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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Longer You Stay, the Worse Your Health? A Critical Review of the Negative Acculturation Theory among Asian Immigrants
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The Longer You Stay, the Worse Your Health? A Critical Review of the Negative Acculturation Theory among Asian Immigrants

机译：您待的时间越长，您的健康状况越差？批判亚洲移民中的负适应理论

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摘要

Researchers have become increasingly interested in the health patterns of immigrants with longer residence in the United States, as this reveals the health consequences of integration processes. The negative acculturation effect has been the dominant interpretation of duration patterns, despite empirical and theoretical uncertainties about this assumption. This theory assumes that immigrant health declines with longer residence in the United States because of poorer health behaviors and health risks that reflect Americanized lifestyles. This paper reviews the empirical support for the negative acculturation theory among Asian immigrants to determine if and when it is an appropriate interpretation for duration patterns. I conclude that empirical inconsistencies and methodological issues limit the negative acculturation theory as the primary interpretation for duration patterns. First, there is no consistent evidence that health behaviors decline with time. There is also substantial group heterogeneity in duration patterns as well as heterogeneity across health outcomes. The literature has not adequately addressed methodological shortcomings, such as confounding by cohort effects or non-linear duration patterns. Length of residence in the United States is still an important aspect of Asian immigrant health, but the mechanisms of this relationship are still understudied. I propose alternative frameworks between duration and health that consider environmental influences and end with future research directions to explore research gaps.
机译：研究人员对在美国居住时间更长的移民的健康状况越来越感兴趣，因为这揭示了融合过程的健康后果。尽管对这一假设存在经验和理论上的不确定性，但负文化适应效应一直是持续时间模式的主要解释。该理论假设移民健康随着在美国居住的时间延长而下降，原因是不良的健康行为和反映美国人生活方式的健康风险。本文回顾了亚洲移民对负文化适应理论的经验支持，以确定它是否以及何时适合作为持续时间模式的解释。我得出结论，经验不一致和方法论问题限制了负文化理论作为持续时间模式的主要解释。首先，没有一致的证据表明健康行为会随着时间而下降。持续时间模式以及整个健康结果的异质性也存在很大的群体异质性。文献没有充分解决方法上的缺陷，例如由于队列效应或非线性持续时间模式而造成的混淆。在美国的居住时间仍然是亚洲移民健康的重要方面，但这种关系的机制仍未得到充分研究。我提出了持续时间和健康之间的替代框架，其中考虑了环境影响并以未来的研究方向作为结尾，以探讨研究差距。

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