Racial Discrimination, Cultural Processes, and Mental Health Among Individuals from Asian Backgrounds during COVID-19: A Narrative Review
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Publié-e :
mars 20, 2022
Mots-clés :
COVID-19, mental health, Asian discrimination
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Résumé
Purpose: The goal of this paper is to examine racial/ethnic discrimination among young adults from Asian backgrounds, the extent to which these experiences affect their mental health, and whether cultural processes and coping strategies mitigate the impact of discrimination on mental health.
Background: Due to the Coronavirus (COVID-19) originating from Wuhan, China, there has been an increase in discrimination and xenophobia directed towards Asians worldwide, most prominently in Western countries. Fear of experiencing discrimination can harm mental health. Perceptions of discrimination and ways of coping with it may be influenced by cultural processes, such as acculturation and coping strategies. For young people, the consequences of negative bias towards one’s group, in addition to facing COVID-19-related stressors, could be harmful to mental health.
Objectives: Racial/ethnic discrimination experienced among Asians living in Canada within the COVID-19 context and potential cultural processes (acculturation orientation, coping strategies) that might reduce the impact of discrimination on mental health.
Methods: Articles on the impact of COVID-19 on mental health and racial/ethnic discrimination concerning the pandemic within the North American context were reviewed to examine the extent to which ethnocultural factors were addressed in the recent literature. Within the COVID-19 context, the discrimination experiences and well-being of young adults aged 17-25 years old were examined. To investigate whether cultural processes are associated with perceptions of racial/ethnic discrimination, related topics such as coping strategies, acculturation orientation, and physical health, earlier articles were sought out, with a primary focus on Canada and the US. Keywords searched on Google Scholar, PsychINFO, and PubMed databases included Asian and Chinese racial/ethnic discrimination, COVID-19, Canada, coping with stressors, and Asian acculturation. Research on COVID-19 was examined from 2019 onward, while acculturation, coping, and discrimination articles from 1999 to 2021 were considered.
Discussion: Since the emergence of the COVID-19 pandemic, there has been a decline in mental health worldwide. Select groups, notably those from low SES backgrounds, youth, and people from Asian backgrounds have been affected more strongly than the general population. Low SES groups have faced poorer health outcomes due to limited resources. Individuals from Asian backgrounds have been targets of xenophobic attacks, being blamed for the Coronavirus and accused of spreading it in the Western context. During this time, young adults have also experienced a massive shift in their daily routine of school and socializing, increasing their isolation and thereby affecting their mental health. To cope with the stressors, a variety of strategies have been used, such as social support and exercise. These strategies may play a particularly adaptive role in the mental health of people at risk of experiencing ethnic discrimination
Conclusion: The COVID-19 pandemic has had a negative impact on young adults’ mental health due to social isolation and changes in daily routines. Most research on Asians in North America has been from the US with limited findings from Canadian samples. Findings regarding the specific mental health impacts that COVID-19 has had on individuals from Asian backgrounds, the stigma and ethnic discrimination they are facing, their coping mechanisms, and their mental health in Canada are currently limited. This dual threat for Asian young adults makes them particularly vulnerable in the context of the current pandemic.
Keywords: COVID-19, Asian young adults, xenophobia, racial discrimination, acculturation, coping
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Rubrique
Review & Clinical Practice
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Références
1. Dhanani LY, Franz B. Why public health framing matters: An experimental study of the effects of COVID-19 framing on prejudice and xenophobia in the United States. Social Science & Medicine. 2021 Jan;269:113572.
2. Gover AR, Harper SB, Langton L. Anti-Asian Hate Crime During the COVID-19 Pandemic: Exploring the Reproduction of Inequality. Am J Crim Just. 2020 Aug;45(4):647–67.
3. Eichelberger L. SARS and New York’s Chinatown: The politics of risk and blame during an epidemic of fear. Social Science & Medicine. 2007 Sep;65(6):1284–95.
4. Wu C, Qian Y, Wilkes R. Anti-Asian discrimination and the Asian-white mental health gap during COVID-19. Ethnic and Racial Studies. 2021 Apr 9;44(5):819–35.
5. Mansouri F. The Socio-Cultural Impact of COVID-19: Exploring the Role of Intercultural Dialogue in Emerging Responses. UNESCO Briefing Papers; 2020.
6. Jackson JS, Brown KT, Kirby DC. International perspectives on prejudice and racism. In: Confronting racism: The problem and the response. Thousand Oaks, CA, US: Sage Publications, Inc; 1998. p. 101–35.
7. Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009 Feb;32(1):20–47.
8. EKOS Politics. Increased polarization on attitudes to immigration reshaping the political landscape in Canada [Internet]. 2019. Available from: https://www.ekospolitics.com/wp-content/uploads/full_report_april_15_2019.pdf
9. Haft SL, Zhou Q. An outbreak of xenophobia: Perceived discrimination and anxiety in Chinese American college students before and during the COVID‐19 pandemic. Int J Psychol. 2021 Jan 10;ijop.12740.
10. Tessler H, Choi M, Kao G. The Anxiety of Being Asian American: Hate Crimes and Negative Biases During the COVID-19 Pandemic. Am J Crim Just. 2020 Aug;45(4):636–46.
11. Lee S, Waters SF. Asians and Asian Americans’ experiences of racial discrimination during the COVID-19 pandemic: Impacts on health outcomes and the buffering role of social support. Stigma and Health. 2021 Feb;6(1):70–8.
12. Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin. 2014;140(4):921–48.
13. Priest N, Paradies Y, Trenerry B, Truong M, Karlsen S, Kelly Y. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science & Medicine. 2013 Oct;95:115–27.
