Eating Disorders Among Second-Generation Canadian South Asian Female Youth: An Intersectionality Approach Toward Exploring Cultural Conflict, Dual-Identity, and Mental Health

Mustafa, Nida; Khanlou, Nazilla; Kaur, Amanpreet

doi:10.1007/978-3-319-64838-5_10

Cited by 4 publications

(6 citation statements)

References 38 publications

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“…To mitigate treatment barriers, participants recommended providers receive training in ED assessment and cultural sensitivity. Training should emphasize that EDs affect individuals regardless of race, ethnicity, sexual orientation, or cultural background (Cheng et al, 2019; Schaumberg et al, 2017), and these conditions can present differently across groups, including SAs (Kawamura, 2015; Mustafa et al, 2018; Pike & Dunne, 2015; Rodgers et al, 2018; Tareen et al, 2005). Clinicians should consider the impact of their own weight biases on treatment (Kersbergen & Robinson, 2019), and perhaps treatment teams could hire SA women with lived experiences of EDs to assist with training and treatment adaptations.…”

Section: Discussionmentioning

confidence: 99%

“What will people say?”: Mental health stigmatization as a barrier to eating disorder treatment-seeking for South Asian American women.

Goel¹,

Thomas²,

Boutté³

et al. 2023

Asian American Journal of Psychology

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This study used focus group methodology to identify culturally specific barriers to, and facilitators of, eating disorder (ED) treatment-seeking for South Asian (SA) American women. Seven focus groups were conducted with 54 participants (M age = 20.11 years, SD = 2.52), all of whom had lived in the United States (U.S.) for at least 3 years (63.0% of the sample was born in the U.S.). Transcripts were independently coded by a team of researchers (n = 4) and the final codebook included codes present in at least half of the transcripts. Thematic analysis identified salient themes (barriers, n = 6; facilitators, n = 3) for SA American women. Barriers to ED treatment-seeking were inextricable from barriers to mental health treatment, more broadly. In addition to generalized mental health stigma, participants cited social stigma (i.e., a pervasive fear of social ostracization), as a significant treatment-seeking barrier. Additional barriers were as follows: cultural influences on the etiology and treatment of mental illness, parents' unresolved mental health concerns (usually tied to immigration), health care providers' biases, general lack of knowledge about EDs, and minimal SA representation within ED research/clinical care. To address these obstacles, participants recommended that clinicians facilitate intergenerational conversations about mental health and EDs, partner with SA communities to create targeted ED psychoeducational health campaigns, and train providers in culturally sensitive practices for detecting and treating EDs. SA American women face multiple family, community, and institutional barriers to accessing mental health treatment generally, which limits their ability to access ED-specific care. Recommendations to improve ED treatment access include (a) campaigns to destigmatize mental health more systematically, (b) collaboration with SA communities, and (c) training providers in culturally sensitive care. What is the public significance of this article?In this qualitative study, South Asian (SA) American women were asked to discuss their perceptions of barriers to and facilitators of eating disorders (EDs) treatment-seeking for their group. Findings indicate that SA women living in the United States face multiple family, community, and institutional barriers to treatment-seeking for all mental health issues, including EDs, which intersect to perpetuate treatment disparities.

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Section: Discussionmentioning

confidence: 99%

“What will people say?”: Mental health stigmatization as a barrier to eating disorder treatment-seeking for South Asian American women.

Goel¹,

Thomas²,

Boutté³

et al. 2023

Asian American Journal of Psychology

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“…South Asian girls living in the UK experience a unique upbringing due to the intersection of their cultural values and the values of the dominant western society. Accordingly, dualidentity formation and cultural conflict have been noted as key factors for first and second generation adolescents in relation to the development of mental distress (Gupta et al, 2007;Mustafa et al, 2017;Mustafa et al, 2018). Recent evidence suggests South Asian girls were aware of the support available from psychologists and distinguished this from medical treatment (Ali et al, 2017).…”

Section: South Asian Girlsmentioning

confidence: 99%

How discourses of sharam (shame) and mental health influence the help-seeking behaviours of British born girls of South Asian heritage

Sangar¹,

Howe

2021

Educational Psychology in Practice

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“…Interventions to promote Give and Connect may also reduce prevalence rates of isolation and loneliness in Aotearoa. Loneliness and isolation, both actual and perceived, are clear predictors of poor mental health outcomes, including but not limited to clinical depression and anxiety (Cacioppo et al 2010;Mustafa et al 2018). Loneliness and isolation are also linked to a range of poor physical health outcomes across all age groups, such as poor dietary and hygiene behaviours (Rew 2000;Cornwell and Waite 2009).…”

Section: Discussionmentioning

confidence: 99%

New Zealand’s engagement with the Five Ways to Wellbeing: evidence from a large cross-sectional survey

Mackay

Egli

Booker

et al. 2019

Kōtuitui: New Zealand Journal of Social Sciences Online

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The Five Ways to Wellbeing were developed in 2008 as a set of simple daily practices for individuals to improve their wellbeing. While there is some evidence to support the association between individual practices and wellbeing, it is unknown whether engaging in multiple practicesand in certain combinationsis associated with higher levels of wellbeing. A survey was undertaken with 10,012 adults throughout Aotearoa, New Zealand, to assess individual wellbeing and participation in the Five Ways to Wellbeing (Connect, Give, Take Notice, Keep Learning and Be Active). Wellbeing was assessed with the Flourishing Scale (Md = 46, IQR 39-49). Three objectives explored the cross-sectional association between the Five ways to Wellbeing and wellbeing: (1) multiple wellbeing practices and wellbeing, (2) clustering of multiple wellbeing practices, and (3) wellbeing practices as predictors of wellbeing. Results show that levels of wellbeing increased with each additional practice (rho = .53, p < .001), regardless of the combination. However, the most important predictors of wellbeing were Keep Learning (β = .23, p < .001) and Take Notice (β = .22, p < .001). Studies investigating ways to increase participation in the Five Ways to Wellbeing are warranted to promote wellbeing in Aotearoa.

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Eating Disorders Among Second-Generation Canadian South Asian Female Youth: An Intersectionality Approach Toward Exploring Cultural Conflict, Dual-Identity, and Mental Health

Cited by 4 publications

References 38 publications

“What will people say?”: Mental health stigmatization as a barrier to eating disorder treatment-seeking for South Asian American women.

“What will people say?”: Mental health stigmatization as a barrier to eating disorder treatment-seeking for South Asian American women.

How discourses of sharam (shame) and mental health influence the help-seeking behaviours of British born girls of South Asian heritage

New Zealand’s engagement with the Five Ways to Wellbeing: evidence from a large cross-sectional survey

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