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在理解前迁移和后迁移压力源对行为健康的影响方面,文化适应取向的重要性:来自危机移民样本的证据。

The importance of acculturation orientation in understanding the impact of pre- and post-migration stressors on behavioral health: Evidence from a crisis migrant sample.

机构信息

Boston College, School of Social Work, Chestnut Hill, Massachusetts, USA.

School of Social Work, Saint Louis University, St. Louis, Missouri, USA.

出版信息

J Clin Psychol. 2023 Aug;79(8):1770-1785. doi: 10.1002/jclp.23505. Epub 2023 Mar 11.

DOI:10.1002/jclp.23505
PMID:36905346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10363205/
Abstract

OBJECTIVE

We examine the interplay of acculturation orientation, cultural stress, and hurricane trauma exposure with behavioral health among Puerto Rican crisis migrants who relocated to the US mainland after Hurricane Maria.

METHOD

Participants were 319 adult (M  = 39 years; 71% female; 90% arriving in 2017-2018) Hurricane Maria survivors surveyed on the US mainland. Latent profile analysis was used to model acculturation subtypes. In turn, ordinary least squares regression was executed to examine the associations of cultural stress and hurricane trauma exposure with behavioral health while stratifying by acculturation subtype.

RESULTS

Five acculturation orientation subtypes were modeled, three of which-Separated (24%), Marginalized (13%), and Full Bicultural (14%)-align closely with prior theorizing. We also identified Partially Bicultural (21%) and Moderate (28%) subtypes. Stratifying by acculturation subtype, with behavioral health (depression/anxiety symptoms) specified as the dependent variable, hurricane trauma and cultural stress accounted for only 4% of explained variance in the Moderate class, a somewhat greater percentage in the Partial Bicultural (12%) and Separated (15%) classes, and substantially greater amounts of variance in the Marginalized (25%) and Full Bicultural (56%) classes.

CONCLUSION

Findings underscore the importance of accounting for acculturation in understanding the relationship between stress and behavioral health among climate migrants.

摘要

目的

我们考察了文化适应取向、文化压力和飓风创伤暴露与波多黎各危机移民在飓风玛丽亚后移居美国大陆后的行为健康之间的相互作用。

方法

参与者为 319 名成年(M=39 岁;71%女性;90%于 2017-2018 年抵达)飓风玛丽亚幸存者,在美国大陆接受调查。潜在剖面分析用于构建文化适应亚型模型。反过来,使用普通最小二乘法回归,在按文化适应亚型分层的情况下,检验文化压力和飓风创伤暴露与行为健康的关联。

结果

构建了五种文化适应取向亚型,其中三种(分离型(24%)、边缘化型(13%)和完全双文化型(14%))与先前的理论假设密切相关。我们还确定了部分双文化型(21%)和适度型(28%)亚型。按文化适应亚型分层,以行为健康(抑郁/焦虑症状)为因变量,飓风创伤和文化压力仅解释了适度型(4%)、部分双文化型(12%)和分离型(15%)类别的部分方差,在边缘化型(25%)和完全双文化型(56%)类别的解释方差较大。

结论

研究结果强调了在理解气候移民压力与行为健康之间关系时,考虑文化适应的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/183a/10363205/b0ac4fec8ea2/nihms-1878991-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/183a/10363205/c2d6c0e754f2/nihms-1878991-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/183a/10363205/b0ac4fec8ea2/nihms-1878991-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/183a/10363205/c2d6c0e754f2/nihms-1878991-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/183a/10363205/b0ac4fec8ea2/nihms-1878991-f0002.jpg

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