Browsing by Author "Kim, Min Ju"

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    Acculturation, Social Support and Suicidal Ideation among Asian immigrants in the United States
    (2020-10-27) Kim, Min Ju; Gorman, Bridget K
    This study examines suicidal ideation among Asian immigrant adults in the United States, with consideration of the roles of acculturation and social support. Using the 2002-2003 National Latino and Asian American Study (NLAAS), I conduct latent class analysis with measures of U.S. cultural orientation and Asian ethnic affiliation to create a multidimensional construct of acculturation. Three acculturation groups are identified (assimilated, integrated, separated) that show different associations with suicidal ideation. Then I analyze how the association between acculturation status and suicidal ideation is moderated by social support, distinguishing between perceived versus received support. Findings reveal that the buffering role of social support is gender-specific, with perceived support from friends reducing the risk of suicidal ideation only among assimilated women. Implications for future research include further application of acculturation as a multidimensional construct to various health outcomes and behavior as well as to other immigrant subgroups. Public health intervention efforts aimed at preventing suicide should endeavor to promote perceptions of an available social support system among immigrants, and aid in establishing sources of support outside the family particularly for immigrant women.
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    Assimilation, Gender, and Health among Asian Americans in the United States
    (2024-06-25) Kim, Min Ju; Gorman, Bridget
    Scholarship on assimilation and health among Asian Americans in the United States has largely focused on the foreign-born population. As a result, relatively less is known about generational disparities in health among Asian Americans as well as the mechanisms that underlie them. In recognition of such gaps in existing literature, I use the 2016 National Asian American Survey (NAAS) (n=4,242) and first examine how Asian/American identity centrality moderates the relationship between generational status and self-rated health among Asian American adults. In the process, I consider gender as a key modifier in recognition of gendered contexts of migration. I find that Asian identity centrality operates as a health-protective resource among foreign-born first-generation immigrants, in contrast to their native-born counterparts among whom it functions as a risk factor. American identity centrality is also a risk to health, but specifically among second-generation women. Then I use the same data and analyze how discrimination shapes self-rated health across generations, also accounting for differences by gender. I find that second-generation men are most vulnerable to the adverse relationship between discrimination and health, illuminating the contexts of gendered racism as well as generational differences in internalized racism. Lastly, I draw on data from the 2011-2020 California Health Interview Survey (CHIS) and investigate the interrelationship between nativity, ethnicity, gender, and self-rated health among Asian American adults (n=16,754). I find that nativity disparities in health are differentially shaped by the intersection of ethnicity and gender, highlighting the need to consider varying modes of incorporation across Asian ethnic groups in tandem with gendered contexts of migration. Future research should continue to develop a comparative understanding of generational disparities in health among Asian Americans, with greater attention to gender specificity and intervening mechanisms.
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    Healthcare satisfaction at the intersections of sexual orientation and race/ethnicity
    (Taylor & Francis, 2023) Kim, Min Ju; Wilkins, Kiana; Gorman, Bridget
    Objectives: Existing scholarship has consistently demonstrated disparities in healthcare experience based on sexual identity. However, relatively little research has considered intersections with race/ethnicity, despite that intersection with other characteristics may complicate healthcare experiences and satisfaction among sexual minorities. This study aims to address such a gap by examining healthcare satisfaction across the intersections of sexual and racial/ethnic identity.Design: Utilizing data on U.S. adults included in the 2013–2018 Behavioral Risk Factor Surveillance System (BRFSS) (n = 372,766), we investigate levels of satisfaction with care among a range of groups simultaneously embodying two identities.Results: Findings from ordered logistic regression models show that among adults who identify as heterosexual, the odds of reporting high satisfaction with care are lower among Blacks, Asians, and Native Americans. Among sexual minority adults, the likelihood of reporting high satisfaction with care is consistently lower among Native American gay and lesbian adults compared to gays and lesbians of other race/ethnicity or Native American and White heterosexuals, indicating heightened vulnerability to poorer healthcare experience among this multiple minority group.Conclusion: While levels of satisfaction with care tend to be generally high across groups, future research should endeavor to investigate the driving factors that lower the odds of high healthcare satisfaction among those with intersecting minority identities.