METHOD: A total of 410 Asian American adults had responded and completed an online survey administered in June and July of 2010. We used the Center for Epidemiologic Studies Depression scale as the outcome measure to assess for respondents' depressive symptom level. For predictor variables, we used the General Ethnic Discrimination scale and Perpetual Foreigner Stress scale to measure racial discrimination experiences and stress related to these experiences; Social Support measure to measure emotional support; Critical Awareness scale to measure critical ethnic awareness; and Coping Strategies Inventory to measure general and discrimination specific coping. We used 390 cases to run hierarchical regression analyses, with each of the five predictor dimensions added in successive analyses. The analyses examined the association between racial discrimination and level of depressive symptoms, while considering emotional support, critical ethnic awareness, and coping strategies as predictors, stratified by the respondents' nativity status.
RESULTS: Controlling for sociodemographic factors, the results supported findings from past literature indicating that higher Perpetual Foreigner Stress scores predicted a significant increase (B=.215, p<.01) in depressive symptoms among U.S.-born, but not in the foreign-born subgroup. As hypothesized, higher emotional support predicted a significant decrease (B=-.264, p<.001), while higher general disengagement coping strategies predicted a significant increase (B=.261, p<.001), in depressive symptom level among the U.S.-born AAs. Among foreign-born AAs, two discrimination measures did not predict significant changes in the level of depressive symptoms. However, critical ethnic awareness predicted a significant decrease (B=-.146, p<.05), after accounting for the emotional support, among foreign-born AAs only. In addition, higher general (B=.228, p<.01) as well as discrimination-specific (B=.189, p<.05) disengagement coping strategies predicted a significant increase in depressive symptoms among foreign-born AAs.
IMPLICATIONS: The findings demonstrated that being perceived as perpetual foreigner is a significant enough stress that contribute to depressive symptoms among U.S.-born AAs, but not for foreign-born AAs. The results suggest that engagement coping strategies may not buffer the negative impact of racial discrimination, but employing disengagement coping strategies may significantly exacerbate the depressive symptoms among U.S.-born AAs. Future research need to take the nativity status into account when examining relationship between racial discrimination and depressive symptoms in this population.