ReviewInternational journal of environmental research and public health2014
The longer you stay, the worse your health? A critical review of the negative acculturation theory among Asian immigrants.
Review in International journal of environmental research and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Acculturation and Healthcare Access Among Labour Migrants: A Systematic Review.Journal of immigrant and minority health · 2025Pooled it
- Does acculturation affect the dietary intakes and body weight status of children of immigrants in the U.S. and other developed countries? A systematic review.Ethnicity & health · 2019Pooled it
- Immigration Policies Shape Latinos' Trust in Health Information.Journal of racial and ethnic health disparities · 2026Article
- Acculturation, Social Support, and Healthcare Utilisation Among Indonesian Migrant Workers in Malaysia: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Exploring the Immigrant Health Paradox Among the Vietnamese Population in the United States.Healthcare (Basel, Switzerland) · 2026Article
- Discrimination and vigilance as psychosocial pathways from food insecurity to cognitive difficulty among U.S. adults: a moderated mediation analysis.BMC public health · 2026Article
- Neighborhood characteristics and psychological distress of long-term immigrants in California.BMC public health · 2025Article
- Immigration Factors and Monitoring of Chronic Hepatitis B Infection Among Foreign-Born: The FOCUS-HBV Multicentre Cohort.Alimentary pharmacology & therapeutics · 2025Article
- Breaking down the Dyslipidemia-Stroke Relationship in Southeast Asian American Subgroups: Advancing Toward Cardiovascular Health Equity.Current epidemiology reports · 2025Review
- Prevalence and determinants of anaemia in South Asian diaspora women residing in Hong Kong: An exploratory cross-sectional study.Journal of migration and health · 2025Article
- Perceived Racial/Ethnic Discrimination, Citizenship Status, and Self-Rated Health Among Immigrant Young Adults.Journal of racial and ethnic health disparities · 2024Article
- Heterogeneities in sleep duration and quality among U.S. immigrants from different racial and ethnic backgrounds.Sleep health · 2024Article
- Cardiovascular Risk Factors Among Asian Americans: Perspectives on the Role of Acculturation in Cardiovascular Diseases Health Disparities.Journal of immigrant and minority health · 2024Review
- Foreign-born status and risk of gestational diabetes mellitus by years of residence in the United States.Scientific reports · 2023Article
- Looking Across and Within: Immigration as a Unifying Structural Factor Impacting Cardiometabolic Health and Diet.Ethnicity & disease · 2023Review
- The Cross-Sectional Association of Sleep Disturbance and Sleep Apnea With Complex Multimorbidity Among Chinese and Korean Americans.American journal of epidemiology · 2023Article
- Factors Affecting Access to Public Healthcare Facilities in the City of Tshwane, South Africa.International journal of environmental research and public health · 2023Article
- Rural-to-urban migration, socio-economic status and cardiovascular diseases risk factors among Bangladeshi adults: A nationwide population based survey.Frontiers in public health · 2023Article
- Association Between Birthplace and Time in the United States With Diet Quality in US Adolescents: Findings from the National Health and Nutrition Examination Survey, 2007 to 2018.The Journal of nutrition · 2022Article
- Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
Researchers have become increasingly interested in the health patterns of immigrants with longer residence in the United States, as this reveals the health consequences of integration processes. The negative acculturation effect has been the dominant interpretation of duration patterns, despite empirical and theoretical uncertainties about this assumption. This theory assumes that immigrant health declines with longer residence in the United States because of poorer health behaviors and health risks that reflect Americanized lifestyles. This paper reviews the empirical support for the negative acculturation theory among Asian immigrants to determine if and when it is an appropriate interpretation for duration patterns. I conclude that empirical inconsistencies and methodological issues limit the negative acculturation theory as the primary interpretation for duration patterns. First, there is no consistent evidence that health behaviors decline with time. There is also substantial group heterogeneity in duration patterns as well as heterogeneity across health outcomes. The literature has not adequately addressed methodological shortcomings, such as confounding by cohort effects or non-linear duration patterns. Length of residence in the United States is still an important aspect of Asian immigrant health, but the mechanisms of this relationship are still understudied. I propose alternative frameworks between duration and health that consider environmental influences and end with future research directions to explore research gaps.
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Registered trials
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