title: Health-Seeking Behaviors of Filipino Migrants in Australia: The Influence of Persisting Acculturative Stress and Depression.
abstract: This study examined the relationships among the constructs of acculturative stress, depression, English language use, health literacy, and social support and the influence of these factors on health-seeking behaviors of Filipino Australians. Using a self-administered questionnaire, 552 respondents were recruited from November 2010 to June 2011. Structural equation modelling was used to examine relationships. A direct and negative relationship between health-seeking behaviors and depression, and an indirect relationship with acculturative stress, was observed mediated through depression. Social support had an important moderating influence on these effects. Although there was an inverse relationship between age and English language usage and depression, age was positively related to health-seeking behavior. Despite their long duration of stay, Filipino Australian migrants continue to experience acculturative stress and depression leading to lower health-seeking behaviors. This study highlights the importance of screening for acculturative stress and depression in migrants and fostering social support.
authors.affiliation: South Western Sydney Local Health District, 59a Cumberland Rd., Ingleburn, NSW, 2565, Australia. della.maneze@sswahs.nsw.gov.au.|Faculty of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia. della.maneze@sswahs.nsw.gov.au.|School of Nursing and Midwifery, University of Western Sydney, Locked bag 1797, Penrith, NSW, 2751, Australia. della.maneze@sswahs.nsw.gov.au.
authors.forename: Della
authors.initials: D
authors.lastname: Maneze
authors.affiliation: Centre for Applied Nursing Research (CANR), South Western Sydney Local Health District, Locked Bag 7103, Liverpool, NSW, 1871, Australia.|School of Nursing and Midwifery, University of Western Sydney, Locked bag 1797, Penrith, NSW, 2751, Australia.
authors.forename: Yenna
authors.initials: Y
authors.lastname: Salamonson
authors.affiliation: School of Nursing and Midwifery, University of Western Sydney, Locked bag 1797, Penrith, NSW, 2751, Australia.
authors.forename: Chandra
authors.initials: C
authors.lastname: Poudel
authors.affiliation: Faculty of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia.
authors.forename: Michelle
authors.initials: M
authors.lastname: DiGiacomo
authors.affiliation: Centre for Applied Nursing Research (CANR), South Western Sydney Local Health District, Locked Bag 7103, Liverpool, NSW, 1871, Australia.|School of Nursing and Midwifery, University of Western Sydney, Locked bag 1797, Penrith, NSW, 2751, Australia.
authors.forename: Bronwyn
authors.initials: B
authors.lastname: Everett
authors.affiliation: Faculty of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia.|School of Nursing, John Hopkins University, Baltimore, MD, USA.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia / Q000453:epidemiology; D003863:Depression / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D057220:Health Literacy; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010679:Philippines / Q000208:ethnology; D012944:Social Support; D013315:Stress, Psychological / Q000208:ethnology*; D055815:Young Adult
keywords: Acculturation; Culture; Filipino; Health-seeking behavior; Immigrant; Social support