Acculturation, resilience, and the mental health of migrant youth: A cross-country comparative study

Journal article

Wu, Q., Ge, T., Emond, A., Foster, K., Gatt, J. M., Hadfield, K., Mason-Jones, A. J., Reid, S., Theron, L., Ungar, M. and Wouldes, T. A.. (2018). Acculturation, resilience, and the mental health of migrant youth: A cross-country comparative study. Public Health. 162, pp. 63-70. https://doi.org/10.1016/j.puhe.2018.05.006

Publication dates
Authors	Wu, Q., Ge, T., Emond, A., Foster, K., Gatt, J. M., Hadfield, K., Mason-Jones, A. J., Reid, S., Theron, L., Ungar, M. and Wouldes, T. A.
Abstract	Objectives Using data from an international collaborative research project on youth resilience in the context of migration, this study aims to investigate how different acculturation patterns (i.e. integration, assimilation, separation and marginalization) influence the mental health of migrant youth, and whether resilience might function as a mediator in the association between acculturation and mental health. Study design A cross-sectional pilot study conducted in six countries employing a common survey questionnaire. Methods The study sample was 194 youths aged 10–17 years (median = 13.6) from six countries (Australia, Canada, China, New Zealand, South Africa, and United Kingdom) and included cross-border and internal migrants. Mental health and well-being was measured by the Warwick–Edinburgh Mental Well-Being Scale (WEMWBS). Resilience was measured by the Child and Youth Resilience Measure-28 (CYRM-28). Acculturation was assessed using the Acculturation, Habits, and Interests Multicultural Scale for Adolescents (AHIMSA). Multivariate regression and path analysis were performed to examine the hypothesized mediation model. Results Resilience scores correlated strongly with mental health and well-being. Acculturation exerted no significant direct effects on the mental health of migrant youths. Nevertheless, compared to youths who were integration-oriented, assimilation-oriented youths tended to exhibit lower levels of resilience, resulting in poorer mental health. Compared to youths from other countries, migrant youths from China also reported lower levels of resilience, which led to poorer mental health outcome. Conclusion Acculturation plays a significant role in the mental health of migrant youth, with different acculturative orientations exhibiting different influences through the mediation effect of resilience. Fostering resilience and facilitating integration-oriented acculturation are recommended public health strategies for migrant youth.
Keywords	acculturation; mental health; migration; resilience; youth
Year	2018
Journal	Public Health
Journal citation	162, pp. 63-70
Publisher	Elsevier Ltd
ISSN	0033-3506
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.puhe.2018.05.006
PubMed ID	29975862
Scopus EID	2-s2.0-85049298747
Open access	Published as green open access
Page range	63-70
Funder	Worldwide Universities Network (WUN)
	Research Grants Council, Hong Kong SAR (Special Administrative Region)
	University of Bristol
	National Health and Medical Research Council (NHMRC)
	Danish National Research Foundation
	University of York
	University of Auckland
Research Group	School of Nursing, Midwifery and Paramedicine
Author's accepted manuscript	AM_Wu_2018_Acculturation_resilience_and_the_mental_health.pdf License CC BY-NC-ND 4.0 File Access Level Open
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	17 Jul 2018
Publication process dates
Accepted	09 May 2018
Grant ID	1062495
	14613215
	IFR2011041100058

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Cynthia, Delgado, Upton, Dominic, Ranse, Kristen, Furness, Trentham and Foster, Kim. (2017). Nurses' resilience and the emotional labour of nursing work: An integrative review of empirical literature. International Journal of Nursing Studies. 70, pp. 71 - 88. https://doi.org/10.1016/j.ijnurstu.2017.02.008

Emotional intelligence increases over time: A longitudinal study of Australian pre-registration nursing students

Foster, Kim, Fethney, Judith, McKenzie, Heather, Fisher, Murray, Harkness, Emily and Kozlowski, Desirée. (2017). Emotional intelligence increases over time: A longitudinal study of Australian pre-registration nursing students. Nurse Education Today. 55, pp. 65 - 70. https://doi.org/10.1016/j.nedt.2017.05.008

