Janxin Leu

‘‘It’s The Skin You’re In’’: African-American Women Talk About Their Experiences of Racism. An Exploratory Study to Develop Measures of Racism for Birth Outcome Studies

Objectives Stress due to experiences of racism could contribute to African-American women’s adverse birth outcomes, but systematic efforts to measure relevant experiences among childbearing women have been limited. We explored the racism experiences of childbearing African-American women to inform subsequent development of improved measures for birth outcomes research. Methods Six focus groups were conducted with a total of 40 socioeconomically diverse African-American women of childbearing age in four northern California cities. Results Women reported experiencing racism (1) throughout the lifecourse, with childhood experiences seeming particularly salient and to have especially enduring effects (2) directly and vicariously, particularly in relation to their children; (3) in interpersonal, institutional, and internalized forms; (4) across different life domains; (5) with active and passive responses; and (6) with pervasive vigilance, anticipating threats to themselves and their children. Conclusions This exploratory study’s findings support the need for measures reflecting the complexity of childbearing African-American women’s racism experiences. In addition to discrete, interpersonal experiences across multiple domains and active/passive responses, which have been measured, birth outcomes research should also measure women’s childhood experiences and their potentially enduring impact, perceptions of institutionalized racism and internalized negative stereotypes, vicarious experiences related to their children, vigilance in anticipating future racism events, as well as the pervasiveness and chronicity of racism exposure, all of which could be sources of ongoing stress with potentially serious implications for birth outcomes. Measures of racism addressing these issues should be developed and formally tested.

The association between subjective social status and mental health among Asian immigrants: Investigating the influence of age at immigration

This paper examines how age at immigration influences the association between adult subjective social status and mental health outcomes. The age when people immigrate shapes the capacity and efficiency at which they learn and use a new language, the opportunities to meet and socialize with a wide range of people, and respond to healthy or stressful environments. We hypothesize that adult subjective social status will be more predictive of health outcomes among immigrants who arrive in the US in mid- to late-adulthood compared with immigrants who arrive earlier. To investigate this hypothesis, data on immigrants are drawn from the US first national survey of mental health among Asian Americans (N=1451). Logistic regression is used to estimate the relationships between adult subjective social status and mood dysfunction, a composite of anxiety and affective disorder symptoms. As predicted, age at immigration moderated the relationship between adult subjective social status and mood dysfunction. Adult subjective social status was related to health among immigrants arriving when they were 25 years and older, but there was no association between subjective social status and mental health among immigrants arriving before the age of 25 years.

When the Seemingly Innocuous “Stings” Racial Microaggressions and Their Emotional Consequences

Commonplace situations that are seemingly innocuous may nonetheless be emotionally harmful for racial minorities. In the current article the authors propose that despite their apparent insignificance, these situations can be harmful and experienced as subtle racism when they are believed to have occurred because of their race. In Study 1, Asian Americans reported greater negative emotion intensity when they believed that they encountered a situation because of their race, even after controlling for other potential social identity explanations. Study 2 replicated this finding and confirmed that the effect was significantly stronger among Asian Americans than among White participants. These findings clarify how perceptions of subtle racial discrimination that do not necessarily involve negative treatment may account for the “sting” of racial microaggressions, influencing the emotional well-being of racial minorities, even among Asian Americans, a group not often expected to experience racism.

Situational differences in dialectical emotions: Boundary conditions in a cultural comparison of North Americans and East Asians

Past research generally suggests that East Asians tolerate opposing feelings or dialectical emotions more than North Americans. We tested the idea that North Americans would have fewer opposing emotions than East Asians in positive, but not in negative or mixed situations. Forty-seven European American, 40 Chinese, and 121 Japanese students reported the emotions that a protagonist of standardised positive, negative, and mixed situations would feel. Emotions were coded into three valence categories: pleasant, unpleasant, and neither-pleasant-nor-unpleasant. As predicted, cultural differences in opposing emotion associations were found in positive situations only. Moreover, East Asians reported more neither-pleasant-nor-unpleasant feelings, especially in mixed situations, possibly reflecting a deferral of valence appraisal due to expected change.

Please Don't Make Me Ask for Help: Implicit Social Support and Mental Health in Chinese Individuals Living with HIV

China faces a growing HIV epidemic; psychosocial needs of HIV-positive individuals remain largely unaddressed. Research is needed to consider the gap between need for mental healthcare and lack of sufficiently trained professionals, in a culturally acceptable manner. This study assessed explicit and implicit forms of social support and mental health symptoms in 120 HIV-positive Chinese. Explicit social support refers to interactions involving active disclosure and discussion of problems and request for assistance, whereas implicit social support refers to the emotional comfort one obtains from social networks without disclosing problems. We hypothesized and found using multiple linear regression, that after controlling for demographics, only implicit, but not explicit social support positively predicted mental health. Future research is warranted on the effects of utilizing implicit social support to bolster mental health, which has the potential to circumvent the issues of both high stigma and low professional resources in this population.

Self-Construal, Family Context, and the Cortisol Awakening Response in First- and Second-Generation Asian American College Students:

The current study employed latent difference score modeling to test whether acculturation processes at the level of the individual (i.e., self-construal) and family (i.e., family cultural conflict and family cohesion) explain variability of the cortisol awakening response (CAR) in 181 (58% female) first-generation (1G) and 135 (59.3% female) second-generation (2G) Asian American emerging adult college students (ages 18–23). Acculturation processes across individual and family levels related meaningfully to individual differences in stress physiology. For 1G participants, attenuated CAR was associated with higher individualistic self-construal, family cultural conflict, and family cohesion, which may indicate desensitization of the stress response system due to the chronic burden of acculturation pressures. These processes may differ by generational status, as heightened CAR was associated with higher collectivistic self-construal in 1G students, but higher individualistic self-construal in both 2G males and a comparison sample of European American males.