Zlotnick Cheryl, Dryjanska Laura
Department of Nursing, University of Haifa, 199 Aba Khushi Avenue, Haifa, Mt Carmel 34333 Israel.
Rosemead School of Psychology, Biola University, La Mirada, CA.
Health Soc Work. 2020 Jan 7;45(1):13-22. doi: 10.1093/hsw/hlz039.
Although the link between immigrants' health status and employment is well established, there is little information on the combined impact of three components of acculturation (that is, dual self-identity, language proficiency, and realized expectations) on this link. Immigrants who came to Israel from English-speaking countries (N = 377) were categorized into three groups based on the work-retirement continuum (that is, working, same occupation; working, changed occupation; or retired). Using a cross-sectional design, this study examined whether the link between health and acculturation varied by immigrants' location on the work-retirement continuum. Bivariate analyses revealed group differences for two acculturation components, language proficiency (p < .0001) and dual self-identity (p < .05). Multivariable analyses indicated an interaction effect between the acculturation component of realized expectations and work-retirement continuum group status on health status. As a result, good health was related to higher levels of realized expectations for the retired group; related to lower levels of realized expectations for the "working, changed occupations" group; and unrelated to realized expectations for the "working, same occupation" group. The acculturation component of realized expectations varies depending on the immigrant's location on the work-retirement continuum. Health and social welfare professionals can promote health in working or retired immigrants by providing clear and realistic information to better align with immigrants' expectations.
尽管移民的健康状况与就业之间的联系已得到充分证实，但关于文化适应的三个组成部分（即双重自我认同、语言能力和实现的期望）对这一联系的综合影响的信息却很少。从英语国家来到以色列的移民（N = 377）根据工作-退休连续体被分为三组（即在职、从事相同职业；在职、更换职业；或退休）。本研究采用横断面设计，考察了健康与文化适应之间的联系是否因移民在工作-退休连续体上的位置而异。双变量分析揭示了两个文化适应组成部分的组间差异，即语言能力（p < .0001）和双重自我认同（p < .05）。多变量分析表明，实现的期望这一文化适应组成部分与工作-退休连续体组状态对健康状况存在交互作用。结果，健康状况良好与退休组更高水平的实现期望相关；与“在职、更换职业”组较低水平的实现期望相关；与“在职、从事相同职业”组的实现期望无关。实现的期望这一文化适应组成部分因移民在工作-退休连续体上的位置而异。健康和社会福利专业人员可以通过提供清晰、现实的信息，使其更好地符合移民的期望，来促进在职或退休移民的健康。
