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Investigating Health Self-management Among Different Generation Immigrant College Students with Depression

  • Jordan DodsonEmail author
  • Jenni Thang
  • Naika Saint Preux
  • Christopher Frye
  • Linh Ly
  • Julissa Murrieta
  • Linda Sun
  • Elizabeth V. Eikey
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11420)

Abstract

Digital tools for health hold a lot of promise in terms of empowering individuals to take control over their health and improving access to care. This may be especially critical for marginalized individuals, such as immigrant college students, and those who face stigmatizing conditions, such as depression. However, research is limited on how these tools fit into users’ existing practices around health management. In order to address this gap, we first investigate existing practices by focusing on a specific population: college students with depression ranging from immigrant generation 1 to 2.5. This group is important to study as they are at an increased risk for depression but may be less likely to access traditional treatment. We present results about their practices around health self-tracking and digital tools specific to depression management. Based on a survey of 83 participants, we found that although students with depression across these various immigrant generations engage in health self-tracking (94%), few track mental health indicators and most do not use mobile apps (81.9%) or other online resources (86.7%) to help with their depression. Those that do use apps and online resources offer insights into their depression management needs.

Keywords

Mental health Depression mHealth Mobile app Self-tracking Self-management Digital tools College student Immigrants 

Notes

Acknowledgements

We would like to thank iSchool Inclusion Institute (i3) Director Dr. Kayla Booth, Michael Depew, the 2017 cohort, our research advisor and i3 Assistant Director Dr. Elizabeth Eikey, and Team Dopamine. This work was supported by the National Center for Research Resources, the National Center for Advancing Translational Sciences, and the NIH (UL1 TR001414). It is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