14. Islam F, Khanlou N, Tamim H. South Asian populations in Canada: migration and mental health. BMC Psychiatry. 2014 Dec;14(1):154.
15. Iwelunmor J, Airhihenbuwa C. Culture, a Social Determinant of Health and Risk: Considerations for Health and Risk Messaging. In: Oxford Research Encyclopedia of Communication [Internet]. Oxford University Press; 2017 [cited 2021 Jul 8]. Available from: https://oxfordre.com/communication/view/10.1093/acrefore/9780190228613.001.0001/acrefore-9780190228613-e-221
16. Flaskerud JH, DeLilly CR, Flaskerud JH. Social Determinants of Health Status. Issues in Mental Health Nursing. 2012 Jun 29;33(7):494–7.
17. Gadermann AC, Thomson KC, Richardson CG, Gagné M, McAuliffe C, Hirani S, et al. Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study. BMJ Open. 2021 Jan;11(1):e042871.
18. Jenkins EK, McAuliffe C, Hirani S, Richardson C, Thomson KC, McGuinness L, et al. A portrait of the early and differential mental health impacts of the COVID-19 pandemic in Canada: Findings from the first wave of a nationally representative cross-sectional survey. Preventive Medicine. 2021 Apr;145:106333.
19. Miconi D, Li ZY, Frounfelker RL, Santavicca T, Cénat JM, Venkatesh V, et al. Ethno-cultural disparities in mental health during the COVID-19 pandemic: a cross-sectional study on the impact of exposure to the virus and COVID-19-related discrimination and stigma on mental health across ethno-cultural groups in Quebec (Canada). BJPsych open. 2021 Jan;7(1):e14.
20. Scott SR, Rivera KM, Rushing E, Manczak EM, Rozek CS, Doom JR. “I Hate This”: A Qualitative Analysis of Adolescents’ Self-Reported Challenges During the COVID-19 Pandemic. Journal of Adolescent Health. 2021 Feb;68(2):262–9.
21. Yu H, Li M, Li Z, Xiang W, Yuan Y, Liu Y, et al. Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic. BMC Psychiatry. 2020 Dec;20(1):426.
22. Kira IA, Shuwiekh HAM, Alhuwailah A, Ashby JS, Sous Fahmy Sous M, Baali SBA, et al. The effects of COVID-19 and collective identity trauma (intersectional discrimination) on social status and well-being. Traumatology. 2021 Mar;27(1):29–39.
23. Muzzatti SL. Bits of Falling Sky and Global Pandemics: Moral Panic and Severe Acute Respiratory Syndrome (SARS). Illness, Crisis & Loss. 2005 Apr;13(2):117–28.
24. Li Y, Nicholson HL. When “model minorities” become “yellow peril”—Othering and the racialization of Asian Americans in the COVID‐19 pandemic. Sociology Compass [Internet]. 2021 Feb [cited 2021 Jul 3];15(2). Available from: https://onlinelibrary.wiley.com/doi/10.1111/soc4.12849
25. Grove NJ, Zwi AB. Our health and theirs: Forced migration, othering, and public health. Social Science & Medicine. 2006 Apr;62(8):1931–42.
26. Faulkner J, Schaller M, Park JH, Duncan LA. Evolved Disease-Avoidance Mechanisms and Contemporary Xenophobic Attitudes. Group Processes & Intergroup Relations. 2004 Oct;7(4):333–53.
27. Kam CD. Infectious Disease, Disgust, and Imagining the Other. The Journal of Politics. 2019 Oct;81(4):1371–87.
28. Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJG. COVID stress syndrome: Concept, structure, and correlates. Depression and Anxiety. 2020 Aug;37(8):706–14.
29. Williams DR, Lawrence JA, Davis BA, Vu C. Understanding how discrimination can affect health. Health Serv Res. 2019 Dec;54(S2):1374–88.
30. Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin. 2014;140(4):921–48.
31. Miconi D, Li ZY, Frounfelker RL, Venkatesh V, Rousseau C. Socio-cultural correlates of self-reported experiences of discrimination related to COVID-19 in a culturally diverse sample of Canadian adults. International Journal of Intercultural Relations. 2021 Mar;81:176–92.
32. De Maio FG, Kemp E. The deterioration of health status among immigrants to Canada. Global Public Health. 2010 Sep;5(5):462–78.
33. Corlin L, Woodin M, Thanikachalam M, Lowe L, Brugge D. Evidence for the healthy immigrant effect in older Chinese immigrants: a cross-sectional study. BMC Public Health. 2014 Dec;14(1):603.
34. Veenstra G. Racialized identity and health in Canada: Results from a nationally representative survey. Social Science & Medicine. 2009 Aug;69(4):538–42.
35. Veenstra G. Mismatched racial identities, colourism, and health in Toronto and Vancouver. Social Science & Medicine. 2011 Oct;73(8):1152–62.
36. Chiu M, Amartey A, Wang X, Kurdyak P. Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada. Can J Psychiatry. 2018 Jul;63(7):481–91.
37. Gee GC, Spencer MS, Chen J, Takeuchi D. A Nationwide Study of Discrimination and Chronic Health Conditions Among Asian Americans. Am J Public Health. 2007 Jul;97(7):1275–82.
38. Lee DL, Ahn S. Racial Discrimination and Asian Mental Health: A Meta-Analysis. The Counseling Psychologist. 2011 Apr;39(3):463–89.
39. Elias A, Ben J, Mansouri F, Paradies Y. Racism and nationalism during and beyond the COVID-19 pandemic. Ethnic and Racial Studies. 2021 Apr 9;44(5):783–93.
40. Pascoe EA, Richman LS. Perceived discrimination and health: A meta-analytic review. Psychological Bulletin. 2009;135(4):531–54.
