Cultural Understandings of Mental health: The Role of Language and Ethnic Identity

Kelly Kato

Abstract


Mexican Americans interviewed in Spanish (vs. English) tend to have worse self-rated health despite their low morbidity and mortality. This project tests whether this language-of-interview effect also exists in the realm of mental health, and whether this pattern is due to Spanish-language interviewees’ lower acculturation to the United States. Analyses rely on secondary data from 865 Mexican Americans from the National Latino and Asian Americans Study. Multinomial logistic regressions are conducted to test whether the language of the interview is associated with the dissonance between self-rated mental health (SRMH) and diagnostic criteria for any of the most common psychiatric disorders. Acculturation measures are added to the model to explore its role. Results show that respondents interviewed in Spanish have higher risk of worse SRMH despite not having psychiatric disorders. Acculturation measures explain the association between interview language and SRMH without psychiatric disorders. Specifically, language proficiency and ethnic identity (acculturation measures) appear to be the main drivers of this change. Consistent with the physical health literature, Spanish-language interviewees tend to have worse SRMH without psychiatric disorders (dissonant outcomes), compared to English-language interviewees. Results also suggest that lower acculturation to the United States among Spanish-language interviewees explains these patterns. Research on the relationship between acculturation measures and understandings of mental health among Mexican Americans can provide insights about their help-seeking behaviors and treatment. Implications for other cases of international migration are also discussed.


Keywords


Self-rated mental health, psychiatric disorders, language, ethnic identity, Mexican Americans.

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References


Ahmed, M. (2016). Ethnicity, identity and group vitality: A study of Burushos of Srinagar. Journal of Ethnic and Cultural Studies, 3(1), 1-10.

Aikhenvald, A. Y., & Storch, A. (2013). Linguistic Expression of Perception and Cognition: A Typological Glimpse. In A. Y. Aikhenvald & A. Storch (Eds.), Perception and Cognition in Language and Culture (pp. 1–47). Leiden: Brill.

Alanay, H. & Aydin, H. (2016). Multicultural Education: The Challenges and Attitudes of Undergraduate Students in Turkey. Education and Science, 41(184), 169-191.

Alegría, M., Vila, D., Woo, M., Canino, G., Takeuchi, D. T., Vera, M., … Shrout, P. E. (2004). Cultural Relevance and Equivalence in the NLAAS Instrument: Integrating Etic and Emic in the Development of Cross-Cultural Measures for a Psychiatric Epidemiology and Services Study of Latinos. International Journal of Methods in Psychiatry Research, 13(4), 270–288. doi: 10.1016/j.biotechadv.2011.08.021

Alegría, M., Shrout, P. E., Woo, M., Guarnaccia, P. J., Sribney, W., Vila, D., … Canino, G. (2007). Understanding differences in past year psychiatric disorders for Latinos living in the US. Social Science & Medicine, 65(2), 214–30. doi: 10.1016/j.socscimed.2007.03.026

Alegría, M., Canino, G., Shrout, P. E., Woo, M., Duan, N., Vila, D., … Meng, X.-L. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. The American Journal of Psychiatry, 165(3), 359–69. doi: 10.1176/appi.ajp.2007.07040704

Angel, R., & Guarnaccia, P. J. (1989). Mind, body, and culture: somatization among Hispanics. Social Science & Medicine, 28(12), 1229–38. doi: 10.1016/0277-9536(89)90341-9

Aydin, H. (2012). First-Generation Turkish Immigrants’ Perceptions on Cultural Integration in Multicultural Societies: A Qualitative Case Study. US-China Educational Review B, 2(3), 326-337.

Aydin, H. & Koch, C. (2012). Romanian Second Language Learners of English Requests and Apologies. Theory and Practice in Language Studies, 2 (2), 233-239.

Bodner, T.E. 2008. What Improves with Increased Missing Data Imputations? Structural Equation Modeling, a Multidisciplinary Journal 15(4), 651–675.

Brondolo, E., Ver Halen, N. B., Pencille, M., Beatty, D., & Contrada, R. J. (2009). Coping with racism: A selective review of the literature and a theoretical and methodological critique. Journal of Behavioral Medicine, 32(1), 64–88. doi: 10.1007/s10865-008-9193-0

Bzostek, S., Goldman, N., & Pebley, A. (2007). Why do Hispanics in the USA report poor health? Social Science & Medicine (1982), 65(5), 990–1003. doi: 10.1016/j.socscimed.2007.04.028

Burnam, M. A., Hough, R. L., Karno, M., Escobar, J. I., & Telles, C. A. (1987). Acculturation and Lifetime Prevalence of Psychiatric Disorders among Mexican Americans in Los Angeles. Journal of health and social behavior 28(1), 89–102.

