Self-rated health,gender, and acculturative stress among immigrants in the U.S.: New roles for social support |
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| Institution: | 1. University of South Florida, College of Public Health, 4202 E. Fowler Ave., Tampa, FL 33620, USA;2. Rice University, Department of Sociology, 6100 Main Street, Houston, TX 77005, USA;1. Partner at Vantrood Educational Services, Eijsden-Margraten, The Netherlands;2. Fontys University of Applied Sciences, School of Pedagogical Studies, Tilburg, The Netherlands;3. Faculty of Social and Behavioural Sciences, Utrecht University, The Netherlands;1. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA;2. Departments of Epidemiology and Medicine, University of California, Los Angeles, USA;3. Department of Psychology, San Diego State University, San Diego, CA, USA;4. National Heart, Lung, and Blood Institute at the National Institutes of Health, USA;5. University of North Carolina Gillings School of Global Public Health, Department of Biostatistics, Chapel Hill, NC, USA;6. Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA;7. Department of Psychology, University of Miami, Miami, FL, USA;8. Department of Dental Ecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;9. Departments of Neurology, Psychiatry, and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA;1. Department of Geography, Western University, London, Ontario, N6H 5P7, Canada;2. Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada;3. Ministry of Health and Social Welfare, P.O. Box 10-9009, 1000, Monrovia 10, Liberia |
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| Abstract: | BackgroundBased on different outcomes, immigrants to the U.S. may experience a decline in health with length of time or acculturation. Acculturative stress is often applied as an explanation for these changes and may be impacted by social supports and social networks, but more information is needed on the specific role of each. Thus far little research has examined acculturative stress and health by both ethnicity and gender.MethodsDrawing on the 2002–2003 National Latino and Asian American Study (NLAAS), we examine data on a nationally-representative sample of foreign-born Latino (N = 1,627) and Asian (N = 1,638) adults living in the United States. We examine relationships between acculturative stress and self-rated physical and mental health, as well as the potential role of social support factors, with a primary focus on gender.ResultsAs a group Latinos report more acculturative stress than Asians. However, among Latino immigrants acculturative stress has no association with health, and for Asian immigrants there is an association with physical health among women and mental health among men – but only the latter persisted after adjusting for controls. We do find that among Latino men and women, acculturative stress is health damaging when specific types of social support are low but can even be health promoting at higher support levels.DiscussionWhile self-rated health differs among immigrant groups, we find that acculturative stress may not be the primary driving force behind these differences, but interacts with specific elements of social support to produce unique impacts on health by gender and ethnicity. |
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| Keywords: | Immigrant health Acculturation Self-rated health U S |
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