Emily Walton

Immigration-related factors and mental disorders among Asian Americans.

OBJECTIVES We examined lifetime and 12-month rates of any depressive, anxiety, and substance abuse disorders in a national sample of Asian Americans. We focused on factors related to nativity and immigration as possible correlates of mental disorders. METHODS Data were derived from the National Latino and Asian American Study, the first national epidemiological survey of Asian Americans in the United States. RESULTS The relationships between immigration-related factors and mental disorders were different for men and women. Among women, nativity was strongly associated with lifetime disorders, with immigrant women having lower rates of most disorders compared with US-born women. Conversely, English proficiency was associated with mental disorders for Asian men. Asian men who spoke English proficiently generally had lower rates of lifetime and 12-month disorders compared with nonproficient speakers. CONCLUSIONS For Asian Americans, immigration-related factors were associated with mental disorders, but in different ways for men and women. Future studies will need to examine gender as an important factor in specifying the association between immigration and mental health.

The associations between socio-economic status and major depressive disorder among Blacks, Latinos, Asians and non-Hispanic Whites: findings from the Collaborative Psychiatric Epidemiology Studies

BACKGROUND This study examined whether there were associations between individual measures of socio-economic status (SES) and the 12-month prevalence of major depressive disorder (MDD) in representative samples of Blacks, Latinos, Asians and Whites in the USA. METHOD The data used were from the Collaborative Psychiatric Epidemiology Studies (CPES). RESULTS There was an association between household income and MDD among Whites. However, the association was not statistically significant. Statistically significant associations were present between educational attainment and MDD among Whites. Among both Whites and Latinos, being out of the labor force was significantly associated with MDD. In analyses by nativity, being out of the labor force was significantly associated with MDD among US-born and foreign-born Latinos. CONCLUSIONS Significant associations between various measures of SES and MDD were consistently observed among White and, in some cases, Latino populations. Future studies should continue to examine sociopsychological factors related to SES that increase the risk of MDD among people from racial-ethnic communities.

Self-rated health among foreign- and U.S.-born Asian Americans: a test of comparability.

Objectives:We investigated differences between foreign- and U.S.-born Asian Americans in self-rating their physical and mental health. In particular, we tested whether the foreign-born respondents underreport the extreme categories of the scale as compared with U.S.-born respondents. Methods:We analyzed data from the National Latino and Asian American Study to examine whether immigrants are less likely to use the extreme ends of the 5-category self-rated health scales than their U.S.-born counterparts. We used propensity score matching to derive groups of U.S.- and foreign-born Asian Americans who share similar demographic and health characteristics. We defined propensity scores as predicted probabilities of being U.S. born, given individual background characteristics. The propensity score framework allowed us to make descriptive comparisons of self-rated health responses controlling for background characteristics. We used log-linear symmetry models to examine cross-tabulations of self-rated physical and mental health reports in matched pairs by the 2 (extreme and nonextreme) and 5 (“excellent,” “very good,” “good,” “fair,” and “poor”) categories. Results:Controlling for background characteristics, we found no evidence that foreign-born Asian Americans are less likely to endorse extreme categories in self-rated physical or mental health than U.S.-born Asian Americans, as well as no evidence of imbalances in endorsement of any particular self-rated health category between the 2 groups. Conclusions:Controlling for demographic and health characteristics, we find no systematic differences between foreign- and U.S.-born Asian Americans in reporting self-rated physical and mental health on the 5-category scales from “excellent” to “poor.”

Family Structure, Family Processes, and Well-Being Among Asian Americans: Considering Gender and Nativity

This article examines how facets of family structure and processes are linked to self-rated health and psychological distress in a national sample of Asian Americans. The authors find little support for well-established theories predicting the effects of family structure. Marital status does not affect self-rated health and has limited effects on psychological distress. The only effects of family composition are evident among men and the U.S.-born, where the presence of extended family in the home is related to lower levels of psychological distress. The authors find important gender and nativity differences in the effects of family cohesion, which protect the physical and psychological well-being of women and the U.S.-born but not men or foreign-born individuals. Findings suggest that the effects of family structure and processes on well-being are not universal. Family studies among Asian Americans that do not account for gender and nativity differences may be overlooking underlying complexity.

Resurgent ethnicity among Asian Americans: ethnic neighborhood context and health.

In this study I investigate the associations of neighborhood socioeconomic and social environments with the health of Asian Americans living in both Asian ethnic neighborhoods and non-Asian neighborhoods. I use a sample of 1962 Asian Americans from the National Latino and Asian American Study (NLAAS, 2003-04). Three key findings emerge. First, absolute levels of socioeconomic and social resources do not differ greatly between the Asian ethnic neighborhoods and non-Asian neighborhoods in which Asian Americans live. Second, the ethnic neighborhood context conditions the effects of neighborhood education on health so that higher neighborhood education is related to better self-rated health among Asian Americans only when they live in Asian ethnic neighborhoods. Finally, the social environment, measured by everyday discrimination and social cohesion, does not differ in its health effects for individuals living in Asian ethnic and non-Asian neighborhoods. Together, these findings illuminate the complex ways that racial and ethnic neighborhood concentration impacts health.

Does place of education matter? Contextualizing the education and health status association among Asian Americans.