References

  1. 1.
    Fox, S., Duggan, M: Tracking for health. Pew Internet, pp. 1–40 (2013).  https://doi.org/10.1001/jamainternmed.2013.1221.2
  2. 2.
    Fox, S.: The social life of health information. Pew Research Center, Pew Internet Research (2014). http://www.pewresearch.org/fact-tank/2014/01/15/the-social-life-of-health-information/
  3. 3.
    Krebs, P., Duncan, D.T.: Health app use among us mobile phone owners: a national survey. JMIR mHealth uHealth 3, e101 (2015).  https://doi.org/10.2196/mhealth.4924CrossRefGoogle Scholar
  4. 4.
    Abe-Kim, J., et al.: Use of mental health-related services among immigrant and US-born Asian Americans: results from the national Latino and Asian American Study. Am. J. Public Health 97, 91–98 (2007).  https://doi.org/10.2105/AJPH.2006.098541CrossRefGoogle Scholar
  5. 5.
    Corrigan, P.: How stigma interferes with mental health care. Am. Psychol. 59, 614–625 (2004).  https://doi.org/10.1037/0003-066X.59.7.614CrossRefGoogle Scholar
  6. 6.
    Nadeem, E., Lange, J.M., Edge, D., Fongwa, M., Belin, T., Miranda, J.: Does stigma keep poor young immigrant and U.S.-born black and Latina women from seeking mental health care? Psychiatr. Serv. 58, 1547–1554 (2007).  https://doi.org/10.1176/ps.2007.58.12.1547CrossRefGoogle Scholar
  7. 7.
    Trevelyan, E., et al.: Characteristics of the U.S. Population by Generational Status: 2013 Current Population Survey Reports (2016)Google Scholar
  8. 8.
    Ramakrishnan, S.K.: Second-generation immigrants? The “2.5 generation” in the United States. Soc. Sci. Q. 85, 380–399 (2004)CrossRefGoogle Scholar
  9. 9.
    Rumbaut, R.G.: Ages, life stages, and generational cohorts: decomposing the immigrant first and second generations in the United States1. Int. Migr. Rev. 38, 1160–1205 (2006).  https://doi.org/10.1111/j.1747-7379.2004.tb00232.xCrossRefGoogle Scholar
  10. 10.
    Peña, J.B., et al.: Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among Latino adolescents in the USA. Prev. Sci. 9, 299–310 (2009).  https://doi.org/10.1007/s11121-008-0105-x.ImmigrationCrossRefGoogle Scholar
  11. 11.
    Cho, Y.B., Haslam, N.: Suicidal ideation and distress among immigrant adolescents: the role of acculturation, life stress, and social support. J. Youth Adolesc. 39, 370–379 (2010).  https://doi.org/10.1007/s10964-009-9415-yCrossRefGoogle Scholar
  12. 12.
    Lyubomirsky, S., Kasri, F., Zehm, K.: Dysphoric rumination impairs concentration on academic tasks. Cogn. Ther. Res. 27, 309–330 (2003).  https://doi.org/10.1023/A:1023918517378CrossRefGoogle Scholar
  13. 13.
    Mejía, O.L., McCarthy, C.J.: Acculturative stress, depression, and anxiety in migrant farmwork college students of mexican heritage. Int. J. Stress Manag. 17, 1–20 (2010).  https://doi.org/10.1037/a0018119CrossRefGoogle Scholar
  14. 14.
    Keller, G.: The new demographics of higher education. Rev. High. Educ. 24, 219–235 (2001).  https://doi.org/10.1353/rhe.2001.0004CrossRefGoogle Scholar
  15. 15.
    Schwartz, S.J., et al.: Converging identities: dimensions of acculturation and personal identity status among immigrant college students. Cult. Divers. Ethn. Minor. Psychol. 19, 155–165 (2013).  https://doi.org/10.1037/a0030753CrossRefGoogle Scholar
  16. 16.
    Deenanath, V.: First-generation immigrant college students: an exploration of family support and career aspirations. Thesis Submitted to the Faculty of the Graduate School of University of Minnesota by Veronica Deenanath in Partial Fulfillment of the Requirements for T. University of Minnesota (2014)Google Scholar
  17. 17.
    Berry, J.W.: Acculturation: living successfully in two cultures. Int. J. Intercult. Relat. 29, 697–712 (2005).  https://doi.org/10.1016/j.ijintrel.2005.07.013CrossRefGoogle Scholar
  18. 18.
    Schwartz, S.J., et al.: Acculturation and well-being among college students from immigrant families. J. Clin. Psychol. 69, 298–318 (2013).  https://doi.org/10.1002/jclp.21847CrossRefGoogle Scholar
  19. 19.
    Pitkin Derose, K., Bahney, B.W., Lurie, N., Escarce, J.J.: Immigrants and health care access, quality, and cost (2009)Google Scholar
  20. 20.
    Sentell, T., Shumway, M., Snowden, L.: Access to mental health treatment by English language proficiency and race/ethnicity. J. Gen. Intern. Med. 22, 289–293 (2007).  https://doi.org/10.1007/s11606-007-0345-7CrossRefGoogle Scholar
  21. 21.
    Kirmayer, L.J., et al.: Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ 183, 1–9 (2011).  https://doi.org/10.1503/cmaj.090292CrossRefGoogle Scholar
  22. 22.
    Kirmayer, L.J., Rousseau, C., Jarvis, G.E.: Assessment Introduction: The Cultural Matrix. Assessment (2008)Google Scholar
  23. 23.
    Beck, A.T., Steer, R.A., Brown, G.K.: Beck Depression Inventory–II (1996)Google Scholar
  24. 24.
    Wang, Y.P., Gorenstein, C.: Psychometric properties of the beck depression inventory-II: a comprehensive review. Rev. Bras. Psiquiatr. 35, 416–431 (2013).  https://doi.org/10.1590/1516-4446-2012-1048CrossRefGoogle Scholar
  25. 25.
    Whisman, M.A., Richardson, E.D.: Normative data on the beck depression inventory - second edition (BDI-II) in college students. J. Clin. Psychol. 71 898–907 (2015).  https://doi.org/10.1002/jclp.22188
  26. 26.
    Dozois, D.J.A., Dobson, K.S., Ahnberg, J.L.: A psychometric evaluation of the beck depression inventory–II. Psychol. Assess. 10, 83–89 (1998)CrossRefGoogle Scholar
  27. 27.
    Kelley, C., Lee, B., Wilcox, L.: Self-tracking for mental wellness. In: Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems - CHI 2017, pp. 629–641 (2017)Google Scholar
  28. 28.
    Chen, J.A., et al.: Association between stigma and depression outcomes among Chinese immigrants in a primary care setting. J. Clin. Psychiatry 77, e1287–e1292 (2016).  https://doi.org/10.4088/JCP.15m10225CrossRefGoogle Scholar
  29. 29.
    Nadeem, E., Lange, J.M., Miranda, J.: Perceived need for care among low-income immigrant and U.S.-born black and Latina women with depression. J. Women’s Heal 18, 369–375 (2009).  https://doi.org/10.1089/jwh.2008.0898CrossRefGoogle Scholar
  30. 30.
    Arean, P.A., et al.: The use and effectiveness of mobile apps for depression: results from a fully remote clinical trial. J. Med. Internet Res. 18 (2016).  https://doi.org/10.2196/jmir.6482
  31. 31.
    Griffiths, K.M., Mackinnon, A.J., Crisp, D.A., Christensen, H., Bennett, K., Farrer, L.: The Effectiveness of an online support group for members of the community with depression: a randomised controlled trial. PLoS One 7 (2012).  https://doi.org/10.1371/journal.pone.0053244
  32. 32.
    Brijnath, B., Protheroe, J., Mahtani, K.R., Antoniades, J.: Do web-based mental health literacy interventions improve the mental health literacy of adult consumers? Results from a systematic review. J. Med. Internet Res. 18, e165 (2016).  https://doi.org/10.2196/jmir.5463CrossRefGoogle Scholar
  33. 33.
    Moffett, D.: Is an immigrant considered first or second generation (2018)? https://www.thoughtco.com/first-generation-immigrant-defined-1951570. Accessed 12 Dec 2018

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jordan Dodson
    • 1
    Email author
  • Jenni Thang
    • 2
  • Naika Saint Preux
    • 3
  • Christopher Frye
    • 4
  • Linh Ly
    • 5
  • Julissa Murrieta
    • 6
  • Linda Sun
    • 4
  • Elizabeth V. Eikey
    • 7
  1. 1.The University of North Carolina at Chapel HillChapel HillUSA
  2. 2.Indiana University BloomingtonBloomingtonUSA
  3. 3.The College of WestchesterWhite PlainsUSA
  4. 4.University of PittsburghPittsburghUSA
  5. 5.University of WashingtonSeattleUSA
  6. 6.University of MarylandCollege ParkUSA
  7. 7.University of California, IrvineIrvineUSA

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