“I feel like her daughter not her mother”: Ethnographic trans-cultural perspective of the experiences of aging for a group of Southeast Asian refugees in the United States

ObjectiveThis study seeks to understand trans-cultural aging and stressors for aging refugees. It describes the experiences of Cambodian refugee women as they age in the United States.MethodExperiences of 16 Cambodian refugee women (ages 44–60), participants of a Cambodian community health center support group, were examined over a year.ResultsAnalysis revealed complex experiences of aging in the U.S. including these: (a) loss of role as respected elder, (b) fear of living separate from children, (c) feeling devalued by children, and (d) feeling self-blame for intergenerational cultural gap. The women described years of employment interrupted by the exacerbation of post-traumatic symptoms later in life preventing further employment.DiscussionAn ethnographic trans-cultural perspective of the experiences of aging for Southeast Asian refugees. Aging refugees face stressors even 20–30 years after resettlement. Findings show decrease in functioning as survivors of torture age. Recommendations for social service programs and providers are made.     

Exploring the role of faith in resettlement among Muslim Syrian refugees

ABSTRACT

Over 95% of the refugees from Syria who have resettled in the United States are Muslim. The purpose of this qualitative study was to explore the role of the Islamic faith in contributing to resiliency among recently resettled refugees from Syria. Ten in-depth, semi-structured interviews were conducted with Syrian adults who had arrived in the United States between 3 months and 2 years prior to the study. Findings emphasized the primary role of the Islamic faith in the lives of participants. For participants in this study, identifying as Muslim was an essential part of their identity and served as a source of comfort, strength, pride, and humility. Parents in the study expressed fears that their children would lose their connection to their culture and would grow up to devalue the Islamic faith and traditional religious practices due to their exposure to American values which they viewed less strict regarding dress, alcohol consumption, and faith practices. Understanding the important role that the Islamic faith can have in providing a source of comfort, strength, and empowerment for Syrian refugees, and working to build infrastructure to support and sustain these faith traditions is an essential component of refugee resettlement in the United States.     

Cultural integration through shared learning among resettled Bhutanese women

ABSTRACT

The multidimensional needs of recently resettled refugees have been well documented and range from elevated rates of mental illness and health care challenges to difficulties accessing resources due to language and literacy barriers. These factors are largely responsible for the challenges resettled refugees face in acquiring and maintaining stable employment. It is possible that achieving financial stability through steady employment and purposeful money management may alleviate some stressors associated with the resettlement process, though research in this area that is specific to refugees is in its infancy. What is clear, however, is that a traditional approach to mental health treatment (i.e., therapy in a traditional office setting) may lack effectiveness because of the lack of attention to extraneous stressors such as poverty, transportation, and language and literacy challenges that impact resettled refugees. The purpose of this study was to qualitatively assess the impact of a group-based financial education course and social enterprise on the self-reported mental health (i.e., post-traumatic stress symptoms, depression, anxiety, and somatization) of Bhutanese refugee women resettled in the United States. The study also sought to evaluate the acceptability and overall satisfaction with various components of the intervention. This qualitative study was a follow-up to a larger quantitative study that included 65 Bhutanese women who were resettled to the southwestern United States by a large resettlement agency. The results of this study offer insights into the lived experiences of Bhutanese refugees in the United States, particularly related to cultural integration bolstered by group-based education and shared learning opportunities.     

Cigarette Smoking Among Korean International College Students in the United States

Abstract

Objective and Participants: This study explored (1) the prevalence of cigarette smoking among South Korean international college students in the United States, (2) differences in smoking between on- and off-campus living arrangements, and (3) predictors of an increase in smoking over time in the United States Methods: An online survey was completed by 1,201 students at 52 4-year US universities (34% response rate). Results: The overall smoking prevalence was 43.5%. The smoking rate (29.0%) of female students was higher than that (4%) of female college students in South Korea. Sex, living place, living situation, length of stay as a student in the United States, home smoking rules, campus-wide tobacco-free policies, and levels of acculturative stress, anxiety, and depression were significantly associated with an increase in smoking (p < .05). Conclusions: Given the high smoking prevalence among the South Korean students on US college campuses, targeted prevention efforts for these students may be warranted.     

