J. Limbachia, Hollis Owens, Maryam Matean, Imelda Suen, Sophia Khan, Helen Novak-Lauscher, B. Ho, K. Ho
Background: Chronic disease management is fraught with many challenges for ethnic minorities. Studies conducted in non-multicultural populations suggest that patient and community engaging initiatives can improve chronic disease management practices. However, literature on culturally specific community engaging programs is relatively sparse. The interCultural Online Health Network (iCON) is a culturally tailored, patient and community engaging health promotion program, which provides culturally specific health education to BC’s multicultural communities. We aimed to assess if the iCON 2020 Chinese Health Forum can improve the knowledge and understanding of chronic disease self-management in the Chinese community of Vancouver, BC. Methods: We conducted a sequential mixed-methods study by administering pre- and post- validated questionnaires, followed by semi-structured interviews conducted one-two months after the forum. We assessed our primary outcome of difference in self-efficacy scores post-forum using paired t-tests and further illuminated our research question through a thematic analysis of the semi-structured interviews. Results: From the 381 participants that attended the Health Forum, 131 consented to completing the pre- and/or post- surveys, and seven provided consent to participate in the follow-up interview. There was a statistically significant difference in self-efficacy scores pre- and post- forum participation (Mean difference = 0.58, S.D. = 1.42; [95% CI: 0.26 – 0.90], t(77) = 3.60; P = 0.001, d = 0.41). Participants attributed the effectiveness of the Health Forum to its accessible yet engaging programming and focus on culturally tailored health education. Conclusion: A culturally tailored, patient engagement and community outreach program effectively improved Chinese community members self-efficacy in managing their chronic diseases and was well received by participants. iCON’s 2020 Chinese Health Forum presents a model with associated principles of approach for similar culturally specific health education and community engagement programs that need to be developed to reduce the burden of chronic diseases in multicultural populations.
{"title":"Evaluating a Culturally Tailored Public Health Forum in Improving the Knowledge and Understanding of Chronic Disease Management in the Chinese Population: A Mixed-methods Study","authors":"J. Limbachia, Hollis Owens, Maryam Matean, Imelda Suen, Sophia Khan, Helen Novak-Lauscher, B. Ho, K. Ho","doi":"10.59448/jah.v3i2.33","DOIUrl":"https://doi.org/10.59448/jah.v3i2.33","url":null,"abstract":"Background: \u0000Chronic disease management is fraught with many challenges for ethnic minorities. Studies conducted in non-multicultural populations suggest that patient and community engaging initiatives can improve chronic disease management practices. However, literature on culturally specific community engaging programs is relatively sparse. The interCultural Online Health Network (iCON) is a culturally tailored, patient and community engaging health promotion program, which provides culturally specific health education to BC’s multicultural communities. We aimed to assess if the iCON 2020 Chinese Health Forum can improve the knowledge and understanding of chronic disease self-management in the Chinese community of Vancouver, BC. \u0000 \u0000Methods: \u0000We conducted a sequential mixed-methods study by administering pre- and post- validated questionnaires, followed by semi-structured interviews conducted one-two months after the forum. We assessed our primary outcome of difference in self-efficacy scores post-forum using paired t-tests and further illuminated our research question through a thematic analysis of the semi-structured interviews. \u0000 \u0000Results: \u0000From the 381 participants that attended the Health Forum, 131 consented to completing the pre- and/or post- surveys, and seven provided consent to participate in the follow-up interview. There was a statistically significant difference in self-efficacy scores pre- and post- forum participation (Mean difference = 0.58, S.D. = 1.42; [95% CI: 0.26 – 0.90], t(77) = 3.60; P = 0.001, d = 0.41). Participants attributed the effectiveness of the Health Forum to its accessible yet engaging programming and focus on culturally tailored health education. \u0000 \u0000Conclusion: \u0000A culturally tailored, patient engagement and community outreach program effectively improved Chinese community members self-efficacy in managing their chronic diseases and was well received by participants. iCON’s 2020 Chinese Health Forum presents a model with associated principles of approach for similar culturally specific health education and community engagement programs that need to be developed to reduce the burden of chronic diseases in multicultural populations.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43985871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although Type II diabetes (T2D) prevalence in US Chinese immigrants continues to rise, gaps in research and clinical care persist. These gaps are largely due to generalizations of the Asian immigrant population, barriers within biomedical culture, and a lack of culturally sensitive treatment plans. Little attention is paid to the unique sociocultural factors and contexts within each subpopulation, such as family influences or traditional medicine approaches. After an analysis of available literature, folk interpretations of disease, the family unit, and cultural food practices were found to be significant influences on T2D treatment. As they navigate their treatment, Chinese immigrants grapple with issues such as the stigmatization of insulin, the importance of providing food as care, and family well-being and harmony. Understanding how and why these elements of PVN affect T2D treatment is crucial to tailoring medical care to the needs of Chinese immigrant communities.
