Acculturative Stress and the Effects on Health and Health Behaviors in Hispanic Immigrants: A Systematic Review

Rutté, Alyssia M. Miller De; Rubenstein, Brianna P.

doi:10.1177/07399863211044897

Cited by 14 publications

(6 citation statements)

References 49 publications

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“…As immigrants immerse themselves into the host culture, there is a gradual exchange between the immigrant’s original values, attitudes, and behaviors and those of the host country [ 30 ]. The process of acculturation could result in poor mental well-being and the adoption of unhealthy behavior, which consequently increases the risk of becoming overweight or obese [ 30 , 31 ]. Although immigrants are found to exhibit better health outcomes than domestic-born populations, a large body of evidence has shown a decline in their health over time [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Migration-Related Weight Changes among African Immigrants in the United States

Byiringiro

Koirala

Ajibewa

et al. 2022

IJERPH

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(1) Background: people who migrate from low-to high-income countries are at an increased risk of weight gain, and excess weight is a risk factor for cardiovascular disease. Few studies have quantified the changes in body mass index (BMI) pre- and post-migration among African immigrants. We assessed changes in BMI pre- and post-migration from Africa to the United States (US) and its associated risk factors. (2) Methods: we performed a cross-sectional analysis of the African Immigrant Health Study, which included African immigrants in the Baltimore-Washington District of the Columbia metropolitan area. BMI category change was the outcome of interest, categorized as healthy BMI change or maintenance, unhealthy BMI maintenance, and unhealthy BMI change. We explored the following potential factors of BMI change: sex, age at migration, percentage of life in the US, perceived stress, and reasons for migration. We performed multinomial logistic regression adjusting for employment, education, income, and marital status. (3) Results: we included 300 participants with a mean (±SD) current age of 47 (±11.4) years, and 56% were female. Overall, 14% of the participants had a healthy BMI change or maintenance, 22% had an unhealthy BMI maintenance, and 64% had an unhealthy BMI change. Each year of age at immigration was associated with a 7% higher relative risk of maintaining an unhealthy BMI (relative risk ratio [RRR]: 1.07; 95% CI 1.01, 1.14), and compared to men, females had two times the relative risk of unhealthy BMI maintenance (RRR: 2.67; 95% CI 1.02, 7.02). Spending 25% or more of life in the US was associated with a 3-fold higher risk of unhealthy BMI change (RRR: 2.78; 95% CI 1.1, 6.97). (4) Conclusions: the age at immigration, the reason for migration, and length of residence in the US could inform health promotion interventions that are targeted at preventing unhealthy weight gain among African immigrants.

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Section: Discussionmentioning

confidence: 99%

Migration-Related Weight Changes among African Immigrants in the United States

Byiringiro

Koirala

Ajibewa

et al. 2022

IJERPH

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“…The acculturation process after immigration is associated with both positive (e.g., improved quality of life) and negative experiences (e.g., discrimination, language barriers, and a sense of not belonging to the US) [ 8 ]. Acculturation stressors are frequently associated with learning a new language, changing the family dynamic, entering into new occupations, dealing with the immigration legal system, and accessing a different healthcare system [ 9 ]. In addition, acculturation stress can be associated with cultural conflict, changes in the family dynamic, and pressure to retain one’s native culture [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Research emphasizes that acculturation stress can negatively impact Latinos’ mental and physical health behaviors, such as sleep patterns, cigarette smoking, alcohol consumption, and diet [ 9 , 11 , 12 ]. For example, in a sample of 5,313 Latino adults in the US, it was found that higher levels of acculturation stress were associated with higher insomnia symptom scores [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the psychometric properties of the Hispanic Stress Inventory-2 Simplified version among a diverse sample of Latinos who smoke