41. Veenstra G, Vas M, Sutherland DK. Asian-White Health Inequalities in Canada: Intersections with Immigration. J Immigrant Minority Health. 2020 Apr;22(2):300–6.
42. Lai DWL, Tsang KT, Chappell N, Lai DCY, Chau SBY. Relationships between Culture and Health Status: A Multi-Site Study of the Older Chinese in Canada. Can J Aging. 2007;26(3):171–83.
43. Young CB, Fang DZ, Zisook S. Depression in Asian–American and Caucasian undergraduate students. Journal of Affective Disorders. 2010 Sep;125(1–3):379–82.
44. Paradies Y, Ben J, Denson N, Elias A, Priest N, Pieterse A, et al. Racism as a Determinant of Health: A Systematic Review and Meta-Analysis. Hills RK, editor. PLoS ONE. 2015 Sep 23;10(9):e0138511.
45. Chia-Chen Chen A, Szalacha LA, Menon U. Perceived Discrimination and Its Associations With Mental Health and Substance Use Among Asian American and Pacific Islander Undergraduate and Graduate Students. Journal of American College Health. 2014 Aug 18;62(6):390–8.
46. Dozois DJA, Mental Health Research Canada. Anxiety and depression in Canada during the COVID-19 pandemic: A national survey. Canadian Psychology/Psychologie canadienne. 2021 Feb;62(1):136–42.
47. Cheah CSL, Wang C, Ren H, Zong X, Cho HS, Xue X. COVID-19 Racism and Mental Health in Chinese American Families. Pediatrics. 2020 Nov;146(5):e2020021816.
48. Cost KT, Crosbie J, Anagnostou E, Birken CS, Charach A, Monga S, et al. Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents. Eur Child Adolesc Psychiatry [Internet]. 2021 Feb 26 [cited 2021 May 19]; Available from: http://link.springer.com/10.1007/s00787-021-01744-3
49. Weinstein M, Jensen MR, Tynes BM. Victimized in many ways: Online and offline bullying/harassment and perceived racial discrimination in diverse racial–ethnic minority adolescents. Cultural Diversity and Ethnic Minority Psychology [Internet]. 2021 May 27 [cited 2021 Jul 4]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/cdp0000436
50. Benner AD, Wang Y, Shen Y, Boyle AE, Polk R, Cheng Y-P. Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review. American Psychologist. 2018 Oct;73(7):855–83.
51. Tynes BM, Giang MT, Williams DR, Thompson GN. Online Racial Discrimination and Psychological Adjustment Among Adolescents. Journal of Adolescent Health. 2008 Dec;43(6):565–9.
52. Lozada FT, Seaton EK, Williams CD, Tynes BM. Exploration of bidirectionality in African American and Latinx adolescents’ offline and online ethnic-racial discrimination. Cultural Diversity and Ethnic Minority Psychology [Internet]. 2020 May 21 [cited 2021 Jul 4]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/cdp0000355
53. Sanders-Phillips K. Racial Discrimination: A Continuum of Violence Exposure for Children of Color. Clin Child Fam Psychol Rev. 2009 Jun;12(2):174–95.
54. Litam SDA, Oh S. Ethnic Identity and Coping Strategies as Moderators of COVID-19 Racial Discrimination Experiences Among Chinese Americans. Counseling Outcome Research and Evaluation. 2020;
55. Noh S, Beiser M, Kaspar V, Hou F, Rummens J. Perceived Racial Discrimination, Depression, and Coping: A Study of Southeast Asian Refugees in Canada. Journal of Health and Social Behavior. 1999 Sep;40(3):193.
56. Statistics Canada, Ng E, Zhang H. The mental health of immigrants and refugees: Canadian evidence from a nationally linked database. 2020 [cited 2021 May 31]; Available from: https://www150.statcan.gc.ca/n1/pub/82-003-x/2020008/article/00001-eng.htm
57. Vang ZM, Sigouin J, Flenon A, Gagnon A. Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethnicity & Health. 2017 May 4;22(3):209–41.
58. Bowe AG. The immigrant paradox on internalizing symptoms among immigrant adolescents. Journal of Adolescence. 2017 Feb;55:72–6.
59. Ryder AG, Alden LE, Paulhus DL. Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment. Journal of Personality and Social Psychology. 2000;79(1):49–65.
60. Berry JW. Immigration, acculturation, and adaptation. Applied Psychology. 1997;46(1):5–34.
61. Chia A, Costigan CL. A person‐centred approach to identifying acculturation groups among Chinese Canadians. International Journal of Psychology. 2006 Oct;41(5):397–412.
62. Phinney JS, Horenczyck G, Liebkind K, Vedder P. Ethnic identity, immigration, and well-being: an interactional perspective. Journal of Social Issues. 2001;57:493–510.
63. Berry JW. Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations. 2005 Nov;29(6):697–712.
64. Berry JW, Phinney JS, Sam DL, Vedder P. Immigrant Youth: Acculturation, Identity, and Adaptation. Applied Psychology. 2006 Jul;55(3):303–32.
65. Sam DL, Berry JW, editors. The Cambridge handbook of acculturation psychology. Cambridge ; New York: Cambridge University Press; 2006. 551 p.
66. Tieu Y, Konnert C. Measuring Acculturation and Enculturation among Chinese Canadian Older Adults. Can J Aging. 2015 Mar;34(1):36–46.
67. Cheung BY, Chudek M, Heine SJ. Evidence for a Sensitive Period for Acculturation: Younger Immigrants Report Acculturating at a Faster Rate. Psychol Sci. 2011 Feb;22(2):147–52.
