Examining Psychological Distress Across Intersections of Immigrant Generational Status, Race, Poverty, and Gender

Parent training programs for immigrant families in Europe: A systematic review and meta-analysis of randomized trials

This review analyzes randomized controlled studies that investigated parent training interventions in Europe. Included studies had to have utilized interventions based on social learning theory and enrolled immigrant families. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed, and the review was pre-registered with PROSPERO. A search of nine databases identified 8286 publications, seven of which fulfilled the inclusion criteria. These articles were published between 2010 and 2017. Since 1996, extremely few effective trials have been conducted in Europe. The meta-analysis revealed a small but significant overall effect for child problem behaviors and positive and negative parenting (effect size = 0.26, 0.24, and 0.20, respectively), compared with the control conditions, thus favoring parent training. Only some studies have addressed the migration or cultural issues in family life-a barrier to the development of future programs. This review highlights issues such as cultural adaptation and intersectionality to assist evaluators and planners in improving the practice of their professions and their knowledge base. We call for more evidence regarding the effects of parental programs on immigrant families living in Europe.

The lived experience of acculturative stress in second-generation Haitian American emerging adults

Second-generation Haitian American emerging adults function within three cultures; the American culture, Black American culture, and the Haitian culture. Balancing and living within multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Gaining independence while finding identity coupled with cultural expectations can contribute to increasing stress levels. The aim of this phenomenological inquiry is to explore the lived experience of second generation Haitian American emerging adults while focusing on mental health. This descriptive phenomenological inquiry explored the mental health effects of acculturative stress in emerging adults who identified as second-generation Haitian Americans. The population sample consisted of 30 participants ages 19-29 years, with a mean of (Mage = 25.97, SD = 2.95). Data was collected through semi-structured one-on-one interviews, which were guided by fifteen open ended questions. Thematic analysis approach was applied to the qualitative data. Saturation was reached after 23 participant interviews and 7 additional interviews after saturation to confirm result findings. Resulting themes revealed that Haitian parents and culture were strict, a dual identity, and lack of awareness/support for mental health in the culture were stressors. Themes of admiration for the Haitian culture and resiliency serve as possibilities as to why participants pursued higher education. The triple minority status of the heritage culture has contributed to increased stress levels resulting in the expression of anxiety, depression and self-critical thoughts such as feelings of imposter syndrome.

Examining the relationship between proposed anti-LGBTQ+ legislation and LGBTQ+ college student mental health: findings from the Healthy Minds Study, 2021-2022

Objective: This study aimed to investigate the association between proposed anti-LGBTQ+ legislation and depressive symptoms among LGBTQ+ college students. Participants: Participants (N = 72,135) included LGBTQ+ college students (N = 21,466) from over 530 colleges and universities, including technical and community institutions, across the United States who took part in the Healthy Minds Study (HMS). Methods: Data on proposed anti-LGBTQ+ legislation introduced in 2021-2022 were collected from all 50 US states, categorized, and analyzed. Individual-level data for 2021-2022 were obtained from the HMS, and a multilevel analysis was conducted to assess the association between proposed anti-LGBTQ+ legislation and depressive symptoms while considering individual factors. Results: A significant positive association between proposed anti-LGBTQ+ legislation and increased depressive symptoms among LGBTQ+ college students was found. This association remained significant after controlling for individual-level stressors and identities, including a sense of belonging, campus environment perceptions, first-generation student status, and transgender or gender non-conforming identity (TGNC). Conclusions: The findings underscore the need for mental health support and inclusive policies for LGBTQ+ college students, particularly in regions where anti-LGBTQ+ legislation is proposed or enacted, to mitigate the potential negative impact of multiple factors on their mental well-being.

Associations between caregiving status, acculturation, and psychological distress in a diverse sample

OBJECTIVES

Increasingly diverse caregiver populations have prompted studies examining culture and caregiver outcomes. Still, little is known about the influence of sociocultural factors and how they interact with caregiving context variables to influence psychological health. We explored the role of caregiving and acculturation factors on psychological distress among a diverse sample of adults.

DESIGN

Secondary data analysis of the California Health Interview Survey (CHIS).

PARTICIPANTS

The 2009 CHIS surveyed 47,613 adults representative of the population of California. This study included Latino and Asian American Pacific Islander (AAPI) caregivers and non-caregivers (n = 13,161).

