Institute for Immigration and Social Integration, Ruppin Academic Center, Emek Hefer, Israel.
Clinical Psychology Graduate Program, Ruppin Academic Center, Emek Hefer, Israel.
Int J Soc Psychiatry. 2023 May;69(3):724-734. doi: 10.1177/00207640221134236. Epub 2022 Nov 21.
Research on Mental Health Literacy (MHL) has been growing in different geographical and cultural contexts. However, little is known about the relationship between immigrant generations, acculturation, stigma, and MHL among immigrant populations.
This study aims to examine differences in MHL among immigrant generations (first, 1.5, and second) from the former Soviet Union (FSU) in Israel and to assess whether differences are accounted for by immigration generation or acculturation.
MHL was assessed among 420 participants using a cross-sectional survey adapted from the Australian National Survey. Associations of immigrant generation, socio-demographic characteristics, and acculturation with MHL indices were examined using bivariate and multivariable analyses.
First generation immigrants reported poorer identification of mental disorders and higher personal stigma than both 1.5- and second-generation immigrants. Acculturation was positively associated with identification of mental disorders and negatively associated with personal stigma across all immigrants' generations. When all variables were entered into a multivariate model predicting MHL indices, acculturation and gender were associated with personal stigma and only acculturation was associated with better identification of mental disorders.
Differences in MHL among FSU immigrants in Israel are mainly explained by acculturation rather than by immigrant generation. Implications for policy makers and mental health professionals working with FSU immigrants are discussed.
心理健康素养(MHL)的研究在不同的地理和文化背景下不断发展。然而,对于移民代际、文化适应、污名化以及移民群体中的 MHL 之间的关系,我们知之甚少。
本研究旨在检验来自前苏联(FSU)的以色列移民代际(第一代、1.5 代和第二代)之间 MHL 的差异,并评估这种差异是否由移民代际或文化适应所导致。
采用从澳大利亚全国调查改编的横断面调查,评估了 420 名参与者的 MHL。使用单变量和多变量分析,考察了移民代际、社会人口学特征和文化适应与 MHL 指数之间的关联。
第一代移民在识别精神障碍方面的报告比 1.5 代和第二代移民差,个人污名感更高。在所有移民代际中,文化适应与识别精神障碍呈正相关,与个人污名感呈负相关。当将所有变量纳入预测 MHL 指数的多变量模型中时,文化适应和性别与个人污名感相关,而只有文化适应与更好地识别精神障碍相关。
以色列 FSU 移民之间 MHL 的差异主要由文化适应解释,而不是由移民代际解释。讨论了这对与 FSU 移民合作的政策制定者和心理健康专业人员的影响。