Extended parenting education in an early parenting centre: A mixed-methods study

Berry, Karen, Jeon, Yun-Hee, Foster, Kim Narelle and Fraser, Jennifer. (2016). Extended parenting education in an early parenting centre: A mixed-methods study. Journal of Child Health Care. https://doi.org/10.1177/1367493515603827

Family-focused practice in mental health care: An integrative review

Foster, Kim, Maybery, Darryl, Reupert, Andrea, Gladstone, Brenda, Grant, Anne, Ruud, Torleif, Falkov, Adrian and Kowalenko, Nick. (2016). Family-focused practice in mental health care: An integrative review. Child and Youth Services. 37(2), pp. 129 - 155. https://doi.org/10.1080/0145935X.2016.1104048

Physical health and well-being: Experiences and perspectives of young adult mental health consumers

McCloughen, Andrea, Foster, Kim Narelle, Kerley, David, Delgado, Cynthia and Turnell, Adrienne. (2016). Physical health and well-being: Experiences and perspectives of young adult mental health consumers. International Journal of Mental Health Nursing. 25(4), pp. 299 - 307. https://doi.org/10.1111/inm.12189

The experience of emotional wellbeing for patients with physical injury: A qualitative follow-up study

Wiseman, Taneal, Foster, Kim Narelle and Curtis, Kate. (2016). The experience of emotional wellbeing for patients with physical injury: A qualitative follow-up study. Injury. 47(9), pp. 1983 - 1989. https://doi.org/10.1016/j.injury.2016.03.021

The experiences, unmet needs and outcomes of parents of severely injured children: A longitudinal mixed methods study protocol

Foster, Kim N., Curtis, Kate, Mitchell, Rebecca, Van, Connie and Young, Alexandra. (2016). The experiences, unmet needs and outcomes of parents of severely injured children: A longitudinal mixed methods study protocol. BMC Pediatrics. 16(152), pp. 1 - 7. https://doi.org/10.1186/s12887-016-0693-8

Paediatric trauma systems and their impact on the health outcomes of severely injured children: Protocol for a mixed methods cohort study

Curtis, Kate, McCarthy, Amy, Mitchell, Rebecca, Black, Deborah, Foster, Kim, Jan, Stephen, Burns, Brian, Tall, Gary, Rigby, Oran, Gruen, Russell, Kennedy, Belinda and Holland, Andrew J. A.. (2016). Paediatric trauma systems and their impact on the health outcomes of severely injured children: Protocol for a mixed methods cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 24(1), pp. 1 - 8. https://doi.org/10.1186/s13049-016-0260-1

How is care provided for patients with paediatric trauma and theirfamilies in Australia? A mixed-method study

Curtis, Kate, Foster, Kim Narelle, Mitchell, Rebecca and Van, Connie. (2016). How is care provided for patients with paediatric trauma and theirfamilies in Australia? A mixed-method study. Journal of Paediatrics and Child Health. 52(8), pp. 832 - 836. https://doi.org/10.1111/jpc.13189

Models of care delivery for families of critically ill children: An integrative review of international literature

Curtis, Kate, Foster, Kim Narelle, Mitchell, Rebecca and Van, Connie. (2016). Models of care delivery for families of critically ill children: An integrative review of international literature. Journal of Pediatric Nursing. 31(3), pp. 330 - 341. https://doi.org/10.1016/j.pedn.2015.11.009

Creating walking tracks to success: A narrative analysis of Australian Aboriginal and Torres Strait Islander nursing students' stories of success

West, Roianne, Foster, Kim, Stewart, Lee and Usher, Kim. (2016). Creating walking tracks to success: A narrative analysis of Australian Aboriginal and Torres Strait Islander nursing students' stories of success. Collegian. 23(4), pp. 349 - 354. https://doi.org/10.1016/j.colegn.2016.08.001

Unfolding case study and Mask-EdTM high fidelity simulation for chronic illness education: A case study

Frost, Jane, Foster, Kim and Ranse, Kristen. (2016). Unfolding case study and Mask-EdTM high fidelity simulation for chronic illness education: A case study. Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 24(5), pp. 433 - 439. https://doi.org/10.1016/j.colegn.2016.09.004

Extending parenting education program in an early parenting centre: A mixed-methods study

