Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States
Purpose Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2019-10, Vol.54 (10), p.1275-1284 |
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| container_title | Social Psychiatry and Psychiatric Epidemiology |
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| creator | Waldman, Kyle Koyanagi, Ai Wang, Julia Shu-Huah Ko, Justine DeVylder, Jordan Oh, Hans |
| description | Purpose
Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States.
Methods
Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress.
Results
Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates.
Conclusions
Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals. |
| doi_str_mv | 10.1007/s00127-019-01691-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2194435285</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A716440305</galeid><sourcerecordid>A716440305</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-7d9785b197abe1ed5af08eb88af4accab001036ea9f4336a86506c7b022ff9613</originalsourceid><addsrcrecordid>eNp9UUtr3DAQFqWl2Sb9Az0UQa9xOrL80tGEvmChhyRnMZZHuwq2nEpyIbn1n1fJpg2FEoTQ8D1G0nyMvRNwJgDajxFAlG0BQuXdKFHAC7YRlZSFKrv6JduAynWr6uqIvYnxGgCkauVrdiShU7Wsqw371RuzTmkNmNxP4jEFivGUjy7i4CaXbk85-pHvCae055nFNJNPfE2ZvcumxXOcF7_jfXToH8TbDHvezxScyZCbZ7cL6FPkGU574lfeJRr5RcJE8YS9sjhFevt4HrOrz58uz78W2-9fvp3328JUoFLRjqrt6kGoFgcSNNZooaOh69BWaAwOeRggG0Jl8wQa7JoaGtMOUJbWqkbIY_bh0PcmLD9WiklfL2vw-UpdClVVss5De1LtcCLtvF1SQDO7aHTfiqaqQMK96uw_qrxGmp1ZPFmX8X8M5cFgwhJjIKtvgpsx3GoB-j5MfQhT5zD1Q5gasun944vXYabxr-VPelkgD4KYKb-j8PSlZ9r-BoNvqmA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2194435285</pqid></control><display><type>article</type><title>Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Waldman, Kyle ; Koyanagi, Ai ; Wang, Julia Shu-Huah ; Ko, Justine ; DeVylder, Jordan ; Oh, Hans</creator><creatorcontrib>Waldman, Kyle ; Koyanagi, Ai ; Wang, Julia Shu-Huah ; Ko, Justine ; DeVylder, Jordan ; Oh, Hans</creatorcontrib><description>Purpose
Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States.
Methods
Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress.
Results
Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates.
Conclusions
Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-019-01691-0</identifier><identifier>PMID: 30895354</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acculturation ; Adult ; Analysis ; Asian Americans - psychology ; Cognition ; Demographics ; Disabled Persons - psychology ; Disabled Persons - statistics & numerical data ; Domains ; Emigrants and Immigrants - psychology ; Emigration and immigration ; Empirical analysis ; Epidemiology ; Female ; Health care ; Health care industry ; Health services utilization ; Hispanic Americans - psychology ; Humans ; Immigrants ; Immigration ; Logistic Models ; Male ; Medical care ; Medicine ; Medicine & Public Health ; Mental health ; Middle Aged ; Noncitizens ; Original Paper ; Patient Acceptance of Health Care - ethnology ; Psychiatry ; Regression analysis ; Self Report ; Social aspects ; Social factors ; Stress, Psychological - epidemiology ; Stress, Psychological - ethnology ; Stress, Psychological - psychology ; Surveys ; United States - epidemiology ; Utilization ; Young Adult</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2019-10, Vol.54 (10), p.1275-1284</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Social Psychiatry and Psychiatric Epidemiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-7d9785b197abe1ed5af08eb88af4accab001036ea9f4336a86506c7b022ff9613</citedby><cites>FETCH-LOGICAL-c409t-7d9785b197abe1ed5af08eb88af4accab001036ea9f4336a86506c7b022ff9613</cites><orcidid>0000-0003-4685-6616</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-019-01691-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-019-01691-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30895354$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waldman, Kyle</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Wang, Julia Shu-Huah</creatorcontrib><creatorcontrib>Ko, Justine</creatorcontrib><creatorcontrib>DeVylder, Jordan</creatorcontrib><creatorcontrib>Oh, Hans</creatorcontrib><title>Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States.
Methods
Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress.
Results
Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates.