{"title":"A review of the role of cultural practices, values, and norms in type II diabetes treatment for Chinese immigrants","authors":"Cameron K. Ormiston","doi":"10.59448/jah.v3i2.36","DOIUrl":"https://doi.org/10.59448/jah.v3i2.36","url":null,"abstract":"Although Type II diabetes (T2D) prevalence in US Chinese immigrants continues to rise, gaps in research and clinical care persist. These gaps are largely due to generalizations of the Asian immigrant population, barriers within biomedical culture, and a lack of culturally sensitive treatment plans. Little attention is paid to the unique sociocultural factors and contexts within each subpopulation, such as family influences or traditional medicine approaches. After an analysis of available literature, folk interpretations of disease, the family unit, and cultural food practices were found to be significant influences on T2D treatment. As they navigate their treatment, Chinese immigrants grapple with issues such as the stigmatization of insulin, the importance of providing food as care, and family well-being and harmony. Understanding how and why these elements of PVN affect T2D treatment is crucial to tailoring medical care to the needs of Chinese immigrant communities.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49152930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Among the 1,866 Asian women (901 Filipina women, 654 Chinese women, and 311 Japanese women) who had vitamin D assessment prior to initiation of osteoporosis therapy, Filipina women had a lower prevalence of vitamin D deficiency compared to Chinese women, despite higher body mass index (BMI). In multivariable analyses that adjusted for age, BMI, and smoking status, the relative risk (RR) of low vitamin D was significantly higher for Chinese women (RR 1.4, 95% confidence interval 1.1–1.7) but not for Japanese women (RR 1.2, 95% confidence interval 0.9–1.6). The 40% higher risk of low vitamin D in Chinese women compared to Filipina women emphasizes the importance of disaggregating the Asian race when examining nutritional health attributes.
{"title":"Vitamin D Status among Women of Different Asian Subgroups Initiating Osteoporosis Therapy","authors":"Samantha Ho, Christina F Li, M. Chandra, J. Lo","doi":"10.59448/jah.v3i1.30","DOIUrl":"https://doi.org/10.59448/jah.v3i1.30","url":null,"abstract":"Among the 1,866 Asian women (901 Filipina women, 654 Chinese women, and 311 Japanese women) who had vitamin D assessment prior to initiation of osteoporosis therapy, Filipina women had a lower prevalence of vitamin D deficiency compared to Chinese women, despite higher body mass index (BMI). In multivariable analyses that adjusted for age, BMI, and smoking status, the relative risk (RR) of low vitamin D was significantly higher for Chinese women (RR 1.4, 95% confidence interval 1.1–1.7) but not for Japanese women (RR 1.2, 95% confidence interval 0.9–1.6). The 40% higher risk of low vitamin D in Chinese women compared to Filipina women emphasizes the importance of disaggregating the Asian race when examining nutritional health attributes.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Jimenez Ramirez, Zainub Dhanani, Jennifer Nguyen, Janine S. Bruce, D. Lum, D. Atashroo, P. Ghanouni, Bertha Chen
Introduction: Uterine fibroids are prevalent in reproductive-age Asian women and can have a severe impact on health due to heavy bleeding, pelvic pain, and psychosocial harm. Current treatment, ranging from expectant management to hysterectomy, is aimed at symptom alleviation. Therefore, it is crucial for providers to accurately gauge symptom impact to determine appropriate treatments. A recent study reported differential symptom scores between Asian and Caucasian women treated at the Stanford Fibroid Center (SFC).1 In this pilot study, we aim to explore potential etiologies contributing to this finding by comparing fibroid size and location, clinical factors, and surveying sociocultural factors. Methods: We utilized a mixed methods approach to uncover potential associations to differential Uterine Fibroid Symptom and Health-Related Quality of Life Symptom Severity Scores (UFS-QoL SSS) between Asian and Caucasian patients at SFC. We quantitatively