ArticleSocial psychiatry and psychiatric epidemiology2019
Acculturative stress, disability, and health treatment utilization among Asian and Latin American immigrants in the United States.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A Systematic Review of Physical Health Consequences and Acculturation Stress Among Latinx Individuals in the United States.Biological research for nursing · 2021Pooled it
- Trial
- Intergenerational socioeconomic mobility and adulthood all-cause mortality in the Hispanic community health study/study of Latinos.American journal of epidemiology · 2026Article
- Race, ethnicity, and nativity differences in pregnancy and birth outcomes among Medicaid-enrolled women with disabilities.Disability and health journal · 2026Article
- A double disadvantage? Immigrant and disability status as predictors of community belonging in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Health of Hispanic/Latino Workers in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study: Privileges and Disadvantages of Occupational Status and Exposure to Hazards.Occupational health science · 2025Article
- Latiné immigrant heterogeneity: Striking health differences among Cuban refugee/migration waves to the United States.medRxiv : the preprint server for health sciences · 2025Article
- Barriers and Facilitators of Access to Healthcare Among Immigrants with Disabilities: A Qualitative Meta-Synthesis.Healthcare (Basel, Switzerland) · 2025Review
- Determining the role of acculturative stress in predicting mental health service use among Latinx immigrants.Ethnicity & health · 2024Article
- Acculturation Experiences and Preterm Birth in Berlin: Does Acculturative Stress Contribute to Preterm Birth?Journal of immigrant and minority health · 2023Article
- Health service behaviors of migrants: A conceptual framework.Frontiers in public health · 2023Article
- Acculturative Stress, Perceived Social Support, and Mental Health: The Mediating Effect of Negative Emotions Associated with Discrimination.International journal of environmental research and public health · 2022Article
- Cognitive Disability Among Arab Americans by Nativity Status and Arrival Year: Lack of Evidence for the Healthy Migrant Effect.Journal of racial and ethnic health disparities · 2022Article
- Acculturative Stress and Depressive Symptoms Among Chinese Immigrants: the Role of Gender and Social Support.Journal of racial and ethnic health disparities · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEmpirical 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.
methodsData 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.
resultsAcculturative 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.
conclusionsAcculturative 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.
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