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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 3/2019

01-06-2019 | Original Paper

Effects of Ethnic Identity on the Relationship Between Mental Health and Perceived Discrimination Among Ethnic Return Migrants: The Case of Korean Chinese Return-Migrated to South Korea

Author: Jihyung Hong

Published in: Journal of Immigrant and Minority Health | Issue 3/2019

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Abstract

This study examined the relationship among mental health, perceived discrimination and ethnic identity among Korean Chinese (Joseonjok) who have return-migrated to South Korea. A survey was conducted with 399 Joseonjok adults (≥ 19 years) residing in the capital city Seoul or nearby. Depression was measured using the (self-report) Center for Epidemiologic Studies Depression Scale-Korean (CES-D-K) version (n = 292, mean age = 42.6, female = 56.5%). Perceived discrimination and ethnic identity were assessed with single-item questions. The mean CES-D-K total score was 9.3 (SD = 8.4) and 20.6% had clinical depression (cut-off score: 16). Perceived discrimination was positively associated with CES-D-K scores (regression coefficient = 2.09, p = 0.04). This association was stronger in those identifying themselves more strongly as ‘Korean’ than ‘Chinese’. Discrimination by ‘co-ethnic hosts’ can have a greater impact on mental health among those ethnic return migrants with a stronger ethnic identity. More efforts are needed to help them better integrate into South Korean society.
Literature
1.
Epel OB, Kaplan G, Moran M. Perceived discrimination and health-related quality of life among Arabs and Jews in Israel: a population-based survey. BMC Public Health. 2010;10:282.CrossRefPubMedPubMedCentral
2.
Pincus FL. Discrimination comes in many forms. Am Behav Sci. 1996;40:186–94.CrossRef
3.
Williams DR. Race, socioeconomic status, and health. The added effects of racism and discrimination. Ann N Y Acad Sci. 1999;896:173–88.CrossRefPubMed
4.
Sevillano V, Basabe N, Bobowik M, Aierdi X. Health-related quality of life, ethnicity and perceived discrimination among immigrants and natives in Spain. Ethn Health. 2014;19:178–97.CrossRefPubMed
5.
6.
Veling W, Selten JP, Susser E, Laan W, Mackenbach JP, Hoek HW. Discrimination and the incidence of psychotic disorders among ethnic minorities in The Netherlands. Int J Epidemiol. 2007;36:761–8.CrossRefPubMed
7.
Stuber J, Galea S, Ahern J, Blaney S, Fuller C. The association between multiple domains of discrimination and self-assessed health: a multilevel analysis of Latinos and blacks in four low-income New York City neighborhoods. Health Serv Res. 2003;38:1735–59.CrossRefPubMedPubMedCentral
8.
Schunck R, Reiss K, Razum O. Pathways between perceived discrimination and health among immigrants: evidence from a large national panel survey in Germany. Ethn Health. 2015;20:493–510.CrossRefPubMed
9.
Wallace S, Nazroo J, Becares L. Cumulative effect of racial discrimination on the mental health of ethnic minorities in the United Kingdom. Am J Public Health. 2016;106:1294–300.CrossRefPubMedPubMedCentral
10.
Bhui K, Stansfeld S, McKenzie K, Karlsen S, Nazroo J, Weich S. Racial/ethnic discrimination and common mental disorders among workers: findings from the EMPIRIC Study of Ethnic Minority Groups in the United Kingdom. Am J Public Health. 2005;95:496–501.CrossRefPubMedPubMedCentral
11.
Schulz A, Israel B, Williams D, Parker E, Becker A, James S. Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area. Soc Sci Med. 2000;51:1639–53.CrossRefPubMed
12.
Agudelo-Suarez AA, Ronda-Perez E, Gil-Gonzalez D, Vives-Cases C, Garcia AM, Ruiz-Frutos C, et al. The effect of perceived discrimination on the health of immigrant workers in Spain. BMC Public Health. 2011;11:652.CrossRefPubMedPubMedCentral
13.
14.
Brondolo E, Rieppi R, Kelly KP, Gerin W. Perceived racism and blood pressure: a review of the literature and conceptual and methodological critique. Ann Behav Med. 2003;25:55–65.CrossRefPubMed
15.
Edwards RR. The association of perceived discrimination with low back pain. J Behav Med. 2008;31:379–89.CrossRefPubMed
16.
Yang HJ, Wu JY, Huang SS, Lien MH, Lee TS. Perceived discrimination, family functioning, and depressive symptoms among immigrant women in Taiwan. Arch women’s Mental Health. 2014;17:359–66.CrossRef
17.
Chou KL. Perceived discrimination and depression among new migrants to Hong Kong: the moderating role of social support and neighborhood collective efficacy. J Affect Disord. 2012;138:63–70.CrossRefPubMed
18.
Kim CO. Discrimination-related health inequality and role of social capital among marriage migrant women in South Korea. Int J Equity Health. 2016;15:176.CrossRefPubMedPubMedCentral
19.
Park GR, Son I, Kim SS. Perceived ethnic discrimination and depressive symptoms among biethnic adolescents in South Korea. J Prev Med Public Health. 2016;49:301–7.CrossRefPubMedPubMedCentral
20.
Noh S, Beiser M, Kaspar V, Hou F, Rummens J. Perceived racial discrimination, depression, and coping: a study of Southeast Asian refugees in Canada. J Health Soc Behav. 1999;40:193–207.CrossRefPubMed