analyzed fibroid imaging data and clinical risk factors from this cohort and qualitatively compared semi-structured interviews in a representative sub-sample. Results: We found no significant difference in fibroid size or location between groups. However, Asians had significantly lower body mass index (P < 0.0001) and were more likely non-smokers (P = 0.0037) compared to Caucasians. After adjusting for these and other risk factors, pretreatment UFS-QoL SSS in Asian patients were still significantly lower (P < 0.0001). Qualitative interviews with Asian and Caucasian interviewees demonstrated comparable symptom experiences and quality of life, but more Asian participants described a negative impact from family and friends, less access to and distrust of medical providers, and pursuit of alternative therapies for their fibroids. Conclusion: These findings suggest that the UFS-QoL questionnaire may be insufficient for capturing symptom burden in patients of different races. Further understanding on how the above factors modulate symptom reporting is warranted to help design appropriate fibroid treatment recommendations for diverse populations.
{"title":"Differences in Fibroid Symptom Reporting among Asian and Caucasian Patients in a Multidisciplinary Fibroid Center","authors":"N. Jimenez Ramirez, Zainub Dhanani, Jennifer Nguyen, Janine S. Bruce, D. Lum, D. Atashroo, P. Ghanouni, Bertha Chen","doi":"10.59448/jah.v3i1.37","DOIUrl":"https://doi.org/10.59448/jah.v3i1.37","url":null,"abstract":"Introduction: Uterine fibroids are prevalent in reproductive-age Asian women and can have a severe impact on health due to heavy bleeding, pelvic pain, and psychosocial harm. Current treatment, ranging from expectant management to hysterectomy, is aimed at symptom alleviation. Therefore, it is crucial for providers to accurately gauge symptom impact to determine appropriate treatments. A recent study reported differential symptom scores between Asian and Caucasian women treated at the Stanford Fibroid Center (SFC).1 In this pilot study, we aim to explore potential etiologies contributing to this finding by comparing fibroid size and location, clinical factors, and surveying sociocultural factors. \u0000Methods: We utilized a mixed methods approach to uncover potential associations to differential Uterine Fibroid Symptom and Health-Related Quality of Life Symptom Severity Scores (UFS-QoL SSS) between Asian and Caucasian patients at SFC. We quantitatively analyzed fibroid imaging data and clinical risk factors from this cohort and qualitatively compared semi-structured interviews in a representative sub-sample. \u0000Results: We found no significant difference in fibroid size or location between groups. However, Asians had significantly lower body mass index (P < 0.0001) and were more likely non-smokers (P = 0.0037) compared to Caucasians. After adjusting for these and other risk factors, pretreatment UFS-QoL SSS in Asian patients were still significantly lower (P < 0.0001). Qualitative interviews with Asian and Caucasian interviewees demonstrated comparable symptom experiences and quality of life, but more Asian participants described a negative impact from family and friends, less access to and distrust of medical providers, and pursuit of alternative therapies for their fibroids. \u0000Conclusion: These findings suggest that the UFS-QoL questionnaire may be insufficient for capturing symptom burden in patients of different races. Further understanding on how the above factors modulate symptom reporting is warranted to help design appropriate fibroid treatment recommendations for diverse populations. ","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42225539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashwin Sunderraj, Nilay S Shah, Nicola Lancki, Juned Siddique, Namratha R Kandula
Background: Ethnic and national identity may influence cardiovascular health (CVH)-related behaviors, such as dietary preference. To better understand how acculturation is related to CVH among South Asian American adults, we evaluated the association of self-rated American identity with CVH factors among participants of the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study.
