130–43.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Perez-Escamilla R. Acculturation, nutrition, and health disparities in Latinos. Am J Clin Nutr. 2011;93:1163S–7S.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Hunt LM, Schneider S, Comer B. Should, “acculturation” be a variable in health research? A critical review of research on US Hispanics. Soc Sci Med. 2004;59:973–86.CrossRefPubMedGoogle Scholar
  6. 6.
    Lopez-Class M, Castro FG, Ramirez AG. Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med. 2011;72:1555–62.CrossRefPubMedGoogle Scholar
  7. 7.
    Schwartz SJ, Unger JB, Zamboanga BL, et al. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65:237–51.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Berry JW. Immigration, acculturation, and adaptation. Appl Psychol. 1997;46:5–34.Google Scholar
  9. 9.
    South Asian Americans Leading Together. A demographic snapshot of South Asians in the United States. 2012.Google Scholar
  10. 10.
    Scott J, Marshall G. A dictionary of sociology. 3rd ed. Oxford: Oxford University Press; 2009.CrossRefGoogle Scholar
  11. 11.
    Berry JW. Acculturation: living successfully in two cultures. Int J Intercult Rel. 2005;29:697–712.CrossRefGoogle Scholar
  12. 12.
    Kanaya AM, Kandula N, Herrington D, et al. Mediators of atherosclerosis in South Asians living in America (MASALA) study: objectives, methods, and cohort description. Clin Cardiol. 2013;36:713–20.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Berry JW, Phinney JS, Sam DL, et al. Immigrant youth: acculturation, identity, and adaptation. Appl Psychol. 2006;55:303–32.CrossRefGoogle Scholar
  14. 14.
    Kanaya A, Ewing S, Vittinghoff E, et al. Acculturation and subclinical atherosclerosis among US South Asians: findings from the MASALA study. J Clin Exp Res Cardiol 2014;1:1–9.Google Scholar
  15. 15.
    Vermunt JK, Magidson J. Latent class analysis. Sage Encycl Soc Sci Res Methods 2004;1:549–53.Google Scholar
  16. 16.
    Linzer D, Lewis J. poLCA: an R package for polytomous variable latent class analysis. J Stat Softw. 2011;42:1–29.CrossRefGoogle Scholar
  17. 17.
    Nieri T, Lee C, Kulis S, et al. Acculturation among Mexican-heritage preadolescents: a latent class analysis. Soc Sci Res. 2011;40:1236–48.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Schwartz SJ, Zamboanga BL. Testing Berry’s model of acculturation: a confirmatory latent class approach. Cult Divers Ethn Min. 2008;14:275–85.CrossRefGoogle Scholar
  19. 19.
    Stevens GWJM, Pels TVM, Vollebergh WAM, et al. Patterns of psychological acculturation in adult and adolescent Moroccan immigrants living in the Netherlands. J Cross Cult Psychol. 2004;35:689–704.CrossRefGoogle Scholar
  20. 20.
    Koneru VK, de Mamani AGW, Flynn PM, et al. Acculturation and mental health: current findings and recommendations for future research. Appl Prev Psychol. 2007;12:76–96.CrossRefGoogle Scholar
  21. 21.
    Yoon E, Chang CT, Kim S, et al. A meta-analysis of acculturation/enculturation and mental health. J Couns Psychol. 2013;60:15–30.CrossRefPubMedGoogle Scholar
  22. 22.
    Miller AM, Birman D, Zenk S, et al. Neighborhood immigrant concentration, acculturation, and cultural alienation in former soviet immigrant women. J Commun Psychol. 2009;37:88–105.CrossRefGoogle Scholar
  23. 23.
    Hordyk SR, Hanley J, Richard E. “Nature is there; its free”: urban greenspace and the social determinants of health of immigrant families. Health Place. 2015;34:74–82.CrossRefPubMedGoogle Scholar
  24. 24.
    Mukherjea A, Underwood KC, Stewart AL, et al. Asian Indian views on diet and health in the United States: importance of understanding cultural and social factors to address disparities. Family Commun Health. 2013;36:311–23.Google Scholar
  25. 25.
    The Pew Research Center for the People and the Press. No consensus on immigration problem or proposed fixes: America’s immigration quandary. Washington, DC 2006.Google Scholar
  26. 26.
    South Asian Americans Leading Together. Demographic characteristics of South Asians in the United States: emphasis on poverty, gender, language ability, and immigration status. 2000.Google Scholar
  27. 27.
    Hainmueller J, Hiscox MJ. Attitudes toward highly skilled and low-skilled immigration: evidence from a survey experiment. Am Polit Sci Rev. 2010;104:61–84.CrossRefGoogle Scholar
  28. 28.
    Salant T, Lauderdale DS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57:71–90.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Belinda L. Needham
    • 1
  • Bhramar Mukherjee
    • 2
  • Pramita Bagchi
    • 3
  • Catherine Kim
    • 4
  • Arnab Mukherjea
    • 5
  • Namratha R. Kandula
    • 6
  • Alka M. Kanaya
    • 7
  1. 1.Department of Epidemiology and Center for Social Epidemiology and Population HealthUniversity of MichiganAnn ArborUSA
  2. 2.Department of BiostatisticsUniversity of MichiganAnn ArborUSA
  3. 3.Department of StatisticsUniversity of MichiganAnn ArborUSA
  4. 4.Departments of Medicine and Obstetrics and GynecologyUniversity of MichiganAnn ArborUSA
  5. 5.Department of Health ScienceCalifornia State University, East BayHaywardUSA
  6. 6.Department of MedicineNorthwestern UniversityChicagoUSA
  7. 7.Departments of Medicine and Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoUSA

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