Coping with cultural differences in healthcare: Chinese immigrant mothers’ health information sharing via WeChat

Immigrants face the challenge of obtaining culturally specific health information and adapting to a new healthcare system. Through qualitative content analysis, this study explores how Chinese immigrant mothers use the ethnic social media—WeChat to engage in health information sharing and coping with cultural differences in healthcare between the U.S. and China. Based on the data collected from one WeChat group in a metropolitan city in the northeastern U.S., Chinese immigrant mothers frequently discuss the topics of “doctors and hospitals,” “insurance and cost,” “medicine and treatment,” and “alternative health care.” They constantly compare Chinese health care beliefs and practices with western ones. They adopt various acculturation strategies to manage the cultural differences in healthcare beliefs, practices, and systems. We call for future research to further examine immigrants’ health information sharing via social media and consider acculturation as coping strategies or processes in the health communication context.     

Acculturating the Traditional Chinese Medicine: A Culture-Centered Study of Chinese International Students’ Idealization of Medical Integration during Sojourns

ABSTRACT

To better understand the Chinese international students’ barrier to the U.S. health and medical system, this study investigates the students’ understandings of Traditional Chinese medicines during their sojourns in the United States. Holding that medicine is cultural/culture, the culture-centered in-depth interviews (n = 23) help understand the Chinese international students’ acculturation of the two medicines after their arrival in the new medical culture. The analyses focus on the rhetorical nature of medical acculturation: even though the students actually assimilate Traditional Chinese medicine, they claim to integrate the two. The results indicate how integration has been idealized and imposed as the only acceptable medical acculturation strategy for international students. The findings also suggest that medical integration has been used as a disguising cloak of medical assimilation and therefore, immigrants’ integration and acculturation should be carefully examined in health contexts.     

Facilitating adaptation and intercultural contact: The role of integration and multicultural ideology in dominant and non-dominant groups

Research on acculturation has documented that adaptation to a receiving society is affected by both the immigrants’ acculturation strategies and the dominant group's expectations about how immigrants should acculturate. However, the acculturation expectations have received relatively less attention from researchers, and support for multiculturalism has rarely been examined from the perspective of immigrants. The present study used the framework of the Mutual Intercultural Relations in Plural Societies (MIRIPS) project to investigate the acculturation experiences and intercultural relations in Hong Kong by incorporating mutual views of both the dominant and non-dominant groups. It also tested the mediating role of the dominant group's tolerance towards different cultural groups and the non-dominant group's perceived discrimination. Two community samples were recruited, including Hong Kong residents (N = 181) and immigrants from Mainland China (N = 182). Among Mainland immigrants, the integration strategy predicted both psychological adaptation and sociocultural adaptation. Multicultural ideology predicted psychological adaptation and played a significant role in intercultural contact with Hong Kong people through the mediation of lower perceived discrimination. Among Hong Kong residents, the integration expectation predicted psychological adaptation. Multicultural ideology indirectly affected intercultural contact with Mainland immigrants through the mediation of greater tolerance. These results suggest that the integration strategy and expectation are more important to intrapersonal functioning, whereas multicultural ideology may be more crucial in facilitating social interactions between members of the society of settlement and immigrants in culturally plural milieus. Future research should test the proposed models of dominant and non-dominant groups in other cultures.     

Hinduism and the State in Trinidad

Abstract

Between 1845 and 1917, a total number of 143,939 Indian immigrants were brought to Trinidad under the system of Indian indenture to fill the labour gap created by the abolition of slavery. Approximately 88% of these immigrants practised various facets of Hinduism. Upon completion of their five‐year periods of contracted labour, over 90% of the indentureds opted to make Trinidad their permanent home. From their very entrance into Trinidad society, Hindus were engaged in the practice of many aspects of their religion. However, in Trinidad, elements of religion were variously truncated, modified, diluted, intensified or excised. During the initial decades of Indian indenture, Indian cultural forms were met with either contempt or indifference. Yet, despite the arduous nature of the task, various dimensions of Indian culture have now been integrated into the Trinidad and Tobago's multicultural prism.