Methods: Multivariable linear regression quantified the associations of self-rated American identity [1 (low American identity) to 10 (high American identity)] with CVH factors, including measures of cholesterol, blood pressure, and blood glucose. The role of diet quality, physical activity, and social support in mediating these associations was evaluated.
Results: Participants (n = 771) lived in the United States for an average of 27 (SD 11) years. The mean self-rated American identity score was 5.5 (2.4). After adjustment, a 5-point higher American identity score was associated with 6.5 mg/dL higher low-density lipoprotein cholesterol, 6.6 mg/dL higher total cholesterol, 2.9 mmHg higher systolic blood pressure, and 1.4 mmHg higher diastolic blood pressure. Accounting for diet quality, physical activity, or social support does not alter these associations.
Conclusions: Higher self-rated American identity is associated with worse CVH factors among South Asian American adults.
{"title":"Association of American Identity with Cardiovascular Health in South Asian Americans: The MASALA Study.","authors":"Ashwin Sunderraj, Nilay S Shah, Nicola Lancki, Juned Siddique, Namratha R Kandula","doi":"10.59448/jah.v3i2.35","DOIUrl":"https://doi.org/10.59448/jah.v3i2.35","url":null,"abstract":"<p><strong>Background: </strong>Ethnic and national identity may influence cardiovascular health (CVH)-related behaviors, such as dietary preference. To better understand how acculturation is related to CVH among South Asian American adults, we evaluated the association of self-rated American identity with CVH factors among participants of the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study.</p><p><strong>Methods: </strong>Multivariable linear regression quantified the associations of self-rated American identity [1 (low American identity) to 10 (high American identity)] with CVH factors, including measures of cholesterol, blood pressure, and blood glucose. The role of diet quality, physical activity, and social support in mediating these associations was evaluated.</p><p><strong>Results: </strong>Participants (<i>n</i> = 771) lived in the United States for an average of 27 (SD 11) years. The mean self-rated American identity score was 5.5 (2.4). After adjustment, a 5-point higher American identity score was associated with 6.5 mg/dL higher low-density lipoprotein cholesterol, 6.6 mg/dL higher total cholesterol, 2.9 mmHg higher systolic blood pressure, and 1.4 mmHg higher diastolic blood pressure. Accounting for diet quality, physical activity, or social support does not alter these associations.</p><p><strong>Conclusions: </strong>Higher self-rated American identity is associated with worse CVH factors among South Asian American adults.</p>","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237356/pdf/nihms-1888349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9581655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vietnamese Americans are one of the largest Asian American subgroups in the United States. However, they have not been well-studied, possibly due to aggregation of Asian American data and assumed good health of Asian Americans. This population leads other Asian American subgroups in mortality rates of cancers, heart disease, and cerebrovascular diseases, as well as in incidence of hypertension and type 2 diabetes. Vietnamese Americans have also been disproportionately impacted by the COVID-19 pandemic demonstrated in infection rates and economic impact. After a brief overview of the Vietnam War timeline and Vietnamese refugee pathways, this paper explores how three structural factors – immigration policies, resettlement policies, and occupational practices – impact the health of Vietnamese Americans. Each of these structural factors, established in support of Vietnamese Americans, has shortcomings that may contribute to adverse health outcomes lasting generations. In conclusion, these three structural factors should be considered health policies and can inform policy change, interventions, and resource allocation.