68. Chudek M, Cheung BY, Heine SJ. US Immigrants’ Patterns of Acculturation are Sensitive to Their Age, Language, and Cultural Contact but Show No Evidence of a Sensitive Window for Acculturation. J Cogn Cult. 2015 Mar 17;15(1–2):174–90.
69. Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, et al. Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal. 2011 Sep 6;183(12):E959–67.
70. Canadian Multiculturalism Act [Internet]. 1988 [cited 2021 Jul 4]. Available from: https://laws.justice.gc.ca/eng/acts/c-18.7/
71. Peach C. The mosaic versus the melting pot: Canada and the USA. Scottish Geographical Journal. 2005 Jan;121(1):3–27.
72. Berry JW. Research on multiculturalism in Canada. International Journal of Intercultural Relations. 2013 Nov;37(6):663–75.
73. Ruzek NA, Nguyen DQ, Herzog DC. Acculturation, enculturation, psychological distress and help-seeking preferences among Asian American college students. Asian American Journal of Psychology. 2011;2(3):181–96.
74. Hwang W-C, Ting JY. Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cultural Diversity and Ethnic Minority Psychology. 2008;14(2):147–54.
75. Miller MJ, Yang M, Hui K, Choi N-Y, Lim RH. Acculturation, enculturation, and Asian American college students’ mental health and attitudes toward seeking professional psychological help. Journal of Counseling Psychology. 2011;58(3):346–57.
76. Cho Y-B, Haslam N. Suicidal Ideation and Distress Among Immigrant Adolescents: The Role of Acculturation, Life Stress, and Social Support. J Youth Adolescence. 2010 Apr;39(4):370–9.
77. Le TP, Raposa EB. The role of enculturation and acculturation in Asian and European American college students’ daily social stress and support. Asian American Journal of Psychology. 2019 Mar;10(1):11–21.
78. Frey L, Roysircar G. South Asian and East Asian International Students’ Perceived Prejudice, Acculturation, and Frequency of Help Resource Utilization. Journal of multicultural counseling and development. 2006;34.
79. Ellemers N, Spears R, Doosje B. Self and social identity. Annual review of psychology. 2002;53(1):161–86.
80. Salant T, Lauderdale DS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Social Science & Medicine. 2003 Jul;57(1):71–90.
81. Beiser M, Noh S, Hou F, Kaspar V, Rummens J. Southeast Asian refugees’ perceptions of racial discrimination in Canada. Canadian Ethnic Studies. 2001;33:46–70.
82. Hilario CT, Vo DX, Johnson JL, Saewyc EM. Acculturation, Gender, and Mental Health of Southeast Asian Immigrant Youth in Canada. J Immigrant Minority Health. 2014 Dec;16(6):1121–9.
83. Yoo HC, Lee RM. Ethnic Identity and Approach-Type Coping as Moderators of the Racial Discrimination/Well-Being Relation in Asian Americans. Journal of Counseling Psychology. 2005;52(4):497–506.
84. Yoo B, Jeon S. Asian Americans Coping with Frequent Racial Discrimination: Role of Acculturation and Enculturation Behaviors. Prevention in Counseling Psychology: Theory, Research, Practice, & Training. 2008;2(1).
85. Mossakowski KN. Coping with Perceived Discrimination: Does Ethnic Identity Protect Mental Health? Journal of Health and Social Behavior. 2003 Sep;44(3):318.
86. Brondolo E, Brady ver Halen N, Pencille M, Beatty D, Contrada RJ. Coping with racism: a selective review of the literature and a theoretical and methodological critique. J Behav Med. 2009 Feb;32(1):64–88.
87. Ra Y-A, Trusty J. Impact of Social Support and Coping on Acculturation and Acculturative Stress of East Asian International Students. Journal of Multicultural Counseling and Development. 2017 Oct;45(4):276–91.
88. Kawakami BK, Legaspi SG, Katz DA, Saturn SR. Exploring the Complexity of Coping Strategies Among People of Different Racial Identities. PsiChiJournal. 2020;25(4):327–38.
89. Ellis WE, Dumas TM, Forbes LM. Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. 2020 Jul;52(3):177–87.
90. Findlay L, Arim R. Canadians Report Lower Self-Perceived Mental Health during the COVID-19 Pandemic [Internet]. Statistics Canada; 2020. Available from: https://www150.statcan.gc.ca/n1/
91. Cairney J, Kwan MY, Veldhuizen S, Faulkner GE. Who Uses Exercise as a Coping Strategy for Stress? Results From a National Survey of Canadians. Journal of Physical Activity and Health. 2014 Jul;11(5):908–16.
92. Shigeto A, Laxman DJ, Landy JF, Scheier LM. Typologies of coping in young adults in the context of the COVID-19 pandemic. The Journal of General Psychology. 2021 Jul 3;148(3):272–304.
93. Schwarzer R, Luszczynska A. Reactive, anticipatory, preventive, and proactive coping: a theoretical distinction. The Prevention Researcher. 2008 Nov;15(4):22+.
94. Bjorck JP, Cuthbertson W, Thurman JW, Lee YS. Ethnicity, Coping, and Distress Among Korean Americans, Filipino Americans, and Caucasian Americans. The Journal of Social Psychology. 2001 Aug;141(4):421–42.
95. Liang CTH, Alvarez AN, Juang LP, Liang MX. The role of coping in the relationship between perceived racism and racism-related stress for Asian Americans: Gender differences. Journal of Counseling Psychology. 2007 Apr;54(2):132–41.
96. Neill LM, Proeve MJ. Ethnicity, gender, self-esteem, and coping styles: A comparison of Australian and south-east asian secondary students. Australian Psychologist. 2000 Nov 1;35(3):216–20.
