规范和文化适应在移民寻求精神卫生保健意愿中的作用：一项大型预登记研究的结果

IF 5 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-09-16 DOI:10.1016/j.socscimed.2025.118598

Samantha M. Harris , Hege H. Bye , Jonas R. Kunst

{"title":"规范和文化适应在移民寻求精神卫生保健意愿中的作用：一项大型预登记研究的结果","authors":"Samantha M. Harris , Hege H. Bye , Jonas R. Kunst","doi":"10.1016/j.socscimed.2025.118598","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><div>This study investigated the role of perceived social norms and acculturation orientations in shaping migrants' willingness to seek mental health care. Specifically, we examined perceptions of help-seeking norms, presumed approval by family and friends, and the moderating role of migrants’ acculturation orientations.</div></div><div><h3>Methods</h3><div>The study used a preregistered design with a sample of 2768 people with a migrant background from six countries (Afghanistan, Eritrea, Lithuania, Poland, Syria, and Ukraine). Participants completed a web-based survey assessing their willingness to seek help, perceived approval by family and friends, perceived help-seeking norms among people from their own group (same country of origin and gender) and among Norwegian majority members, and acculturation orientations. We used multilevel regression models to test our predictions.</div></div><div><h3>Results</h3><div>Participants perceived their own group as less willing to seek help than themselves; in the Ukrainian sample, this tendency was attenuated among women. All perceived norms had a significant and positive association with own willingness to seek help, but family and friends’ approval had the strongest association. Exploratory analyses showed that participants rated the majority group as more willing to seek help than both participants themselves and members of their own group. Critically, acculturation orientations moderated the associations.</div></div><div><h3>Conclusions</h3><div>Our results suggest that participants may show more willingness to seek help than they believe others in their own group do. This misperception of norms may contribute to hindering help-seeking. While all group norms played a role in own willingness to seek help, presumed approval from family and friends may play a more pivotal role. The role of own group and majority group norms depends on individuals’ acculturation orientations. Tailored interventions should consider these factors when aiming to facilitate access to mental health services among diverse migrant populations.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118598"},"PeriodicalIF":5.0000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The role of norms and acculturation in migrants’ willingness to seek mental health care: Results from a large preregistered study\",\"authors\":\"Samantha M. Harris , Hege H. Bye , Jonas R. Kunst\",\"doi\":\"10.1016/j.socscimed.2025.118598\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><div>This study investigated the role of perceived social norms and acculturation orientations in shaping migrants' willingness to seek mental health care. Specifically, we examined perceptions of help-seeking norms, presumed approval by family and friends, and the moderating role of migrants’ acculturation orientations.</div></div><div><h3>Methods</h3><div>The study used a preregistered design with a sample of 2768 people with a migrant background from six countries (Afghanistan, Eritrea, Lithuania, Poland, Syria, and Ukraine). Participants completed a web-based survey assessing their willingness to seek help, perceived approval by family and friends, perceived help-seeking norms among people from their own group (same country of origin and gender) and among Norwegian majority members, and acculturation orientations. We used multilevel regression models to test our predictions.</div></div><div><h3>Results</h3><div>Participants perceived their own group as less willing to seek help than themselves; in the Ukrainian sample, this tendency was attenuated among women. All perceived norms had a significant and positive association with own willingness to seek help, but family and friends’ approval had the strongest association. Exploratory analyses showed that participants rated the majority group as more willing to seek help than both participants themselves and members of their own group. Critically, acculturation orientations moderated the associations.</div></div><div><h3>Conclusions</h3><div>Our results suggest that participants may show more willingness to seek help than they believe others in their own group do. This misperception of norms may contribute to hindering help-seeking. While all group norms played a role in own willingness to seek help, presumed approval from family and friends may play a more pivotal role. The role of own group and majority group norms depends on individuals’ acculturation orientations. Tailored interventions should consider these factors when aiming to facilitate access to mental health services among diverse migrant populations.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"384 \",\"pages\":\"Article 118598\"},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277953625009293\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625009293","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

目的本研究探讨社会规范和文化适应取向在影响流动人口寻求心理健康服务意愿中的作用。具体而言，我们研究了对寻求帮助规范的看法、家庭和朋友的假定认可，以及移民的文化适应取向的调节作用。方法本研究采用预注册设计，样本为2768人，来自六个国家（阿富汗、厄立特里亚、立陶宛、波兰、叙利亚和乌克兰）的移民背景。参与者完成了一项基于网络的调查，评估他们寻求帮助的意愿、家人和朋友的认可、自己所在群体（同一原籍国和性别）和挪威多数成员的寻求帮助规范以及文化适应取向。我们使用多水平回归模型来检验我们的预测。结果：被试认为自己所在的小组比自己更不愿意寻求帮助；在乌克兰的样本中，这种倾向在女性中有所减弱。所有感知到的规范都与自己寻求帮助的意愿有显著的正相关，但家人和朋友的认可有最强烈的关联。探索性分析表明，参与者认为多数群体比他们自己和自己群体的成员更愿意寻求帮助。重要的是，文化适应取向调节了这种关联。结论我们的研究结果表明，参与者可能比他们认为自己小组中的其他人更愿意寻求帮助。这种对规范的误解可能会阻碍人们寻求帮助。虽然所有群体规范都在个人寻求帮助的意愿方面发挥了作用，但来自家人和朋友的假定认可可能起着更关键的作用。本群体和多数群体规范的作用取决于个体的文化适应取向。在旨在促进不同移民人口获得精神卫生服务时，有针对性的干预措施应考虑到这些因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The role of norms and acculturation in migrants’ willingness to seek mental health care: Results from a large preregistered study

Aims

This study investigated the role of perceived social norms and acculturation orientations in shaping migrants' willingness to seek mental health care. Specifically, we examined perceptions of help-seeking norms, presumed approval by family and friends, and the moderating role of migrants’ acculturation orientations.

Methods

The study used a preregistered design with a sample of 2768 people with a migrant background from six countries (Afghanistan, Eritrea, Lithuania, Poland, Syria, and Ukraine). Participants completed a web-based survey assessing their willingness to seek help, perceived approval by family and friends, perceived help-seeking norms among people from their own group (same country of origin and gender) and among Norwegian majority members, and acculturation orientations. We used multilevel regression models to test our predictions.

Results

Participants perceived their own group as less willing to seek help than themselves; in the Ukrainian sample, this tendency was attenuated among women. All perceived norms had a significant and positive association with own willingness to seek help, but family and friends’ approval had the strongest association. Exploratory analyses showed that participants rated the majority group as more willing to seek help than both participants themselves and members of their own group. Critically, acculturation orientations moderated the associations.

Conclusions

Our results suggest that participants may show more willingness to seek help than they believe others in their own group do. This misperception of norms may contribute to hindering help-seeking. While all group norms played a role in own willingness to seek help, presumed approval from family and friends may play a more pivotal role. The role of own group and majority group norms depends on individuals’ acculturation orientations. Tailored interventions should consider these factors when aiming to facilitate access to mental health services among diverse migrant populations.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.