ETHNIC DIFFERENCES IN ACADEMIC ACHIEVEMENT BETWEEN VIETNAMESE AND CAMBODIAN CHILDREN: Cultural and Structural Explanations

Many Vietnamese and Cambodians fied war and communist takeover and entered the United States as part of the largest refugee resettlement program in the country's history. Both of the refugee groups traveled a great cultural distance and face similar barriers in adjusting to the United States. Despite these similarities in settlement, the two groups are adapting differently; this is made evident in their children's academic achievement. While the children of Vietnamese refugees seem to be successfully catching up to the children of other more established Asian immigrants, Cambodian children are trailing. Using the 1992 and 1996 data from the Children of Immigrants Longitudinal Study, I combine cultural and structural explanations of educational achievement and immigrant adaptation to explain differences in academic achievement between Vietnamese and Cambodian children.     

Cambodian Refugee Families: Impacts of Immigration-Related Stressors on Intergenerational Relationships

The purpose of this study was to elucidate Cambodian refugees’ perceptions of immigration-related stressors and their impacts on intergenerational relations during the processes of immigration and settlement. We used narrative analysis to evoke older immigrants’ voices as they transitioned to the United States. Thirty-one Cambodian immigrants were interviewed using open-ended interview guides informed by ethnographic tenets of data collection. Participants expressed (a) changes in family structure and elder isolation and (b) intergenerational ambivalence and elder’s dependence on adult children as products of immigration-related stressors. Implications of these results for refugee and immigrant mental health research are discussed.     

The effects of familial acculturative stress and hopelessness on suicidal ideation by immigration status among college students

Objectives: Based on acculturative family distancing theory, we examined whether familial acculturative stress interacted with hopelessness to predict suicidal ideation differentially among emerging adult immigrant versus nonimmigrant college students. Participants: We recruited 152 generationally and racially/ethnically diverse college students (42 immigrants) from 2012 to 2013. Methods: Participants completed measures of hopelessness, depressive symptoms, ethnic identity, familial acculturative stress, and suicidal ideation. Results: Immigrant status interacted with hopelessness and familial acculturative stress. Hopelessness was associated with less suicidal ideation among immigrants than among nonimmigrants at a familial acculturative stress score below the 11th percentile, but greater suicidal ideation among immigrants than among nonimmigrants at a familial acculturative stress score above the 72nd percentile. Conclusions: Familial acculturative stress may exacerbate the effect of hopelessness on suicidal ideation among immigrant college students, and should be monitored during suicide risk assessment and treatment.     

Binding the Generations: Household Formation Patterns among Vietnamese Refugees1

Much of the analysis of refugee and immigrant adaptation has stressed the interaction of prior experience with the requirements of life in a new country. For refugees, that interaction has often been jarring because of the after‐effects of their flight and their relative inability to prepare for a new life in a new country. Yet refugees have often done rather well in economic terms in that new country. The reasons for that relative success have been phrased in cultural terms (e.g., the predisposition toward education) and in general socioeconomic terms (e.g., refugees as educated and skilled). This article examines a set of factors that lie between these customary cultural and socioeconomic categories. Specifically, the paper examines key features of household formation among Vietnamese refugees. An examination of historical data from southern Vietnam indicates patterns in household formation that appear durable over time yet are not shared across the breadth of Vietnam and cannot thus be viewed as “cultural” in the usual sense. A comparison of the historical data with recent national survey data on refugees in the United States indicates that these patterns continue among Vietnamese refugees and are ‐ as compared to other refugees ‐ distinctive to them. These patterns of household formation provide Vietnamese refugees with important options in adaptation to a new country.     

I’m Here,You’re There: In-Absentia Caregiver Stress & Transnational Support of Elderly Mothers by Adult Children

ABSTRACT

Providing support between generations in a transnational family context is understudied in the aging literature. Specifically, this study investigated the stress experiences and stressors experienced by adult children in the United States when providing transnational support to their elderly mothers in India. Information gathered from two focus groups was supplemented by an online survey of 131 adult children. Participants expressed sentiments of worry, sadness, guilt, and especially helplessness at their limited capacity to care for their mothers from a distance. Results indicate that transnational family aged care is an important dimension of aging that requires further research. In particular, “in absentia caregiver stress” is experienced remotely, and has implications for the immigrant adult’s health and well-being.     

Painful Passages: Traumatic Experiences and Post‐Traumatic Stress among U.S. Immigrant Latino Adolescents and their Primary Caregivers

Using data from a stratified random sample of 281 foreign‐born adolescents and their parents in the United States, this study provides data on migration‐related trauma exposures and examines how the migration process influences the risk of experiencing trauma and developing posttraumatic stress disorder (PTSD). We find that 29 percent of foreign‐born adolescents and 34 percent of foreign‐born parents experienced trauma during the migration process. Among those that experienced trauma, 9 percent of adolescents and 21 percent of their parents were at risk for PTSD. Pre‐migration poverty combined with clandestine entry into the U.S. increased the risk of trauma and the subsequent development of PTSD symptoms. Post‐migration experiences of discrimination and neighborhood disorder further exacerbated this risk, while social support and familism mitigated it. Our results emphasize the importance of understanding how factors prior to, during, and after migration combine to influence the health of immigrants.     

