Skip to main content
Log in

Depressive Symptom Severity and Immigration-Related Characteristics in Asian American Immigrants

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

The study examined immigration factors associated with depressive symptom severity among Asian American immigrants. Participants were 458 Chinese, Korean and Vietnamese adults. Depressive symptom severity was measured by PHQ-9. Overall, the likelihood of being moderately to severely depressed was significantly increased among immigrants living in the US for < 10 years and Korean Americans compared to Chinese Americans. However, mild level of depressive symptoms was not associated with any immigration-related factors. The positive impact of shorter duration of living in the US and a younger age at immigration (≤ 17) on depressive symptoms was evident among women but not among men. For men, marital status and education level were significant predictors of being moderately to severely depressed. Differentiating immigrant factors and identifying depressive symptom severity can help drive community and clinical interventions to detect and treat depression early among Asian American immigrants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. World Health Organization. Depression and other common mental disorders: global health estimates. Geneva: World Health Organization; 2017.

    Google Scholar 

  2. Hasin DS, Sarvet AL, Meyers JL, Saha TD, Ruan WJ, Stohl M, et al. Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States. JAMA Psychiatry. 2018;75:336–46.

    Article  Google Scholar 

  3. Takeuchi DT, Zane N, Hong S, Chae DH, Gong F, Gee GC, et al. Immigration-related factors and mental disorders among Asian Americans. Am J Public Health. 2007;97:84–90.

    Article  Google Scholar 

  4. Breslau J, Chang DF. Psychiatric disorders among foreign-born and US-born Asian-Americans in a US national survey. Soc Psychiatry Psychiatr Epidemiol. 2006;41:943–50.

    Article  Google Scholar 

  5. Singh S, Schulz AJ, Neighbors HW, Griffith DM. Interactive effect of immigration-related factors with legal and discrimination acculturative stress in predicting depression among Asian American Immigrants. Community Ment Health J. 2017;53:638–46.

    Article  Google Scholar 

  6. John DA, de Castro AB, Martin DP, Duran B, Takeuchi DT. Does an immigrant health paradox exist among Asian Americans? Associations of nativity and occupational class with self-rated health and mental disorders. Soc Sci Med. 2012;75:2085–98.

    Article  Google Scholar 

  7. Hong S, Walton E, Tamaki E, Sabin JA. Lifetime prevalence of mental disorders among Asian Americans: nativity, gender, and sociodemographic correlates. Asian Am J Psychol. 2014;5:353–63.

    Article  Google Scholar 

  8. Vespa J, Armstrong DM, Medina L. Demographic turning points for the United States: population projections for 2020 to 2060. Washington, DC: U.S. Census Bureau; 2018. p. 25–1144.

    Google Scholar 

  9. Jensen E, Borsella C, Nestor K. The place-of-birth composition of immigrants to the United States: 2000 to 2013. San Diego, CA; 2015

  10. López G, Ruiz NG, Patten E. Key facts about Asian Americans, a diverse and growing population [Internet]. Pew Research Center; 2017. https://www.pewresearch.org/fact-tank/2017/09/08/key-facts-about-asian-americans/. Accessed 29 Sept 2017.

  11. Kalibatseva Z, Leong FTL. Depression among Asian Americans: review and recommendations. Depress Res Treat. 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180820/. Accessed 20 Dec 2017.

  12. Ihara ES, Chae DH, Cummings JR, Lee S. Correlates of mental health service use and type among Asian Americans. Adm Policy Ment Health. 2014;41:543–51.

    Article  Google Scholar 

  13. Nguyen D, Bornheimer LA. Mental health service use types among Asian Americans with a psychiatric disorder: considerations of culture and need. J Behav Health Serv Res. 2014;41:520–8.

    Article  Google Scholar 

  14. U.S. Census Bureau. 2013–2017 American community survey 5-year estimates. 2019. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF

  15. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–13.

    Article  CAS  Google Scholar 

  16. Nguyen TQ, Bandeen-Roche K, Bass JK, German D, Nguyen NTT, Knowlton AR. A tool for sexual minority mental health research: The Patient Health Questionnaire (PHQ-9) as a depressive symptom severity measure for sexual minority women in Viet Nam. J Gay Lesbian Ment Health. 2016;20:173–91.

    Article  Google Scholar 

  17. Yeung A, Fung F, Yu S-C, Vorono S, Ly M, Wu S, et al. Validation of the Patient Health Questionnaire-9 for depression screening among Chinese Americans. Compr Psychiatry. 2008;49:211–7.

    Article  Google Scholar 

  18. Han C, Jo SA, Kwak J-H, Pae C-U, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Compr Psychiatry. 2008;49:218–23.

    Article  Google Scholar 

  19. Leung P, Cheung M, Kao D, Gulati AC. Prevalence and predictors of depression in the older Asian Americans in Houston. Int Soc Work. 2017;60:800–14.

    Article  Google Scholar 

  20. Mui AC, Kang S-Y. Acculturation stress and depression among Asian immigrant elders. Soc Work. 2006;51:243–55.

    Article  Google Scholar 

  21. Lau AS, Tsai W, Shih J, Liu LL, Hwang W-C, Takeuchi DT. The immigrant paradox among Asian American women: are disparities in the burden of depression and anxiety paradoxical or explicable? J Consult Clin Psychol. 2013;81:901–11.

    Article  Google Scholar 

  22. Shekunov J. Immigration and risk of psychiatric disorders: a review of existing literature. Am J Psychiatry Resid J. 2016;11:3–5.

