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This chapter describes four case studies – three from Australia and one from rural Indonesia – that build the argument that to enhance the potential for multiple benefits, climate adaptation needs to be integrated into development and planning processes. The case studies demonstrate (1) the early benefits from adaptation to coastal inundation, (2) the importance of considering the distribution of costs and benefits across communities, (3) the low-regrets nature of some early adaptation actions and (4) the synergies between adaptation measures and sustainable development. By demonstrating the multiple benefits of climate adaptation, case studies like these have stimulated thinking about climate adaptation in terms of adaptation pathways and climate-compatible development. Early adaptation creates resilience by maintaining diversity, flexibility and adaptability – factors that enable people to benefit from future opportunities. Adaptation pathways approaches help stakeholders better understand how adaptation can address the systemic drivers of vulnerability and how to integrate adaptation into broader planning approaches.
Individual-level measures of acculturation (e.g. age of immigration) have a complex relationship with psychiatric disorders. Fine-grained analyses that tap various acculturation dimensions and population subgroups are needed to generate hypotheses regarding the mechanisms of action for the association between acculturation and mental health.
Method
Study participants were US Latinos (N = 6359) from Wave 2 of the 2004–2005 National Epidemiologic Survey of Alcohol and Related Conditions (N = 34 653). We used linear χ2 tests and logistic regression models to analyze the association between five acculturation dimensions and presence of 12-month DSM-IV mood/anxiety disorders across Latino subgroups (Mexican, Puerto Rican, Cuban, ‘Other Latinos’).
Results
Acculturation dimensions associated linearly with past-year presence of mood/anxiety disorders among Mexicans were: (1) younger age of immigration (linear χ21 = 11.04, p < 0.001), (2) longer time in the United States (linear χ21 = 10.52, p < 0.01), (3) greater English-language orientation (linear χ21 = 14.57, p < 0.001), (4) lower Latino composition of social network (linear χ21 = 15.03, p < 0.001), and (5) lower Latino ethnic identification (linear χ21 = 7.29, p < 0.01). However, the associations were less consistent among Cubans and Other Latinos, and no associations with acculturation were found among Puerto Ricans.
Conclusions
The relationship between different acculturation dimensions and 12-month mood/anxiety disorder varies across ethnic subgroups characterized by cultural and historical differences. The association between acculturation measures and disorder may depend on the extent to which they index protective or pathogenic adaptation pathways (e.g. loss of family support) across population subgroups preceding and/or following immigration. Future research should incorporate direct measures of maladaptive pathways and their relationship to various acculturation dimensions.
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