The present study identified profiles of acculturation in Asian Americans and explored their implications for health. Pointing out the upward selection bias of Asian Americans in English-only surveys, the study calls attention to the importance of obtaining Asian American samples that reflect the group’s cultural and linguistic diversities. Data were drawn from 2,602 participants (age range = 18–98) in the 2015 Asian American Quality of Life (AAQoL) Survey, conducted in central Texas. To reach out to diverse groups of Asian Americans, culturally and linguistically sensitive approaches (e.g., survey questionnaire in Asian languages, bilingual/bicultural recruiters and survey assistants, and partnerships with key individuals and organizations within ethnic communities) were employed, resulting in a sample almost half of which were surveyed in their native languages. Latent profile analysis based on acculturation-related variables (nativity, proportion of life lived in the United States, English speaking ability, familiarity with host culture, familiarity with heritage culture, identity toward ethnic origin, and sense of belonging to the community of ethnic origin) identified a 4-cluster solution: fully bicultural, moderately bicultural, alienated from host culture, and alienated from heritage culture. The fully bicultural group was most advantaged in terms of self-ratings of physical, oral, and mental health. The alienated from heritage culture group demonstrated a particular risk for physical and mental health, whereas the alienated from host culture group was at risk for oral health. Findings not only help understand the heterogeneity of acculturation in Asian Americans but also provide implications for health interventions.

中文翻译：

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文化适应的潜在特征及其对健康的影响：一项针对德克萨斯州中部亚裔美国人的研究。

本研究确定了亚裔美国人的文化适应概况，并探讨了它们对健康的影响。该研究指出亚裔美国人在仅使用英语的调查中存在向上选择偏差，并呼吁人们注意获取反映该群体文化和语言多样性的亚裔美国人样本的重要性。数据来自 2015 年在德克萨斯州中部进行的亚裔美国人生活质量 (AAQoL) 调查中的 2,602 名参与者（年龄范围 = 18-98）。为了接触不同的亚裔美国人群体，采用了对文化和语言敏感的方法（例如，亚洲语言调查问卷、双语/双文化招聘人员和调查助理，以及与少数民族社区内的关键个人和组织的伙伴关系），导致几乎一半的样本是用他们的母语进行调查的。基于文化相关变量（出生、在美国生活的比例、英语能力、对东道国文化的熟悉程度、对传统文化的熟悉程度、对族裔的认同以及对族裔社区的归属感）的潜在概况分析) 确定了 4 个集群解决方案：完全双文化、适度双文化、与东道国文化疏远以及与传统文化疏远。完全双文化组在身体、口腔和心理健康的自我评价方面最有优势。与传统文化群体疏远的人表现出身心健康的特殊风险，而与东道文化群体疏远的人则面临口腔健康风险。