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

Wei Ti Chen, Barbara Guthrie, Cheng Shi Shiu, Lixuan Wang, Zhongqi Weng, Chiang Shan Li, Tony Szu Hsien Lee, Emiko Kamitani, Yumiko Fukuda, Binh Vinh Luu

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1914-1925
Number of pages12
JournalJournal of Advanced Nursing
Volume71
Issue number8
DOIs
Publication statusPublished - 2015 Aug 1

Keywords

  • Acculturation
  • American dream
  • Asian
  • Depression
  • HIV
  • Immigrants
  • Nursing
  • Self-actualization
  • Stress

ASJC Scopus subject areas

  • Nursing(all)

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