The association of cultural and environmental factors with mental health among Asian immigrants

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jaehyun Kim ◽  
Andrew Mowen ◽  
Benjamin Hickerson ◽  
Alan Graefe ◽  
Melissa Bopp

Purpose During exposure to new cultures, immigrants face numerous life changes and challenges, which negatively affect mental health, yet environmental supports may address these concerns. This study aims to examine how neighborhood quality, acculturation and acculturative stress are associated with immigrants’ mental health. Design/methodology/approach The sample consisted of 511 Asian immigrants who were born in their country of origin and immigrated to the USA. Path analysis using analysis of moment structures (version 22.0) was conducted to test the hypothesized model. Findings The results from the path analysis indicated that perceived neighborhood quality and acculturative stress had direct effects on mental health among Asian immigrants. The study also found a significant indirect pathway to mental health where more favorable perceptions of neighborhood quality were associated with higher levels of acculturation and lower levels of acculturative stress, which, in turn, resulted in better mental health. Originality/value The results of the study highlight the importance of improving neighborhood quality as a means by which to facilitate cultural adjustment/adaptation to US culture and thus, improve mental health among Asian immigrants. In addition, the authors suggested considering cultural origin in designing health programs and/or policies for Asian immigrants, which could promote mental health among Asian immigrants. Based on the results of the model, this study produced insightful information and suggestions on how to improve Asian immigrants’ mental health more effectively.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mbita Mbao ◽  
Johnnie Hamilton-Mason

Purpose The purpose of this study was to explore the perceptions of African community leaders, on factors that influence substance use and mental health status of Sub-Sahara African immigrants living in the northeast region of the USA. Design/methodology/approach A social constructionist approach to grounded theory was used to understand social life’s complexity in the African community. Data analysis consisted of initial coding and focused coding, which led to the emerging of the following mid-range theories. Findings The following mid-range theories are developed: the work culture of Sub-Sahara African immigrants may influence substance-use behaviors, impact treatment for mental health and contribute to interpersonal conflicts related to marriage and parenting; there may be a relationship between the culture of privacy and spirituality because the church is often a place of comfort, and many may not seek treatment for mental health for fear of losing that community; Sub-Sahara African immigrants’ mental health and substance-use behaviors are influenced by unique factors that stem from balancing living in the new culture while also preserving their unique cultural norms. Originality/value The analysis of perceptions of African community leaders underscored “On the go” as a metaphor for describing Sub-Sahara African immigrants.


2018 ◽  
Vol 25 (8) ◽  
pp. 3021-3044 ◽  
Author(s):  
Meryem Uluskan ◽  
A. Blanton Godfrey

Purpose The purpose of this paper is to develop a supply chain management framework covering different business environment levels, that is, macro, micro and supply chain levels, and also to evaluate Haiti vs China as apparel-sourcing partners by assessing macro-level, supply-chain-level and micro-level environments from the US apparel buyers’ perspective. Design/methodology/approach In order to achieve this, first, a framework covering these business environment levels was developed and tested through path analysis. Prior to path analysis exploratory factor analysis was conducted to verify proposed factor structures. Data were collected using face-to-face interviews with a sample of 41 apparel companies that operate in the USA and source from China and Haiti. Findings This study found that both supply-chain-level and micro-level environments positively impact global supply chain performance. Supply-chain-level also has a direct effect on micro-level environment and macro-level environment has only a direct effect on supply-chain-level environment. Interviews and discussions based on this framework indicate that Haiti’s proximity to the USA, price, low-wage rates, small-order sourcing opportunities and good basic sewing skills are among Haiti’s strengths. Originality/value This study is unique in developing a multi-level environment framework for supply chain management and in comparing Haiti and China in terms of their supply chains to evaluate the potential competitiveness of Haitian apparel supply chain.


2017 ◽  
Vol 13 (4) ◽  
pp. 361-373
Author(s):  
Marcela Sotomayor-Peterson ◽  
Ana A. Lucero-Liu

Purpose The purpose of this paper is to assess the associations between familism, frequency of physical contact, and marital satisfaction with mental health and well-being in a sample of 58 female marital partners of migrants who stayed in Mexico when their spouses migrated to the USA. Design/methodology/approach In total, 58 women were recruited through word of mouth in Sonora, Mexico. All women had their partner (the father of her children) living in the USA. Survey was administered face-to-face in participants’ homes. Findings Hierarchical regression analysis found that higher marital satisfaction and frequency of physical contact predicts mental health and well-being. However, familism was not associated with mental health and well-being for female partners of migrants. Originality/value This work is unique in that the current sample of female partners of migrants originate from the Sonora border region and has greater physical contact with their partner than most studies on transnational families assume. Approximately 40 percent of participants residing in the Sonora border state meet with their partners at least once a month. Additionally, this work provides an intimate face to the understanding of the very specific processes distinctive of inhabitants of border regions that are part of international migration. In order to promote health equity, health providers (e.g. counselors) need evidence-based information to tailor services to the specific needs of underserved Mexican transnationals.


