Asian American Families Research Articles

Attitude toward physical activity among Asian American family caregivers of persons living with dementia

This qualitative study aimed to explore attitudes toward physical activity behaviors in the context of dementia caregiving among Asian Indian, Chinese, Korean, and Vietnamese American family caregivers of persons living with dementia. We used qualitative data from verbatim transcripts of current caregivers (N = 21) from focus groups and individual interviews. Ethnically or linguistically matched moderators facilitated focus groups and interviews in four languages. Finalized themes included: (1) Physical activity and exercise are different.; (2) Exercise has many benefits.; (3) Health issues and stress from caregiving demotivate engaging in regular exercise.; (4) Prioritizing and planning exercises are necessary; and (5) Social support is essential to engage in physical activity. Caregiving limits the type of exercise some can do, depending on care recipients’ conditions. Efforts to help caregivers prioritize exercise and seek social support from others, including healthcare professionals, would be greatly needed to promote physical activity among this population.

The relationship between familial factors and youth mental health outcomes in Korean American families: The mediation effects of youth's negative emotionality.

Depressive symptoms are one of the mental health problems among Korean American (KA) youth. Although several studies examined mental distress among KA youth, few have examined the associations between different familial factors, negative emotionality, and depressive symptoms among them, especially using longitudinal data. Drawing on the Triadic Model of Family Process (TMFP), this study examined the longitudinal associations between Korean-specific aspects of familial factors and depressive symptoms among KA youth and the mediation role of negative emotionality in the relationships. Using KA youth and parent data from the Midwest Longitudinal Study of Asian American Families (MLSAAF) project, path analyses revealed that family enmeshment and youth-reported intergenerational conflict were associated with youth depressive symptoms, with negative emotionality serving as a mediator. The findings suggest that interventions aimed at reducing negative emotionality and improving parent-youth relationship quality and family boundaries could be helpful in reducing youth depressive symptoms.

The Longitudinal Impact of Family, Religious, and School Support on the Mental Health of Filipino and Korean American Youth Across Adolescence.

Asian Americans, currently the most rapidly expanding racial group in the USA, are experiencing persistent mental health inequities. These inequities are particularly pronounced during adolescence, highlighting the critical need for dedicated focus on this demographic. Social support is a key shield against mental distress among these adolescents, yet little research has examined the collective impact of multiple sources of support over time, across developmental stages, and for different ethnic subgroups. Drawing on the integrated conceptual framework, this longitudinal study is the first to our knowledge to examine how support from families, religious organizations, and schools together predicts mental health over time across adolescents' developmental stages. We further examined how these relationships may be moderated by age groups, distinguishing between the early adolescence cohort and the middle adolescence cohort. Data were from the Midwest Longitudinal Study of Asian American Families (MLSAAF) project that survey-interviewed 378 Filipino American and 408 Korean American adolescents (Mage = 15years). Findings reveal that family support consistently buffers against mental distress throughout adolescence for both groups. Religious support distinctly aids Filipino American early adolescents, while school support notably benefits early adolescents regardless of ethnicity. These findings emphasize the universal protective effects of social support, while also highlighting the nuanced ways that developmental stage and ethnicity may influence how different sources of support impact mental health. This underscores the need for developmentally and culturally sensitive mental health strategies for Asian American adolescents.

Engaging Asian American Family Caregivers in Clinical Trials: Awareness, Preferences, and Concerns.

The purpose of this study was to evaluate Asian American caregivers' experiences and concerns related to clinical trials and the types of information they trust, use, and prefer before enrolling their older relative in a clinical trial. We conducted an online, cross-sectional survey with Asian American family caregivers between July 2022 and April 2023. Of all respondents (n = 98), 62.2% reported knowing only a little about clinical trials. Respondents expressed wanting information about (a) the purpose, design, and components of the trial; (b) trial research ethics and safety; and (c) their responsibilities as the caregiver. Greater engagement between clinicians and family caregivers of culturally diverse older adults could help minimize sociocultural barriers to participation in clinical trials. Providing key information to family caregivers in a comprehensive and accessible way without adding burden could help caregivers understand their responsibilities through the clinical trial process.