Colby, S.L. & Ortman, J.M.. (2015). Projections of the Size and Composition of the US Population: 2014 to 2060, Current Population Reports (p. 25-1143). Washington, DC: U.S. Census Bureau. Retrieved from http://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf

Conrad, P. (1992). Medicalization and Social Control. Annual Review of Sociology, 18, 209–232.

Corona, R., Velazquez, E., McDonald, S., Avila, M., Neff, M., Iglesias, A., & Halfond, R. (2017). Ethnic labels, pride, and challenges: A qualitative study of Latinx youth living in a new Latinx destination community. Journal of Ethnic and Cultural Studies, 4(1), 1-13.

Crockett, L. J., Iturbide, M. I., Torres Stone, R. A., McGinley, M., Raffaelli, M., & Carlo, G. (2007). Acculturative stress, social support, and coping: Relations to psychological adjustment among Mexican American college students. Cultural Diversity & Ethnic Minority Psychology, 13(4), 347–55. doi: 10.1037/1099-9809.13.4.347

Damgaci-Koc, F. & Aydin, H. (2014). An Analysis of Academicians’ Perceptions of Multicultural Education: A Turkish Experience. The Anthropologist, 18(3), 817-833.

D’Anna, L. H., Ponce, N. A, & Siegel, J. M. (2010). Racial and ethnic health disparities: Evidence of discrimination’s effects across the SEP spectrum. Ethnicity & Health, 15(2), 121–143. doi: 10.1080/13557850903490298

Duffy, J., Wickersham-Fish, L., Rademaker, L., & Wetzler, B. (2018). Using collaborative autoethnography to explore online doctoral mentoring: Finding empathy in mentor/protégé relationships. American Journal of Qualitative Research, 2(1), 57-76.

Dewaele, J.-M., & Nakano, S. (2012). Multilinguals’ perceptions of feeling different when switching languages. Journal of Multilingual and Multicultural Development, 34, 1–14. doi: 10.1080/01434632.2012.712133

Faltis, C. (2014). Toward a Race Radical Vision of Bilingual Education for Kurdish Users in Turkey: A Commentary. Journal of Ethnic and Cultural Studies, 1(1), 1-5.

Finch, B. K., Hummer, R. A., Reindl, M., & Vega, W. A. (2002). Validity of self-rated health among Latino(a)s. American Journal of Epidemiology, 155(8), 755–759. doi: 10.1093/aje/155.8.755

Gans, H. J. (1997). Toward a reconciliation of " assimilation " and " pluralism ": The interplay of acculturation and ethnic retention. International Migration Review, 31(4), 875–892. doi: 10.2307/2547417

Garcia de Blakeley, M., Ford, R., & Casey, L. (2017). Second Language Anxiety among Latino American Immigrants in Australia. International Journal of Bilingual Education and Bilingualism, 20(7), 759-772. doi: 10.1080/13670050.2015.1083533

Guarnaccia, P. J., Martinez, I., & Acosta, H. (2005). Mental health in the Hispanic immigrant community : An overview. Journal of Immigrant & Refugee Services, 3, pp. 21–46.

Guarnaccia, P. J., Pincay, I. M., Alegría, M., Shrout, P. E., Lewis-Fernandez, R., & Canino, G. (2007). Assessing diversity among Latinos: Results from the NLAAS. Hispanic Journal of Behavioral Sciences, 29(4), 510–534. doi: 10.1177/0739986307308110

James, G. (2018). A narrative inquiry perspective into coping mechanisms of international postgraduate students’ transition experiences. American Journal of Qualitative Research, 2(1), 41-56.

Halawa, A., Ai, S., & Ma, Z. (2017). Association between ethnicity and dietary behaviors in Chinese Han and Hui nationalities. Journal of Ethnic and Cultural Studies, 4(2), 65–80.

Haslam, S. A., Jetten, J., Postmes, T., & Haslam, C. (2009). Social identity, health and well-being: An emerging agenda for applied psychology. Applied Psychology, 58(1), 1–23. doi: 10.1111/j.1464-0597.2008.00379.x

Heo, J., Han, S., Koch, C., & Aydin, H. (2011). Piaget’s Egocentrism and Language Learning: Language Egocentrism (LE) and Language Differentiation (LD). Journal of Language Teaching and Research, 2(4), 733-739.