2015 ◽  
Vol 42 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Ehsan Latif

Purpose – The purpose of this paper is to use longitudinal Canadian data from the National Population Health Survey (1994-2006) to examine the impact of provincial unemployment rate on mental health as measured by the short form depression scale. Design/methodology/approach – To control for the unobserved individual specific factors, the study utilized individual-specific fixed-effects model. Findings – The study found that, for the overall model, provincial unemployment rate has a significant positive impact on depression. The study further examined the impact of unemployment rate on depression for a number of sub-groups based on gender, age, marital status, and education. The results suggest that the impacts of unemployment rate on depression are heterogeneous across different sub-groups. Practical implications – The results of this study have important policy implications. Previous studies suggest that mental stress may lead to risky health behaviours such excessive drinking, substance use, and smoking. These risky health behaviours may have long term health consequences in terms of chronic conditions such as heart disease, cancer, etc. Thus policy makers may consider taking appropriate steps to provide mental health support during the period of recession. Such support may also be helpful for the unemployed individuals who are too depressed to search for job. Originality/value – Previous studies on this issue may suffer from potential bias since they omitted unobserved individual specific factors from the estimating equations. This paper has taken the opportunity of utilizing longitudinal Canadian Population Health Survey and adopts an individual specific fixed effects method to estimate the effects of macroeconomic conditions on mental health. All of the studies reviewed here used data from the USA. So far no study has examined the impact of unemployment rate on mental health using Canadian data. It is interesting to conduct a study using Canadian data since there are important differences between Canada and the USA with respect to labour market policies and health care systems.


2020 ◽  
Vol 19 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Mark Weist ◽  
Kathleen Blackburn Franke ◽  
Rob Lucio ◽  
Jefferson Bass ◽  
Terry Doan ◽  
...  

Purpose The purpose of this paper is to describe the relationship between privatization and school mental health (SMH) in the USA, as well as to present a case study of the SMH system in South Carolina. Design/methodology/approach The authors reviewed data regarding states’ mental health systems (e.g. public, private and hybrid of public and private), mental health budgets and percentages of schools with mental health clinicians. Findings The results demonstrate that the majority of states have public mental health systems. There is variability between states regarding general funding, as well as funding for SMH. Further, there was variability in the percentage of schools with SMH clinicians, with South Carolina reporting the greatest percentage. South Carolina’s mental health system, which is a public–private hybrid is reviewed, along with relevant history on the development of SMH programs in the state. Originality/value This paper contributes to the general knowledge by describing the provision and funding sources for SMH services within the USA. It yields important implications for integrating public mental health services within schools.


2019 ◽  
Vol 27 (4) ◽  
pp. 533-548 ◽  
Author(s):  
Neena Gopalan ◽  
Nicholas J. Beutell ◽  
Wendy Middlemiss

Purpose This study aims to investigate international students’ cultural adjustment, academic satisfaction and turnover intentions using ecological systems perspective and explores factors that affect academic success and turnover by exploring three stages: arrival, adjustment and adaptation. Design/methodology/approach The sample consists of 208 international students enrolled at a mid-Western university in the USA. Confirmatory factor analysis, structural equation modeling and mediational analyses were used to test hypotheses. Findings Findings indicate that self-efficacy, as a pre-sojourn characteristic, affects adjustment variables inclusive of cultural adjustment, affecting academic satisfaction and turnover intentions. Adjustment variables (coping, cultural adjustment and organizational support) mediated relationships between self-efficacy and turnover intentions. Research limitations/implications The proposed model moves the research forward by examining an ecological systems framework describing how individual, social, academic, cultural and institutional factors function in supporting international students’ transitions. Results may be generalizable to other large US universities with varying dynamics and resources available (or not) for international students. Originality/value Given the challenges international students face in the USA in adapting to both new culture and academic setting, it is imperative to identify what elements of their transition and academic environment predict academic success. This is one of the first studies testing the propositions derived from Schartner and Young’s (2016) model.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stephanie L. Taylor ◽  
Alexa J. Barrett ◽  
Albert M. Kopak ◽  
Norman G. Hoffmann