Berry, Karen, Jeon, Yun-Hee, Foster, Kim Narelle and Fraser, Jennifer. (2016). Extending parenting education program in an early parenting centre: A mixed-methods study. Journal of Child Health Care. 20(4), pp. 446 - 455. https://doi.org/10.1177/1367493515603827

The injury trajectory for young people 16-24 years in the six months following injury: A mixed methods study

Foster, Kim Narelle, Ogilvie, Rebekah, McCloughen, Andrea and Curtis, Kate. (2016). The injury trajectory for young people 16-24 years in the six months following injury: A mixed methods study. Injury. 47(9), pp. 1966 - 1974. https://doi.org/10.1016/j.injury.2016.04.037

Outcomes of the ON FIRE peer support programme for children and adolescents in families with mental health problems

Foster, Kim, McPhee, Ingrid, Fethney, Judith and McCloughen, Andrea. (2016). Outcomes of the ON FIRE peer support programme for children and adolescents in families with mental health problems. Child and Family Social Work. 21(3), pp. 295 - 306. https://doi.org/10.1111/cfs.12143

Reflective practice for the graduate

Usher, Kim and Foster, Kim Narelle. (2015). Reflective practice for the graduate. In Transitions in nursing : preparing for professional practice pp. 277-292 Elsevier Australia.

How can we make the psychiatric workforce more family-focused?

Maybery, Darryl, Foster, Kim, Goodyear, Melinda, Grant, Anne, Tungpunkom, Patraporn, Skogøy, Bjørg Eva and Lees, Robert. (2015). How can we make the psychiatric workforce more family-focused? In In Reupert, Andrea, Maybery. Darryl, Nicholson, Joanne, Göpfert, Michael and Seeman, Mary V. (Ed.). Parental psychiatric disorder : Distressed parents and their families pp. 301-311 Cambridge University Press. https://doi.org/10.1017/CBO9781107707559.029

Young peoples' experience and self-management in the six months following major injury: A qualitative study

Ogilvie, Rebekah, Foster, Kim Narelle, McCloughen, Andrea and Curtis, Kate. (2015). Young peoples' experience and self-management in the six months following major injury: A qualitative study. Injury. 46(9), pp. 1841 - 1847. https://doi.org/10.1016/j.injury.2015.05.036

Family members' experience of providing support for young people with traumatic physical injury during the acute hospital phase of care: A qualitative study

Ogilvie, Rebekah, Foster, Kim Narelle, McCloughen, Andrea and Curtis, Kate. (2015). Family members' experience of providing support for young people with traumatic physical injury during the acute hospital phase of care: A qualitative study. Injury. 46(9), pp. 1834 - 1840. https://doi.org/10.1016/j.injury.2015.03.030

The journey of positioning self as both mental health nurse and qualitative researcher: A critical reflection

Brunero, Scott, Jeon, Yun-Hee and Foster, Kim Narelle. (2015). The journey of positioning self as both mental health nurse and qualitative researcher: A critical reflection. Journal of Psychiatric and Mental Health Nursing. 22(7), pp. 543 - 548. https://doi.org/10.1111/jpm.12238

Developing family rooms in mental health inpatient units: An exploratory descriptive study

Isobel, Sophie, Foster, Kim N. and Edwards, Clair. (2015). Developing family rooms in mental health inpatient units: An exploratory descriptive study. BMC Health Services Research. 15(1), pp. 1 - 9. https://doi.org/10.1186/s12913-015-0914-0

Emotional intelligence education in pre-registration nursing programmes: An integrative review

Foster, Kim Narelle, McCloughen, Andrea, Delgado, Cynthia, Kefalas, Claudia and Harkness, Emily. (2015). Emotional intelligence education in pre-registration nursing programmes: An integrative review. Nurse Education Today. 35(3), pp. 510 - 517. https://doi.org/10.1016/j.nedt.2014.11.009

Risk factors associated with the severity of injury outcome for paediatric road trauma

Mitchell, Robert J., Bambach, Mike R., Foster, Kim Narelle and Curtis, Kate. (2015). Risk factors associated with the severity of injury outcome for paediatric road trauma. Injury. 46(5), pp. 874 - 882. https://doi.org/10.1016/j.injury.2015.02.006