Special education experiences and stress among Asian-American parents of children with intellectual and developmental disabilities

ABSTRACT Family involvement is an essential component of the special education process for youth with intellectual and developmental disabilities (IDD). In addition to the legal requirement that parents should be equal partners in the decision-making of the student’s individualized education program (IEP) program (IDEA, 2004), a bulk of empirical research demonstrates the positive impact of parent involvement on student outcomes. However, many families face barriers to participation in the special education process. Culturally and linguistically diverse (CLD), including Asian-American families, especially face systemic barriers when accessing services for their children with disabilities. Unfortunately, less research is known about how Asian-American families participate in their child’s IEP meeting. To these ends, individual interviews were conducted with eight Asian-American families of children with IDD to explore parental perceptions of stress in relation to IEP meetings, special education knowledge, and family-professional partnerships. Participants reported feeling stress before, during, and after the IEP meeting. Regardless of the nature (i.e. positive, negative, or neutral) relationship with the school, participants reported barriers (i.e. language and poor experiences with school personnel) to their family-school partnerships. Implications for research and practice are discussed.

Invisible no more: the intersectionality of Asian American immigrants experiences

ABSTRACT Violence against individuals of Asian ancestry is frequently overlooked and dismissed as a personal issue. This conceptual paper aims to critically analyze the roots of anti-Asian violence as a sociopolitical problem and investigate the systematic oppression that leads to the invisibility of Asian American experiences. To begin, we introduce two conventional paradigms that function as forms of systemic oppression, contributing to the marginalization of Asian American immigrants. Subsequently, we present the concept of intersectionality as an alternative paradigm for understanding the diverse experiences within the Asian American community. Furthermore, we offer suggestions for the training of social workers to better equip them to assist Asian American individuals and families who find themselves caught between the Black/White and Native/Alien binaries.

How Shared Dietary Behaviors Within Asian American Families Are Influenced by Emotional Interaction Qualities: A Nationwide Cross-sectional Analysis.

Asian American (AA) young adults face a looming diet-related non-communicable disease crisis. Interactions with family members are pivotal in the lives of AA young adults and form the basis of family-based interventions; however, little is known on the role of these interactions in shared family food behaviors. Through an analysis of 2021 nationwide survey data of 18-35-year-old AAs, this study examines how the quality of family member interactions associates with changes in shared food purchasing, preparation, and consumption. Interaction quality was assessed through 41 emotions experienced while interacting with family, and was categorized as positive (e.g., "I look forward to it"), negative (e.g., "I feel annoyed"), and appreciation-related (e.g., "I feel respected") interactions. Participants were also asked how frequently they ate meals, ate out, grocery shopped, and cooked with their family. Among the 535 AAs surveyed (47.6% East Asian, 21.4% South Asian, 22.6% Southeast Asian), 842 unique family interactions were analyzed; 43.5% of interactions were with mothers, followed by siblings (27.1%), and fathers (18.5%). Participants most frequently ate meals with their family (at least daily for 33.5% of participants), followed by cooking (at least daily for 11.3%). In adjusted analyses, an increase in shared food behaviors was particularly associated with positive interactions, although most strongly with cooking together and least strongly with eating meals together; significant differences between ethnic subgroups were not observed. Findings revealed the importance of family interaction quality when leveraging family relationships to develop more tailored, impactful AA young adult dietary interventions.

Racial-ethnic socialization among Asian American families with preadolescent children.

