Systematic review: Acculturation strategies and their impact on the mental health of migrant populations

Choy, Bennett; Arunachalam, Kamalakannan; Gupta, Shanti S.; Taylor, Miles G.; Lee, A.

doi:10.1016/j.puhip.2020.100069

Cited by 85 publications

(73 citation statements)

References 30 publications

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“…The relationship between acculturation and health has attracted general attention [13,14]; however, the framework theory of acculturation is still surrounded by controversy. Within the various theoretical frameworks, the relationship between acculturation and health has been studied for decades [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

International medical students’ acculturation and self-rated health status in Hungary: a cross-sectional study

2022

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Background Over the past few decades, the number of international students has increased dramatically. These students have to adjust to unfamiliar social, cultural, and educational environments. The concept of acculturation has been applied in multiple studies on various health outcomes. This study investigated the relationship between acculturation and self-rated health (SRH) among international medical students. Methods A cross-sectional study was conducted among international medical students at the University of Szeged, Hungary between April and October 2021. A total of 326 participants filled out questionnaires about sociodemographic characteristics, acculturation, and SRH. The modified Stephenson multigroup acculturation scale (SMAS) was used to assess the acculturation status; the scale defined acculturation as the degree of dominant society immersion (DSI, 12 items) and ethnic society immersion (ESI, 16 items). To measure SRH, participants were asked to rate their current general health and mental health. The data were analyzed by using descriptive statistics and the multiple logistic regression model. Results 32.5% of the students reported having poor general and 49.7% poor mental health. We have found that acculturation was associated with SRH in multivariable logistic regression models controlling for sociodemographic characteristic. Bidimensional acculturation, such as ESI and DSI significantly influenced SRH as the likelihood of poor general health decreased (OR = 0.50; 95% CI = 0.31–0.81, P = 0.005), when the ESI was higher, whereas the likelihood of poor mental health decreased (OR = 0.52; 95% CI = 0.35–0.79, P = 0.002) if students had a greater DSI. Conclusion Both types of immersion can affect the students’ SRH. If the student could integrate better into their own ethnic group, their general health was better, and if they could strongly integrate into the Hungarian society, their mental health was more favorable. Acculturation measures should be promoted by academics and public health professionals in order to better understand their role in the behaviors, health outcomes, and health care use of medical international students. These findings will help professionals shape culturally sensitive prevention and counselling strategies for international student populations.

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Section: Introductionmentioning

confidence: 99%

International medical students’ acculturation and self-rated health status in Hungary: a cross-sectional study

2022

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“…Most of the research on acculturation strategies have focused more attention on exploring the outcomes of acculturation strategies, most commonly in student populations, than on understanding the factors that influence the adoption and implementation of acculturation strategies (Choy et al, 2021 ; Hajro et al, 2019 ; Zagefka et al, 2009 ). For example, some studies have explored antecedents for acculturation strategies in the wider population (e.g., Zagefka et al, 2009 ) and majority attitudes that lead to preferred acculturation strategies for immigrants (Kosic et al, 2005 ).…”

Section: Introductionmentioning

confidence: 99%

“…This can be perceived as a form of acceptance and inclusion in the host country. More acceptance and inclusion in the working environment lead to more affective commitment and fewer turnover intentions (Choy et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Who Am I and Where Do I Belong? The Impact of Heritage Cultural Identity Salience on Immigrant Workers Acculturation Strategies

Williams

Liu

2022

Int. Migration & Integration

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There has been growing interest among organizational researchers in the relationship between acculturation strategies and organizational outcomes of immigrant employees. However, what is noticeably missing from the literature on acculturation strategies is how cultural values such as heritage cultural identity salience affect an immigrant employee’s acculturation strategy and subsequent work attitude and behaviors. Drawing on Berry’s (1997) acculturation strategy and framework, we examined heritage cultural identity salience, harmony enhancement, integration and marginalization acculturation strategy, turnover intention, and affective commitment among immigrant employees in the USA. In this time-lagged study, we found that heritage cultural identity salience was negatively related to marginalization and positively related to integration. Harmony enhancement significantly buffered the relationship between heritage cultural identity salience and marginalization and integration, respectively. Heritage cultural identity salience had significant indirect effects on affective commitment via marginalization and both affective commitment and turnover intention via integration. Lastly, results from the moderated mediated analysis showed that the indirect effect of heritage identity salience on affective commitment and turnover intention via integration was significantly different at varying levels of harmony enhancement. Our study affirms existing research on acculturation strategy and extends the literature by introducing harmony enhancement as a moderator. The use of Berry’s (1997) framework and the results of this study provide useful insights into the inclusion and retention of immigrant employees in the US workforce. Practical implications, as well as theoretical contributions, are discussed.

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“…In addition, acculturation can have positive and negative effects on health, depending on migrants' experiences living in the new and original cultures (Choy et al, 2020). In particular, acculturated children, who are highly accommodated to new cultures while maintaining their own cultures, tended to report better adjustment (Chen et al, 2019).…”

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confidence: 99%

“…cross‐sectional design), Chen et al (2021*) examined how accommodation to urban culture and maintenance of original rural culture contributed to later adjustment outcomes in Chinese rural‐to‐urban migrant children. However, during the process of acculturation, migrants may face numerous adaptation challenges, which are detrimental to their psychological and physical health (Choy et al, 2020). Liem et al's (2021*) review illuminates the acculturation process of Chinese rural‐to‐urban migrants and highlights the importance of coping strategies during the process.…”

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confidence: 99%

Migration and health: Translation to action

Lin

Hall

2021

Applied Psych Health & Well

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Systematic review: Acculturation strategies and their impact on the mental health of migrant populations

Cited by 85 publications

References 30 publications

International medical students’ acculturation and self-rated health status in Hungary: a cross-sectional study

International medical students’ acculturation and self-rated health status in Hungary: a cross-sectional study

Who Am I and Where Do I Belong? The Impact of Heritage Cultural Identity Salience on Immigrant Workers Acculturation Strategies

Migration and health: Translation to action

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