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Social Psychiatry and Psychiatric Epidemiology

, Volume 54, Issue 10, pp 1275–1284 | Cite as

Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States

  • Kyle WaldmanEmail author
  • Ai Koyanagi
  • Julia Shu-Huah Wang
  • Justine Ko
  • Jordan DeVylder
  • Hans Oh
Original Paper
  • 306 Downloads

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.

Keywords

Migration Disability Treatment Acculturative stress Discrimination 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

127_2019_1691_MOESM1_ESM.docx (48 kb)
Supplementary material 1 (DOCX 47 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Sol Price School of Public PolicyUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Universitat de Barcelona, Parc Sanitari Sant Joan de DéuBarcelonaSpain
  3. 3.Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud MentalMadridSpain
  4. 4.Department of Social Work and Social AdministrationThe University of Hong KongHong KongChina
  5. 5.Keck School of MedicineUniveristy of Southern CaliforniaLos AngelesUSA
  6. 6.Graduate School of Social ServiceFordham UniversityNew YorkUSA
  7. 7.Suzanne Dworak-Peck School of Social WorkUniversity of Southern CaliforniaLos AngelesUSA

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