The COVID-19 pandemic and resurgence of overt anti-Asian racism have prompted many Asian American parents to grapple with ways to discuss race and ethnicity with their children. Racial-ethnic socialization (RES) has been shown to have promotive and protective influences on Asian American adolescents' adjustment but remains understudied among Asian American families with younger children. This study examined parent (i.e., racial-ethnic identity [REI], experiences of discrimination) predictors of RES among Asian American families with preadolescent-aged children and moderation by parental generational status. We surveyed a sample of 404 Asian American parents (Mage = 38.4, SD = 7.0; 66% female) with 6- to 12-year-olds (Mage = 8.9, SD = 2.0; 56% boys). Findings revealed that parents with higher levels of REI centrality were more likely to report engaging in cultural maintenance practices and those with higher levels of REI private regard were less likely to minimize race. Parents' experiences of racial discrimination were also associated with more frequent cultural maintenance practices and discussions of anti-Asian discrimination. Tests for moderation by parental generational status indicated that the positive association between experiences of racial discrimination and discussions of anti-Asian discrimination was stronger among first-generation than second+ generation parents. Findings highlight that among Asian American parents of preadolescent-aged children, RES approaches and practices are nuanced and differentially responsive to parents' views of their own REI, their experiences of racial discrimination, and by generational status. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Supplemental Material for Racial–Ethnic Socialization Among Asian American Families With Preadolescent Children

Supplemental Material for Racial–Ethnic Socialization Among Asian American Families With Preadolescent Children

Cultural considerations for youth mental health first aid USA for South Asian and Southeast Asian American families

ABSTRACT Objective: Mental health is a pressing concern for South Asian Americans (SAAs) and Southeast Asian Americans (SEAAs) in the U.S. However, research on mental health support specifically for these populations is limited. Given their unique experiences as racial minorities in the U.S., this study aims to identify culturally relevant factors impacting youth mental health and examine culturally sensitive ways to adapt Youth Mental Health First Aid (YMHFA) for SAA and SEAA communities. Method: We conducted two focus group interviews with 10 SAA and SEAA mental health professionals and two focus group interviews with six SAA and SEAA parents who had received YMHFA training. These interviews were transcribed verbatim and analyzed using thematic analysis. The two coders established good interrater reliability with a kappa of .90. Results: Findings identified themes such as barriers to help-seeking, protective factors, considerations for cultural adaptation of YMHFA when working with SAA and SEAA families, and parents’ experience utilizing ALGEE. Some sub-themes include acculturative stress, stigma, cultural strengths, family values, building community partnerships, coping strategies, and psychoeducation. Discussion: This study describes prevalent barriers and facilitators to mental health and explores clinical and research implications of working with SAA and SEAA youth and families.

Data Disaggregation of Asian-American Family Physicians.

The singular label of "Asian" obscures socioeconomic differences between Asian ethnic groups that affect matriculation into the field of medicine. Using data from American Board of Family Medicine Examination candidates in 2023, we found that compared to the US population, among Asian-American family physicians, Indians were present at higher rates, while Chinese and Filipinos were underrepresented, suggesting the importance of continued disaggregation of Asian ethnicities in medicine.

Family rejection and LGBTQ+ Asian Americans' psychological distress and disordered eating: The role of conflicts in allegiances and family shame.

Lesbian, gay, bisexual, trans, and queer (LGBTQ+) Asian Americans experience unique psychological health concerns at the intersection of multiple forms of marginalization. White supremacist, cisheteronormative, and colonial ideals and their structural and interpersonal manifestations may encourage family rejection of LGBTQ+ identities within Asian American family units. Family shame, conflicts in allegiances, and internalized anti-LGBTQ+ stigma were hypothesized as mediators in the association between family rejection and psychological distress and disordered eating. The present study examined family rejection and its impacts on psychological distress and disordered eating in a sample of LGBTQ+ Asian American adults (N = 155; Mage = 24.26; 30.3% gender diverse) using a cross-sectional survey design and path analysis. There was a significant serial mediation such that family rejection was positively associated with conflicts in allegiances, family shame, and psychological distress (B = .12, p = .01). The same serial mediation was nonsignificant for disordered eating (B = .04, p = .26). Results indicate the importance of considering conflicts in allegiances, family shame, and the interpersonal dynamics of LGBTQ+ Asian Americans in understanding experiences of psychological distress and disordered eating. Implications are drawn for further research, clinical work, and broader efforts addressing the larger sociocultural environment that encourages family rejection of LGBTQ+ identity. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Ethnic‐racial socialization in mono‐racial Asian American and Pacific Islander families: A 21‐year systematic literature review

