Using the 2002–2003 National Latino and Asian American Study (NLAAS), we examine the relationship between acculturation and poor-to-fair self-rated health (SRH) among Asian immigrants (N = 1639). Using latent class analysis, we construct a multidimensional measure of acculturation that considers dimensions of involvement in U.S. culture as well as attachment to Asian ethnic cultures and identify three classes of Asian immigrants: the assimilated, who most strongly adhere to U.S. culture; the integrated, who align with both U.S. and Asian ethnic cultures; and the separated, who are almost exclusively attached to Asian ethnic cultures. Logistic regression results revealed that among the pooled sample of Asian immigrant adults, the separated are significantly more likely to report poor-to-fair SRH than the assimilated. We then tested for gender and age differences in the acculturation–SRH relationship, and found that stratifying by gender yields noticeably different patterns. Among Asian immigrant women, the probability of reporting poor-to-fair SRH increases with age for the separated and the integrated, while it declines with age for the assimilated. Conversely, among Asian immigrant men, the probability of reporting poor-to-fair SRH increases most steeply with age for the assimilated, while it is shallower for the separated and the integrated. Future research should continue to develop a dynamic understanding of acculturation and examine its association with other health outcomes, including how these relationships differ across subsets of immigrant groups.

使用2002-2003年国家拉丁裔和亚裔美国人研究（NLAAS），我们研究了亚洲移民的适应能力与自我评估的不良健康状况（SRH）之间的关系（N = 1639）。通过使用潜在类别分析，我们构建了一种多维度的文化适应度衡量方法，其中考虑了参与美国文化以及对亚洲族裔文化的依恋程度，并确定了三类亚洲移民：同化的，最坚决拥护美国文化的；融合了美国和亚洲民族文化的综合人士；以及与世隔绝的人，他们几乎只对亚洲民族文化有依恋。Logistic回归结果显示，在汇总的亚洲移民成年人样本中，与同龄人相比，分离出的人报告SRH差得多的可能性明显更高。然后，我们测试了文化和SRH关系中的性别和年龄差异，发现按性别分层会产生明显不同的模式。在亚洲移民妇女中，对于分离的和整合的人，报告为不公平的SRH的概率随年龄的增长而增加，而对于被同化者和同胞的年龄，其报告为SHR的概率则下降。相反，在亚洲移民男性中，被同化者报告不公平的SRH的可能性随着年龄的增长而急剧增加，而对于失散者和融合者来说，报告的可能性较小。未来的研究应继续发展对适应的动态理解，并检查其与其他健康结果的关系，包括这些关系在移民群体的子集之间如何不同。而对于分离的和整合的则较浅。未来的研究应继续发展对适应的动态理解，并检查其与其他健康结果的关系，包括这些关系在移民群体的子集之间如何不同。而对于分离和集成来说，它更浅。未来的研究应继续发展对适应的动态理解，并检查其与其他健康结果的关系，包括这些关系在移民群体的子集之间如何不同。