The Interrelationships between Acculturative Stress, Family Dynamics, and Mental Health in Asian Immigrants in the National Latino and Asian American Study (NLAAS) Public

Abstract

Approximately 70% of the 17.3 million Asian Americans in the United States are foreign-born. Since immigrants are expected to experience stress as a result of migration, it is important to understand how this stress manifests itself in regards to their health, and to identify any factors that may be affecting this relationship. The National Latino and Asian American Study (NLAAS) is a nationally representative survey conducted in 2002-2003 that estimates the prevalence of psychiatric disorders and health services utilization rates in the Latino and Asian American populations in the U.S. The primary objective of this study was to look at relationships between acculturative stress, family dynamics (family cohesion and family conflict), and psychiatric disorders (depression and anxiety) among Asian immigrants (n=1638) using data from the NLAAS. Acculturative stress and family conflict were found to be significantly associated with any 12-month depressive disorder (OR = 1.36, 95% CI = 1.14, 1.62, p=0.0009 and OR = 1.49, 95% CI = 1.25, 1.78, p<0.0001 respectively), while only family conflict was significantly associated with any 12-month anxiety disorder (OR = 1.42, 95% CI = 1.20, 1.67, p=0.0001). Our findings suggest that family conflict may be particularly salient for the mental health of Asian immigrants. Future studies need to focus on the relationship between stress, family conflict, and mental health specifically for this population.

Table of Contents

Table of Contents

Introduction 1

Literature Review 3

Process of Social Stress Theory 5

Methods 6

Sample and Procedures 6

Measures 7

Analysis Plan 10

Results 10

Discussion 12

References 17

Appendix 24

Table 1 24

Table 2 27

Table 3 29

About this Master's Thesis

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School	Rollins School of Public Health
Department	Behavioral Sciences and Health Education
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Mot-clé	immigrants family dynamics acculturative stress Asian Americans mental health NLAAS
Committee Chair / Thesis Advisor	Chae, David, Emory University
Committee Members	Dunkle, Kristin L, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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