Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees

Low health literacy has emerged as an important area of research because of its close link with health disparities. In this study, we used a qualitative approach to investigate healthcare providers' perspectives on the health literacy of immigrant and refugee parents and its association with children's health. Sixteen health and mental health professionals serving immigrant and refugee parents and children in various clinical settings were recruited through a purposive sampling method and interviewed. Six broad themes were identified: (1) multi-dimensional components of parental health literacy; (2) parent characteristics and native country experiences; (3) host systems and their interactions impact on parental health literacy; (4) diverse aspects of help-seeking; (5) culture-based parental help-seeking; and (6) child health outcomes. Within these larger themes, the complexity of parental health literacy and its various effects on children's health outcomes among immigrant and refugee parents were evident. Future research includes more population-based quantitative studies of parental health literacy and culturally relevant clinical approaches among immigrant and refugee parents.     

Working with Southeast Asian refugees

Increasingly, refugees from Laos, Cambodia and Viet Nam are coming to Mental Health Centers for help. For the Indo Chinese patient, an emotional problem may have a very different meaning—a meaning not immediately obvious to the Western mind. The emotionally troubled individual may feel that he or she is being punished, and that confiding to a psychotherapist is shaming or betraying the family and the ancestors. Consequently, emotional problems may be converted to somatic complaints, particularly of the respiratory and gastrointestinal variety. Psychotherapy with the refugee involves different techniques as well as different meanings. Confrontation and exploration, for example, may be misunderstood by the patient. In working with the Indo Chinese refugee it is recommended that the clinician be flexible, persevering, and open minded.     

Psychotherapy with Traumatized Southeast Asian Refugees

Southeast Asian refugees have suffered severe traumas, and face the challenges of adapting to a new and unfamiliar land. The paper identifies techniques for time-limited mental health treatment with this group. These include the initial task of establishing clinician credibility (by focusing on symptom reduction), assisting resettlement, and working through the traumas they suffered. In addition, the special challenges of working with refugees are addressed.     

Traditional Chinese herbal medicine as cultural power along the Southeast Asian belt and road corridor

In 2013, President Xi Jinping launched the Belt and Road Initiative (BRI) as a global strategy to catapult China onto the global stage through port and infrastructure development, financial, technological, trade and cultural connectivity. The BRI embraces six corridors, one of which is the Southeast Asian corridor. Among the BRI portfolio, the Chinese government has identified traditional Chinese medicine (TCM) as an important health commodity for the global and Chinese Diaspora market. It is also promoted as part of the cultural and intangible Chinese heritage. This paper explores TCM as an important cultural power - a variant of soft power - that connects Mainland Chinese and global Chinese communities and enables the formation of regional social and economic networks that assist in the development of trade, leading to the formation of collaborative cultural basins between TCM institutions in China and Southeast Asian nations.     

Diversity Among Southeast Asian Ethnic Groups

Abstract

In research on mental health disorders, Southeast Asian ethnic groups have been aggregated into a single, undifferentiated category referred to as Southeast Asians. This onegroup approach risks the misrepresentations of the mental health needs of each of the groups involved in the category. As such, this study tested assumptions of homogeneity among Southeast Asians. A total of 422 Southeast Asians-including Cambodians, Laotians, Miens, and Vietnamese-were compared in the four mental health domains of emotional distress, psychotic symptoms, antisocial behaviors, and community living. The results confirmed the diversity in mental health among Southeast Asians and the need for multiethnic agencies and the multicultural education of clinicians.     

Migration among East and Southeast Asian Economies

Conventional studies focus on why migration occurs between a particular pair of places. Our study asks a different question: what characteristics of the origin and destination places can explain migration flows between any two places in a region. Our study explores how economic, political, and geographic factors influence bilateral migration flows within a region in which various countries are increasingly being integrated into the regional as well as into the global economy. Drawing from diverse data sources, we explore migration flows among various economies in East and Southeast Asia between 2000 and 2005 and 2005 and 2010. Our analyses yielded two major findings. First, the relationship between economic factors and the volume of migration flows depends on the overall economy in the region. Second, the findings reveal a consistently robust and significant relationship between geographic proximity and migration flow. Implications of these findings are discussed.     

Labor force participation,household composition and sponsorship among Southeast Asian refugees

This article investigates more fully the complexity of refugees' participation in the US labor market and possible sources of variations in their experience. The article focuses specifically on the labor market experiences of Southeast Asian refugees. The data used in this analysis are derived from 2 national surveys of more than 7000 Southeast Asian refugees conducted in 1982 and 1983 by the US Office of Refugee Resettlement. Although there are encouraging signs of progress, especially rapid in the earliest years, Southeast Asian refugees are persistently 10-15% less likely to be in the labor force than the US population. Once in the labor force, like other ethnic minorities, they also experience considerably higher levels of unemployment. Household structure, both in terms of the presence of children and in kinship relations, has a strong and varied impact on participation. Residence in California also constrains both men's and women's behavior independently of the refugees' background skills or household structures. Even English language proficiency is sensitive to its social evaluation by employers and the community. The most novel outcome of this analysis involves the influence that type of sponsorship has on refugees' economic behavior. According to these results, sponsorship reflects the impact of the formation of an ethnic community that is primarily working class, concentrated in low wage jobs, and participating at a relatively high rate in public assistance programs. The networks it has to offer are considerably less well placed economically than in other forms of incorporation.     