Whether within the context of colonialism, the immediate post independence ferment, or the post 1980s dynamic political ethos, Trinidad's ‘cultural’ diversity has consistently underscored intriguing, sometimes tumultuous dialogue between the State and various elements of the society. Predictably, the common factor and point of contention was the conflict between Hindu and non‐Hindu ideologies. This essay seeks to explore one dimension of that dialogue; namely, the engagement of the Trinidad Hindu community with the State, with specific emphasis on the issues that can be situated within the realm of culture. These include Adult Franchise, the Hindu Marriage Bill, the Divorce Bill, the Cremation Ordinance, the issuing of capitation grants, education, symbolic claims and ‘nationalizing’. Underscoring the dialogue are two, often contradictory, determinants: the attitude of the State towards Hinduism (and Indian culture on the whole), and the tension between the retention of ‘Hindu’ culture and the need to transcend the boundaries of communalist discourse into the nationalist frame. Therein resides the crux of a most intriguing interaction between two very dynamic entities.     

Social identification and acculturation in the Basque Autonomous Community

Basque origin undergraduates in four universities of the Basque Autonomous Community (BAC) completed the Host Community Acculturation Scale (HCAS) in three life domains: marriage, culture, and work. Undergraduates with a strong Basque identity (N = 308) and those with a strong dual Basque-Spanish identity (N = 219) completed the HCAS towards the co-national Spanish minority and “devalued” Moroccan immigrants residing in the BAC. Results indicate that (1) undergraduates have a preference for individualism and integrationism towards Spanish co-nationals and Moroccans; (2) Strong Dual identifiers endorse individualism and integrationism more than Strong Basque identifiers towards Spanish co-nationals; (3) Strong Dual identifiers favored Spanish co-nationals over Moroccan immigrants in their acculturation orientations, whereas Strong Basque identifiers endorsed more welcoming acculturation orientations towards Moroccans than towards Spanish co-nationals; and (4) undergraduates endorsed more individualism, integrationism, and assimilationism in the work domain, while they endorsed more segregationism and exclusionism in the culture domain. Results are discussed using the Interactive Acculturation Model.     

A latent class analysis of acculturation and depressive symptoms among Latino immigrants: Examining the role of social support

Drawing upon Berry’s (1980) bi-dimensional model of acculturation and using data from a community-based sample of adults in Miami-Dade, Florida, the current investigation compared various immigrant acculturation profiles in their levels of depressive symptoms and assessed the mediating role of social support in explaining mental health differences across these acculturation profiles. Latent class analysis specified separated, partial separated, bicultural and marginal profiles of acculturation among Latino immigrants. Notably, our findings identified a small, albeit significant, marginal class among Latino immigrants, and both bivariate and multivariate findings demonstrated that those in marginal class reported the poorest mental health. Our findings further revealed that the observed mental health disadvantage among the marginal class relative to other immigrants was due to their disadvantage in family support . Overall, this investigation further underscores the importance of family support as an element of immigrant acculturation experience and mental health. From a policy perspective, social support, specifically family support, is critical for immigrant mental health, and a lack of family support may increase the risk for developing a marginal experience and mental health problems among a growing population of Latino immigrants in the United States.     

The effect of perceived overqualification on job satisfaction and career satisfaction among immigrants: Does host national identity matter?

Overqualification is a form of person-job misfit that is common among those who reside in a foreign country. It is associated with poor work-related well-being and can inhibit full adjustment to the host society. The goal of our study is to examine the impact of perceived overqualification on job satisfaction and career satisfaction among immigrants. Furthermore, we investigated immigrants’ host national identity as a moderator of the impact of perceived overqualification on job satisfaction and career satisfaction. We analysed longitudinal online survey data from 124 Italian and Spanish immigrants who migrated to Germany between 2000 and 2014. Regression analyses show that perceived overqualification is negatively associated with job satisfaction six months later. Furthermore, host national identity moderates the association between perceived overqualification and job satisfaction: low overqualification is beneficial for job satisfaction whereas high overqualification is a threat for job satisfaction, especially for immigrants who identify strongly with the host society. We do not find corresponding direct and moderating effects on career satisfaction. We conclude that indicators of acculturation, such as host national identity, are worth considering in order to understand the impact of person-job misfit on work-related well-being among immigrants.     