{"title":"Vietnamese American health – chronic disease and COVID-19: A discussion of structural factors as health policies","authors":"Morgan H. Vien","doi":"10.59448/jah.v2i1.17","DOIUrl":"https://doi.org/10.59448/jah.v2i1.17","url":null,"abstract":"Vietnamese Americans are one of the largest Asian American subgroups in the United States. However, they have not been well-studied, possibly due to aggregation of Asian American data and assumed good health of Asian Americans. This population leads other Asian American subgroups in mortality rates of cancers, heart disease, and cerebrovascular diseases, as well as in incidence of hypertension and type 2 diabetes. Vietnamese Americans have also been disproportionately impacted by the COVID-19 pandemic demonstrated in infection rates and economic impact. After a brief overview of the Vietnam War timeline and Vietnamese refugee pathways, this paper explores how three structural factors – immigration policies, resettlement policies, and occupational practices – impact the health of Vietnamese Americans. Each of these structural factors, established in support of Vietnamese Americans, has shortcomings that may contribute to adverse health outcomes lasting generations. In conclusion, these three structural factors should be considered health policies and can inform policy change, interventions, and resource allocation.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48796586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dan Vallentyne, Ziyang Zhao, Tak Yung Lee, David McGuire
Asian, Asian Pacific Islanders, and Asian American residents of San Francisco have higher exposure to mercury and the associated health risks associated with methylmercury toxicity from fish consumption than other demographics across the United States. Due to their higher annual fish consumption, Hong Kong Chinese residents have elevated risks to methylmercury exposure. Objectives: We investigate samples of dried market fish from San Francisco and from Hong Kong as potential sources of mercury contamination in fish commonly consumed by Asian and Asian American residents. Methods: We analyze 81 samples of dried market fish from San Francisco and Hong Kong for mercury concentration using Inductively Coupled Plasma Emission Spectrograph and Processing Cold Vapor Atomic Fluorescence Spectrometry. We binned into market categories, trophic level, and habitat type for statistical analysis. Results: No significant difference was observed in the mercury levels of samples between San Francisco and Hong Kong (p-value = 0.47). Dried samples did show higher rates of mercury than wet samples reported by the FDA. Data from dried market fish samples also show evidence of bioaccumulation: the concentration of toxins in higher trophic levels of fish (p-value < 0.01). Eliminating apex predators, nearly all samples of fish from both locations and from lower trophic levels had levels below the lowest health advisory thresholds of 0.5 ppm methylmercury by weight. Discussion: Dried fish samples from markets in San Francisco and Hong Kong showed mercury levels with the potential to exceed guidelines set by the EPA and the EFSA, but consumption rates are lacking to know if this threshold is actually being exceeded by consumers. We make recommendations regarding the health risks of dried market fish and of consuming or avoiding fish from certain trophic groups.
{"title":"Mercury in Dried Market Fish of Hong Kong and San Francisco: Human Health Implications","authors":"Dan Vallentyne, Ziyang Zhao, Tak Yung Lee, David McGuire","doi":"10.59448/jah.v2i1.15","DOIUrl":"https://doi.org/10.59448/jah.v2i1.15","url":null,"abstract":"Asian, Asian Pacific Islanders, and Asian American residents of San Francisco have higher exposure to mercury and the associated health risks associated with methylmercury toxicity from fish consumption than other demographics across the United States. Due to their higher annual fish consumption, Hong Kong Chinese residents have elevated risks to methylmercury exposure. Objectives: We investigate samples of dried market fish from San Francisco and from Hong Kong as potential sources of mercury contamination in fish commonly consumed by Asian and Asian American residents. Methods: We analyze 81 samples of dried market fish from San Francisco and Hong Kong for mercury concentration using Inductively Coupled Plasma Emission Spectrograph and Processing Cold Vapor Atomic Fluorescence Spectrometry. We binned into market categories, trophic level, and habitat type for statistical analysis. Results: No significant difference was observed in the mercury levels of samples between San Francisco and Hong Kong (p-value = 0.47). Dried samples did show higher rates of mercury than wet samples reported by the FDA. Data from dried market fish samples also show evidence of bioaccumulation: the concentration of toxins in higher trophic levels of fish (p-value < 0.01). Eliminating apex predators, nearly all samples of fish from both locations and from lower trophic levels had levels below the lowest health advisory thresholds of 0.5 ppm methylmercury by weight. Discussion: Dried fish samples from markets in San Francisco and Hong Kong showed mercury levels with the potential to exceed guidelines set by the EPA and the EFSA, but consumption rates are lacking to know if this threshold is actually being exceeded by consumers. We make recommendations regarding the health risks of dried market fish and of consuming or avoiding fish from certain trophic groups.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48412619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naheed Ahmed, Dane A. De Silva, A. Kanaya, N. Kandula