Incidence of depression, anxiety and stress following traumatic injury: A longitudinal study

Wiseman, Taneal A., Curtis, Kate, Lam, Mary and Foster, Kim Narelle. (2015). Incidence of depression, anxiety and stress following traumatic injury: A longitudinal study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 23, pp. 1 - 9. https://doi.org/10.1186/s13049-015-0109-z

Physical health risk behaviours in young people with mental illness

McCloughen, Andrea, Foster, Kim Narelle, Marabong, Nikka, Miu, David and Fethney, Judith. (2015). Physical health risk behaviours in young people with mental illness. Issues in Mental Health Nursing. 36(10), pp. 781 - 790. https://doi.org/10.3109/01612840.2015.1036480

Incidence and outcomes of major trauma patients managed in the Australian Capital Territory

Ogilvie, Rebekah, Curtis, Kate, Palmer, Cameron, Lam, Mary, McCloughen, Andrea and Foster, Kim Narelle. (2014). Incidence and outcomes of major trauma patients managed in the Australian Capital Territory. ANZ Journal of Surgery. 84(6), pp. 433 - 437. https://doi.org/10.1111/ans.12524

The burden of youth: major traumatic injury in adolescents and young adults managed in the Australian Capital Territory

Ogilvie, Rebekah, Curtis, Kate, Lam, Mary, McCloughen, Andrea and Foster, Kim. (2014). The burden of youth: major traumatic injury in adolescents and young adults managed in the Australian Capital Territory. Journal of Trauma Nursing. 21(5), pp. 218 - 227. https://doi.org/10.1097/JTN.0000000000000068

Academic staff perceptions of factors underlying program completion by Australian Indigenous nursing students

West, Roianne, Usher, Kim, Foster, Kim Narelle and Stewart, Lee. (2014). Academic staff perceptions of factors underlying program completion by Australian Indigenous nursing students. The Qualitative Report. 19(12), pp. 1 - 19.

Experiences of peer support for children and adolescents whose parents and siblings have mental illness

Foster, Kim Narelle, Lewis, Peter and McCloughen, Andrea. (2014). Experiences of peer support for children and adolescents whose parents and siblings have mental illness. Journal of Child and Adolescent Psychiatric Nursing. 27(2), pp. 61 - 67. https://doi.org/10.1111/jcap.12072

The challenges of conducting a nurse-led intervention in a randomized controlled trial with vulnerable participants

Park, Tanya, Usher, Kim and Foster, Kim Narelle. (2014). The challenges of conducting a nurse-led intervention in a randomized controlled trial with vulnerable participants. Nursing Research and Practice. https://doi.org/10.1155/2014/394237

A randomized controlled trial undertaken to test a nurse-led weight management and exercise intervention designed for people with serious mental illness who take second generation antipsychotics

Usher, Kim, Park, Tanya, Foster, Kim Narelle and Buettner, Petra. (2013). A randomized controlled trial undertaken to test a nurse-led weight management and exercise intervention designed for people with serious mental illness who take second generation antipsychotics. Journal of Advanced Nursing. 69(7), pp. 1539 - 1548. https://doi.org/10.1111/jan.12012

Indigenous Australians' participation in pre-registration tertiary nursing courses: A mixed methods study

West, Roianne, Usher, Kim, Buettner, Petra G., Foster, Kim Narelle and Stewart, Lee. (2013). Indigenous Australians' participation in pre-registration tertiary nursing courses: A mixed methods study. Contemporary Nurse. 46(1), pp. 123 - 134. https://doi.org/10.5172/conu.2013.46.1.123

Intervention programs for children whose parents have a mental illness: A review

Reupert, Andrea E., Cuff, Rose, Drost, Louisa, Foster, Kim Narelle, van Doesum, Karin T. M. and van Santvoort, Floor. (2013). Intervention programs for children whose parents have a mental illness: A review. Medical Journal of Australia. 199(3 (Suppl)), pp. S18 - S22. https://doi.org/10.5694/mja11.11145

Educating Australian registered nurses in comprehensive health assessment: A pilot study