Cultural Orientation of Hmong Young Adults

Summary

Most studies of Hmong Americans focus on the cultural adjustment of refugees who arrived in the United States immediately after the Vietnam War. Few studies have examined the cultural adjustment of the children of these refugees, who have been raised primarily in the United States. This study explored whether American-born [ABH] and overseas-born [OBH] Hmong young adults differed in levels, models, and meanings of cultural orientation. Fourteen ABH and 32 OBH college students were asked what “being Hmong” and “being American” meant to them and complete were asked to the General Ethnicity Questionnaire (American and Hmong versions). Both groups reported being more oriented to American culture than Hmong culture. Despite similarities in mean levels of orientation to Hmong and American cultures and in the meanings of “being Hmong” and “being American,” ABH and OBH differed in their underlying models of cultural orientation. For ABH, “being Hmong” and “being Americank” were unrelated constructs, whereas for OBH, they were negatively correlated constructs.     

The Protective Function of Meaning of Life on Life Satisfaction Among Chinese Students in Australia and Hong Kong: A Cross-Cultural Comparative Study

Objective: The authors compared the predictive effects of acculturative stressors and meaning of life on life satisfaction between Chinese students in Australia and in Hong Kong. Participants: In 2006, the researchers recruited 606 Chinese students studying abroad at the University of Melbourne in Australia and at 6 universities in Hong Kong. Methods: Participants completed a questionnaire that included measures of acculturative stressors, meaning of life, life satisfaction, and demographic information. Results: The Australian sample experienced a significantly higher level of acculturative stressors than did the Hong Kong sample, but life satisfaction did not differ significantly between the 2 samples. Meaning of life had a strong positive contribution and acculturative stressors had a negative contribution in predicting life satisfaction in both samples. Meaning of life partially mediated the relationship between acculturative stressors and life satisfaction in both samples. Conclusions: The authors discuss the theoretical and practical implications for Chinese students studying abroad.     

Cultural Change and Chinese Immigrants' Distress and Help-Seeking in Hong Kong

Abstract

The study examined, within a stress-coping paradigm, the contribution of acculturation, enculturation, and acculturative stress to distress and help-seeking among Mainland Chinese immigrants in Hong Kong. One hundred and thirty-one female immigrants were recruited from community service centers. Hierarchical regression results showed that general stress and acculturative stress were linked to distress. Social support did not play a buffering role on distress. Whereas length of residence and social support were strongly related to informal helpseeking, acculturation, along with age and social support, were related to professional help-seeking. Given the differential effects of various cultural change variables, the importance of independently assessing their influence on immigrant mental health and help-seeking is warranted.     

Differential perceptions of a hypothetical sexual assault survivor based on race and ethnicity: Exploring victim responsibility,trauma, and need for social support

Objective: Explore the ways in which a sample of college women interpret racially/ethnically coded vignettes to understand their perceptions of responsibility and trauma experienced by a hypothetical female sexual assault survivor and her need for social support. Participants: Convenience sample of college women (N?=?51) attending a large, predominately white university in the Southeastern United States recruited between January and March 2013. Methods: Participants were randomly assigned one of three vignettes describing a hypothetical date rape scenario. Vignette scenarios were identical except for discrete statements coded to signify either an African American, Latina, or white female student. Participants responded to open-ended questions that gauged their interpretations of responsibility, trauma, and social support. Results: Qualitative analysis of open-ended responses revealed six overarching themes, including overt victim blaming/shaming, justification of the sexual assault, and perceived need for social support. Conclusions: Findings point to the significance of including race in discussions about and programs that address sexual assault on college campuses to ensure that all women who experience sexual violence receive the support that they need.     

Latino Immigrants

Abstract

The Latino population continues to increase dramatically with some of the increase due to continuous immigration, both documented and undocumented. This article examines some of the demographic within group diversity that exists. The immigration experience is highlighted for the particular stresses that occur. The unique issues related to living in the United States without legal papers are noted. For those immigrants who are refugees, the impact of civil war and violence on their ability to adapt to this new culture is underscored. The consequences of immigration are noted in how children are affected. An Ecological Perspective illustrates how their adaptations can be classified into such specific areas as identity, relatedness, competence and autonomy. Some of the resources to support viable adaptation are delineated.     