97. Cater TE, May LN, Byrd DA. Dealing with Hurt: An Assessment of Dispositional Style and Ethnicity in Coping Strategies. Curr Psychol. 2012 Jun;31(2):182–94.
98. Bardi A, Guerra VM. Cultural Values Predict Coping Using Culture as an Individual Difference Variable in Multicultural Samples. Journal of Cross-Cultural Psychology. 2011 Aug;42(6):908–27.
99. Shamblaw AL, Rumas RL, Best MW. Coping during the COVID-19 pandemic: Relations with mental health and quality of life. Canadian Psychology/Psychologie canadienne. 2021 Feb;62(1):92–100.
100. Kim BK, Li LC, Ng GF. The Asian American Values Scale--Multidimensional: Development, reliability, and validity. Cultural Diversity and Ethnic Minority Psychology. 2005;11(3):187–201.
101. Wei M, Heppner PP, Ku T-Y, Liao KY-H. Racial discrimination stress, coping, and depressive symptoms among Asian Americans: A moderation analysis. Asian American Journal of Psychology. 2010;1(2):136–50.
102. Cairns KE, Yap MBH, Pilkington PD, Jorm AF. Risk and protective factors for depression that adolescents can modify: A systematic review and meta-analysis of longitudinal studies. Journal of Affective Disorders. 2014 Dec;169:61–75.
103. Juang LP, Shen Y, Costigan CL, Hou Y. Time-varying associations of racial discrimination and adjustment among Chinese-heritage adolescents in the United States and Canada. Dev Psychopathol. 2018 Dec;30(5):1661–78.
104. Dewa LH, Crandell C, Choong E, Jaques J, Bottle A, Kilkenny C, et al. CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown. Journal of Adolescent Health. 2021 Apr;68(4):666–75.
2. Gover AR, Harper SB, Langton L. Anti-Asian Hate Crime During the COVID-19 Pandemic: Exploring the Reproduction of Inequality. Am J Crim Just. 2020 Aug;45(4):647–67.
3. Eichelberger L. SARS and New York’s Chinatown: The politics of risk and blame during an epidemic of fear. Social Science & Medicine. 2007 Sep;65(6):1284–95.
4. Wu C, Qian Y, Wilkes R. Anti-Asian discrimination and the Asian-white mental health gap during COVID-19. Ethnic and Racial Studies. 2021 Apr 9;44(5):819–35.
5. Mansouri F. The Socio-Cultural Impact of COVID-19: Exploring the Role of Intercultural Dialogue in Emerging Responses. UNESCO Briefing Papers; 2020.
6. Jackson JS, Brown KT, Kirby DC. International perspectives on prejudice and racism. In: Confronting racism: The problem and the response. Thousand Oaks, CA, US: Sage Publications, Inc; 1998. p. 101–35.
7. Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009 Feb;32(1):20–47.
8. EKOS Politics. Increased polarization on attitudes to immigration reshaping the political landscape in Canada [Internet]. 2019. Available from: https://www.ekospolitics.com/wp-content/uploads/full_report_april_15_2019.pdf
9. Haft SL, Zhou Q. An outbreak of xenophobia: Perceived discrimination and anxiety in Chinese American college students before and during the COVID‐19 pandemic. Int J Psychol. 2021 Jan 10;ijop.12740.
10. Tessler H, Choi M, Kao G. The Anxiety of Being Asian American: Hate Crimes and Negative Biases During the COVID-19 Pandemic. Am J Crim Just. 2020 Aug;45(4):636–46.
11. Lee S, Waters SF. Asians and Asian Americans’ experiences of racial discrimination during the COVID-19 pandemic: Impacts on health outcomes and the buffering role of social support. Stigma and Health. 2021 Feb;6(1):70–8.
12. Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin. 2014;140(4):921–48.
13. Priest N, Paradies Y, Trenerry B, Truong M, Karlsen S, Kelly Y. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science & Medicine. 2013 Oct;95:115–27.
14. Islam F, Khanlou N, Tamim H. South Asian populations in Canada: migration and mental health. BMC Psychiatry. 2014 Dec;14(1):154.
15. Iwelunmor J, Airhihenbuwa C. Culture, a Social Determinant of Health and Risk: Considerations for Health and Risk Messaging. In: Oxford Research Encyclopedia of Communication [Internet]. Oxford University Press; 2017 [cited 2021 Jul 8]. Available from: https://oxfordre.com/communication/view/10.1093/acrefore/9780190228613.001.0001/acrefore-9780190228613-e-221
16. Flaskerud JH, DeLilly CR, Flaskerud JH. Social Determinants of Health Status. Issues in Mental Health Nursing. 2012 Jun 29;33(7):494–7.
17. Gadermann AC, Thomson KC, Richardson CG, Gagné M, McAuliffe C, Hirani S, et al. Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study. BMJ Open. 2021 Jan;11(1):e042871.
18. Jenkins EK, McAuliffe C, Hirani S, Richardson C, Thomson KC, McGuinness L, et al. A portrait of the early and differential mental health impacts of the COVID-19 pandemic in Canada: Findings from the first wave of a nationally representative cross-sectional survey. Preventive Medicine. 2021 Apr;145:106333.
19. Miconi D, Li ZY, Frounfelker RL, Santavicca T, Cénat JM, Venkatesh V, et al. Ethno-cultural disparities in mental health during the COVID-19 pandemic: a cross-sectional study on the impact of exposure to the virus and COVID-19-related discrimination and stigma on mental health across ethno-cultural groups in Quebec (Canada). BJPsych open. 2021 Jan;7(1):e14.