Facilitating or Impeding Acculturation: A Qualitative Study on Mobile Social Messaging in First-Generation Chinese Immigrants’ Everyday Lives

ABSTRACT

Previous research indicated that communication through media has been intertwined into immigrants’ everyday lives and become an essential part of their acculturating practices. However, no research has been conducted to examine how innovative, ethnic social media play a role in Chinese immigrants’ acculturation process in terms of social capital. In order to fill the research gap, a qualitative study was conducted to explore how Chinese immigrants use social messaging to accumulate social capitals to facilitate their acculturation process. Thirty face-to-face in-depth interviews were conducted among Chinese immigrants to collect data. Findings revealed that Chinese immigrants tend to consider acculturation as a complex and long process in which they navigate through and position themselves in the unfamiliar cultural system. The ethnic social medium – WeChat, and in particular, its social messaging plays an essential role in shaping Chinese immigrants’ acculturation experiences by assisting them in garnering both bonding and bridging social capitals.     

Multidimensional Individual Difference Acculturation (MIDA) model: Syrian refugees’ adaptation into Germany

European countries have been the key destination for many Syrians since the beginning of the civil war in 2011. In this new context, refugees have faced various challenges, including negative public attitudes and pressure of assimilation that might negatively influence psychophysical adaptation. This indicates the necessity of exploring the factors associated with the adaptation of refugees in their new society. Using a multidimensional individual difference acculturation (MIDA) model as a theoretical framework, the present study investigated the psychophysical adaptation of Syrian refugees (N = 265, M_age = 33.03 years) in Germany. The MIDA model is a theoretical model on immigrants’ adaptation that takes into account the role of psychosocial resources (e.g., psychological strength), co-national connectedness (e.g., ingroup support), hassles, and acculturation orientations in predicting adaptation of immigrants. Using structural equation modelling, specific hypotheses drawn from the MIDA model were tested. It was found that Syrian refugees with high psychological strength and cultural competence reported high levels of adjustment as indicated by low levels of distress. On the other hand, refugees with high levels of perceived hassles reported low levels of adjustment as indicated by high level of distress. The results highlight the importance of psychological strength, cultural competence, and hassles in refugees’ adaption. The study’s findings have the potential to inform host country policymakers regarding the positive integration of refugees into German society, and specific recommendations have been made.     

Just‐Do‐It‐(Yourself): independent filmmaking in Malaysia

Abstract

This paper pursues the genealogies of mi-yi (secret doctors) as a threshold figure to attend to the questions of state-mediated governance and knowledge power concerning medical modernity in postwar Taiwan. To consider the mi-yi figure as symptomatic of Taiwan's medical modernity, I inquire into the question of how the scientific discourse of modernity as purported by the class of medical professionals converges with state power to discipline and regulate medical subjects and practices vis-à-vis the discourse of mi-yi. To this end, I analyze the anti-mi-yi discourse that emerged since the 1950s to discuss how the modern medical profession employed a language of science, rationality, and security that initiated an extended state surveillance of unregulated medical subjects and practices. The second part of the essay reads Chen Yingzhen's novella, Zhao Nandong as part of Taiwan's medical “archives” to explore the politics of embodied medical labor as a situated instance of the contradictions of medical modernity. I situate the literary imagination of Zhao Nandong in the social context of mi-yi discourse to frame the erased labor and violence, the ways in which the histories of these labors have been doubly obscured by the conflation of nationalistic historiography and positivist knowledge production of sociological categorizations of Taiwan's modernity.     

Memories in the Labyrinth

Since when has the word ‘border’ started to occupy my mind? That's I can't tell. But, once in a while, the forgotten memories are suddenly brought back to life in the vaguest fashion, and often out of the context. They come out of nowhere. Out of a labyrinth of time, it seems. I was born and grew up on a small island, some 400 kilometers east of the Okinawa Island. It was an island of immigrants who had sought a job at the sugar factory owned by a wealthy family from Japan. It was also an island of diasporas. Many islanders had some experience of crossing ‘borders’ for all sorts of reasons.     

Mindsets about language learning and support for immigrants’ integration

People rely on their lay theories, or mindsets, to make meaning of their experience in intercultural contact. Given that proficiency in the local language is a crucial social marker of immigrants’ integration, we argue that language mindsets (i.e., beliefs about whether language learning ability is fixed or changeable) guide members of the receiving society to make inferences about immigrants’ language ability (e.g., “can immigrants improve their language ability?”). This social inference, in turn, predicts their willingness to interact with immigrants and support immigrants’ language education. In a correlational study (n = 231) and an experimental study (n = 106), we investigated whether and how language mindsets influence participants’ support for immigrants’ intercultural contact. We found that trait and experimentally-induced fixed (vs. growth) mindsets led to negative judgments of immigrants’ potential to develop their skills in the local language, which in turn predicted avoidance of contact with migrants and opposition to governmental funding of immigrants’ language education. The effects held even after controlling for participants’ political orientations, perceived difficulties of the English language, and judgments of target immigrants’ language fluency. These findings suggest that promoting growth mindsets about language ability can lead to more positive intercultural attitudes that impact the acceptance of migrants. We discussed the implications of language mindsets for understanding the processes of intercultural communication and forming positive intercultural relations.     

