Abstract
The present study examines (1) whether perceived life stress mediates the associations between length of residence in Canada and self-rated mental health and general health and (2) how these processes differ across levels of perceived local community belonging. Data are from the 2017–2018 Canadian Community Health Survey (N = 14,570)—a nationally representative survey collected by Statistics Canada. Simple mediation and moderated mediation models are employed. The simple mediated associations are evaluated first and found to be statistically significant for both self-rated mental health (b = 0.046, 95% PBCI = 0.035, 0.058) and general health (b = 0.045, 95% PBCI = 0.034, 0.056). Moderated mediation analysis then reveals that while perceived local community belonging does not moderate the effects of length of residence on perceived life stress, it does moderate the effects of perceived life stress on self-rated mental health (b = − 0.042, 95% PBCI = − 0.057, − 0.028) and general health (b = − 0.026, 95% PBCI = − 0.042, − 0.011), suggesting that the adverse associations between perceived life stress and self-rated mental health and general health are weaker among immigrants with greater perceived local community belonging. Consistent with the predictions, the indirect effects are significant at all levels of local community belonging. Findings from this study highlight the need to focus more research and policy interventions on community-based coping resources.
Similar content being viewed by others
References
Montazer S. Immigration, visible-minority status, gender, and depression. Soc Ment Health. 2020;10(3):218–36.
Statistics Canada. Immigration and ethnocultural diversity: key results from the 2016 Census. 2017. https://www150.statcan.gc.ca/n1/daily-quotidien/171025/dq171025b-eng.htm?indid=14428-3&indgeo=0.. Accessed 2022 Mar 28
Read JNG, Reynolds MM. Gender differences in immigrant health: The case of Mexican and Middle Eastern immigrants. J Health Soc Behav. 2012;53(1):99–123.
Hamilton TG, Palermo T, Green TL. Health assimilation among Hispanic immigrants in the United States: the impact of ignoring arrival-cohort effects. J Health Soc Behav. 2015;56(4):460–77.
Morey BN, Bacong AM, Hing AK, de Castro AB, et al. Heterogeneity in migrant health selection: the role of immigrant Visas. J Health Soc Behav. 2020;61(3):359–76.
Diaz CJ, Niño M. Familism and the Hispanic health advantage: the role of immigrant status. J Health Soc Behav. 2019;60(3):274–90.
Nwankwo EM, Wallace SP. Duration of United States residence and self-reported health among African-born immigrant adults. J Immigr Minor Health. 2021;23(4):773–83.
Vang ZM, Sigouin J, Flenon A, Gagnon A. Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethn Health. 2017;22(3):209–41.
Gubernskaya Z, Bean FD, Van Hook J. (Un) Healthy immigrant citizens: naturalization and activity limitations in older age. J Health Soc Behav. 2013;54(4):427–43.
McDonald JT, Kennedy S. Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27.
Yang FJ. The “How” question of the healthy immigrant paradox: understanding psychosocial resources and demands as pathways linking migration to mental health risks. Soc Ment Health. 2021;11(1):69–89.
Afable A, Yeh MC, Trivedi T, Andrews E, et al. Duration of US residence and obesity risk in NYC Chinese immigrants. J Immigr Minor Health. 2016;18(3):624–35.
Li K, Wen M. Substance use, age at migration, and length of residence among adult immigrants in the United States. J Immigr Minor Health. 2015;17(1):156–64.
Ro A, Bostean G. Duration of US stay and body mass index among Latino and Asian immigrants: a test of theoretical pathways. Soc Sci Med. 2015;144:39–47.
Wheaton B, Montazer S. Stressors, stress, and distress. A handbook for the study of mental health: Social contexts, theories, and systems. 2010;171–199.
Derose KP, Escarce JJ, Lurie N. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(5):1258–68.
Castañeda H, Holmes SM, Madrigal DS, et al. Immigration as a social determinant of health. Annu Rev Public Health. 2015;36:375–92.
Wang L, Palacios EL. The social and spatial patterning of life stress among immigrants in Canada. J Immigr Minor Health. 2017;19(3):665–73.
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(6):1161–72.
Li J, Hummer RA. The relationship between duration of US residence, educational attainment, and adult health among Asian immigrants. Popul Res Policy Rev. 2015;34(1):49–76.
Rosas LG, Sanchez-Vaznaugh EV, Sánchez BN. Nativity, US length of residence, and BMI among diverse Asian American ethnic groups. J Immigr Minor Health. 2015;17(5):1496–503.
Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310.
Pearlin LI, Menaghan EG, Lieberman MA, Mullan JT. The stress process. J Health Soc Behav 1981;337–356.
Agudelo-Suárez A, Gil-Gonzalez D, Ronda-Pérez E, et al. Discrimination, work and health in immigrant populations in Spain. Soc Sci Med. 2009;68(10):1866–74.
Michalski CA, Diemert LM, Helliwell JF, Goel V, et al. Relationship between sense of community belonging and self-rated health across life stages. SSM Popul Health. 2020;12: 100676.
Carpiano RM, Hystad PW. “Sense of community belonging” in health surveys: what social capital is it measuring? Health Place. 2011;17(2):606–17.
Statistics Canada (2010) Healthy people health places. Statistics Canada, Ottawa, Canada.
Burnett C, Purkey E, Davison CM, et al. Spirituality, community belonging, and mental health outcomes of Indigenous peoples during the COVID-19 pandemic. Int J Environ Res. 2022;19(4):2472.
Fusco C, Moscardino U, Altoè G. Psychological adaptation among second-generation Moroccan adolescents: associations with sense of community and country of residence. J Youth Stud. 2020;23(6):726–44.
