Revising the American dream: how Asian immigrants adjust after an HIV diagnosis.

Autor:	Chen, Wei‐Ti, Guthrie, Barbara, Shiu, Cheng‐Shi, Wang, Lixuan, Weng, Zhongqi, Li, Chiang‐Shan, Lee, Tony Szu‐Hsien, Kamitani, Emiko, Fukuda, Yumiko, Luu, Binh Vinh
Předmět:	MENTAL depression risk factors HIV infections & psychology IMMIGRANTS ACCULTURATION CONTENT analysis INTERVIEWING MULTIVARIATE analysis REGRESSION analysis RESEARCH funding STATISTICAL sampling SELF-actualization (Psychology) STATISTICS NARRATIVES THEMATIC analysis CROSS-sectional method DATA analysis software DESCRIPTIVE statistics
Zdroj:	Journal of Advanced Nursing (John Wiley & Sons, Inc.); Aug2015, Vol. 71 Issue 8, p1914-1925, 12p, 2 Charts, 1 Graph
Abstrakt:	Aim We explored how acculturation and self-actualization affect depression in the HIV-positive Asians and Pacific Islanders immigrant population. Background Asians and Pacific Islanders are among the fastest growing minority groups in the USA. Asians and Pacific Islanders are the only racial/ethnic group to show a significant increase in HIV diagnosis rate. Design A mixed-methods study was conducted. Methods Thirty in-depth interviews were conducted with HIV-positive Asians and Pacific Islanders in San Francisco and New York. Additionally, cross-sectional audio computer-assisted self-interviews were conducted with a sample of 50 HIV-positive Asians and Pacific Islanders. Content analysis was used to analyse the in-depth interviews. Also, descriptive, bivariate statistics and multivariable regression analysis was used to estimate the associations among depression, acculturation and self-actualization. The study took place from January-June 2013. Discussion Major themes were extracted from the interview data, including self-actualization, acculturation and depression. The participants were then divided into three acculturation levels correlating to their varying levels of self-actualization. For those with low acculturation, there was a large discrepancy in the Center for Epidemiologic Studies Depression Scale scores between those who had totally lost their self-actualization and those who believed they could still achieve their 'American dreams'. Among those who were less acculturated, there was a significant difference in depression scores between those who felt they had totally lost their ability to self-actualize and those who still believed they could 'make their dreams come true.' Conclusion Acculturation levels influence depression and self-actualization in the HIV-positive Asians and Pacific Islanders population. Lower acculturated Asian Americans achieved a lower degree of self-actualization and suffered from depression. Future interventions should focus on enhancing acculturation and reducing depression to achieve self-actualization. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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