Depression and anxiety symptoms in Russian-speaking skilled immigrants living in Australia: A comparison with Anglo-Australians and Russian-speaking non-immigrants

Data and systematic research on Australia’s diverse immigrant population have been sparse. This study is the first empirical analysis of anxiety and depression symptoms in Russian-speaking skilled immigrants living in Australia. We compared levels of depression and anxiety symptoms in Russian-speaking skilled immigrants to Australia, Russian-speaking non-immigrants residing in one of the countries of the Former Soviet Union (FSU) and Anglo-Australians. 65 Russian-speaking immigrants from the FSU, 65 Russian-speaking non-immigrants residing in Russia, Ukraine, or Belarus, and 63 Anglo-Australians were recruited through social clubs, community web forums, churches, schools and universities. Participants completed online versions of the Centre for Epidemiologic Studies Depression Scale, the State-Trait Anxiety Inventory, the Interpersonal Support Evaluation List, the Perceived Stress Scale and socio-demographic questionnaires. Results indicated that levels of anxiety and depression were higher in Anglo-Australians compared to the Russian-speaking immigrant and the Russian-speaking non-immigrant groups after controlling for age, gender, relationship status, highest educational level, employment and health status. The outcomes of this study provide valuable insight into the mental health status of this under investigated group and can serve as the first step towards culturally informed mental health service delivery. Future research should address the limitations of the current study such as employing better sampling methods and using more culturally relevant scales to measure depression and anxiety.     

Frequency and attendance at popular music concerts in the USA: Does facility age matter?

Popular music is a valuable community amenity in the USA. State and local governments often encourage concert development by subsidizing construction and operation of concert venues. The facilities most likely to receive public support also host professional sports franchises. Public policy arguments supporting subsidization often maintain that concert frequency declines as facilities age, thus necessitating their replacement. Anecdotal evidence is inconsistent on the matter. Using a two-year pooled cross-section of 1234 concerts in 80 professional sports facilities from July 2012 to June 2014, the present study tests if facility age predicts changes in concert frequency and attendance. The results lend support to subsidy proponents' arguments, but the magnitude of the age effects is unlikely to warrant significant subsidy levels.     

Un-Settling Multicultural Erasures

This essay begins by naming liberal forms of multiculturalism as a complicit discourse and theory in the erasure of Indigenous peoples. For example, it troubles the false narrative of the United States as a “nation of immigrants,” offered up so frequently as a corrective to the current administration's divisive rhetoric and policies. The essay underscores the important role of educators in interrupting the settler logics that pervade liberal educational spaces. Drawing examples from one of the author's hometowns, it presents critical inquiry as one viable approach for supporting students' understanding of the connections between place, power, and knowledge production.     

‘Don't be Mute!’

ABSTRACT

Polish immigrants arrived in the United States familiar with the culture of public letter-writing to the press, in which they participated through the periodicals for peasants circulating in the Polish countryside at the turn of the twentieth century. The article analyses public letters published in over thirty Polish-language newspapers printed in the United States between 1880s and 1960s, and demonstrates that the editors used them to support important functions of the ethnic press: creation of a national as well as diasporic immigrant community; formation of readers' networks loyal to particular newspapers; and adoption of personal service journalism, which guided the immigrants in their adaptation in the new country. The immigrants who arrived in subsequent decades continued the practice of letter-writing to the press, strengthening and expanding it to include the entire Polish Diaspora.     

Acculturative stress in Latino Immigrants: The impact of social, socio-psychological and migration-related factors

The purpose of this study was to investigate factors that predict acculturative stress in a nationally representative sample of Latino migrants. The participants in this study were 2059 Latinos. Among them were 868 Mexicans, 577 Cubans and 614 other Latinos. The subcategory other Latinos consisted of immigrants and refugees from Colombia, the Dominican Republic, El Salvador, Ecuador, Guatemala, Honduras, Peru and Nicaragua. The participants took part in face-to-face interviews, which were conducted with computer-assisted interviewing software in Spanish and English. Findings revealed that acculturative stress decreases with an increase in the English proficiency index, the context of migration exit index, and the social network index. Furthermore, acculturative stress was lower for US citizens versus non-citizens; immigrants who wanted to migrate to the US versus refugees who had to leave their country of origin; and later generation immigrants. Acculturative stress increases with a higher native language proficiency index and a higher discrimination index.     