Foster, Kim Narelle, Lewis, Melinda, Marshall, Andrea and Lewis, Peter. (2013). Educating Australian registered nurses in comprehensive health assessment: A pilot study. The Journal of Continuing Education in Nursing. 44(4), pp. 155 - 162. https://doi.org/10.3928/00220124-20130201-34

Accidental insider: Living the PhD study

West, Caryn, Stewart, Lee, Foster, Kim Narelle and Usher, Kim. (2013). Accidental insider: Living the PhD study. Accidental insider: Living the PhD study. 20(1), pp. 61 - 65. https://doi.org/10.1016/j.colegn.2012.03.005

Mental health following traumatic physical injury: An integrative literature review

Wiseman, Taneal, Foster, Kim Narelle and Curtis, Kate. (2013). Mental health following traumatic physical injury: An integrative literature review. Injury. 44(11), pp. 1383 - 1390. https://doi.org/10.1016/j.injury.2012.02.015

Through a critical lens: Indigenist research and the Dadirri method

West, Roianne, Stewart, Lee, Foster, Kim Narelle and Usher, Kim. (2012). Through a critical lens: Indigenist research and the Dadirri method. Qualitative Health Research. 22(11), pp. 1582 - 1590. https://doi.org/10.1177/1049732312457596

The meaning of resilience to persons living with chronic pain: An interpretive qualitative inquiry

West, Caryn, Stewart, Lee, Foster, Kim Narelle and Usher, Kim. (2012). The meaning of resilience to persons living with chronic pain: An interpretive qualitative inquiry. Journal of Clinical Nursing. 21(9-10), pp. 1284 - 1292. https://doi.org/10.1111/j.1365-2702.2011.04005.x

The experience of surviving lifethreatning injury: A qualitative synthesis

Ogilvie, Rebekah, McCloughen, Andrea, Curtis, Kate and Foster, Kim Narelle. (2012). The experience of surviving lifethreatning injury: A qualitative synthesis. International Nursing Review. 59(3), pp. 312 - 320. https://doi.org/10.1111/j.1466-7657.2012.00993.x

Developing resilient children and families when parents have mental illness: A family-focused approach

Foster, Kim Narelle, O'Brien, Louise and Korhonen, Teija. (2012). Developing resilient children and families when parents have mental illness: A family-focused approach. International Journal of Mental Health Nursing. 21(1), pp. 3 - 11. https://doi.org/10.1111/j.1447-0349.2011.00754.x

Mental health education programmes for generalist health professionals: An integrative review

Brunero, Scott, Jeon, Yun-Hee and Foster, Kim Narelle. (2012). Mental health education programmes for generalist health professionals: An integrative review. International Journal of Mental Health Nursing. 21(5), pp. 428 - 444. https://doi.org/10.1111/j.1447-0349.2011.00802.x

The experience of weight gain as a result of taking second-generation antipsychotic medications: The mental health consumer perspective

Usher, Kim, Park, Tanya and Foster, Kim Narelle. (2012). The experience of weight gain as a result of taking second-generation antipsychotic medications: The mental health consumer perspective. Journal of Psychiatric and Mental Health Nursing. 20(9), pp. 801 - 806. https://doi.org/10.1111/jpm.12019

Chronic pain and the family: The experience of the partners of people living with chronic pain

West, Caryn, Usher, Kim, Foster, Kim Narelle and Stewart, Lee. (2012). Chronic pain and the family: The experience of the partners of people living with chronic pain. Journal of Clinical Nursing. 21(23-24), pp. 3352 - 3360. https://doi.org/10.1111/j.1365-2702.2012.04215.x

Physical health and wellbeing of emerging and young adults with mental illness: An integrative review of international literature

McCloughen, Andrea, Foster, Kim Narelle, Huws-Thomas, Michelle and Delgado, Cynthia. (2012). Physical health and wellbeing of emerging and young adults with mental illness: An integrative review of international literature. International Journal of Mental Health Nursing. 21(3), pp. 274 - 288. https://doi.org/10.1111/j.1447-0349.2011.00796.x

Intervention programs for children whose parents have a mental illness: A review

Reupert, Andrea E., Cuff, Rose, Drost, Louisa, Foster, Kim, van Doesum, Karin T. M. and van Santvoort, Floor. (2012). Intervention programs for children whose parents have a mental illness: A review. Medical Journal of Australia. 1(1), pp. 18 - 23. https://doi.org/10.5694/mjao11.11145

Educational approaches and activities to enhance emotional intelligence

Foster, Kim Narelle and McKenzie, Heather. (2012). Educational approaches and activities to enhance emotional intelligence. In In J. Hurley and P. Linsley (Ed.). Emotional intelligence in health and social care: A guide for improving human relationships pp. 127 - 145 Radcliffe Publishing Ltd.