The educational gradient in health is one of the most robust associations in social science research. Results of the current study indicate that, like the pattern observed among other racial and ethnic minority groups, the well-established educational gradient in health is attenuated among Asian Americans. We also show that the gradient association between educational attainment and self-rated health among Asian Americans depends on whether they receive the bulk of their education in the United States or abroad. Compared to the schooling received in the United States, being educated in a foreign country does not result in the same health payoffs for increasing educational attainment. Analysis of an extensive set of mediators indicates that a foreign education restricts economic opportunities, limits positive social interaction, and inhibits English language proficiency. We discuss the implications for Asian Americans, a group composed largely of immigrants who received their education outside the United States.

Neighborhoods and Mental Health: Exploring Ethnic Density, Poverty, and Social Cohesion among Asian Americans and Latinos

This study examines the associations of neighborhood ethnic density and poverty with social cohesion and self-rated mental health among Asian Americans and Latinos. Path analysis is employed to analyze data from the 2002-2003 National Latino and Asian American Study (NLAAS) and the 2000 U.S. Census (N = 2095 Asian Americans living in N = 259 neighborhoods; N = 2554 Latinos living in N = 317 neighborhoods). Findings reveal that neighborhood ethnic density relates to poor mental health in both groups. Social cohesion partially mediates that structural relationship, but is positively related to ethnic density among Latinos and negatively related to ethnic density among Asian Americans. Although higher neighborhood poverty is negatively associated with mental health for both groups, the relationship does not hold in the path models after accounting for social cohesion and covariates. Furthermore, social cohesion fully mediates the association between neighborhood poverty and mental health among Latinos. This study highlights the necessity of reconceptualizing existing theories of social relationships to reflect complex and nuanced mechanisms linking neighborhood structure and mental health for diverse racial and ethnic groups.

Making Sense of Asian American Ethnic Neighborhoods: A Typology and Application to Health

Research on Asian American ethnic neighborhoods lacks appreciation of the national-origin, nativity, and socioeconomic diversity within this racial group. Using the 2000 U.S. Census, this paper creates a novel theoretical typology based on these features of diversity to characterize ethnic neighborhoods (N = 74) among Chinese, Filipino, Korean, and Vietnamese Americans in California. Korean and Chinese American ethnic neighborhoods are bimodally distributed into immigrant enclaves and resurgent communities. Communities of constraint and immigrant enclaves are overrepresented among Filipino and Vietnamese American ethnic neighborhoods. Linking the neighborhood data with the California Health Interview Survey 2007–2009 (N = 1,901), I demonstrate that Asian Americans living in resurgent communities have the highest likelihood of reporting good health. Furthermore, ethnic neighborhood type explains some of the differences in health across national-origin groups, indicating that the socioeconomic and nativity resources characterizing ethnic neighborhood environments vary systematically across groups and that this variation matters for important individual outcomes like health.

MULTIETHNIC NEIGHBORHOODS ON THE GROUND: Resources, Constraints, and Sense of Community

As our nation and our neighborhoods increasingly diversify, we should understand how to sustain integrated communities that are equally beneficial for all residents. Though our policies encourage diversity as a theoretical social good, we actually know little about what happens on the ground in multiethnic neighborhoods. We conduct a comparative case study of the only two Boston neighborhoods to have maintained at least 10% representation of four racial and ethnic groups over the past two decades. Using survey data and ethnographic field observations, we examine residents’ experiences in these two consistently multiethnic, yet very different, neighborhoods. We find that neighborhood socioeconomic and racial inequality and disadvantage matter for residents’ access to neighborhood resources and constraints, and their perceptions of sense of community. Notably, in the highly unequal South End, Whites and homeowners have greater access to amenities and have higher perceptions of sense of community in comparison to racial and ethnic minorities and renters. Socioeconomic disadvantage matters in Fields Corner, as evidenced by lower overall perceptions of sense of community and greater exposure to safety concerns among all groups in this neighborhood compared to residents of the South End. In the end, we argue that having multiple groups simply sharing neighborhood space over a stable period is not enough to overcome the social problems associated with residential segregation and isolation. In order to support equitable neighborhood integration amid the changing face of diversity, we should take cues from “diverse by direction” neighborhood models that include active organization and coalition building among dissimilar racial and ethnic groups.

“It's Not Just a Bunch of Buildings”: Social Psychological Investment, Sense of Community, and Collective Efficacy in a Multiethnic Low‐Income Neighborhood

This analysis of social life in a poor, multiethnic public housing neighborhood presents an opportunity for refinement of social disorganization theory. Drawing on data from interviews, focus groups, and participant observations among residents, I find that this neighborhood exhibits substantial collective efficacy, despite social disorganization theorys predictions that the structural conditions of high poverty and racial and ethnic diversity result in low collective efficacy. I explicate two social psychological investment strategies—sense of ownership and symbolic representation—that appear to facilitate a sense of community and ultimately collective efficacy, helping to explain this apparent anomaly. I argue that even in the presence of structural disadvantage, having a strong sense of community provides a basis for beneficial action on behalf of the collective because it constitutes a source of shared expectations about values and norms in the neighborhood. These findings suggest refinements to the social disorganization framework, but also provide foundational ideas for policy interventions that may improve the social lives of residents in disadvantaged neighborhoods.