The Local,The Regional,And The Global In Southeast Asian Transgender Subcultures

Mark Johnson. Beauty and power: transgendering and cultural transformation in the southern Philippines. Oxford: Berg. 1997. 264 pp. £34.99 (hardback); £14.99 (paperback).     

Financial Responsibility for the Family: The Case of Southeast Asian Refugees in Canada

Although respondents (n = 647) came from collectivist societies (Vietnam and Laos) where they were expected to provide for the family, they have been living in a setting (Canada) where individualism is emphasized and public sources of assistance are available. The effect of this transition on their beliefs and behaviors regarding financial responsibility for family was assessed. With the exception of new situations (government assistance for the elderly or poor, and money sent to relatives in the home country), respondents endorsed traditional beliefs. Lower English ability and favorable views toward multiculturalism were associated with traditional views. They relied on non-family as well as family for financial assistance. Ethnic differences, reflective of their resettlement experiences, were evident.     

Resources for coping with economic distress: The situation of unemployed Southeast Asian refugees

This paper focuses on identifying resources and demographic variables that might influence the amount of economic distress experienced by unemployed Southeast Asian refugees. Voydanoff conceptualized economic distress as containing objective (employment instability and economic deprivation) and subjective (employment uncertainty and economic strain) dimensions. As measured in this study, unemployed refugees are not experiencing extensive economic distress except in the area of employment uncertainty. Older subjects evidence higher economic distress except on the dimension of economic strain. Economic distress is relatively low among refugees who have access to financial sources and who have family to provide social support, but human capital variables (English fluency, educational level, and Canadian job training) are not significantly related to the level of economic distress. These findings emphasize the importance of family reunification programs.Data for this study were collected for the longitudinal research project, Settlement of Indochinese Refugees in Canada: Psychological, Social, Employment and Consumer Aspects, supported by grants from Canada Health and Welfare NHRDP, Secretary of State's Multiculturalism Directorate, United Way and Woodward Foundation of Vancouver. Principal investigators for the project are Morton Beiser, M.D., Psychiatry; Phyllis J. Johnson, Ph.D., Family and Nutritional Sciences; and Richard Nann, Ph.D., Social Work; all at the University of British Columbia.We thank our research assistants Pauline Au, Susan Johnston, Esther Kwong, and Bich Pham for their contributions to the research. Klaus Schroeder provided statistical assistance.Phyllis J. Johnson received her Ph.D. from The Ohio State University. Her research interests include women and work, financial practices of different ethnic groups, and employment/unemployment. She may be contacted at the University of British Columbia, School of Family and Nutritional Sciences, 2205 East Mall, Vancouver, BC, Canada V6T1W5.     

‘This is American get punished’: unpacking narratives of Southeast Asian refugees in the US

This paper explores acculturative experiences and perceptions of Southeast Asian refugees residing in the Midwestern US through analysis of oral history narratives of Southeast Asian refugees representing the countries and/or cultures of Burma, Laos, the Philippines, Singapore and Vietnam. Through this paper, I seek to add to the sparse research base on Southeast Asians residing in the US, to shed light on the experiences of young refugees' attempts to negotiate identities in the host society, and to inform educators and others who work with refugee populations.     

Motherhood and “Moral Career”: Discourses of Good Motherhood Among Southeast Asian Immigrant Women in Australia

In this paper, I examine the lived experience of motherhood among Cambodian, Lao and Vietnamese immigrant women in Australia. The women in this study felt a profound change through the process of becoming a mother; they experience the “transformation of self.” The results reveal several discourses of good motherhood. Becoming a mother was experienced as a moral transformation of self and women were urged to perform their moral career. The representation of mothers as the “keepers of morality” is prominent. Women's moral career is influenced by an ethic of care and responsibility for others, particularly their children. The paradoxical discourse of motherhood is profound in the women's narratives of their lived experiences of motherhood. It is clear that motherhood is not an easy task. When this is combined with difficulties resulting from migration, motherhood becomes double burdens. Lack of sufficient English, financial difficulties and support network in a homeland make the task of good motherhood difficult to achieve. Social and health care services need to take women's experiences into account if sensitive care for immigrant women is to be achieved.     

Perceived racial discrimination, depression, and coping: a study of Southeast Asian refugees in Canada.

Using data obtained from personal interviews with 647 Southeast Asian refugees in Canada, this study tests hypotheses regarding both the association between perceived racial discrimination and depression, and the roles of coping and ethnic identity in conditioning the nature of the discrimination-depression relation. Refugees who reported that they had experienced racial discrimination had higher depression levels than their counterparts who reported no such experiences. Responding to discrimination through confrontation was not significantly associated with depression. Study findings support the effectiveness of forbearance in diminishing the strength of the association between discrimination and depression. The moderating effect of forbearance was conditioned by the level of ethnic identity: The beneficial effect of forbearance was significantly greater among those holding stronger ethnic identification. Cultural and situational interpretations of the findings are presented.