Health Disparities Among Asian Americans and Pacific Islanders

2004 ◽  
Vol 22 (1) ◽  
pp. 135-159 ◽  
Author(s):  
M. CHRISTINA ESPERAT ◽  
JILLIAN INOUYE ◽  
EIZABETH W. GONZALEZ ◽  
DONNA C. OWEN ◽  
DU FENG
Keyword(s):  
Health Disparities ◽  
Asian American ◽  
Help Seeking ◽  
Minority Group ◽  
Model Minority ◽  
The United States ◽  
Help Seeking Behaviors ◽  
Cultural Variables ◽  
Body Of Knowledge ◽  
Cultural Brokering

The Asian American and Pacific Islander (AAPI) group is the fastest-growing minority group in the United States. AAPIs have been touted in the literature as the “model minority” because of their achievements in the socioeconomic and educational spheres, which in certain categories are beyond the average levels of the dominant majority. However, generalizations such as these are very misleading, because they mask the glaring health disparities that are experienced by subgroups within the AAPI population. The purpose of this chapter is to explore the literature dealing with health disparities among AAPIs. Twenty-eight usable research reports were reviewed after a thorough review of the literature that spanned the years between 1990 and 2003. The review has revealed that the predominant psychosocial and cultural variables studied in research dealing with AAPI are acculturation, family and social networks, help-seeking behaviors, and cultural brokering. In general, research conducted on this group tended to be at the descriptive and comparative-correlational levels; more studies that investigate the effects of interventions to reduce or eliminate health disparities on this group are needed. The challenge is to build a body of knowledge on which to base future action.

scholarly journals Understanding and Promoting Racial Diversity in Healthcare Settings to Address Disparities in Pandemic Crisis Management

2021 ◽  
Vol 12 ◽  
pp. 215013272110183
Author(s):  
Azza Sarfraz ◽  
Zouina Sarfraz ◽  
Alanna Barrios ◽  
Kuchalambal Agadi ◽  
Sindhu Thevuthasan ◽  
...  
Keyword(s):  
United States ◽  
Health Disparities ◽  
Racial Discrimination ◽  
Clinical Training ◽  
Minority Groups ◽  
Mental Health Problems ◽  
Minority Group ◽  
Healthcare Delivery ◽  
The United States ◽  
Majority Group

Background: Health disparities have become apparent since the beginning of the COVID-19 pandemic. When observing racial discrimination in healthcare, self-reported incidences, and perceptions among minority groups in the United States suggest that, the most socioeconomically underrepresented groups will suffer disproportionately in COVID-19 due to synergistic mechanisms. This study reports racially-stratified data regarding the experiences and impacts of different groups availing the healthcare system to identify disparities in outcomes of minority and majority groups in the United States. Methods: Studies were identified utilizing PubMed, Embase, CINAHL Plus, and PsycINFO search engines without date and language restrictions. The following keywords were used: Healthcare, raci*, ethnic*, discriminant, hosti*, harass*, insur*, education, income, psychiat*, COVID-19, incidence, mortality, mechanical ventilation. Statistical analysis was conducted in Review Manager (RevMan V.5.4). Unadjusted Odds Ratios, P-values, and 95% confidence intervals were presented. Results: Discrimination in the United States is evident among racial groups regarding medical care portraying mental risk behaviors as having serious outcomes in the health of minority groups. The perceived health inequity had a low association to the majority group as compared to the minority group (OR = 0.41; 95% CI = 0.22 to 0.78; P = .007), and the association of mental health problems to the Caucasian-American majority group was low (OR = 0.51; 95% CI = 0.45 to 0.58; P < .001). Conclusion: As the pandemic continues into its next stage, efforts should be taken to address the gaps in clinical training and education, and medical practice to avoid the recurring patterns of racial health disparities that become especially prominent in community health emergencies. A standardized tool to assess racial discrimination and inequity will potentially improve pandemic healthcare delivery.

scholarly journals Asian American Older Adults and Social Isolation: A Systematic Literature Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 328-328
Author(s):  
Simona Kwon ◽  
Deborah Min ◽  
Stella Chong
Keyword(s):  
United States ◽  
Older Adults ◽  
Literature Review ◽  
Social Isolation ◽  
Asian Americans ◽  
Systematic Literature Review ◽  
Asian American ◽  
Minority Group ◽  
The United States ◽  
Eligibility Criteria

