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      Acculturative Stress of Chinese Rural-To-Urban Migrant Workers: A Qualitative Study

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          Abstract

          Background

          Global literature has suggested a negative impact of acculturative stress on both physical and mental health among international migrants. In China, approximately 20 percent of its population is rural-to-urban migrant workers and there are significant cultural differences between rural and urban societies, but no data are available regarding the acculturative stress of Chinese migrant workers. This study aimed to explore the forms and contexts of acculturative stress among Chinese migrant workers.

          Methods

          Qualitative data were collected from four focus group discussions with 17 Chinese rural-to-urban migrant workers and three individual interviews with three medical professionals who provided mental health services for factory-workers in Shenzhen, China.

          Results

          The data in the current study showed that rural-to-urban migrant workers in China had experienced various forms of acculturative stress including difficulties in adapting to the environment, work-related stress, family-related stress, financial hardship, and lack of sense of belonging to cities.

          Conclusion

          Rural-to-urban migration in China is a challenging transition with significant acculturative stress and demands for major adjustments among migrant workers. The assessment and management of acculturative stress is a necessary first step in providing mental health services to migrant workers.

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          Most cited references20

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          Acculturative stress, social support, and coping: relations to psychological adjustment among Mexican American college students.

          This study examined the relations between acculturative stress and psychological functioning, as well as the protective role of social support and coping style, in a sample of 148 Mexican American college students (67% female, 33% male; mean age = 23.05 years, SD = 3.33). In bivariate analyses, acculturative stress was associated with higher levels of anxiety and depressive symptoms. Moreover, active coping was associated with better adjustment (lower depression), whereas avoidant coping predicted poorer adjustment (higher levels of depression and anxiety). Tests of interaction effects indicated that parental support and active coping buffered the effects of high acculturative stress on anxiety symptoms and depressive symptoms. In addition, peer support moderated the relation between acculturative stress and anxiety symptoms. Implications for reducing the effects of acculturative stress among Mexican American college students are discussed. 2007 APA
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            Migration, distress and cultural identity.

            When people migrate from one nation or culture to another they carry their knowledge and expressions of distress with them. On settling down in the new culture, their cultural identity is likely to change and that encourages a degree of belonging; they also attempt to settle down by either assimilation or biculturalism. In this paper, various hypotheses explaining the act of migration and its relationship with mental distress are described. A new hypothesis is proposed suggesting that when sociocentric individuals from sociocentric cultures migrate to egocentric societies they may feel more alienated. In order to assess and manage migrants, the clinicians need to be aware of the pathways into migration.
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              Mental health of migrant workers in China: prevalence and correlates.

              This study aimed to examine the prevalence and the socio-demographic correlates of mental health of migrant workers in Shanghai China. A total of 475 migrant workers from four major districts in Shanghai were recruited through a survey design with a multistage cluster [corrected] sampling. Male and female migrant workers were identified as mentally healthy or unhealthy using the brief symptom inventory. Socio-demographic characteristics and migration stress were explored as correlates of the mental health of the migrant workers. A total of 73 migrant workers could be classified as mentally unhealthy (25% for men and 6% for women). Male migrant workers who were married (OR 6.16, 95% CI 1.83-20.70), manual laborers (OR 1.56, 95% CI 0.97-2.51), and experienced more stress in "financial and employment-related difficulties" (OR 2.75, 95% CI 1.47-5.14) and "interpersonal tensions and conflicts" (OR 4.18, 95% CI 1.55-11.25) were more likely to be mentally unhealthy, whereas the female migrant workers who experienced more stress in "interpersonal tensions and conflicts" (OR 6.52, 95% CI 0.83-51.14) were more likely to have poor mental health. The findings provide information for the prevention of mental illness among migrant workers in China. The implications and limitations are also discussed.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                14 June 2016
                2016
                : 11
                : 6
                : e0157530
                Affiliations
                [1 ]Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, P. R. China
                [2 ]Affiliated Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, P. R. China
                [3 ]Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, P. R. China
                [4 ]Centre for the Study of Religion and Chinese Society, The Chinese University of Hong Kong, Hong Kong SAR, P. R. China
                [5 ]College of Social Development, Fujian Normal University, Fuzhou, P. R. China
                [6 ]Department of Psychology, The Chinese University of Hong Kong, Hong Kong, P. R. China
                [7 ]Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United States of America
                Federal University of Rio de Janeiro, BRAZIL
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: HFKC SSMC B-LZ. Performed the experiments: B-LZ T-BL. Analyzed the data: B-LZ J-XH HHF. Contributed reagents/materials/analysis tools: J-XH HHF. Wrote the paper: B-LZ HFKC SSMC J-XH YC HHF.

                Article
                PONE-D-15-46251
                10.1371/journal.pone.0157530
                4907425
                27300005
                13147c0e-9e5f-43aa-9c9b-480150d30593
                © 2016 Zhong et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 22 October 2015
                : 1 June 2016
                Page count
                Figures: 0, Tables: 2, Pages: 15
                Funding
                Funded by: CUHK Direct Grant
                Award ID: 2041727
                Award Recipient :
                Funded by: CUHK Direct Grant
                Award ID: 2041728
                Award Recipient :
                This study was supported by Direct Grant 2041727 (SSMC, PI) and 2041728 (HFKC, PI) from The Chinese University of Hong Kong. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Social Sciences
                Economics
                Labor Economics
                Labor Mobility
                Social Sciences
                Sociology
                Education
                Schools
                Social Sciences
                Sociology
                Human Families
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Psychological Stress
                Biology and Life Sciences
                Psychology
                Psychological Stress
                Social Sciences
                Psychology
                Psychological Stress
                Social Sciences
                Economics
                Finance
                People and Places
                Geographical Locations
                Asia
                China
                Social Sciences
                Sociology
                Culture
                Custom metadata
                All relevant data are within the paper.

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