The role of discrimination, assimilation, and gender in the mental health of resettled Somali young adults: A longitudinal, moderated mediation analysis

Author:

Gillespie Sarah1ORCID,Winer Jeffrey P.23,Issa Osob2,Ellis B. Heidi23

Affiliation:

1. Institute of Child Development, University of Minnesota, Minneapolis, MN, USA

2. Department of Psychiatry, Boston Children’s Hospital, Boston, MA, USA

3. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

Abstract

Acculturation styles have important associations with future adjustment among immigrants and refugees, yet less is known about the individual and interpersonal factors that influence the strategy an individual adopts. High rates of discrimination may signal the receiving community’s rejection of one’s ethnic group, increasing pressure to assimilate and suppress one’s heritage identity. Within a sample of Somali young adults (18–30, N = 185) resettled in North America, this study tested whether two acculturation styles (assimilation and integration) longitudinally mediate the relation between discrimination and three mental health outcomes (i.e., anxiety, depression, and posttraumatic stress disorder), and whether gender moderated these relations. Discrimination had a direct, positive relation with future mental health symptoms for females, which was not mediated by acculturation strategy. By contrast, the association between discrimination and mental health outcomes for males was fully mediated by increased endorsement of assimilation, but not integration. Experiences of marginalization may erode connections to both the Somali community and to the nation of resettlement, which have been identified as particularly strong protective forces within this community. Interventions targeted at the receiving community to reduce the rates of discrimination toward immigrants and refugees and interventions to strengthen youth’s sense of belonging in both the predominant culture and their culture of origin may improve transdiagnostic mental health outcomes.

Funder

National Institute of Justice

U.S. Department of Defense

Thrasher Research Fund

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Health (social science)

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