Purpose The female jail population is steadily growing in rural jails across the country. Detainees have high rates of mental health and substance use disorders, some of which are linked to violent offenses. These conditions include post-traumatic stress disorder (PTSD), panic disorder (PD) and alcohol use disorder (AUD). This study aims to examine the associations between these disorders among females charged with violent offenses. Design/methodology/approach The sample consists of 167 female detainees from local rural jails in the USA. To assess participants’ behavioral health, the Comprehensive Addictions and Psychological Evaluation – 5 (CAAPE-5) was administered. The associations between PTSD, PD, AUD and violent offenses were investigated using bivariate statistics and multivariate logistic regression. Findings Over half of the female detainees in the sample met criteria individually for PTSD, PD or AUD, substantiating previous work on prevalence rate. Of the sample, only 10% were charged with violent offenses, from which the predominant condition reported was PTSD. Among detainees arrested for violent offenses, 69% also met criteria for PTSD, 56% for AUD and 44% for PD. Multivariate results indicate AUD was the only significant predictor for violent offenses. Research limitations/implications Female detainees experience trauma and mental health conditions at high rates. Research-informed mental health care may result in increased treatment efficacy. Provided the links between PTSD, PD and AUD, special considerations for this population should address interpersonal factors in treatment that may relate to violent offenses. Originality/value Little research exists examining female jail detainees and the implications of AUD, PTSD and PD on violent offending. To the authors' knowledge, this is the first study to examine the relationship between AUD, PTSD and PD in female jail detainees with violent offenses.


2017 ◽  
Vol 21 (3) ◽  
pp. 168-175 ◽  
Author(s):  
E. Sally Rogers

Purpose Peer support and other consumer-provided services have burgeoned within the USA during the past 30 years and are now a central component of mental health services nationally. However, their growth has been uneven and somewhat dependent on state initiatives, policies, and funding. Recent programs have matured along myriad paths, resulting in a variety of program typologies, service structures, and funding streams, but with common values, missions, and principles. The paper aims to discuss these issues. Design/methodology/approach The landscape of peer specialist services in the USA, as well as innovations afoot, is reviewed. The empirical information that speaks to the efficacy of peer support and the need to better understand the mechanisms by which it is effective is described. Findings Although peer support has grown exponentially across the USA, its growth has been uneven. Evidence suggests that peer specialists experience role ambiguity within many existing programs and systems. Though the empirical evidence for peer services has grown, research has been most favorable for manualized, group interventions. There is still a need to better understand how individual peer support is beneficial and effective, and how individual peer support can best be utilized to promote the best outcomes for those served. Research limitations/implications In order for the workforce of peer support specialists to continue to grow and for services to be responsive and innovative, we need to better understand the mechanisms by which peer support is beneficial and how it can be structured and delivered to promote the best outcomes for those served. The “core conditions” of helping relationships promulgated decades ago by Rogers along with research on self-disclosure may be useful frameworks for understanding and researching the effectiveness of peer support. Practical implications More research is needed to better understand the effectiveness of peer support services and how best to insure that they are well-integrated into the mental health programs and systems in which they serve. Originality/value There is a need to understand why peer support is effective and how best to sustain peer specialists in their roles within the mental health system.


2020 ◽  
Vol 13 (4) ◽  
pp. 151-167
Author(s):  
Raffaella Margherita Milani ◽  
Keisha Nahar ◽  
Daniel Ware ◽  
Alan Butler ◽  
Sean Roush ◽  
...  

Purpose Dual Diagnosis Anonymous (DDA) is a peer-led programme developed in the USA, which aims to address mental and addictive disorders in an integrated manner. This study is part of a mixed-methods evaluation of the first DDA pilot in the UK, and the purpose of this study is to explore the impact and mechanism of change of the programme through the perspective of DDA attendees, facilitators and the funding commissioners. Design/methodology/approach Six DDA members were interviewed three times over a period of 12 months, the facilitators were interviewed twice and the commissioner was interviewed once. The qualitative longitudinal data were analysed using a trajectory thematic analysis. Findings DDA attendance was perceived to have had a positive impact on five main areas: acceptance of self, of others and from others; social functioning; self-development; recovery progression; and feeling of hope. The possibility of addressing both mental health and addiction at the same time was a key factor in the recovery process. The facilitators observed that DDA had contributed to integrate members into employment and education, while the commissioner stressed the importance of joint commissioning and sustainability. Originality/value The longitudinal approach provided a unique insight into the recovery process of DDA members. Being able to address the mental health as well as the substance use problems was considered to be a fundamental strength of DDA in comparison to the single purpose peer-support fellowships.


2014 ◽  
Vol 9 (4) ◽  
pp. 295-306 ◽  
Author(s):  
Kya Fawley-King ◽  
Emily Trask ◽  
Nancy E. Calderón ◽  
Gregory A. Aarons ◽  
Ann F. Garland

Purpose – The purpose of this paper is to examine the implementation and adaptation of group Triple P, an evidence-based parenting intervention developed in Australia, for a Latina population living in the USA. Design/methodology/approach – Mothers with pre-school age children participated in the programme, which was offered by a community mental health agency. The final study sample consisted of 174 Latina mothers. Findings – Participation in group Triple P was associated with clinically significant improvements in maternal mental health, parenting styles, and child behaviour problems. Additionally, mothers reported high levels of satisfaction with the programme. Practical implications – Triple P is a promising intervention for Latina caregivers who are concerned about the behaviour of their young children. It can be implemented successfully into community-based mental health care systems. Originality/value – This is the first study to examine the applicability of Triple P to Latina caregivers.


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