Hughes, M., Kiecolt, K. J., Keith, V. M., & Demo, D. H. (2015). Racial identity and well-being among African Americans. Social Psychology Quarterly, 78(1), 25–48. doi: 10.1177/0190272514554043

Hunt, L. M., Schneider, S., & Comer, B. (2004). Should “acculturation” be a variable in health research? A critical review of research on US Hispanics. Social Science & Medicine, 59(5), 973–86. doi: 10.1016/j.socscimed.2003.12.009

Ida, A. K., & Christie-Mizell, C. A. (2012). Racial group identity, psychosocial resources, and depressive symptoms: Exploring ethnic heterogeneity among black Americans. Sociological Focus, 45(1), 41–62. doi: 10.1080/00380237.2012.630900

Jiménez, M. A., You, X. H., Padilla, Y. C., & Powers, D. A. (2003). Language of interview: Importance for Hispanic mothers’ self-rated health and reports of their children’s health. Center for Research on Child Wellbeing, 34, 455–71. Retrieved from https://fragilefamilies.princeton.edu/sites/fragilefamilies/files/wp07-13-ff.pdf

Jin, D. Y. (2018). An analysis of the Korean wave as transnational popular culture: North American youth engage through social media as TV becomes obsolete. International Journal of Communication, 12, 404–422.

Kandula, N. R., Lauderdale, D. S., & Baker, D. W. (2007). Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: The role of language and nativity. Annals of Epidemiology, 17(3), 191–8. doi: 10.1016/j.annepidem.2006.10.005

Karaca-Mandic, P., Norton, E. C., & Dowd, B. (2012). Interaction terms in nonlinear models. Health Services Research, 47(1), 255–274. doi: 10.1111/j.1475-6773.2011.01314.x

Kessler, R. C., Berglund, P. A., Bruce, M. L., Koch, J. R., Laska, E. M., Leaf, P. J., … Wang, P. S. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36(6), 987–1007.

Kim, G., DeCoster, J., Chiriboga, D. A., Jang, Y., Allen, R. S., & Parmelee, P. (2011). Associations Between Self-Rated Mental Health and Psychiatric Disorders Among Older Aduts: Do Racial/Ethnic Differences Exist? The American Journal of Geriatric Psychiatry, 19(5), 416–422. doi: 10.1097/JGP.0b013e3181f61ede

Kimbro, R. T. (2009). Acculturation in context: Gender, age at migration, neighborhood ethnicity, and health behaviors. Social Science Quarterly, 90(5), 1145–1166. doi: 10.1111/j.1540-6237.2009.00651.x

Kratt, D. (2018). Teachers’ perspectives on educator mental health competencies: A qualitative case study. American Journal of Qualitative Research, 2(1), 22-40.

Lee, D. T. S., Kleinman, J., & Kleinman, A. (2007). Rethinking depression: an ethnographic study of the experiences of depression among Chinese. Harvard Review of Psychiatry, 15(1), 1–8. doi: 10.1080/10673220601183915

Li, C., & Tsai, W. H. S. (2015). Social media usage and acculturation: A test with Hispanics in the U.S. Computers in Human Behavior, 45, 204–212. doi: 10.1016/j.chb.2014.12.018

Lommel, L. L. & Chen, J. (2016). The relationship between self-rated health and acculturation in Hispanic and Asian adult immigrants: A systematic review. Journal of Immigrant and Minority Health, 18(2): 468–478. doi: 10.1007/s10903-015-0208-y

Lopez-Gonzalez, L., Aravena, V. C., & Hummer, R. A. (2005). Immigrant acculturation, gender and health behavior: A research note. Social Forces, 84(1), 581–593. doi: 10.1353/sof.2005.0112

Márque, J., Peña, C., Jones, L., Orange, A., & Simieou, F. (2018). Academic success and resiliency factors: A case study of unaccompanied immigrant children. American Journal of Qualitative Research, 2(1), 162-181.

Marshall, A., Altman, D. G., & Holder, R. L. (2010). Comparison of imputation methods for handling missing covariate data when fitting a cox proportional hazards model: A resampling study. BMC Medical Research Methodology 10:112-122. doi: 10.1186/1471-2288-10-112

Michou, A., Mouratidis, A., Ersoy, E., & Uğur, H. (2016). Social achievement goals, needs satisfaction, and coping among adolescents. Personality and Individual Differences, 99, 260-265.

