Acculturation and Chronic Conditions among Latino and Asian Americans

Ying-Ting Wang, University of Texas at Austin

Using data from the National Latino and Asian American Study (2002–2003), this study investigates the relationship between acculturation and chronic conditions for Latino and Asian Americans and whether the effects of acculturation on chronic conditions are mediated by health behaviors and discrimination. The results of logistic regression analyses suggest that, first, more frequent English usage and poor Chinese or Spanish proficiency are associated with greater chances of having chronic conditions. Second, health behaviors mediate some effects of acculturation on health for Asian Americans but not for Latino Americans. Third, people who have experienced racial discrimination are more likely to have chronic conditions. Discrimination has a clear mediating effect on the association between English usage and chronic conditions for Latino Americans but a subtle effect on Asian Americans. These results suggest that discrimination is an important factor to consider for immigrants’ health and the association between acculturation and health.