20. Scott SR, Rivera KM, Rushing E, Manczak EM, Rozek CS, Doom JR. “I Hate This”: A Qualitative Analysis of Adolescents’ Self-Reported Challenges During the COVID-19 Pandemic. Journal of Adolescent Health. 2021 Feb;68(2):262–9.
21. Yu H, Li M, Li Z, Xiang W, Yuan Y, Liu Y, et al. Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic. BMC Psychiatry. 2020 Dec;20(1):426.
22. Kira IA, Shuwiekh HAM, Alhuwailah A, Ashby JS, Sous Fahmy Sous M, Baali SBA, et al. The effects of COVID-19 and collective identity trauma (intersectional discrimination) on social status and well-being. Traumatology. 2021 Mar;27(1):29–39.
23. Muzzatti SL. Bits of Falling Sky and Global Pandemics: Moral Panic and Severe Acute Respiratory Syndrome (SARS). Illness, Crisis & Loss. 2005 Apr;13(2):117–28.
24. Li Y, Nicholson HL. When “model minorities” become “yellow peril”—Othering and the racialization of Asian Americans in the COVID‐19 pandemic. Sociology Compass [Internet]. 2021 Feb [cited 2021 Jul 3];15(2). Available from: https://onlinelibrary.wiley.com/doi/10.1111/soc4.12849
25. Grove NJ, Zwi AB. Our health and theirs: Forced migration, othering, and public health. Social Science & Medicine. 2006 Apr;62(8):1931–42.
26. Faulkner J, Schaller M, Park JH, Duncan LA. Evolved Disease-Avoidance Mechanisms and Contemporary Xenophobic Attitudes. Group Processes & Intergroup Relations. 2004 Oct;7(4):333–53.
27. Kam CD. Infectious Disease, Disgust, and Imagining the Other. The Journal of Politics. 2019 Oct;81(4):1371–87.
28. Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJG. COVID stress syndrome: Concept, structure, and correlates. Depression and Anxiety. 2020 Aug;37(8):706–14.
29. Williams DR, Lawrence JA, Davis BA, Vu C. Understanding how discrimination can affect health. Health Serv Res. 2019 Dec;54(S2):1374–88.
30. Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin. 2014;140(4):921–48.
31. Miconi D, Li ZY, Frounfelker RL, Venkatesh V, Rousseau C. Socio-cultural correlates of self-reported experiences of discrimination related to COVID-19 in a culturally diverse sample of Canadian adults. International Journal of Intercultural Relations. 2021 Mar;81:176–92.
32. De Maio FG, Kemp E. The deterioration of health status among immigrants to Canada. Global Public Health. 2010 Sep;5(5):462–78.
33. Corlin L, Woodin M, Thanikachalam M, Lowe L, Brugge D. Evidence for the healthy immigrant effect in older Chinese immigrants: a cross-sectional study. BMC Public Health. 2014 Dec;14(1):603.
34. Veenstra G. Racialized identity and health in Canada: Results from a nationally representative survey. Social Science & Medicine. 2009 Aug;69(4):538–42.
35. Veenstra G. Mismatched racial identities, colourism, and health in Toronto and Vancouver. Social Science & Medicine. 2011 Oct;73(8):1152–62.
36. Chiu M, Amartey A, Wang X, Kurdyak P. Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada. Can J Psychiatry. 2018 Jul;63(7):481–91.
37. Gee GC, Spencer MS, Chen J, Takeuchi D. A Nationwide Study of Discrimination and Chronic Health Conditions Among Asian Americans. Am J Public Health. 2007 Jul;97(7):1275–82.
38. Lee DL, Ahn S. Racial Discrimination and Asian Mental Health: A Meta-Analysis. The Counseling Psychologist. 2011 Apr;39(3):463–89.
39. Elias A, Ben J, Mansouri F, Paradies Y. Racism and nationalism during and beyond the COVID-19 pandemic. Ethnic and Racial Studies. 2021 Apr 9;44(5):783–93.
40. Pascoe EA, Richman LS. Perceived discrimination and health: A meta-analytic review. Psychological Bulletin. 2009;135(4):531–54.
41. Veenstra G, Vas M, Sutherland DK. Asian-White Health Inequalities in Canada: Intersections with Immigration. J Immigrant Minority Health. 2020 Apr;22(2):300–6.
42. Lai DWL, Tsang KT, Chappell N, Lai DCY, Chau SBY. Relationships between Culture and Health Status: A Multi-Site Study of the Older Chinese in Canada. Can J Aging. 2007;26(3):171–83.
43. Young CB, Fang DZ, Zisook S. Depression in Asian–American and Caucasian undergraduate students. Journal of Affective Disorders. 2010 Sep;125(1–3):379–82.
44. Paradies Y, Ben J, Denson N, Elias A, Priest N, Pieterse A, et al. Racism as a Determinant of Health: A Systematic Review and Meta-Analysis. Hills RK, editor. PLoS ONE. 2015 Sep 23;10(9):e0138511.
45. Chia-Chen Chen A, Szalacha LA, Menon U. Perceived Discrimination and Its Associations With Mental Health and Substance Use Among Asian American and Pacific Islander Undergraduate and Graduate Students. Journal of American College Health. 2014 Aug 18;62(6):390–8.
46. Dozois DJA, Mental Health Research Canada. Anxiety and depression in Canada during the COVID-19 pandemic: A national survey. Canadian Psychology/Psychologie canadienne. 2021 Feb;62(1):136–42.
47. Cheah CSL, Wang C, Ren H, Zong X, Cho HS, Xue X. COVID-19 Racism and Mental Health in Chinese American Families. Pediatrics. 2020 Nov;146(5):e2020021816.