Resilience in families with a member with chronic pain: A mixed methods study

West, Caryn, Buettner, Petra, Stewart, Lee, Foster, Kim Narelle and Usher, Kim. (2012). Resilience in families with a member with chronic pain: A mixed methods study. Journal of Clinical Nursing. 21(23-24), pp. 3532 - 3545. https://doi.org/10.1111/j.1365-2702.2012.04271.x

Psychometric testing of the Family Impact of Pain Scale using a sample of families in Australia

West, Caryn, Buettner, Petra, Foster, Kim Narelle and Usher, Kim. (2012). Psychometric testing of the Family Impact of Pain Scale using a sample of families in Australia. Nurse Researcher. 20(2), pp. 6 - 12. https://doi.org/10.7748/nr2012.11.20.2.6.c9435

Keeping families and children in mind': An evaluation of a web-based workforce resource

Reupert, Andrea, Foster, Kim Narelle, Maybery, Darryl, Eddy, Kylie and Fudge, Elizabeth. (2011). Keeping families and children in mind': An evaluation of a web-based workforce resource. Child and Family Social Work. 16(2), pp. 192 - 200. https://doi.org/10.1111/j.1365-2206.2010.00731.x

Description of a healthy lifestyle intervention for people with serious mental illness taking second-generation antipsychotics

Park, Tanya, Usher, Kim and Foster, Kim Narelle. (2011). Description of a healthy lifestyle intervention for people with serious mental illness taking second-generation antipsychotics. International Journal of Mental Health Nursing. 20(6), pp. 428 - 437. https://doi.org/10.1111/j.1447-0349.2011.00747.x

Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery

Schibler, Andreas, Pham, Trang, Dunster, Kimble, Foster, Kim, Barlow, A, Gibbons, Kristen and Hough, Judith. (2011). Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery. Intensive Care Medicine. 37(5), pp. 847 - 852. https://doi.org/10.1007/s00134-011-2177-5

Family resilience: Towards a new model of chronic pain management

West, Caryn, Usher, Kim and Foster, Kim Narelle. (2011). Family resilience: Towards a new model of chronic pain management. Collegian. 18(1), pp. 3 - 10. https://doi.org/10.1016/j.colegn.2010.08.004

Relationships in pain: The experience of relationships to people living with chronic pain in rural areas

Tollefson, Joanne, Usher, Kim and Foster, Kim Narelle. (2011). Relationships in pain: The experience of relationships to people living with chronic pain in rural areas. International Journal of Nursing Practice. 17(5), pp. 478 - 485. https://doi.org/10.1111/j.1440-172X.2011.01963.x

Weight gain associated with taking psychotropic medication: An integrative review

McCloughen, Andrea and Foster, Kim Narelle. (2011). Weight gain associated with taking psychotropic medication: An integrative review. International Journal of Mental Health Nursing. 20(3), pp. 202 - 222. https://doi.org/10.1111/j.1447-0349.2010.00721.x

I wanted to learn how to heal my heart': Family carer experiences of receiving an emotional support service in the Well Ways programme

Foster, Kim Narelle. (2011). I wanted to learn how to heal my heart': Family carer experiences of receiving an emotional support service in the Well Ways programme. International Journal of Mental Health Nursing. 20(1), pp. 56 - 62. https://doi.org/10.1111/j.1447-0349.2010.00710.x

Introducing mental health nursing: A consumer-orientated approach

Happell, Brenda, Cowin, Leanne, Roper, Cath, Foster, Kim and McMaster, Rosanna. (2008). Introducing mental health nursing: A consumer-orientated approach Allen & Unwin.