To examine psychosocial constructs (symptoms of depression, anger, anxiety) as potential mediators between discrimination and health outcomes among South Asian Americans. We hypothesized that psychosocial constructs would be significant mediators in the pathways between discrimination and health. The Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study examines risk factors for heart disease among South Asian Americans using self-reported and medical data collected from participants in the San Francisco Bay Area and Chicago regions of the U.S. For this study we assessed the associations among discrimination, psychosocial constructs, and health outcomes using structural equation modeling. We found significant positive associations between discrimination and symptoms of depression (ß .69, p<.0001), anger (ß .38, p<.0001), and anxiety (ß .64, p<.0001). Exposure to discrimination had a direct negative association with HDL level (ß -.37, p=.01). Indirect associations between discrimination and health outcomes were seen via depression (tobacco use: ß 1.08, p=.007), via anger (triglyceride level: 11.88, p=.03; alcohol consumption: ß 1.66, p=.002; calories consumed per day: ß 108.04, p=.02), and via anxiety (tobacco use: ß -1.05, p=.004; alcohol consumption: ß -1.88, p=.03). Our hypothesis was partially confirmed with proximate health indicators (tobacco use, alcohol consumption, caloric intake) and triglyceride levels. These results suggest that psychosocial constructs mediate the association between discrimination and adverse health risk behaviors among South Asian Americans.
{"title":"Psychosocial Constructs as Mediators in the Association between Discrimination and Health among South Asian Americans","authors":"Naheed Ahmed, Dane A. De Silva, A. Kanaya, N. Kandula","doi":"10.59448/jah.v2i1.23","DOIUrl":"https://doi.org/10.59448/jah.v2i1.23","url":null,"abstract":"To examine psychosocial constructs (symptoms of depression, anger, anxiety) as potential mediators between discrimination and health outcomes among South Asian Americans. We hypothesized that psychosocial constructs would be significant mediators in the pathways between discrimination and health. The Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study examines risk factors for heart disease among South Asian Americans using self-reported and medical data collected from participants in the San Francisco Bay Area and Chicago regions of the U.S. For this study we assessed the associations among discrimination, psychosocial constructs, and health outcomes using structural equation modeling. We found significant positive associations between discrimination and symptoms of depression (ß .69, p<.0001), anger (ß .38, p<.0001), and anxiety (ß .64, p<.0001). Exposure to discrimination had a direct negative association with HDL level (ß -.37, p=.01). Indirect associations between discrimination and health outcomes were seen via depression (tobacco use: ß 1.08, p=.007), via anger (triglyceride level: 11.88, p=.03; alcohol consumption: ß 1.66, p=.002; calories consumed per day: ß 108.04, p=.02), and via anxiety (tobacco use: ß -1.05, p=.004; alcohol consumption: ß -1.88, p=.03). Our hypothesis was partially confirmed with proximate health indicators (tobacco use, alcohol consumption, caloric intake) and triglyceride levels. These results suggest that psychosocial constructs mediate the association between discrimination and adverse health risk behaviors among South Asian Americans.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43145911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The COVID-19 pandemic, vaccine hesitancy, and vaccine distribution are intimately linked to race and ethnicity. The study investigates COVID-19 vaccine uptake intention and related predictors including demographic, medical and mental health, and racism-related experiences in a diverse U.S. sample with focus on Asian Americans. Methods: The study sample consisted of 1,469 adults in the United States. Participants completed an electronic survey which queried demographic variables, medical history and health behaviors, mental health status, COVID-19 vaccine intention, and three racism-related measures (racial ethnic discrimination, cultural racism, and anticipatory racism-related stress scales) Results: Bivariate and multivariate analyses showed that vaccine intention differed by demographic characteristics including gender, race/ethnicity, education, income, and age as well as physical and medical conditions. Study participants who reported greater experiences with cultural racism and racism anticipatory-related stress expressed higher vaccine intention while racial discrimination predicted lower intention for COVID-19 vaccine uptake. Conclusion: We found racism-related experience can influence vaccine intention, albeit in a complex way. This work contributes to understanding the complicated relationships between racial discrimination and COVID vaccine uptake intention. There is a critical need to develop and implement evidence-based intervention strategies to improve COVID-19 vaccine uptake to achieve herd immunity against COVID-19 and community protection.