48. Cost KT, Crosbie J, Anagnostou E, Birken CS, Charach A, Monga S, et al. Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents. Eur Child Adolesc Psychiatry [Internet]. 2021 Feb 26 [cited 2021 May 19]; Available from: http://link.springer.com/10.1007/s00787-021-01744-3
49. Weinstein M, Jensen MR, Tynes BM. Victimized in many ways: Online and offline bullying/harassment and perceived racial discrimination in diverse racial–ethnic minority adolescents. Cultural Diversity and Ethnic Minority Psychology [Internet]. 2021 May 27 [cited 2021 Jul 4]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/cdp0000436
50. Benner AD, Wang Y, Shen Y, Boyle AE, Polk R, Cheng Y-P. Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review. American Psychologist. 2018 Oct;73(7):855–83.
51. Tynes BM, Giang MT, Williams DR, Thompson GN. Online Racial Discrimination and Psychological Adjustment Among Adolescents. Journal of Adolescent Health. 2008 Dec;43(6):565–9.
52. Lozada FT, Seaton EK, Williams CD, Tynes BM. Exploration of bidirectionality in African American and Latinx adolescents’ offline and online ethnic-racial discrimination. Cultural Diversity and Ethnic Minority Psychology [Internet]. 2020 May 21 [cited 2021 Jul 4]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/cdp0000355
53. Sanders-Phillips K. Racial Discrimination: A Continuum of Violence Exposure for Children of Color. Clin Child Fam Psychol Rev. 2009 Jun;12(2):174–95.
54. Litam SDA, Oh S. Ethnic Identity and Coping Strategies as Moderators of COVID-19 Racial Discrimination Experiences Among Chinese Americans. Counseling Outcome Research and Evaluation. 2020;
55. Noh S, Beiser M, Kaspar V, Hou F, Rummens J. Perceived Racial Discrimination, Depression, and Coping: A Study of Southeast Asian Refugees in Canada. Journal of Health and Social Behavior. 1999 Sep;40(3):193.
56. Statistics Canada, Ng E, Zhang H. The mental health of immigrants and refugees: Canadian evidence from a nationally linked database. 2020 [cited 2021 May 31]; Available from: https://www150.statcan.gc.ca/n1/pub/82-003-x/2020008/article/00001-eng.htm
57. Vang ZM, Sigouin J, Flenon A, Gagnon A. Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethnicity & Health. 2017 May 4;22(3):209–41.
58. Bowe AG. The immigrant paradox on internalizing symptoms among immigrant adolescents. Journal of Adolescence. 2017 Feb;55:72–6.
59. Ryder AG, Alden LE, Paulhus DL. Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment. Journal of Personality and Social Psychology. 2000;79(1):49–65.
60. Berry JW. Immigration, acculturation, and adaptation. Applied Psychology. 1997;46(1):5–34.
61. Chia A, Costigan CL. A person‐centred approach to identifying acculturation groups among Chinese Canadians. International Journal of Psychology. 2006 Oct;41(5):397–412.
62. Phinney JS, Horenczyck G, Liebkind K, Vedder P. Ethnic identity, immigration, and well-being: an interactional perspective. Journal of Social Issues. 2001;57:493–510.
63. Berry JW. Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations. 2005 Nov;29(6):697–712.
64. Berry JW, Phinney JS, Sam DL, Vedder P. Immigrant Youth: Acculturation, Identity, and Adaptation. Applied Psychology. 2006 Jul;55(3):303–32.
65. Sam DL, Berry JW, editors. The Cambridge handbook of acculturation psychology. Cambridge ; New York: Cambridge University Press; 2006. 551 p.
66. Tieu Y, Konnert C. Measuring Acculturation and Enculturation among Chinese Canadian Older Adults. Can J Aging. 2015 Mar;34(1):36–46.
67. Cheung BY, Chudek M, Heine SJ. Evidence for a Sensitive Period for Acculturation: Younger Immigrants Report Acculturating at a Faster Rate. Psychol Sci. 2011 Feb;22(2):147–52.
68. Chudek M, Cheung BY, Heine SJ. US Immigrants’ Patterns of Acculturation are Sensitive to Their Age, Language, and Cultural Contact but Show No Evidence of a Sensitive Window for Acculturation. J Cogn Cult. 2015 Mar 17;15(1–2):174–90.
69. Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, et al. Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal. 2011 Sep 6;183(12):E959–67.
70. Canadian Multiculturalism Act [Internet]. 1988 [cited 2021 Jul 4]. Available from: https://laws.justice.gc.ca/eng/acts/c-18.7/
71. Peach C. The mosaic versus the melting pot: Canada and the USA. Scottish Geographical Journal. 2005 Jan;121(1):3–27.
72. Berry JW. Research on multiculturalism in Canada. International Journal of Intercultural Relations. 2013 Nov;37(6):663–75.
73. Ruzek NA, Nguyen DQ, Herzog DC. Acculturation, enculturation, psychological distress and help-seeking preferences among Asian American college students. Asian American Journal of Psychology. 2011;2(3):181–96.
74. Hwang W-C, Ting JY. Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cultural Diversity and Ethnic Minority Psychology. 2008;14(2):147–54.
75. Miller MJ, Yang M, Hui K, Choi N-Y, Lim RH. Acculturation, enculturation, and Asian American college students’ mental health and attitudes toward seeking professional psychological help. Journal of Counseling Psychology. 2011;58(3):346–57.
76. Cho Y-B, Haslam N. Suicidal Ideation and Distress Among Immigrant Adolescents: The Role of Acculturation, Life Stress, and Social Support. J Youth Adolescence. 2010 Apr;39(4):370–9.
77. Le TP, Raposa EB. The role of enculturation and acculturation in Asian and European American college students’ daily social stress and support. Asian American Journal of Psychology. 2019 Mar;10(1):11–21.