MEASUREMENTS

Multivariate weighted regression analyses examined caregiver status and acculturation variables (generational status, language of interview, and English language proficiency) and their associations with psychological distress (Kessler-6 scale). Covariates included caregiving context (e.g., support and neighborhood factors) and demographic variables.

RESULTS

First generation caregivers had more distress than first-generation non-caregivers (β=0.92, 95% CI: (0.18, 1.65)); the difference in distress between caregivers and non-caregivers was smaller in the third than first generation (β=-1.21, 95% CI: (-2.24, -0.17)). Among those who did not interview in English (β=1.17, 95% CI: (0.13, 2.22)) and with low English proficiency (β=2.60, 95% CI: (1.21, 3.98)), caregivers reported more distress than non-caregivers.

CONCLUSIONS

Non-caregivers exhibited the "healthy immigrant effect," where less acculturated individuals reported less distress. In contrast, caregivers who were less acculturated reported more distress.

Acculturation and Mental Health: A Scoping Review

Background: Acculturative stress theory and the healthy immigrant paradox provide conflicting frameworks from which to study the mental health of immigrant groups. This scoping review aims to provide clarity on the mental health effects of acculturation. Review Question: How are anxiety, depression, and stress expressed in the adolescent and adult children of immigrants? Method: Considering various generational classifications, 1333 articles were screened and 25 articles were selected. This review highlights the presentation of cultural stress and its mental health effects in the children of immigrants ranging from 13 to 28 years of age. Conclusions: Social support is necessary as these children and young adults work to reconcile different worldviews. There is a need for a multifaceted approach to health care that incorporates the development of culturally appropriate responses to stressors. Collaboration among health practitioners growing in cultural competency can assist this population not only in the development of coping strategies, but also in self-actualization. The conflicting results found in this review suggest a need for more work in the area of acculturation stress, to grow the understanding of health practitioners within various cultural groups in order to transform mental health clinical practice.

Caring in the Context of Systems: Service Provider Perspectives on the Mental Health Needs of Newcomer Young Men

In this study, we applied an intersectional framework to explore service providers' perspectives on the mental health needs of newcomer young men. We conducted focus groups and interviews with 26 service providers in Edmonton, Calgary, and Vancouver, Canada. Findings show that service providers made sense of young men's mental health needs and service access in the context of systems. We identified three interconnected themes: newcomer young men's senses of self in relation to macro-systems, including racism and economic marginalization; settling well as a determinant of mental health; and systems capacities and interdependent resilience. While service providers are engaged in cross-sectoral work in support of newcomer young men's mental health, this work is not being sufficiently supported. Further work is needed around cross-sector capacity bridging and advocacy, as well as the tailoring of services to young men without the assumption and reinforcement of gender stereotypes.

Decomposing intersectional inequalities in subjective physical and mental health by sex, gendered practices and immigration status in a representative panel study from Germany

BACKGROUND

The mapping of immigration-related health inequalities remains challenging, since immigrant populations constitute a heterogenous socially constructed group whose health experiences differ by social determinants of health. In spite of the increasing awareness that population mobility and its effects on health are highly gendered, an explicit gender perspective in epidemiology is often lacking or limited.

METHODS

To map inequalities in self-reported physical and mental health in Germany at the intersections of sex, gendered practices and immigration status, we used data from the German Socioeconomic Panel (SOEP) and applied an intercategorical intersectional approach conducting multilevel linear regression models. We differentiated between sex (male/female) as reported in the survey and gendered social practices, quantified through a gender score (on a femininity-masculinity continuum).

RESULTS

We included 20,897 participants in our analyses. We saw an intersectional gradient for physical and mental health. Compared to the reference group, i.e. non-immigrant males with masculine gendered practices, physical and mental health steadily decreased in the intersectional groups that did not embody one or more of these social positions. The highest decreases in health were observed in the intersectional group of immigrant females with feminine gendered practices for physical health (-1,36; 95% CI [-2,09; -0,64]) and among non-immigrant females with feminine practices for mental health (-2,51; 95% CI [-3,01; -2,01]).

CONCLUSIONS

Patterns of physical and mental health vary along the intersectional axes of sex, gendered practices and immigration status. These findings highlight the relevance of intersections in describing population health statuses and emphasise the need to take them into account when designing public health policies aiming at effectively reducing health inequalities.