On September 20, 2017, Hurricane Maria made landfall in Puerto Rico, devastating the archipelago and forcing thousands of Puerto Ricans to migrate to the U.S. mainland. Guided by a cultural stress theory framework, the present mixed method study examined how various cultural stressors impact participants' daily interactions and mental health outcomes. A total of 319 adult Hurricane Maria survivors residing on the U.S. mainland participated in the study. A mixed method sequential explanatory design was used. First, we used latent profile analysis (LPA) and multinomial logistic regression to identify the varied cultural stress experiences that participants had. Then we used data from semistructured interviews to better understand the experiences of participants classified into the different LPA profiles. Four profiles were identified: "moderate cultural stress" (35%), "overall low" (29%), "high cultural stress" (26%), and "low language stress" (10%). Multinomial regression indicated that members of the moderate cultural stress, high cultural stress, and low language stress profiles all reported significantly higher depressive and anxiety symptoms compared to members of the overall low profile. Qualitative data exemplified the daily experiences of participants placed into each profile, demonstrating that participants have rich and varied experiences that can contribute to their mental health symptoms. The present study documents the contributions of hurricane trauma and cultural stress vis-à-vis current mental health symptoms. Clinicians working with Hurricane Maria survivors should be cognizant of and inquire about migration-related cultural stressors including discrimination, feelings of being unwelcomed, and difficulty communicating in the destination community's dominant language. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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美国公民移民的文化压力经历：一种混合方法。


2017 年 9 月 20 日，飓风玛丽亚在波多黎各登陆，摧毁了该群岛，迫使成千上万的波多黎各人移民到美国大陆。在文化压力理论框架的指导下，目前的混合方法研究考察了各种文化压力源如何影响参与者的日常互动和心理健康结果。共有 319 名居住在美国大陆的成年飓风玛丽亚幸存者参与了这项研究。采用混合方法序贯解释设计。首先，我们使用潜在概况分析 （LPA） 和多项式 logistic 回归来确定参与者的不同文化压力体验。然后，我们使用来自半结构化访谈的数据来更好地了解被归类为不同 LPA 档案的参与者的经历。确定了四种特征：“中等文化压力”（35%）、“总体低”（29%）、“高文化压力”（26%）和“低语言压力”（10%）。多项回归分析表明，与整体低调成员相比，中等文化压力、高文化压力和低语言压力特征的成员都报告了显著更高的抑郁和焦虑症状。定性数据举例说明了每个个人资料中参与者的日常经历，表明参与者拥有丰富多样的经历，这些经历可能会导致他们的心理健康症状。本研究记录了飓风创伤和文化压力对当前心理健康症状的贡献。 与飓风玛丽亚幸存者合作的临床医生应了解并询问与移民相关的文化压力源，包括歧视、不受欢迎的感觉以及难以用目的地社区的主要语言进行交流。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。