78. Frey L, Roysircar G. South Asian and East Asian International Students’ Perceived Prejudice, Acculturation, and Frequency of Help Resource Utilization. Journal of multicultural counseling and development. 2006;34.
79. Ellemers N, Spears R, Doosje B. Self and social identity. Annual review of psychology. 2002;53(1):161–86.
80. Salant T, Lauderdale DS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Social Science & Medicine. 2003 Jul;57(1):71–90.
81. Beiser M, Noh S, Hou F, Kaspar V, Rummens J. Southeast Asian refugees’ perceptions of racial discrimination in Canada. Canadian Ethnic Studies. 2001;33:46–70.
82. Hilario CT, Vo DX, Johnson JL, Saewyc EM. Acculturation, Gender, and Mental Health of Southeast Asian Immigrant Youth in Canada. J Immigrant Minority Health. 2014 Dec;16(6):1121–9.
83. Yoo HC, Lee RM. Ethnic Identity and Approach-Type Coping as Moderators of the Racial Discrimination/Well-Being Relation in Asian Americans. Journal of Counseling Psychology. 2005;52(4):497–506.
84. Yoo B, Jeon S. Asian Americans Coping with Frequent Racial Discrimination: Role of Acculturation and Enculturation Behaviors. Prevention in Counseling Psychology: Theory, Research, Practice, & Training. 2008;2(1).
85. Mossakowski KN. Coping with Perceived Discrimination: Does Ethnic Identity Protect Mental Health? Journal of Health and Social Behavior. 2003 Sep;44(3):318.
86. Brondolo E, Brady ver Halen N, Pencille M, Beatty D, Contrada RJ. Coping with racism: a selective review of the literature and a theoretical and methodological critique. J Behav Med. 2009 Feb;32(1):64–88.
87. Ra Y-A, Trusty J. Impact of Social Support and Coping on Acculturation and Acculturative Stress of East Asian International Students. Journal of Multicultural Counseling and Development. 2017 Oct;45(4):276–91.
88. Kawakami BK, Legaspi SG, Katz DA, Saturn SR. Exploring the Complexity of Coping Strategies Among People of Different Racial Identities. PsiChiJournal. 2020;25(4):327–38.
89. Ellis WE, Dumas TM, Forbes LM. Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. 2020 Jul;52(3):177–87.
90. Findlay L, Arim R. Canadians Report Lower Self-Perceived Mental Health during the COVID-19 Pandemic [Internet]. Statistics Canada; 2020. Available from: https://www150.statcan.gc.ca/n1/
91. Cairney J, Kwan MY, Veldhuizen S, Faulkner GE. Who Uses Exercise as a Coping Strategy for Stress? Results From a National Survey of Canadians. Journal of Physical Activity and Health. 2014 Jul;11(5):908–16.
92. Shigeto A, Laxman DJ, Landy JF, Scheier LM. Typologies of coping in young adults in the context of the COVID-19 pandemic. The Journal of General Psychology. 2021 Jul 3;148(3):272–304.
93. Schwarzer R, Luszczynska A. Reactive, anticipatory, preventive, and proactive coping: a theoretical distinction. The Prevention Researcher. 2008 Nov;15(4):22+.
94. Bjorck JP, Cuthbertson W, Thurman JW, Lee YS. Ethnicity, Coping, and Distress Among Korean Americans, Filipino Americans, and Caucasian Americans. The Journal of Social Psychology. 2001 Aug;141(4):421–42.
95. Liang CTH, Alvarez AN, Juang LP, Liang MX. The role of coping in the relationship between perceived racism and racism-related stress for Asian Americans: Gender differences. Journal of Counseling Psychology. 2007 Apr;54(2):132–41.
96. Neill LM, Proeve MJ. Ethnicity, gender, self-esteem, and coping styles: A comparison of Australian and south-east asian secondary students. Australian Psychologist. 2000 Nov 1;35(3):216–20.
97. Cater TE, May LN, Byrd DA. Dealing with Hurt: An Assessment of Dispositional Style and Ethnicity in Coping Strategies. Curr Psychol. 2012 Jun;31(2):182–94.
98. Bardi A, Guerra VM. Cultural Values Predict Coping Using Culture as an Individual Difference Variable in Multicultural Samples. Journal of Cross-Cultural Psychology. 2011 Aug;42(6):908–27.
99. Shamblaw AL, Rumas RL, Best MW. Coping during the COVID-19 pandemic: Relations with mental health and quality of life. Canadian Psychology/Psychologie canadienne. 2021 Feb;62(1):92–100.
100. Kim BK, Li LC, Ng GF. The Asian American Values Scale--Multidimensional: Development, reliability, and validity. Cultural Diversity and Ethnic Minority Psychology. 2005;11(3):187–201.
101. Wei M, Heppner PP, Ku T-Y, Liao KY-H. Racial discrimination stress, coping, and depressive symptoms among Asian Americans: A moderation analysis. Asian American Journal of Psychology. 2010;1(2):136–50.
102. Cairns KE, Yap MBH, Pilkington PD, Jorm AF. Risk and protective factors for depression that adolescents can modify: A systematic review and meta-analysis of longitudinal studies. Journal of Affective Disorders. 2014 Dec;169:61–75.
103. Juang LP, Shen Y, Costigan CL, Hou Y. Time-varying associations of racial discrimination and adjustment among Chinese-heritage adolescents in the United States and Canada. Dev Psychopathol. 2018 Dec;30(5):1661–78.
104. Dewa LH, Crandell C, Choong E, Jaques J, Bottle A, Kilkenny C, et al. CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown. Journal of Adolescent Health. 2021 Apr;68(4):666–75.