Novara C, Moscato G, Gomez-Jacinto L, et al. Life satisfaction and psychological distress of African immigrants in Italy and Spain: the protective role of social support and sense of community. J Immigr Refug 2021;1–18.
Salami B, Salma J, Hegadoren K, et al. Sense of community belonging among immigrants: perspective of immigrant service providers. Public Health. 2019;167:28–33.
Vang ZM, Chau S, Kobayashi KM, et al. Pain and functional limitations among midlife and older Canadians: the role of discrimination, race, and sense of belonging. J Gerontol B 2021.
McLaren S, Jude B, McLachlan AJ. Sense of belonging to the general and Gay communities as predictors of depression among Australian Gay men. Int J Men Health. 2008;7(1):90–9.
Hystad P, Carpiano RM. Sense of community-belonging and health- behaviour change in Canada. J Epidemiol Community Health. 2012;66:277–83. https://doi.org/10.1136/jech.2009.103556.
Berkman, L. F., Kawachi, I., & Glymour, M. M. (Eds.). (2014). Social epidemiology. Oxford: Oxford University Press.
García-Cid A, Gómez-Jacinto L, Hombrados-Mendieta I, et al. Discrimination and psychosocial well-being of migrants in Spain: the moderating role of sense of community. Front Psychol 2020;2235.
Statistics Canada. Canadian Community Health Survey: Combined Data, 2017 and 2018. Retrieved October 16, 2021. https://www150.statcan.gc.ca/n1/daily-quotidien/191022/ dq191022d-eng.htm.
Wu Z, Schimmele CM. Perceived religious discrimination and mental health. Ethn Health. 2021;26(7):963–80.
Chai L, Xue J. Weight, weight perceptions, and health and well-being among Canadian adolescents: evidence from the 2017–2018 Canadian Community Health Survey. Am J Health Promot. 2021. https://doi.org/10.1177/08901171211031064.
Ferraro KF, Farmer MM, Wybraniec JA. Health trajectories: long-term dynamics among black and white adults. J Health Soc Behav. 1997;38:38–54.
Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38:21–37.
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. J Gen Intern Med. 2006;21:267–75.
Jylha M. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009;69:307–16.
Ahmmad Z, Wen M, Li K. Self-rated health disparities among Asian Americans: mediating roles of education level and household income. J Immigr Minor Health. 2020;23:583–90. https://doi.org/10.1007/s10903-020-01051-0.
Espinosa A. Health behaviors, self-rated health, and health consciousness among Latinx in New York City. J Immigr Minor Health. 2020;23:591–6. https://doi.org/10.1007/s10903-020-01053-y.
Moon H, Kim H, Rote SM, Haley WE, Sears JS. The effects of nativity status on well-being among Medicare beneficiaries by race/ethnicity: a multi-group analysis. J Immigr Minor Health. 2020. https://doi.org/10.1007/s10903-020-01072-9.
Yung S. Immigrant status and unmet home care needs: results from the Canadian Community Health Survey. J Immigr Minor Health 2021;1–8.
Meshefedjian GA, Fournier M, Blanchard D, Frigault LR. Gender-specific correlates of perceived life stress: a population-based study, Montreal, Canada, 2012. Can J Public Health. 2019;110(5):563–74.
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd ed. New York: Guilford Press; 2017.
Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Sociol Methodol. 1982;13:290–312.
Preacher KJ. Advances in mediation analysis: a survey and synthesis of new developments. Annu Rev Psychol. 2015;66:825–52.
Hayes AF, Montoya AK, Rockwood NJ. The analysis of mechanisms and their contingencies: PROCESS versus structural equation modeling. Australas Mark J. 2017;25(1):76–81.
Hook J, Quirós S, Dondero M, Altman CE. Healthy eating among Mexican immigrants: migration in childhood and time in the United States. J Health Soc Behav. 2018;59(3):391–410.
Pearlin LI, Bierman A (2013) Current issues and future directions in research into the stress process. In Handbook of the sociology of mental health (pp. 325–340). Springer, Dordrecht.
Baiden P, Den Dunnen W, Arku G, Mkandawire P. The role of sense of community belonging on unmet health care needs in Ontario, Canada: findings from the 2012 Canadian community health survey. J Public Health. 2014;22(5):467–78.
Challands KG, Lacherez P, Obst PL. Does online social connectedness buffer risk of depression following driving cessation? An analysis of older drivers and ex-drivers. Cyberpsychol Behav Soc Netw. 2017;20(4):232–7. https://doi.org/10.1089/cyber.2016.0377.
Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Health Rev. 2016;41(4):455–62.
Elsayed A, Amutah-Onukagha NN, Navin L, et al. Impact of immigration and duration of residence in US on length of gestation among black women in Newark. New Jersey J Immigr Minor Health. 2019;21(5):1095–101.
Terasaki D, Saelens B. Length of residence and vehicle ownership in relation to physical activity among US immigrants. J Immigr Minor Health. 2017;19(2):484–8.
Funding
No funding provided.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares no conflicts of interest associated with this manuscript.
Ethical Approval
The present study uses a public version of the 2017–2018 Canadian Community Health Survey collected by Statistics Canada. Thus, this study does not need an ethics board approval from my institution.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chai, L. Unpacking the Association Between Length of Residence and Health Among Immigrants in Canada: A Moderated Mediation Approach. J Immigrant Minority Health 25, 38–49 (2023). https://doi.org/10.1007/s10903-022-01377-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-022-01377-x