{"title":"Associations of Racism and COVID-19 Vaccination Intention among Asian Americans and Other Ethnic Groups in the United States","authors":"Tsu-Yin Wu, C. M. Chow, H. Hsieh, Ken Rescnicow","doi":"10.59448/jah.v2i1.21","DOIUrl":"https://doi.org/10.59448/jah.v2i1.21","url":null,"abstract":"Objectives: The COVID-19 pandemic, vaccine hesitancy, and vaccine distribution are intimately linked to race and ethnicity. The study investigates COVID-19 vaccine uptake intention and related predictors including demographic, medical and mental health, and racism-related experiences in a diverse U.S. sample with focus on Asian Americans.\u0000Methods: The study sample consisted of 1,469 adults in the United States. Participants completed an electronic survey which queried demographic variables, medical history and health behaviors, mental health status, COVID-19 vaccine intention, and three racism-related measures (racial ethnic discrimination, cultural racism, and anticipatory racism-related stress scales)\u0000Results: Bivariate and multivariate analyses showed that vaccine intention differed by demographic characteristics including gender, race/ethnicity, education, income, and age as well as physical and medical conditions. Study participants who reported greater experiences with cultural racism and racism anticipatory-related stress expressed higher vaccine intention while racial discrimination predicted lower intention for COVID-19 vaccine uptake.\u0000Conclusion: We found racism-related experience can influence vaccine intention, albeit in a complex way. This work contributes to understanding the complicated relationships between racial discrimination and COVID vaccine uptake intention. There is a critical need to develop and implement evidence-based intervention strategies to improve COVID-19 vaccine uptake to achieve herd immunity against COVID-19 and community protection.","PeriodicalId":73612,"journal":{"name":"Journal of Asian health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43498337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neeta Gautam, Chloe Salas, Randy Stafford, Ying-Kun Lu, Gloria S Kim, Gitika Nalwa
A conference entitled “Evidence-based Traditional Asian Medicine” (ETAM) was held virtually by the Stanford Center for Asian Health Research and Education (CARE) from March 4th to March 6th, 2021. The event sought to answer three key questions regarding the evidence, quality and trust surrounding ETAM practices: Evidence: Are traditional Asian medicine practices effective in promoting health, addressing disease or improving quality of life? Quality: Is there sufficient commitment and consensus on the study components required for high-quality clinical research studies in traditional Asian medicine? Trust: How can traditional Asian medicine make use of modern research build public and clinician trust in its practices? The conference first introduced the evidence-based applications of traditional Chinese medicine (TCM) and traditional Indian medicine (Ayurveda) in the realms of diet and nutrition, pain management, and mental health. It then highlighted the crucial need for common and rigorous guidelines by which to evaluate and compare ETAM practices from around the world. Finally, the conference called for building upon Western precision medicine through ETAM methods and integrating practices from each to build a more robust, global and individually tailored approach to health and health care.
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