Healthy People 2010 and Asian Americans/Pacific Islanders

Health Resources and Services Administration, US Department of Health and Human Services (DHHS), and Harvard Medical School, Department of Social Medicine, Cambridge, MA, USA.
American Journal of Public Health (Impact Factor: 4.55). 01/2004; 93(12):2093-8. DOI: 10.2105/AJPH.93.12.2093
Source: PubMed


Healthy People 2010: Understanding and Improving Health lists 6 areas of disparity in minority health services: infant mortality, cancer, cardiovascular disease, HIV/AIDS, diabetes, and immunizations. This study compiles existing Asian American and Pacific Islander (AAPI) health data to establish a baseline.
For federally-sponsored research (1986-2000), the Computer Retrieval of Information on Specific Projects (CRISP) database was analyzed. AAPI initiatives were divided by subpopulation and disparity area. MEDLINE articles (1966-2000) were similarly scrutinized.
Few federal health-related grants (0.2%) and MEDLINE articles (0.01%) mention AAPIs. For the 6 disparity areas, significant AAPI data gaps remain.
To reach the Healthy People 2010 goals and have useful data, researchers and grant makers must focus on obtaining baseline data for disaggregated AAPI subgroups.

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Available from: Chandak Ghosh,
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    • "Some studies also found that language proficiency plays an important role in determining health care access, along with ethnic differences (Doty, 2003; Fiscella, Franks, Doescher, & Saver, 2002; Weech-Maldonado et al., 2003). Many Asian Americans have limited English proficiency and the status of English proficiency varied greatly across Asian-American subgroups (Ghosh, 2003; Nguyen & Bowman, 2007; Shin & Bruno, 2003). Limited Englishspeaking Asian Americans were more likely to report problems with care and were less satisfied with their health care providers (Collins et al., 2002; Ngo- Metzger et al., 2004). "
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    Social Work in Health Care 07/2012; 51(6):506-30. DOI:10.1080/00981389.2012.671244 · 0.62 Impact Factor
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    • "Despite the fact that Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population and over ten times more likely to be diagnosed with liver cancer [37, 41], this underserved population has received very little attention from health disparities researchers [11]. Liver cancer incidence is the second leading cancer for Cambodian men (51.0/100,000, 7.5 times greater than male non Hispanic White (NHW) rate) and the sixth leading cancer for women (14.2/100,000, 5.3 times greater than the female NHW rate) [23]. "
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    ABSTRACT: Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodian women. Despite this, this underserved population has received very little attention from health disparities researchers. Culturally and linguistically appropriate interventions are necessary to increase hepatitis B knowledge, serologic testing, and vaccination among Cambodian Americans. Eight group interviews were held with Cambodian American men (48) and women (49). Focus group discussion revealed unanticipated information about sociocultural influences on participants' understanding about hepatitis B transmission, disease course, and prevention and treatment informed by humoral theories underlying Khmer medicine, by biomedicine, and by migration experiences. Our findings reveal the value of qualitative exploration to providing cultural context to biomedical information--a formula for effective health promotion and practice.
    Journal of Community Health 05/2010; 36(1):27-34. DOI:10.1007/s10900-010-9277-y · 1.28 Impact Factor
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    • "linguistically isolated (92% speak Khmer at home and only 46% speak English very well or fluently) (Department of Commerce, 2004). However, this underserved population has received very little attention from health disparity researchers (Ghosh, 2003). The majority of Cambodian Americans live in one of three states: California, Massachusetts, or Washington (Niedzwiecki et al., 2004). "
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    ABSTRACT: The cervical cancer incidence rate among Cambodian American women is 15.0 per 100,000, compared to 7.7 per 100,000 among non-Latina white women. HPV infection has been identified as a universal risk factor for cervical cancer. The HPV vaccine was recently approved in the United States for females aged 9-26 years. There is little information about HPV vaccination knowledge and beliefs in Southeast Asian communities. We conducted 13 key informant interviews with Cambodian community leaders, as well as four focus groups with Cambodian parents (37 participants). Two of the focus groups included fathers and two of the focus groups included mothers. Interview and focus group questions addressed HPV vaccine barriers and facilitators. Participants had limited knowledge about HPV infection and the HPV vaccine. Barriers to HPV vaccination included a lack of information about the vaccine, as well as concerns about vaccine safety, effectiveness, and financial costs. The most important facilitators were a health care provider recommendation for vaccination and believing in the importance of disease prevention. Future cervical cancer control educational programs for Cambodians should promote use of the HPV vaccine for age-eligible individuals. Health care providers who serve Cambodian communities should be encouraged to recommend HPV vaccination.
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