Social-ecological correlates of acculturative stress among Latina/o and Black Caribbean immigrants in the United States: A scoping review

Acculturative stress is associated with poor mental health outcomes; however, few studies have examined this type of stress within immigrants’ broader social-ecological context. Furthermore, it remains unclear which stressors are unique to first-generation immigrants, who are at a higher risk of experiencing acculturative stress during intercultural contact. Informed by the social-ecological framework, this scoping review examines the unique and integrative correlates of acculturative stress among first-generation Latina/o and Black Caribbean immigrants, and articulates social-ecologically based recommendations. Forty articles published in peer-reviewed journals between 2000 and 2019 were examined. Correlates of acculturative stress were organized across five levels of influence: individual, interpersonal, institutional, community, and policy. Language barriers, personal experiences in the U.S., socioeconomic status, religion, coping strategies, ethnic beliefs and values, social support, family dynamics, fears related to status, neighborhood characteristics, and discrimination were significant correlates of acculturative stress. Existing research assessing social-ecological correlates of acculturative stress addressed primarily individual and interpersonal level factors, limiting the explanatory power of this review in identifying how root causes of acculturative stress intersect and ultimately influence mental health. Overreliance on a small amount of national or large data sets, lack of variation in research design, and limited research among Afro-Latina/o and Black Caribbean immigrants all contribute to the restricted boundaries of this area of study. Unlike many factors that influence immigrant mental health, acculturative stress is potentially modifiable through social-ecological levels of intervention; thus, we offer recommendations that could be implemented to facilitate psychological adjustments and reduce risk for mental illness.     

Length of stay,acculturation and transnational medical travel among Polish migrants in the Netherlands

An important aspect of the transnational lives of Polish migrants in the Netherlands is their frequent use of healthcare services in Poland. Transnational care use may be detrimental for the continuity and the quality of the care migrants receive. The current study aims to shed light on the antecedents of migrants' doctor visits in Poland. Drawing on a representative population-based sample of Polish migrants in the Netherlands (n = 1,082), logistic regression is used to assess whether length of stay in the Netherlands is negatively associated with the likelihood of doctor visits in Poland. The KHB decomposition method is used to determine the extent to which this potential association is mediated by three specific acculturation factors: ethnic identification, trust in the Dutch healthcare system and Dutch language proficiency. The models show that migrants who stayed in the Netherlands longer were less likely to visit doctors in Poland. Mediation analyses indicated that this effect was largely attributable to their greater Dutch language proficiency compared to their counterparts who arrived in the Netherlands more recently. Strong ethnic self-identification as Polish and lower trust in the Dutch healthcare system were also associated with a higher likelihood of visiting doctors in Poland. However, no significant mediation of the effect of length of stay via ethnic self-identification or Dutch language proficiency was found. The findings suggest that voluntary language programs may foster inclusion of Polish migrants in the Dutch healthcare system and reduce the need migrants perceive to seek care in their country of origin.     

Performance of social integration programs for immigrants and influential factors: Evidence from the Korea Immigration and Integration Program (KIIP)

The purpose of this study is to analyze by immigrants’ characteristics their participation in and social integration performance on the Korea Immigration and Integration Program (KIIP), which the Korean government provides for education in Korean language and basic knowledge about Korea to support the social integration of immigrants; on that basis, it suggests policy implications. For this purpose, I surveyed 1,014 immigrants, including 800 participants and 214 non-participants of the KIIP; among these individuals, 46.1 % had experienced discrimination. There were several reasons they felt they had been discriminated against; general prejudice against immigrants in South Korea and lack of Korean language ability were the most common. The immigrants who participated in KIIP included several groups: visiting relatives, those who had moved to be with their families, immigrants living in Seoul, Vietnamese people, non-Korean spouses, longer-term non-Korean residents, and non-Han Chinese individuals. Those immigrants who participated in KIIP showed a high degree of adaptability to Korean culture. Korean language proficiency, a key output of KIIP, was the most important factor in improving immigrants’ cultural adaptation, sense of societal belonging, and economic conditions.