AbstractThis study systematically reviewed the literature on ethnic‐racial socialization (ERS) in mono‐racial Asian American and Pacific Islander (AAPI) families in the United States. Following the PRISMA guidelines, we examined what is known about (1) ERS strategies used, (2) child and parent factors related to ERS, and (3) the relation of ERS to child outcomes in mono‐racial AAPI families. We included peer‐reviewed, original studies published between January 2002 and August 2023, abstracted in Sociological Abstracts, PubMed, and/or PsychINFO, and focused on ERS in AAPI families. Fifty‐eight studies met the inclusion criteria. The reviewed studies show that mono‐racial AAPI families engage in ERS, but parents' messages tend to focus on positive aspects of ethnicity‐race (e.g., ethnic pride) and avoid negative aspects (e.g., discrimination). However, due to the COVID‐19 pandemic and Black Lives Matter, parents are increasingly willing to address the negative aspects of ethnicity‐race, including racism and anti‐racism, to prepare their children for a racialized society. ERS is related to AAPI child identity, psycho‐social outcomes, ethnic‐racial attitudes and experiences, and other outcomes but in a variety of contingent ways. We identify gaps in the literature and recommend future research on ERS in AAPI families.

Environment matters: How are neighborhood structural indexes associated with parenting stress among Asian immigrant families?

The Asian immigrant population is the fourth largest immigrant population in the United States, and its parenting stress issues have been consistently recognized in previous studies. However, little attention has been paid to neighborhood-level factors and their parenting stress. Using the Study of Asian American Families and 2016 American Community Survey 5-year estimates, this study examined the association between neighborhood structural indexes and Asian immigrant parents' parenting stress, along with the mechanism driving the relationship. We found that cultural orientation and social support fully mediated the effects of economic disadvantages on parenting stress among Asian immigrant parents. Only cultural orientation mediated the direct effects of ethnic heterogeneity on Asian parents' parenting stress. Improving Asian immigrants' living environment, including economic status and ethnic diversity, would be critical to relieve the parenting stress of Asian immigrant families. Interventions and preventions to increase social support, and inform cultural orientation and acculturation are emphasized.

Paying for the Prestige: Differences in College Investment between Asian American and White Families

Much research has focused on the relative success of Asian Americans in U.S. higher education, particularly their high rates of enrollment and graduation compared to White Americans. In this research, we investigate one factor that may influence these outcomes: whether Asian American families invest more financially in their children’s college education. Using data from the 2015–2016 National Postsecondary Student Aid Study, we find that Asian American families contribute more not only absolutely but also proportionate to their incomes. This is not due to their greater financial resources but is related to Asian American students’ attendance at more selective institutions. Asian American families may adopt college investment strategies that place more value on selective institutions, perhaps because of perceived intrinsic value, high esteem in their social networks, limited information about other institutions, and/or because they anticipate that such experiences more easily translate into desired occupations.

The influence of informal social control on psychological aggression against children in Asian American families

The purpose of this study is to examine how informal social control influences varied types of child abuse, such as physical assault and psychological aggression, in Asian American families. Analyzing 74 non-Hispanic Asian American mothers, results from binomial logistic regression indicate that Asian American mothers who perceived higher informal social control in their neighborhoods had significantly lower odds of engaging in child psychological aggression. However, perceived informal social control was not associated with physical assault among them. Findings suggest that promoting informal social control for Asian American families may be beneficial to prevent psychological aggression of Asian American children.

