Unpacking the Association Between Length of Residence and Health Among Immigrants in Canada: A Moderated Mediation Approach

Chai, Lei

doi:10.1007/s10903-022-01377-x

Cited by 4 publications

(6 citation statements)

References 54 publications

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“…Several studies suggest that self-rated general health often predicts outcomes more accurately than physician diagnoses 33,34. Consistent with recent studies, both self-rated mental and general health were treated as continuous variables in this analysis 35,36…”

Section: Methodsmentioning

confidence: 72%

“…33,34 Consistent with recent studies, both self-rated mental and general health were treated as continuous variables in this analysis. 35,36 Food insecurity was measured using 18 questions from the United States Department of Agriculture, with 10 questions pertaining to adults and 8 to households with children younger than 18 years. 1 Responses were coded according to the Health Canada model of food insecurity status 37 as: "food secure" (1), "moderately food insecure" (2), and "severely food insecure" (3).…”

Section: Methodsmentioning

confidence: 99%

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Food Insecurity and Health

Chai

2023

Family &Amp; Community Health

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Existing research has established the detrimental effects of food insecurity on health. However, understanding of the social conditions that may moderate this relationship remains limited. To address this gap, the study investigates two questions: First, does marital status moderate the association between food insecurity and self-rated health? Second, if such moderation exists, does its impact vary based on gender? Data from the 2017-2018 Canadian Community Health Survey, a nationally representative survey conducted by Statistics Canada (n =101 647), were utilized for this investigation. The findings demonstrated that individuals living in food-insecure households reported poorer self-rated mental and general health. However, the negative impact of food insecurity on both health outcomes was less pronounced among married individuals than among their unmarried counterparts. Furthermore, the stress-buffering role of marriage was found to be more substantial among men than among women. In light of the significant stress-buffering role of marriage revealed in this study, it is crucial for policies to aim at providing comparable coping resources to unmarried individuals, particularly women.

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Section: Methodsmentioning

confidence: 72%

Section: Methodsmentioning

confidence: 99%

Food Insecurity and Health

Chai

2023

Family &Amp; Community Health

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“…These findings align with the stress-buffering role that community belonging plays in mitigating stressful experiences among socioeconomically disadvantaged groups like immigrants and racial/ethnic minorities. [52][53][54][55][56] However, these results also raise questions as to why the moderating effects of community belonging varied based on specific outcomes. Only one Canadian study, to the best of the author's knowledge, has evaluated the moderating potential of community belonging among sexual minority individuals: Pakula and colleagues 32 found that community belonging intensified the disparities in mood disorders but not anxiety disorders, among homosexual individuals.…”

Section: Discussionmentioning

confidence: 95%

“…This measure was treated as a continuous variable. 52,65 The study controlled for several socio-demographic variables that could potentially confound the association between sexual orientation and health and well-being. Age was coded in years.…”

Section: Methodsmentioning

confidence: 99%

“… 47 - 51 Furthermore, multiple studies have confirmed the stress-buffering role of community belonging among immigrants and racial/ethnic minority populations. 52 - 56 Applied to the present scenario, a strong sense of community connectedness could provide a less stigmatized living environment for sexual minority individuals, facilitating more positive identity development. 32 Moreover, a strong sense of community belonging may bolster self-esteem, promote social engagement and participation, and foster health-enhancing behaviors such as a balanced diet and regular physical activity among sexual minority individuals.…”

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confidence: 95%

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Perceived Community Belonging as a Moderator of the Association Between Sexual Orientation and Health and Well-Being

Chai

2023

Am J Health Promot

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Purpose This study examines the moderating role of perceived community belonging in the association between sexual orientation and various health and well-being outcomes. Design A national cross-sectional survey. Setting Confidential microdata from the 2021 Canadian Community Health Survey. Subjects Individuals aged 15 and older, with a sample size ranging from 43,000 to 44,100. Measures Sexual orientation, health and well-being outcomes, and sense of community belonging were all self-reported. Outcomes included self-rated general and mental health, depressive symptoms, and life satisfaction. Analysis A series of multiple linear regression models. Results Compared to heterosexual individuals, bisexual individuals reported poorer self-rated general health (b = .402, P < .001 for men; b = .454, P < .001 for women) and mental health (b = .520, P < .001 for men; b = .643, P < .001 for women), higher depressive symptoms (b = 2.140, P < .001 for men; b = 2.685, P < .001 for women), and lower life satisfaction (b = .383, P < .05 for men; b = .842, P < .001 for women). Few disparities were observed among gay men and lesbians. Contrary to some recent findings, no disparities were observed among individuals uncertain about their sexual orientation or those who chose not to disclose it, even without controlling for covariates. A stronger sense of community belonging mitigated the disadvantages associated with self-rated general health (b = -.276, P < .01) and depressive symptoms (b = -.983, P < .01) for gay men, and life satisfaction (b = -.621, P < .01) for lesbians. Conclusion This study is among the first to highlight the stress-buffering role of community belonging in the association between sexual orientation and health and well-being outcomes.

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Disability and Suicidal Ideation among Indigenous Adults in Canada: Cultural Resources as Contingencies

Chai¹

2023

Archives of Suicide Research

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Unpacking the Association Between Length of Residence and Health Among Immigrants in Canada: A Moderated Mediation Approach

Cited by 4 publications

References 54 publications

Food Insecurity and Health

Food Insecurity and Health

Perceived Community Belonging as a Moderator of the Association Between Sexual Orientation and Health and Well-Being

Disability and Suicidal Ideation among Indigenous Adults in Canada: Cultural Resources as Contingencies

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