21.
Yip T, Gee GC, Takeuchi DT. Racial discrimination and psychological distress: the impact of ethnic identity and age among immigrant and United States-born Asian adults. Dev Psychol. 2008;44:787–800.CrossRefPubMedPubMedCentral
22.
Cokley K. Critical issues in the measurement of ethnic and racial identity: a referendum on the state of the field. J Couns Psychol. 2007;54:224–34.CrossRef
23.
Phinney JS. When We Talk about American Ethnic Groups, What Do We Mean? Am Psychol. 1996; 51:918–27.CrossRef
24.
Mewes R, Asbrock F, Laskawi J. Perceived discrimination and impaired mental health in Turkish immigrants and their descendents in Germany. Compr Psychiatry. 2015;62:42–50.CrossRefPubMed
25.
Krieger N. Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv. 1999;29:295–352.CrossRefPubMed
26.
Brondolo E, Brady Ver Halen N, Pencille M, Beatty D, Contrada RJ. Coping with racism: a selective review of the literature and a theoretical and methodological critique. J Behav Med. 2009;32:64–88.CrossRefPubMedPubMedCentral
27.
Ikram UZ, Snijder MB, de Wit MA, Schene AH, Stronks K, Kunst AE. Perceived ethnic discrimination and depressive symptoms: the buffering effects of ethnic identity, religion and ethnic social network. Soc Psychiatry Psychiatr Epidemiol. 2016;51:679–88.CrossRefPubMedPubMedCentral
28.
Brittian AS, Kim SY, Armenta BE, Lee RM, Umana-Taylor AJ, Schwartz SJ, et al. Do dimensions of ethnic identity mediate the association between perceived ethnic group discrimination and depressive symptoms? Cult Divers Ethn Minor Psychol. 2015;21:41–53.CrossRef
29.
Mossakowski KN. Coping with perceived discrimination: does ethnic identity protect mental health? J Health Soc Behav. 2003;44:318–31.CrossRefPubMed
30.
Ai AL, Nicdao EG, Appel HB, Lee DH. Ethnic identity and major depression in Asian American Subgroups Nationwide: differential findings in relation to subcultural contexts. J Clin Psychol. 2015;71:1225–44.CrossRefPubMed
31.
Arbona C, Jimenez C. Minority stress, ethnic identity, and depression among Latino/a college students. J Couns Psychol. 2014;61:162–8.CrossRefPubMed
32.
Beiser MN, Hou F. Ethnic identity, resettlement stress and depressive affect among Southeast Asian refugees in Canada. Soc Sci Med. 2006;63:137–50.CrossRefPubMed
33.
Torres L, Yznaga SD, Moore KM. Discrimination and Latino psychological distress: the moderating role of ethnic identity exploration and commitment. Am J Orthopsychiatry. 2011;81:526–34.CrossRefPubMed
34.
Tsuda T. Diasporic homecomings: ethnic return migration in comparative perspective. Stanford: Stanford University Press; 2009.
35.
Han E. Contestation and Adaptation: The Politics of National Identity in China: OUP USA; 2013.
36.
37.
38.
Yang HS, Park W, Yae DK, Kang JW, Kang MS, Kim YS, et al. Research on the socio-demographics of Korean Chinese residing in Seoul and related policy development ("서울 거주 중국동포 실태조사 및 정책수립 연구" in Korean). Seoul: Seoul Metropolitan Government; 2013.
39.
Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) Scale in Korea. J Nerv Ment Dis. 1998;186:304–10.CrossRefPubMed
40.
41.
Vilagut G, Forero CG, Barbaglia G, Alonso J. Screening for depression in the general population with the center for epidemiologic studies depression (CES-D): a systematic review with meta-analysis. PLoS ONE. 2016;11:e0155431.CrossRefPubMedPubMedCentral
42.
Schafer J. Analysis of incomplete multivariate data. London: Chapman & Hall; 1997.CrossRef
43.
Little R, Rubin D. Statistical analysis with missing data. New York: Wiley; 1987.
44.
Rubin D. Multiple imputation for nonresponse in surveys. New York: Wiley; 1987.CrossRef
45.
Quayson A, Daswani G. A companion to diaspora and transnationalism. New York: Wiley; 2013.CrossRef
46.
Jeong HS, Kim YS, Lee TM, Ma KH, Choi YJ, Park GP, et al. A national survey on multicultural families 2015 (No. 2016-03) (in Korean). Seoul: Korean Women’s Development Institute; 2016.
47.
Song C. Chapter 11: brothers only in name. The alienation and identity transformation of Korean Chinese Return Migrants in South Korea. In: Tsuda T, editor. Diasporic homecomings: ethnic return migration in comparative perspective. Standford: Standford University Press; 2009.
48.
Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res. 1998;81:341–52.CrossRefPubMed
49.
Ministriy of Health & Welfare AND Korea Centers for Disese Control & Prevention. Korea Health Statistics 2012: Korea National and Nutrition Examination Survey (KNHANES V-3) South Korea; 2013.
50.
51.
Tropp LR, Wright SC. Ingroup identification and relative deprivation: an examination across multiple social comparisons. Eur J Soc Psychol. 1999;29:707–24.CrossRef
52.
Crosby F. Relative deprivation in organizational settings. Res Organ Behav. 1984;6:51–93.
53.
Metadata
Title
Effects of Ethnic Identity on the Relationship Between Mental Health and Perceived Discrimination Among Ethnic Return Migrants: The Case of Korean Chinese Return-Migrated to South Korea
Author
Jihyung Hong
Publication date
01-06-2019
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0775-9

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