Dataset Information

Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study.

ABSTRACT:

Objectives

The aim of this study was to examine the pathway and associations among acculturation (ie, language, social interaction and lifestyle), psychological adjustment and mental health of internal migrant adolescents in China.

Design

Cross-sectional questionnaire study.

Setting

Six private migrant junior high schools located in Tianhe and Baiyun districts in Guangzhou were chosen as the study sites.

Participants

A total of 1122 migrant adolescents aged 11-17 years old completed the study.

Main outcome measures

Mental health was measured by using the Social Anxiety Scale for Children (SASC) and major depression disorder (MDD) in a Brief Child and Family Phone Interview. Acculturation and psychological adjustment were measured by a self-designed and verified questionnaire. Multiple regression models and structural equation models were performed to analyse the association among acculturation, psychological adjustment and mental health while controlling for participant demographic characteristics.

Results

The average MDD score for boys was 8.78 (SD=2.17) and for girls was 8.56 (SD=2.22), while the average SASC score for boys was 14.67 (SD=3.72) and for girls was 13.41 (SD=4.01). Psychological adjustment had a direct positive effect on MDD (p<0.001, ?=0.30) and SASC (p<0.001, ?=0.28), and it was the key variable fully mediating the impact of acculturation components on MDD and partly mediating the impact of acculturation on SASC, whereas lifestyle showed a direct negative effect (p=0.003, ?=-0.17) on SASC. Of the three acculturation components, lifestyle had the strongest influence on psychological adjustment (p<0.001, ?=0.37?and 0.51), followed by social interaction (p<0.001, ?=0.24?and 0.13) and language (p<0.001, ?=0.17?and 0.11).

Conclusions

The association between acculturation and the mental health of internal migrant adolescents was complex and could be mediated by psychological adjustment. Interventions such as promoting local language and social interaction are needed to enhance psychological adjustment and further improve the mental health of migrant adolescents.

SUBMITTER: Shi L

PROVIDER: S-EPMC6502018 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study.

Shi Lishuo L Chen Wen W Bouey Jennifer Huang JH Lin Yanwei Y Ling Li L

BMJ open 20190505 5

<h4>Objectives</h4>The aim of this study was to examine the pathway and associations among acculturation (ie, language, social interaction and lifestyle), psychological adjustment and mental health of internal migrant adolescents in China.<h4>Design</h4>Cross-sectional questionnaire study.<h4>Setting</h4>Six private migrant junior high schools located in Tianhe and Baiyun districts in Guangzhou were chosen as the study sites.<h4>Participants</h4>A total of 1122 migrant adolescents aged 11-17 yea ...[more]

PMID: 31061011

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Project description:OBJECTIVES:To assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children's health service utilisation and their parents' acculturation. DESIGN:Cross-sectional survey between April and May 2016. SETTING:Six society-run schools of Tianhe and Baiyun districts in Guangzhou City of China. PARTICIPANTS:We recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6?months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2?weeks or during the last year. MAIN OUTCOME MEASURES:The main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children's unmet needs for outpatient or inpatient service and their parents' acculturation (categorised into high, middle and low groups). RESULTS:In total, 216 children, or 18.6% of the total subjects, were ill within the past 2?weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P<0.05) were more likely to have an unmet outpatient need than high-acculturation or low-acculturation groups, although only statistically significant when comparing with the high-acculturation group. Stratified analysis suggested that this association could be moderated by their family economic status. CONCLUSIONS:Our study suggested that the association between migrant children's health service utilisation and their parents' acculturation was complex and could be moderated by family economic status. Increasing the service utilisation among migrant children requires improving the acculturation and economic status of the parents of internal migrants.

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Dataset Information

Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study.

Objectives

Design

Setting

Participants

Main outcome measures

Results

Conclusions

Publications

Impact of acculturation and psychological adjustment on mental health among migrant adolescents in Guangzhou, China: a cross-sectional questionnaire study.

Similar Datasets

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