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"So We Adapt Step by Step": Acculturation experiences affecting diabetes management and perceived health for Chinese American immigrants

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  • Chun, Kevin M.
  • Chesla, Catherine A.
  • Kwan, Christine M.L.

Abstract

This study examines how acculturation affects type 2 diabetes management and perceived health for Chinese American immigrants in the U.S. Acculturation experiences or cultural adaptation experiences affecting diabetes management and health were solicited from an informant group of immigrant patients and their spouses (N = 40) during group, couple and individual interviews conducted from 2005 to 2008. A separate respondent group of immigrant patients and their spouses (N = 19) meeting inclusion criteria reviewed and confirmed themes generated by the informant group. Using interpretive phenomenology, three key themes in patients' and spouses' acculturation experiences were identified: a) utilizing health care, b) maintaining family relations and roles, and c) establishing community ties and groundedness in the U.S. Acculturation experiences reflecting these themes were broad in scope and not fully captured by current self-report and proxy acculturation measures. In the current study, shifting family roles and evaluations of diabetes care and physical environment in the U.S. significantly affected diabetes management and health, yet are overlooked in acculturation and health investigations. Furthermore, the salience and impact of specific acculturation experiences respective to diabetes management and perceived health varied across participants due to individual, family, developmental, and environmental factors. In regards to salience, maintaining filial and interdependent family relations in the U.S. was of particular concern for older participants and coping with inadequate health insurance in the U.S. was especially distressing for self-described lower-middle to middle-class participants. In terms of impact, family separation and relocating to ethnically similar neighborhoods in the U.S. differentially affected diabetes management and health due to participants' varied family relations and pre-migration family support levels and diverse cultural and linguistic backgrounds, respectively. Implications for expanding current conceptualizations and measures of acculturation to better comprehend its dynamic and multidimensional properties and complex effects on health are discussed. Additionally, implications for developing culturally-appropriate diabetes management recommendations for Chinese immigrants and their families are outlined.

Suggested Citation

  • Chun, Kevin M. & Chesla, Catherine A. & Kwan, Christine M.L., 2011. ""So We Adapt Step by Step": Acculturation experiences affecting diabetes management and perceived health for Chinese American immigrants," Social Science & Medicine, Elsevier, vol. 72(2), pages 256-264, January.
  • Handle: RePEc:eee:socmed:v:72:y:2011:i:2:p:256-264
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    References listed on IDEAS

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    1. Salant, Talya & Lauderdale, Diane S., 2003. "Measuring culture: a critical review of acculturation and health in Asian immigrant populations," Social Science & Medicine, Elsevier, vol. 57(1), pages 71-90, July.
    2. Gomez, S.L. & Kelsey, J.L. & Glaser, S.L. & Lee, M.M. & Sidney, S., 2004. "Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1977-1984.
    3. Miltiades, Helen B. & Wu, Bei, 2008. "Factors affecting physician visits in Chinese and Chinese immigrant samples," Social Science & Medicine, Elsevier, vol. 66(3), pages 704-714, February.
    4. McDonald, James Ted & Kennedy, Steven, 2005. "Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada's immigrants," Social Science & Medicine, Elsevier, vol. 61(12), pages 2469-2481, December.
    5. Hosler, A.S. & Melnik, T.A., 2003. "Prevalence of Diagnosed Diabetes and Related Risk Factors: Japanese Adults in Westchester County, New York," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1279-1281.
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    Cited by:

    1. Elisabeth Björk Brämberg & Elisabeth Dahlborg‐Lyckhage & Sylvia Määttä, 2012. "Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden," Nursing & Health Sciences, John Wiley & Sons, vol. 14(2), pages 244-249, June.
    2. Zi Yan & Kathleen FitzPatrick, 2016. "Acculturation and health behaviors among international students: A qualitative approach," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 58-63, March.
    3. Weiyu Mao & Jia Li & Ling Xu & Iris Chi, 2020. "Acculturation and health behaviors among older Chinese immigrants in the United States: A qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 714-722, September.

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