Impact of social discrimination, job concerns, and social support on Filipino immigrant worker mental health and substance use.
Am J Ind Med 2013 Sep; 56(9):1082-1094
BACKGROUND: The personal and social impact of mental health problems and substance use on workforce participation is costly. Social determinants of health contribute significantly to health disparities beyond effects associated with work. Guided by a theory-driven model, we identified pathways by which social determinants shape immigrant worker health. METHOD: Associations between known social determinants of mental health problems and substance use (social discrimination, job and employment concerns, and social support) were examined using structural equation modeling in a sample of 1,397 immigrants from the Filipino American Community Epidemiological Study. RESULTS: Social discrimination and low social support were associated with mental health problems and substance use (P < 0.05). Job and employment concerns were associated with mental health problems, but not substance use. CONCLUSIONS: The integration of social factors into occupational health research is needed, along with prevention efforts designed for foreign-born ethnic minority workers.
Humans; Adolescents; Men; Women; Age-groups; Demographic-characteristics; Sociological-factors; Mental-health; Substance-abuse; Models; Epidemiology; Etiology; Psychology; Risk-factors;
Author Keywords: Filipino immigrant workers; mental health; substance use; social determinants; theory-driven multivariate model building; SEM
Dr. Jenny Hsin-ChunTsai, Department of Psychosocial and Community Health, School of Nursing, University of Washington, Box 357263, Seattle, WA
American Journal of Industrial Medicine
University of Washington