Abstract Asian Americans are the fastest growing racial and ethnic minority group in the United States, whose population is aging considerably. Previous studies indicate that social isolation and loneliness disproportionately affects older adults and predicts greater physical, mental, and cognitive decline. A systematic literature review using PRISMA guidelines was conducted to address this emerging need to understand the scope of research focused on social isolation and loneliness among the disparity population of older Asian Americans. Four interdisciplinary databases were searched: PubMed, CINAHL, PsycINFO, and AgeLine; search terms included variations on social isolation, loneliness, Asian Americans, and older adults. Articles were reviewed based on six eligibility criteria: (1) research topic relevance, (2) study participants aged &gt;60 years, (3) Asian immigrants as main participants, (4) conducted in the United States, (5) published between 1995-2019, and (6) printed in the English language. The search yielded 799 articles across the four databases and 61 duplicate articles were removed. Abstracts were screened for the 738 remaining studies, 107 of which underwent full-text review. A total of 56 articles met the eligibility criteria. Synthesis of our review indicates that existing research focuses heavily on Chinese and Korean American immigrant communities, despite the heterogeneity of the diverse Asian American population. Studies were largely observational and employed community-based sampling. Critical literature gaps exist surrounding social isolation and loneliness in Asian American older adults, including the lack of studies on South Asian populations. Future studies should prioritize health promotion intervention research and focus on diverse understudied Asian subgroups.

Strength in Numbers: Perceptions of Political Commonality with African Americans among Asians and Asian Americans in the United States

2018 ◽  
Vol 6 (1) ◽  
pp. 107-122
Author(s):  
Harvey L. Nicholson ◽  
J. Scott Carter ◽  
Arjee Restar
Keyword(s):  
United States ◽  
African Americans ◽  
Asian Americans ◽  
Asian American ◽  
Minority Group ◽  
The United States ◽  
Group Consciousness ◽  
Relational Dynamics ◽  
Linked Fate ◽  
Political Alliances

Asians are now the fastest growing racial minority group in the United States. Nearly 18 million Asians and Asian Americans currently reside in the country. Approximately 44 million African Americans also live in the United States. To improve their limited social, economic, and political clout, Asians and Asian Americans in the United States (AAAUS) could benefit from the formation of mutually beneficial political alliances with African Americans, another historically marginalized racial group. However, complicated relational dynamics between African Americans and AAAUS may drastically reduce the chances of political unity. Using the 2008 National Asian American Survey, the authors examine the effects of three factors—group consciousness, linked fate, and experiences of discrimination—on perceptions of political commonality with African Americans among AAAUS. The findings show that group consciousness and linked fate positively and strongly increase the odds of perceptions of political commonality with African Americans; however, experiences of discrimination do not. The results suggest that the cultivation of mutually beneficial political alliances between African Americans and AAAUS would first require AAAUS to develop a heightened sense of group consciousness and linked fate. The potential impact of these factors on future political alliances between both groups are discussed, as are the limitations of this study.

Curriculum as Colonizer: (Asian) American Education in the Current U.S. Context

2010 ◽  
Vol 112 (12) ◽  
pp. 3102-3138
Author(s):  
A. Lin Goodwin
Keyword(s):  
United States ◽  
No Child Left Behind ◽  
Ethnic Groups ◽  
Asian American ◽  
Culturally Relevant Pedagogy ◽  
Model Minority ◽  
The United States ◽  
American Education ◽  
Left Behind ◽  
Relevant Pedagogy

Background/Context The United States is currently undergoing a period of unprecedented immigration, with the majority of new arrivals coming from Asia and Latin America, not Europe. Asian Americans and Pacific Islanders (APIs) represent the fastest growing racial group in the United States, and schools are again being asked to socialize newcomer students, many of whom are APIs. Yet, even as the United States becomes more racially diverse, the national mindset regarding immigrants and immigration ranges from ambivalent to increasingly (and currently) hostile, and is often contradictory. “American” typically is imagined as “White,” and perceptions of APIs and people of color as “other” remain cemented in our collective psyche. It is this sociohistorical-political context that frames the education and socialization of Asian American citizens, immigrants, and their children. Objective/Focus As APIs are absorbed into the fabric of society, how will they define themselves? How will they be defined? This article begins by deconstructing the social category Asian and Pacific Islander in order to reveal the immense diversity contained under this label. The discussion illuminates both the horizontal diversity of APIs—differences between ethnic groups, and vertical diversity—differences within ethnic groups, to underscore the insufficiency of the API label. Against the diverse backdrop that APIs truly (re)present, (Asian) American education framed by three curricular contexts in the United States—the major reforms of the 2001 No Child Left Behind Act, culturally relevant pedagogy, and the “model minority” mythology—is theorized using postcolonial theory as an analytic lens. The article concludes with thoughts on how APIs can resist domination and what might be sites of resistance in schools or society. Research Design This is an analytic essay that examines both historical and contemporary educational and policy contexts. Conclusions/Recommendations Curriculum, defined not simply as subject matter content and instructional procedures, but as a tool of acculturation and a depository of (U.S.) national and cultural values, has the power to emancipate or colonize. Each of the three curricular contexts in the United States—the major reforms of the No Child Left Behind Act, culturally relevant pedagogy, and the “model minority” mythology—exemplify the role Curriculum plays in defining, silencing, and/or marginalizing APIs. Imagined sites of resistance against Curriculum as colonizer include this very page, where one voice deliberately pushes back against the obfuscation of fixed realities layered onto people of Asian descent in the United States, the reexamination and revision(ing) of teacher preparation curricula, and the larger policy arena.