STATE INCORPORATION OF MIGRANTS AND THE REPRODUCTION OF A MIDDLEMAN MINORITY AMONG INDOCHINESE REFUGEES

This article examines how state incorporation reproduces a middleman minority group's occupational role after the migration of that group to the United States. An extension of middleman minority theory is developed to explain why ethnic Chinese refugees from former Indochina are overrepresented in intermediary social service occupations in comparison to Vietnamese, Laotian, and Cambodian refugees. Three propositions are developed and tested focusing on the conflict engendered by an intermediary occupation, staff recruitment patterns, and role orientations among different ethnic groups. Data from participant observation and interviews are used to focus on actual behavior in the workplace, whereas most studies of occupational concentration by ethnic groups have examined the sector level.     

The Acculturative Experience of French Students in a Southwestern University Apartment Complex in the United States

This article is an ethnographic study that explores the lives of eight French students in a Southwestern university apartment complex in the United States. The researcher employs narrative methodology to understand their acculturative experiences in American higher education. Thematic analysis of in-depth, conversational interview data is used. Emergent themes from these narrative interviews are also found in regard to the participants’ acculturative experiences of studying in a foreign country. Those themes are discussed in the order of the participants’ experience: (1) the theme of culture shock, (2) the theme of acculturative stress, (3) the theme of linguistic limitations, and (4) the theme of culture adjustment. As they experience the American lifestyle both in and outside the classroom setting, it was found that, overall, those French participants report difficulties in crossing linguistic and cultural boundaries while studying in an American university.     

A trauma-informed social work framework for the abortion seeking experience

ABSTRACT

This purpose of this article is to discuss the abortion seeking experience in relation to stress, trauma, and trauma-informed care. Definitions of stress and trauma are provided, and potential points of stress during the abortion seeking experience will be discussed in the areas of unintended pregnancy, policy barriers, provider access, and the external clinic environment. Abortion stigma will also be discussed in relation to individual stigma, mass media stigma, community stigma, social work practitioner stigma, and the impact of stigma on the abortion seeking experience. Next, we discuss a trauma-informed lens for considering the abortion seeking experience in the United States, and a trauma-informed social work framework for interacting with clients during the abortion experience is presented as a practice approach for reducing and eliminating trauma and trauma triggers. We then present the potential benefits of this approach. The article concludes with some additional recommendations for a trauma-informed approach to aspects of social work advocacy.     

US slavery,civil war,and the emancipation of enslaved mothers

ABSTRACT

In the United States, slavery’s destruction was a war-long process, shaped not only by Union military victories, legislation, and presidential proclamations, but also by contradictory, inconsistent and sometimes lethal policies enacted by the Union military and federal government toward refugees from slavery. The haphazard nature of those policies and their often deadly consequences were never more evident than in the experience of enslaved women, mothers, and the children under their care, who approached Union lines in pursuit of freedom, but encountered a gauntlet of conflicting and unevenly enforced military edicts and a humanitarian crisis still only superficially understood by many Civil War historians.     

Hunger: The Silent Epidemic Among Asylum Seekers and Resettled Refugees

Refugees and asylum seekers face challenges after arriving in a host country. They carry the trauma that they may have experienced in their countries of origin, during fight, and in countries of asylum. Other stressors impact on their adjustment after arriving in the United States including basic needs such as food, clothing, and shelter. This is a retrospective review of data collected as part of a needs assessment by a program, which serves survivors of torture and refugee trauma. Asylum seekers (n=65) and refugees were compared (n=30). Asylum seekers were more apt to be from Africa (p<.001), need family reunification (p=.027), speak more languages (p<.001), suffer from political persecution (p<.001), move from place to place due to not having a permanent place to live (p=.031), and be unable to contribute to the rent (p<.001). Unadjusted, asylum seekers were also more likely than refugees to have gone to bed hungry in the previous two weeks (p<.001) or since arriving in the United States (p<.001). Refugees were more likely to be eating more food now than before feeing, and asylum seekers the opposite (p<.001). Being an asylum seeker made one 3.7 times more likely to suffer from food insecurity than being a refugee, and 5.3 times more likely to not have work authorization. Among asylum seekers, adjusting for gender, age, education, lack of permanent housing, English fluency, and self-reported health status, not having work authorization made one 5.6 times more likely to suffer from hunger. Independently, being a torture survivor made one 10.4 times more likely to suffer from hunger. Asylum seekers must wait 150 days before applying for asylum in the United States. For humanitarian reasons, mandatory-waiting periods for work authorization for asylum seekers should be eliminated.