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Immigration-related stressors and mental health problems among Asian-American Immigrants

                                         Religious involvement may provide alternative social support resources that
                                       “intervene between the stressful events and a stress reaction” (Cohen and Wills, 1985:
                                       312) and attenuate the harmful effect of stressors on mental health. Research shows
                                       that increased involvement in religious services is associated with an increased level
                                       of perceived social support (Bierman, 2006; Ellison and George, 1994; Krause, 2002).
                                       Religious gathering provides settings that bring together individuals “who share
                                       common belief, values, and interests on a regular basis, for worship, ritual, and other
                                       activities to which members ascribe significance” (Ellison and Henderson, 2011: 18)
                                       and allow people to extend their social networks and increase frequency of in-person
                                       contact with religious community members. In this sense, religious communities
                                       are likely to provide reliable and diverse assistance such as financial support,
                                       information services, and emotional support (Krause, 2007). Support from fellow
                                       church members may be more beneficial compare to support from other resources as
                                       religious communities possess high volume of symbolic power that may largely shape
                                       individuals’ cognition and action toward stressful conditions (Bourdieu, 1979). Taken
                                       together, social support acquired from religious involvement may be considered a
                                       valuable coping resource.
                                         A wealth of recent studies has tested the stress-buffering effects of different aspects
                                       of religious involvement among those who have experienced or are experiencing high
                                       levels of stress. Frequently attending religious-services is found to reduce the risk of
                                       mental dysfunction resulted from chronic discrimination among African Americans
                                       (Bierman, 2006). Religious attendance also buffers against the detrimental effect of
                                       financial hardship on psychological distress (Bradshaw and Ellison, 2010). High degree
                                       of religious beliefs, religious guidance, and belief in after life mitigate the deleterious
                                       effects of stressors on emotional and physical adjustment (Kim and Seidlitz, 2002)
                                       and psychological distress (Bradshaw and Ellison, 2010). In addition, religious coping
                                       and spiritual help seeking are found to attenuate the detrimental effects of stressful
                                       life events on depression (Schnittker, 2001; Bjorck and Thurman, 2007; Lee, 2007).
                                       Findings from one longitudinal study of African American adults also support the
                                       stress-buffering effect of religion (Ellison, Musick, and Henderson, 2008).
                                         To our knowledge, only a handful of studies have examined the role of religious
                                       involvement on mental health among Asian Americans who are highly heterogeneous
                                       with regard to immigration status, ethnicity, and religious beliefs. For instance, a large
                                       proportion of Chinese and Korean immigrants are Protestants while most Filipinos
                                       and Vietnamese claim themselves as Catholics. Although quite a number of Asian
                                       immigrants have converted to Christianity after immigration (Ai, Huang, Bjock, et al.
                                       2013), many still practice religions originated in Asia, including Buddhism, Taoism,
                                       Confucianism, Hinduism, and other folk religions. Religious teachings of Asian faiths
                                       are often very different from those of western religions. So this raises a concern of
                                       whether the beneficial effect of religion found in other racial/ethnic groups still exists
                                       among Asian-American immigrants.
                                         Despite their diverse forms, many Asian religions and traditions have shared values
                                       and functions.  Most Asian religious beliefs, for instance, take a holistic view of
                                       mental health and emphasize the integration of mind, body and spirit (Ai, Huang,
                                       Bjock, et al. 2013: 80). In this regard, Asia-originated religions may play a unique
                                       role in the pathway of the stress process. In addition, Asian-American immigrants are
                                       found to view frequent participation in religious activities as a means to enhance their
                                       mutual support, group solidarity, and social cohesion when encountering acculturation
                                       related challenges (Bjorck, Cutherbertson, Thurman, et al. 2001; Fischer, Ai, Aydin
                                       et al., 2010). In this sense, despite diversity in religious beliefs and practices,
                                       religious involvement is likely to lead to similar beneficial effects for Asian-American
                                       immigrants.
                                         Three recent studies have tested both direct and mediating/moderating effects of
                                       religion on mental health among Asian Americans. Ai and colleagues (2013) found
                                       that religious attendance predicts a low likelihood of major depression among Asian
                                       Americans and social support mediates the association. Another study (Appel, Ai,

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