Hernández-Torres,

Cartujano-Barrera,

Arana-Chicas

et al. 2024

PLoS ONE

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Objective Acculturation stress can negatively impact Latinos immigrant mental and physical health related behaviors such as smoking. It is essential to have validated and updated instruments that allow the evaluation of acculturation stress on this population. This study aims to evaluate the psychometric properties of an abbreviated version of the Hispanic Stress Inventory Version 2 (HSI2) immigration scale among Latinos who smoke. Methods The study consisted of a secondary data analysis from a baseline assessment of Decídetexto, a mobile health (mHealth) smoking cessation randomized clinical trial. Of 457 Latinos included in the parent study, 352 immigrants who smoke were included. Construct validity was analyzed by completing a Pearson correlation coefficient matrix. Structural validity was analyzed using an Exploratory Factor Analysis (EFA). Cronbach alpha analysis was used to estimate the internal consistency of the items constituting a factor. Results The results included an abbreviated version of the HSI2 including 52 items. From the Pearson correlation coefficient matrix with a cutoff point of 0.4, 22 of the 52 items were excluded. From the Pearson correlation coefficient matrix with a cutoff point of 0.4, 22 items were excluded. Exploratory Factor Analysis (EFA) results in six factors extracted, explaining 69.1% of the variance. According to the EFA, two items were relocated in different factors from the original scale. The HSI2 30 items scale reflected excellent reliability with a Cronbach’s alpha coefficient of 0.93. The six factors reflect acceptable to excellent reliability, ranging from 0.77–0.93 across factors. The median for the HSI2 total score was 34.00 (25–45) out of a possible total score of 150. Conclusion Results confirmed acceptable psychometric properties of the HSI2 simplified 30-item version and provided a reliable and shorter measure of acculturation stress for Latinos groups. Having a valid and reduced measure of acculturation stress is the first step in understanding diverse ethnic groups of Latinos that are at higher risk of presenting health risk behaviors such as smoking. The present results provided the possibility of assessing the impact of acculturation stress among adults who smoke.

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“…Research has shown that rural and low-income areas, as well as racial and ethnic minorities, have higher rates of mental health problems among adolescents and lower rates of detection [20,21]. With the Hispanic population becoming the second-largest racial or ethnic group in the United States [22], it is important to note that Hispanic individuals with mental health disorders are less likely to use mental health services compared to other groups. Furthermore, parental indifference and lack of recognition of their children's mental health status appears to be worse among Hispanic parents [23], resulting in a lower likelihood of Hispanic adolescents receiving appropriate and timely medical treatment [24].…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional and Descriptive Study on the Challenges and Awareness of Hispanic Parents Regarding Their Adolescents’ Mental Health during the COVID-19 Pandemic

Kim,

Scott

2024

Healthcare

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Research has shown that during the COVID-19 pandemic, approximately 20% of children and adolescents in the United States experienced mental health issues that became a significant social concern. However, recent studies have demonstrated that the majority of adolescents maintain positive emotions despite the crisis. This cross-sectional and descriptive study delves into the emotional states of adolescents during the pandemic, considering the viewpoints of both adolescents and their parents, with a specific focus on Hispanic adolescents. Survey results revealed that most adolescents reported positive and happy moods. However, a percentage of adolescents experienced worry, significant changes in feelings, and loneliness as a result of the physical and social isolation associated with virtual learning. Unfortunately, most surveyed Hispanic parents did not adequately recognize their adolescents’ mood changes well. This lack of awareness, caused by factors such as an insufficient understanding about the importance of adolescent mental health, cultural reasons, language barriers, low education, unstable jobs, and more, could lead to missed opportunities for timely mental health interventions. This study seeks to provide a comprehensive discussion on the mental health of adolescents, while also advocating for the emotional wellbeing of Hispanic adolescents.

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Acculturative Stress and the Effects on Health and Health Behaviors in Hispanic Immigrants: A Systematic Review

Cited by 14 publications

References 49 publications

Migration-Related Weight Changes among African Immigrants in the United States

Migration-Related Weight Changes among African Immigrants in the United States

Evaluating the psychometric properties of the Hispanic Stress Inventory-2 Simplified version among a diverse sample of Latinos who smoke

Cross-Sectional and Descriptive Study on the Challenges and Awareness of Hispanic Parents Regarding Their Adolescents’ Mental Health during the COVID-19 Pandemic

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