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      Acculturative Stress and Influential Factors among International Students in China: A Structural Dynamic Perspective

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          Abstract

          Stress represents a prominent aspect of modern life and is associated with numerous negative health consequences. International students are a key force in shaping globalization. However, these students often experience acculturative stress, influencing their health and well-being. The growing number of international students in China emerges as a new global health challenge and presents an opportunity to advance our understanding of acculturative stress. This study aims to investigate the acculturative stress of international students in China, and verify the mechanism and influential factors of acculturative stress. We analyzed survey data from 567 international students attending universities in Wuhan, China. We used a network-based analytical approach to assess the structure of the Acculturative Stress Scale for International Students and used regression analysis to assess the relationships between acculturative stress and theoretically related factors. We found that higher levels of acculturative stress were reported by students from Asia and Africa than from other regions (Europe/America/Oceania). Lower acculturative stress was reported by unmarried students than others and by students well prepared than not well prepared. We verified seven acculturative stress subconstructs: rejection, identity threat, opportunity deprivation, self-confidence, value conflict, cultural competence, and homesickness; and discovered a three-dimensional network structure of these subconstructs. Our results suggest that acculturative stress was more common among international students in China than in developed countries. Acculturative stress was also more common among international students who did not well prepared, married, and belonged to an organized religion. African and Asian students' stress was higher than that for students from other regions. Acculturative stress prevention programs should seek to improve preparedness of the international students for studying abroad and pay extra attention to the high risk subgroups.

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          Most cited references7

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          Development of an Acculturative Stress Scale for International Students: preliminary findings.

          Description of the development and testing of a new 36-item scale in Likert format, designed to assess the acculturative stress of international students, includes perceived discrimination, homesickness, fear, guilt, perceived hatred, and stress due to change (cultural shock), identified as major contributing factors. The psychometric properties of this instrument and implications for use by mental health practitioners are discussed.
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            Self-concealment, social self-efficacy, acculturative stress, and depression in African, Asian, and Latin American international college students.

            The primary purpose of this exploratory investigation was to examine self-concealment behaviors and social self-efficacy skills as potential mediators in the relationship between acculturative stress and depression in a sample of 320 African, Asian, and Latin American international college students. The authors found several differences by demography with regard to the study's variables. After controlling for regional group membership, sex, and English language fluency, they found that self-concealment and social self-efficacy did not serve as mediators in the relationship between African, Asian, and Latin American international students' acculturative stress experiences and depressive symptomatology. Implications of the findings are discussed.
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              Stress, aging, and neurodegenerative disease.

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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2014
                30 April 2014
                : 9
                : 4
                : e96322
                Affiliations
                [1 ]School of Public Health, Wuhan University, Wuhan, Hubei, P. R. China
                [2 ]Global Health Institute, Wuhan University, Wuhan, Hubei, P. R. China
                [3 ]Pediatric Prevention Research Center, Wayne State University, Detroit, Michigan, United States of America
                [4 ]Department of Epidemiology, University of Florida, Gainesville, Florida, United States of America
                City University of Hong Kong, Hong Kong
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: BY XC SL HY. Performed the experiments: BY XC SL YL HY. Analyzed the data: BY XC SL YL HY. Wrote the paper: BY XC SL. Manuscript revision: AJJT HY.

                Article
                PONE-D-13-53064
                10.1371/journal.pone.0096322
                4005751
                24788357
                52d31e27-5489-45b0-9490-616c49461400
                Copyright @ 2014

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 16 December 2013
                : 6 April 2014
                Page count
                Pages: 8
                Funding
                This study was co-funded by Wuhan University, China and Wayne State University, USA. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Psychology
                Behavior
                Psychological Stress
                Social Psychology
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Public and Occupational Health
                Behavioral and Social Aspects of Health
                Global Health
                Occupational and Industrial Medicine
                People and Places
                Population Groupings
                Religious Faiths
                Research and Analysis Methods
                Database and Informatics Methods
                Health Informatics
                Social Sciences
                Sociology
                Culture
                Cross-Cultural Studies
                Demography

                Uncategorized
                Uncategorized

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