Asian American Racialization in America’s Top-Ranked Public High Schools: Synchronizing Discourses of Model Minority and Perpetual Foreigner

ABSTRACT Asian Americans are racialized into a highly complex and somewhat paradoxical position in the U.S. racial matrix. Drawing on interviews with parents at highly selective public magnet schools, this critical discourse analysis explores the processes of Asian American racialization and examines the ways that parents invoke and mobilize the racializing discourses of model minority and perpetual foreigner when discussing the Asian American student presence at their children’s schools. I first show how the model minority myth functions as a discursive racial weapon used to harm other communities of color, and then I demonstrate how Asian American students and families are simultaneously racialized by both model minority and perpetual foreigner discourses as competitive threats, outsiders whose presence causes unease and discomfort, and foreigners with inferior practices. Examining these racializing discourses and the ways that they function in synchrony is critical to understanding the racialized position of Asian Americans.

Asian American parenting in a racialized world: The role of ideological contexts and intergenerational gaps

AbstractObjectiveTo understand the challenges that have impeded Asian American parents' critical responses toward racism, we looked at interpretive contexts, as well as the recent immigration contexts and their impacts on intergenerational relationships.BackgroundAsian Americans are the fastest growing diverse group in the United States. The advent of COVID‐19 resulted in a dramatic increase of anti‐Asian hate crimes.MethodsWe reviewed research on Asian American parents' racialized experiences and the challenges they face when raising children to respond to racism. With a contextual perspective, we highlighted three ideological concepts that have shaped the interpretive context for Asian American parents' responses to racism, including the model minority myth, the just‐world view, and the cultural maintenance model. We also looked at how recent waves of immigration may have compounded intergenerational gaps in many Asian American families, with both developmental and acculturational differences between generations.Results and ConclusionUnderstanding these contexts provides insights into how to best support Asian American parents as they communicate with their children on complicated topics. These support can help faciliate these parents' ability to remain grounded in their ethnic‐racial group, while uniting with other diverse groups in dismantling racism.ImplicationsInformational and sociocultural resources are needed to help Asian American parents develop racial literacy and seek changes. We encourage practitioners to develop cultural competency and deepen their understanding of immigrant families' developmental and acculturational needs.

“Urgently Needed to Protect Asian American Children and Families”: The Social Movement for Asian American Studies at K‐12 Grades

The national movement for Asian American Studies (AASs) curriculum at the K‐12 level has burgeoned during the COVID‐19 pandemic and the subsequent surge of anti‐Asian hate. Seventeen states proposed legislation requiring AAS content in their public schools and ten states have now mandated it. Using case studies of two states, Illinois and New Jersey, this article details how community activists and elected legislators framed their campaigns to successfully pass their bills. In both states, the campaigns utilized diagnostic frames from the broader Asian American movement. However, they also incorporated and developed prognostic frames and motivational frames more resonant with the current moment. Notably, stakeholders focused on organizing around a winnable issue, with an emphasis on racial bullying in New Jersey and multiracial solidarity and inclusion in Illinois.

Asian American child-parent cultural value discrepancies, family conflict, life satisfaction, and self-esteem.

We examined Asian American college students' adherence to traditional values that are salient in Asian cultures, the students' perceptions of their mother's and father's adherence to the same values, and the discrepancies between the students and their mothers and fathers on the levels of adherence to these values. Based on the data from 301 participants who self-identified as Asian Americans, paired-samples t tests revealed that the child-parent cultural value discrepancies were present across all generational statuses of the participants with the children adhering less strongly to most of the value dimensions than their parents. The results based on correlational analyses showed that many types of value discrepancies were positively associated with the likelihood and seriousness of conflict. Several types of value discrepancies also were inversely associated with the participants' life satisfaction and self-esteem. In addition, the results from the PROCESS Macro for mediation analysis revealed significant mediation role of family conflict on the relationships between various types of value discrepancies and life satisfaction. The significant mediators were the likelihood and seriousness of family conflict and the family conflict about education and career decisions, and the value discrepancies centered on the values of conformity to norms, family recognition through achievement, and humility. (PsycInfo Database Record (c) 2023 APA, all rights reserved).