Conclusions
Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals.</description><subject>Acculturation</subject><subject>Adult</subject><subject>Analysis</subject><subject>Asian Americans - psychology</subject><subject>Cognition</subject><subject>Demographics</subject><subject>Disabled Persons - psychology</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>Domains</subject><subject>Emigrants and Immigrants - psychology</subject><subject>Emigration and immigration</subject><subject>Empirical analysis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health services utilization</subject><subject>Hispanic Americans - psychology</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Immigration</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical care</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Noncitizens</subject><subject>Original Paper</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Psychiatry</subject><subject>Regression analysis</subject><subject>Self Report</subject><subject>Social aspects</subject><subject>Social factors</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - ethnology</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys</subject><subject>United States - epidemiology</subject><subject>Utilization</subject><subject>Young Adult</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9UUtr3DAQFqWl2Sb9Az0UQa9xOrL80tGEvmChhyRnMZZHuwq2nEpyIbn1n1fJpg2FEoTQ8D1G0nyMvRNwJgDajxFAlG0BQuXdKFHAC7YRlZSFKrv6JduAynWr6uqIvYnxGgCkauVrdiShU7Wsqw371RuzTmkNmNxP4jEFivGUjy7i4CaXbk85-pHvCae055nFNJNPfE2ZvcumxXOcF7_jfXToH8TbDHvezxScyZCbZ7cL6FPkGU574lfeJRr5RcJE8YS9sjhFevt4HrOrz58uz78W2-9fvp3328JUoFLRjqrt6kGoFgcSNNZooaOh69BWaAwOeRggG0Jl8wQa7JoaGtMOUJbWqkbIY_bh0PcmLD9WiklfL2vw-UpdClVVss5De1LtcCLtvF1SQDO7aHTfiqaqQMK96uw_qrxGmp1ZPFmX8X8M5cFgwhJjIKtvgpsx3GoB-j5MfQhT5zD1Q5gasun944vXYabxr-VPelkgD4KYKb-j8PSlZ9r-BoNvqmA</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Waldman, Kyle</creator><creator>Koyanagi, Ai</creator><creator>Wang, Julia Shu-Huah</creator><creator>Ko, Justine</creator><creator>DeVylder, Jordan</creator><creator>Oh, Hans</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0003-4685-6616</orcidid></search><sort><creationdate>20191001</creationdate><title>Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States</title><author>Waldman, Kyle ; Koyanagi, Ai ; Wang, Julia Shu-Huah ; Ko, Justine ; DeVylder, Jordan ; Oh, Hans</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-7d9785b197abe1ed5af08eb88af4accab001036ea9f4336a86506c7b022ff9613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acculturation</topic><topic>Adult</topic><topic>Analysis</topic><topic>Asian Americans - psychology</topic><topic>Cognition</topic><topic>Demographics</topic><topic>Disabled Persons - psychology</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>Domains</topic><topic>Emigrants and Immigrants - psychology</topic><topic>Emigration and immigration</topic><topic>Empirical analysis</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health services utilization</topic><topic>Hispanic Americans - psychology</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Immigration</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical care</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Noncitizens</topic><topic>Original Paper</topic><topic>Patient Acceptance of Health Care - ethnology</topic><topic>Psychiatry</topic><topic>Regression analysis</topic><topic>Self Report</topic><topic>Social aspects</topic><topic>Social factors</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - ethnology</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys</topic><topic>United States - epidemiology</topic><topic>Utilization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waldman, Kyle</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Wang, Julia Shu-Huah</creatorcontrib><creatorcontrib>Ko, Justine</creatorcontrib><creatorcontrib>DeVylder, Jordan</creatorcontrib><creatorcontrib>Oh, Hans</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waldman, Kyle</au><au>Koyanagi, Ai</au><au>Wang, Julia Shu-Huah</au><au>Ko, Justine</au><au>DeVylder, Jordan</au><au>Oh, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>54</volume><issue>10</issue><spage>1275</spage><epage>1284</epage><pages>1275-1284</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>Purpose
Empirical research has largely ignored the potential links between immigration-related stress and disability as well as immigration-related stress and health service utilization despite increasing scholarship on the association between acculturative stress and health. This study examined the associations between acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States.
Methods
Data were from the National Latino and Asian American Study (NLAAS), a nationally representative survey of Asians and Latinos living in the United States. The analytic sample contained 2653 immigrants. We utilized multivariable logistic regression and negative binomial regression analyses to examine the associations between acculturative stress and disability domains. We also examined the association between acculturative stress and treatment utilization, as this may have implications for how to best intervene to address any functional disability related to acculturative stress.
Results
Acculturative stress was significantly associated with self-reported disability across five domains: self-care, cognition, mobility, time out of role, and social interaction. Additionally, acculturative stress was significantly associated with a greater frequency of disability domains. Acculturative stress was not significantly associated with utilization of services from mental health or general health sectors, but was significantly and positively associated with utilization of non-health care services. The findings were robust regarding the inclusion of everyday discrimination as well as demographic and socioeconomic covariates.
Conclusions
Acculturative stress may be an important yet overlooked correlate of disability among immigrants in the United States. Non-health care services may provide an effective pathway for intervening for these individuals.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30895354</pmid><doi>10.1007/s00127-019-01691-0</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4685-6616</orcidid></addata></record> |
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| subjects | Acculturation Adult Analysis Asian Americans - psychology Cognition Demographics Disabled Persons - psychology Disabled Persons - statistics & numerical data Domains Emigrants and Immigrants - psychology Emigration and immigration Empirical analysis Epidemiology Female Health care Health care industry Health services utilization Hispanic Americans - psychology Humans Immigrants Immigration Logistic Models Male Medical care Medicine Medicine & Public Health Mental health Middle Aged Noncitizens Original Paper Patient Acceptance of Health Care - ethnology Psychiatry Regression analysis Self Report Social aspects Social factors Stress, Psychological - epidemiology Stress, Psychological - ethnology Stress, Psychological - psychology Surveys United States - epidemiology Utilization Young Adult |
| title | Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States |
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