Norton, E. C., Wang, H., & Ai, C. (2004). Computing interaction effects and standard errors in logit and probit models. The Stata Journal, 4(2), 154–167. doi: 10.1016/s0165-1765(03)00032-6

Palaiologou, N., & Gialamas, V. (2015). Building intercultural bridges through TV serials. Journal of Ethnic and Cultural Studies, 2(2), 1–20.

Palloni, A., & Arias, E. (2004). Paradox Lost: Explaining the Hispanic Adult Mortality Advantage. Demography 41(3):385–415.

Pascoe, E. A., & Richman, L. S. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554. doi: 10.1037/a0016059

Phinney, J. S. (1989). Stages of Ethnic Identity Development in Minority Group Adolescents. Journal of Early Adolescence, 9, 34-49.

Phinney, J. S., & Devich-Navarro, M. (1997). Variations in Bicultural Identification among African American and Mexican American Adolescents. Journal of Research on Adolescence, 7(1), 3–32.

Ramirez, D., Engel, K. G., & Tang, T. S. (2008). Language interpreter utilization in the emergency department setting: A clinical review. Journal of Health Care for the Poor and Underserved, 19(2), 352–362. doi: 10.1353/hpu.0.0019

Scribner, R. (1996). Paradox as Paradigm-The Health Outcomes of Mexican Americans. American Journal of Public Health, 86(3), 303–305.

Shell, A. M., Peek, M. K., & Eschbach, K. (2013). Neighborhood Hispanic composition and depressive symptoms among Mexican-descent residents of Texas City, Texas. Social Science and Medicine, 99, 56–63. doi: 10.1016/j.socscimed.2013.10.006

Smith, D. T. (2014). The diminished resistance to medicalization in psychiatry: Psychoanalysis meets the medical model of mental illness. Society and Mental Health, XX(X), 1–17. doi: 10.1177/2156869313512211

Suliman, M., Shah, M., Ullah, A., & Jamal, H. (2016). Ethnicity Based Social Exclusion of Nomads in Khyber District Malakand, Pakhtunkhwa-Pakistan. Journal of Ethnic and Cultural Studies, 3(1), 11–19.

Tarman, B. (2016). Innovation and education. Research in Social Sciences and Technology, 1(1), 77-97.

Ugurlu, O. (2014). Identity formation and community organization among Kurdish. Journal of Ethnic and Cultural Studies, 1(1), 22–34.

Ullah, A., Ashraf, H., & Shah, M. (2016). Understanding perceptions about the role of traditional practices regarding inheritance with relation to inheritance feud settlement: A case study of District Mardan Khyber Pakhtunkhwa-Pakistan. Journal of Ethnic and Cultural Studies, 3(2), 1-10

United Nations. Department of Economic and Social Affairs, Population Division. (2017). International Migration Report 2017. New York, NY: United Nations. Retrieved from http://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/MigrationReport2017.pdf

Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry, 156, 928–934. doi: 10.1176/ajp.156.6.928

Yigit, I. H., & Tatch, A. (2017). Syrian refugees and Americans: Perceptions, attitudes and insights. American Journal of Qualitative Research, 1(1), 13-31.

Viruell-Fuentes, E. A., Morenoff, J. D., Williams, D. R., & House, J. S. (2011). Language of interview, self-rated health, and the other Latino health puzzle. American Journal of Public Health, 101(7), 1306–1313. doi: 10.2105/AJPH.2009.175455

Wang, T. (2015). Marginality of Rural Migrant Students in Eleven Chinese High Schools. Journal of Ethnic and Cultural Studies, 2(2), 21–32.

White, I. R., Royston, P., & Wood, A. M. (2011). Multiple imputation using chained equations: Issues and guidance for practice. Statistics in Medicine 30: 377–399. doi: 10.1002/sim.4067

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., … Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382, 1575–1586. doi: 10.1016/ S0140-6736(13)61611-6

Vijayavalsalan, B. (2018). Students’ Impressions on the Effectiveness of Online Discussion Forums. Research In Social Sciences And Technology, 3(1), 86-108. Retrieved from http://ressat.org/index.php/ressat/article/view/344

Wilder, L. K., Sanon, D., Carter, C., & Lancellot, M. (2017). Narrative Ethnographies of Diverse Faculty in Higher Education:" Moral" Multiculturalism among Competing Worldviews. Journal of Ethnic and Cultural Studies, 4(2), 1-12.

Zuvekas, S. H., & Fleishman, J. A. (2008). Self-rated Mental Health and Racial/Ethnic Disparities in Mental Health Service Use. Medical Care, 46(9), 915–23. doi: 10.1097/MLR.0b013e31817919e5


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