    Article  Google Scholar 

  23. Takeuchi DT, Alegría M, Jackson JS, Williams DR. Immigration and mental health: diverse findings in Asian, Black, and Latino populations. Am J Public Health. 2007;97:11–2.

    Article  Google Scholar 

  24. Lee SM, Edmonston B. Age-at-arrival’s effects on Asian immigrants’ socioeconomic outcomes in Canada and the U.S. Int Migr Rev. 2011;45:527–61.

    Article  Google Scholar 

  25. Zhu L. Depression risks and correlates among different generations of Chinese Americans: the effects of relationships with friends and relatives. Soc Sci. 2017;6:56.

    Article  Google Scholar 

  26. Alegria M, Sribney W, Woo M, Torres M, Guarnaccia P. Looking beyond nativity: the relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders for latinos. Res Hum Dev. 2007;4:19–47.

    Article  Google Scholar 

  27. Lee RM, Liu H-TT. Coping with intergenerational family conflict comparison of Asian American, Hispanic, and European American college students. J Counsel Psychol. 2001;48:410–9.

    Article  Google Scholar 

  28. Perez R. Effects of immigration during adolescence on mental health and social well-being. Issues Mental Health Nurs. 2016;37:765–8.

    Article  Google Scholar 

  29. Mair C, Diez Roux AV, Osypuk TL, Rapp SR, Seeman T, Watson KE. Is neighborhood racial/ethnic composition associated with depressive symptoms? The multi-ethnic study of atherosclerosis. Soc Sci Med. 2010;71:541–50.

    Article  Google Scholar 

  30. Kramer EJ, Kwong K, Lee E, Chung H. Cultural factors influencing the mental health of Asian Americans. West J Med. 2002;176:227–31.

    PubMed  PubMed Central  Google Scholar 

  31. Leu J, Yen IH, Gansky SA, Walton E, Adler NE, Takeuchi DT. The association between subjective social status and mental health among Asian immigrants: investigating the influence of age at immigration. Soc Sci Med. 2008;66:1152–64.

    Article  Google Scholar 

  32. Zhang J, Fang L, Wu Y-WB, Wieczorek WF. Depression, anxiety, and suicidal ideation among Chinese Americans. J Nerv Ment Dis. 2013;201:17–22.

    Article  Google Scholar 

  33. Sangalang CC, Gee GC. Depression and anxiety among Asian Americans: the effects of social support and strain. Soc Work. 2012;57:49.

    Article  Google Scholar 

  34. Kim HJ, Park E, Storr CL, Tran K, Juon H-S. Depression among Asian-American adults in the community: systematic review and meta-analysis. PLoS ONE. 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452590/. Accessed 20 Dec 2018

  35. Cho MJ, Seong SJ, Park JE, Chung I-W, Lee YM, Bae A, et al. Prevalence and correlates of DSM-IV mental disorders in South Korean adults: the korean epidemiologic catchment area study 2011. Psychiatry Investig. 2015;12:164–70.

    Article  Google Scholar 

  36. Gu L, Xie J, Long J, Chen Q, Chen Q, Pan R, et al. Epidemiology of major depressive disorder in mainland china: a systematic review. PLoS ONE. 2013;8:e65356.

    Article  CAS  Google Scholar 

  37. OECD. Suicide rates. [Internet]. https://data.oecd.org/healthstat/suicide-rates.htm.

  38. Shin C, Kim Y, Park S, Yoon S, Ko YH, Kim YK, et al. Prevalence and associated factors of depression in general population of Korea: results from the Korea National Health and Nutrition Examination Survey, 2014. Journal of Korean medical science. 2017.

  39. Lee M, Nezu AM, Nezu CM. Acculturative stress, social problem solving, and depressive symptoms among Korean American Immigrants. Transcult Psychiatry. 2018;55:710–29.

    Article  Google Scholar 

  40. Lui PP, Rollock D. Acculturation and psychosocial adjustment among Southeast Asian and Chinese immigrants: the effects of domain-specific goals. Asian Am J Psychol. 2012;3:79–90.

    Article  Google Scholar 

  41. Vega WA, Rumbaut RG. Ethnic minorities and mental health [Internet]. Rochester, NY: Social Science Research Network; 1991. Report No.: ID 1881264. https://papers.ssrn.com/abstract=1881264

  42. Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, et al. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183:E959–E967967.

    Article  Google Scholar 

  43. Althubaiti A. Information bias in health research: definition, pitfalls, and adjustment methods. J Multidiscip Healthcare. 2016;9:211–7.

    Article  Google Scholar 

  44. Cho H, Kim I, Velez-Ortiz D. Factors associated with mental health service use among Latino and Asian Americans. Community Mental Health J. 2014;50:960–7.

    Article  Google Scholar 

  45. Lee M, Takeuchi D, Gellis Z, Kendall P, Zhu L, Zhao S, et al. The impact of perceived need and relational factors on mental health service use among generations of Asian Americans. J Community Health. 2017;42:688–700.

    Article  Google Scholar 

Download references

Funding

The project was supported by TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership, Award Number U54 CA221704(5) from the National Cancer Institute [Contact PIs: Grace X. Ma, PhD and Olorunseun O. Ogunwobi, PhD] and faculty research funds from Center for Asian Health, Lewis Katz School of Medicine, Temple University [PI: Grace X Ma, PhD]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Minsun Lee.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, M., Bhimla, A. & Ma, G.X. Depressive Symptom Severity and Immigration-Related Characteristics in Asian American Immigrants. J Immigrant Minority Health 22, 935–945 (2020). https://doi.org/10.1007/s10903-020-01004-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-020-01004-7

Keywords

Navigation