School of Social Work, University at Buffalo, 685 Baldy Hall, Buffalo, NY, 14260, USA.
Community Ment Health J. 2019 Apr;55(3):385-393. doi: 10.1007/s10597-018-0268-2. Epub 2018 Mar 24.
Vietnamese Americans are a heterogeneous group with varied migration histories. The life course perspective (LCP) suggests that different migration histories (immigrant vs. refugee) may affect their psychological health. Using Vietnamese refugee (n = 291) and immigrant (n = 211) subsamples from the National Latino and Asian American Study, selected LCP factors relevant to foreign-born Vietnamese were examined for their associations with psychological distress. Two separate regressions were conducted to examine differential factors across the subgroups. Results showed that sex, age at immigration, and pre- and post-migration traumas were significant factors for refugees. Among immigrants, only racial discrimination was significant factor. The results suggest that applying LCP among Vietnamese Americans helps to discern factors associated with their psychological distress outcomes depending on their initial immigration status. The results also indicate that healthcare professionals should consider the migration background of foreign-born Vietnamese in screening for potential psychological issues, particularly around their trauma history and discriminatory experiences.
越南裔美国人是一个具有不同移民历史的多样化群体。生命历程视角（LCP）表明，不同的移民历史（移民与难民）可能会影响他们的心理健康。本研究使用来自全国拉丁裔和亚裔美国人研究的越南难民（n=291）和移民（n=211）亚组，考察了与外国出生的越南人相关的 LCP 因素与心理困扰之间的关系。进行了两次单独的回归分析，以检验亚组之间的差异因素。结果表明，性别、移民年龄以及移民前后的创伤是难民的重要因素。在移民中，只有种族歧视是重要因素。研究结果表明，在越南裔美国人中应用 LCP 有助于根据他们最初的移民身份辨别与心理困扰结果相关的因素。结果还表明，医疗保健专业人员在筛查潜在的心理问题时，应考虑外国出生的越南人的移民背景，尤其是在他们的创伤史和歧视经历方面。
