Challenges in Meeting the Mental Health Needs of Urban Asian American Adolescents: Service Providers’ Perspectives

Although Asian American youth are often viewed as the model minority group who are doing well, research with youths, parents, and school personnel have documented significant unmet mental health needs among this population. However, little is known about the perspectives of service providers who work with Asian American youth in afterschool and mental health care settings with respect to what they perceive as challenges meeting the psychosocial needs of the population. The current exploratory study used Consensual Qualitative Research to analyze in-depth interviews with mental health providers, educators, and advocates working with Asian American youths in a multiethnic large urban environment. Results found that service providers were attuned to the multiple needs of the community but also spoke of challenges in meeting basic and psychological needs due to difficult family dynamics, structural stressors (e.g., economic and legal), and societal stigma and discrimination. We draw implications for providing more integrated services across different levels of urban Asian American adolescents’ ecological system to better meet the psychosocial challenges facing this population.     

Does the Refugee Experience Overshadow the Effect of SES? An Examination of Self-Reported Health Among Older Vietnamese Refugees

Is the consistently poorer health of Vietnamese refugees relative to whites due largely to differences in socioeconomic status, demographic characteristics, and health risk behaviors or the residual impact of the trauma of war and resettlement? Using data from a population-based household survey we use multinomial logistic regression to assess the self-rated health and activity limitations of Vietnamese refugees aged 55 and older compared to whites, adjusting for demographics, socioeconomic status, and lifestyle characteristics. Vietnamese refugees report poorer health and are more likely to report activity limitations than whites. While substantial differences in characteristics exist between the two groups, they explain little of the health differentials. Demographic and socioeconomic factors do not explain the health differential between older Vietnamese refugees and whites, although their lifestyle exerts a protective effect. The trauma of war and the stressful context of immigration likely contribute to the poorer health of Vietnamese refugees.     

“They Are Clipping Our Wings”: Health Implications of Restrictive Immigrant Policies for Mexican-Origin Women in a Northern Border Community

We examine racialization processes experienced by women of Mexican origin in a northern border community during a protracted period of restrictive immigrant policies that have disparately affected Mexican-origin communities, and consider pathways through which these experiences may affect health. This grounded theory analysis draws on interviews conducted in 2013–2014 with 48 first, 1.5, and second generation Mexican-origin women living in Detroit, MI. Racialization processes blurred boundaries between Latinas/os, immigrants, and undocumented immigrants. Racialized policies and interactions required women to negotiate shifting and often precarious social and political terrain. We describe racializing markers used by agents of multiple institutions to assess the legal status of women and members of their social networks, shaping their access to the resources over which institutional agents held power. Specifically, we consider the dynamic mechanisms by which multiple legal, social, and employment institutions exacted immigrant policing and bureaucratic surveillance. These include: (1) interior and border immigration enforcement agents’ active surveillance of residents; (2) local law enforcement officials’ assertion of authority over driver’s licenses and contact with immigration officials, often in traffic-related encounters; (3) Secretary of State clerks’ discretion in assessing legal status and issuing driver’s licenses and state IDs; (4) social welfare agents’ scrutiny of citizenship status in determining access to nutritional, economic, and medical resources; and (5) employers’ exploitation of these structural vulnerabilities to justify unfair treatment of immigrant workers. We theorize several mechanisms, by which these processes affect health, including: stigmatization; hypervigilance; and restricted access to health-promoting resources.     

The Quality of Data on “Race” and “Ethnicity”: Implications for Health Researchers,Policy Makers,and Practitioners

Implicit assumptions about the quality of data on “race” and “ethnicity” underlie the design of much of today’s research on health disparities. Health researchers, policy makers, and practitioners tend to take it for granted that racial/ethnic categories are clearly and consistently defined; that individual race/ethnicity can be easily, validly, and reliably determined; and that categories capture population groups that are so inherently different from each other that any reported racial/ethnic difference can automatically be generalized to the US population as a whole. This article outlines a series of issues that challenge these assumptions about the quality of race/ethnicity data. While race/ethnicity classifications can approximate socially constructed identities for some groups of people under some circumstances, these classifications are inherently too imprecise to allow meaningful statements to be made about underlying biological or genetic differences between groups. Findings of racial/ethnic differences should be reported with appropriate caveats and interpreted with caution. Particular caution should be exercised in hypothesizing genetic differences between groups in the absence of convincing genetic evidence.     

“My Life was Filled with Constant Anxiety”: Anti-Immigrant Discrimination,Undocumented Status,and Their Mental Health Implications for Brazilian Immigrants

Immigration reform and the various costs associated with undocumented immigration have been in national headlines in the past few years. The growth of Latinos as the US’ largest ethno-racial minority has sparked debates about the “browning” of the United States and led to an increase in anti-immigrant discrimination. While some researchers have documented the effects of racial discrimination on the mental health of ethno-racial minorities in the United States, less has explored how anti-immigrant discrimination and undocumented status influence the mental and psychological well-being of Latino immigrants, more specifically Brazilian immigrants, in the United States. Relying on data from in-depth interviews conducted with 49 Brazilian return migrants who immigrated to the United States and subsequently returned to Brazil, this paper will examine how their experiences living as racialized and primarily undocumented immigrants in the United States influenced their mental health. Specifically, I demonstrate that respondents experienced ethno-racial and anti-immigrant discrimination and endured various challenges that had negative implications for their mental health. This paper will also discuss additional factors that researchers should take into account when examining immigrants’ mental health and the challenges immigrants encounter in a racialized society with increasing anti-immigrant sentiment.