Asians and the Myth of the Model Minority in Higher Education

2016 ◽  
pp. 447-468
Author(s):  
Ronn Johnson ◽  
Ji Youn Cindy Kim ◽  
Jojo Yanki Lee
Keyword(s):  
Higher Education ◽  
Native Americans ◽  
Asian Americans ◽  
Asian American ◽  
Help Seeking ◽  
Model Minority ◽  
Help Seeking Behavior ◽  
Dominant Culture ◽  
Health Concerns ◽  
Seeking Behavior

When compared with African Americans, Latinos, and Native Americans, Asian are often attributed more positive attributions from the dominant culture. The developed stereotype, Myth of the Model Minority (MMM), suggests Asian Americans achieve a higher degree of success than the general population. Under the internalized assumption of being psychologically trouble free, the MMM stereotype contributes to Asians being less inclined to proactively engage in help seeking behavior despite the presence of severe mental health concerns. Psychocultural examples relating to Asian Americans (e.g., Virginia Tech Shooter case) are reviewed to form a clinical and forensic psychological framework that offers a challenge as to why the MMM is problematic in higher education. The myths related to MMM and the experiences—positive or negative—of MMM are analyzed to encourage subsequent empirically-based applications for addressing MMM as well as serving as a caveat against using monocausal explanations or other thumbnail assessments of Asian American behavior in higher education.

Traditional Medicine and Help-Seeking Behaviors for Health Problems Among Somali Bantu Refugees Resettled in the United States

2020 ◽  
pp. 104973232097049
Author(s):  
Mehret T. Assefa ◽  
Rochelle L. Frounfelker ◽  
Shanze A. Tahir ◽  
Jenna M. Berent ◽  
Abdirahman Abdi ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Help Seeking ◽  
Health Care Services ◽  
Minority Group ◽  
The United States ◽  
Health Problems ◽  
Care Providers ◽  
Somali Bantu ◽  
Pathways Of Care

Somali refugees have resettled in the United States in large numbers. The focus of this study was specifically on the Somali Bantu refugees, an ethnic minority group from Somalia. The goal of this study was to understand the following: (a) jinn (invisible beings or forces in Islamic theology) and related health problems resulting from jinn possession affecting Somali Bantu refugees, (b) types of traditional healing practices integrated into help-seeking behavior, and (c) pathways of care utilized to address health problems. In total, 20 participant interviews were conducted with Somali Bantu refugees resettled in the United States. Overall, participants described types of jinn and associated health problems. In addition, participants identified different pathways of care, including formal and informal health care. Participants accessed these pathways both concurrently and sequentially. Somali Bantu utilize complex and varied health care services based on their understanding of the causes of health problems and experiences with care providers.

scholarly journals Occupational Attributes With The Highest Minority Domination: Variables Narrowing Or Increasing Interethnic Occupational Differences

2011 ◽  
Vol 1 (9) ◽  
Author(s):  
Annabel Droussiotis
Keyword(s):  
African American ◽  
Asian American ◽  
Capital Accumulation ◽  
Minority Group ◽  
The United States ◽  
Hispanic American ◽  
Font Size ◽  
Explanatory Variables ◽  
Occupational Differences ◽  
Males And Females

<p class="MsoNormal" style="text-align: justify; margin: 0in 48.1pt 0pt 0.5in; mso-pagination: none;"><span style="font-family: Times New Roman;"><span style="font-size: 10pt; mso-bidi-font-style: italic;">The occupational profile of the various ethnic groups varies in the United States. The occupational stratification is sometimes based on one&rsquo;s ethnicity rather than ability. When interethnic occupational differences are attributed to discrimination the result is inefficiency in the labor market. The purpose of this study is to determine the occupations in which ethnic minorities are dominant and the factors which are most significant in either increasing or reducing this dominance. The data consist of 183 Economic Areas (as defined by the Bureau of Economic Analysis). Explanatory variables reflect educational levels, human capital accumulation, social status, government action, and general area characteristic for each groups. Occupational attributes are used to aggregate all occupations, reflecting prestige and satisfaction levels. African-American, Hispanic-American and Asian-American groups are compared to non-Hispanic whites. Males and females are tested separately. The results show that African American and Hispanic males and females are influenced by similar variables. The level of higher education assists the labor position of African and Hispanic American males reducing interethnic occupational differences. The density of the minority group in the area improves the position of their female counterparts. The Asian American group is very different</span><span style="font-size: 10pt;">.<span style="mso-bidi-font-style: italic;"></span></span></span></p>

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