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Cited by 267Migration, Health and TraumaRacial and Ethnic Identity ResearchMigration, Identity, and Health

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Systematic review: Acculturation strategies and their impact on the mental health of migrant populations

Open access
Choy, B., Arunachalam, K., S, Gupta, Taylor, M., Lee, A.·2021·Public Health in Practice
DOI 10.1016/j.puhip.2020.100069PMC PMC9461568
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Abstract

Objectives: This study aims to examine the correlation between the different types of migrant acculturation strategies according to Berry's model of acculturation (integration, assimilation, separation, and marginalisation) and their effects on mental health conditions, such as depression, anxiety and PTSD. Study design: Systematic Review. Methods: Three databases (PubMed, Ovid and Ebsco) were searched using different combinations of search terms to identify relevant articles to be included. The search terms were pre-identified using relevant synonyms for "migrants", "mental health" and "integration". The list of article titles from these searches were then filtered using predefined inclusion and exclusion criteria. The mental health consequences included a range of common conditions including suicide/self-harm, depressive disorders, psychosis, as well as substance misuse. Results: 21 primary studies were included in the review, which assessed 61,885 migrants in total (Fig. 1 and Supplemental File 1). Of these, seven were cohort studies and fourteen were cross-sectional studies.Most studies showed that marginalisation was associated with worse depression symptoms, compared to integration, assimilation and separation, while integration was associated with the least depressive symptoms.Marginalisation more than triples the likelihood of anxiety-related symptoms compared to integration. Similarly, separation increased the likelihood of anxiety-related symptoms nearly six-fold. Conclusions: Our review found out that marginalisation had the worst effects on mental health of the migrant populations while integration had the most positive effects. The study also identified three key sources which may contribute to acculturation stress and worse mental health: low education or skill set, proficiency of the host country's language, and financial hardships.

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  • Although acculturation issues were identified regularly, professionals generally described them as issues related to integration, rarely framing it within an acculturation process or linking this process with symptoms of stress, anxiety, or depression.

    “Although issues around acculturation were identified regularly in the help desk questions, professionals generally described them as issues related to integration, rarely framing it within an acculturation process or linking this process with symptoms of stress, anxiety, or depression.”

    From A Digital Tool for Culturally Responsive Reflection and Case Conceptualization in First-Line Services to Support Children With a Refugee Background: Development and Usability Study (2026) · cites this paper as [21]

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Research works printed but not linked: 24

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Metadata

Authors
Choy, B., Arunachalam, K., S, G., Taylor, M., & Lee, A.
Venue
Public Health in Practice
Publisher
Elsevier BV
Published
2021-11
Volume
2
Pages
100069
ISSN
2666-5352 (ISSN-L)
DOI
10.1016/j.puhip.2020.100069
PMC
PMC9461568
OpenAlex
W3157795179
Cited by
267
References
2
Citations by year
2026: 61 · 2025: 90 · 2024: 68 · 2023: 34 · 2022: 11 · 2021: 3
FWCI
0.85
Type
journal article
Language
en
Open access
Licence
Locations
  • Public Health in Practice (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Keywords
acculturation strategies, Berry's acculturation model, integration, assimilation, separation, marginalization, migrant mental health, depression, anxiety, post-traumatic stress disorder, suicide and self-harm, psychosis, substance abuse, acculturative stress, language proficiency, financial hardship, educational attainment

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