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：

---

美国公民移民的文化压力经历：混合方法。


2017年9月20日，飓风玛丽亚登陆波多黎各，摧毁了该群岛，迫使数千名波多黎各人迁移到美国大陆。在文化压力理论框架的指导下，本混合方法研究探讨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玛丽亚飓风成年幸存者参与了这项研究。使用混合方法序贯解释性设计。首先，我们使用潜在概况分析（LPA）和多项逻辑回归来识别参与者所经历的不同文化压力体验。然后，我们使用半结构化访谈的数据来更好地了解分为不同 LPA 概况的参与者的经历。确定了四种情况：“中等文化压力”（35%）、“总体较低”（29%）、“高文化压力”（26%）和“低语言压力”（10%）。多项回归表明，与整体低文化压力的成员相比，中度文化压力、高文化压力和低语言压力的成员都报告了显着更高的抑郁和焦虑症状。定性数据举例说明了每个档案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影响。 与飓风玛丽亚幸存者一起工作的临床医生应该认识并询问与移民相关的文化压力因素，包括歧视、不受欢迎的感觉以及用目的地社区的主要语言进行沟通的困难。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。