Low Human Papillomavirus Literacy Among Asian-American Women in California: an Analysis of the California Health Interview Survey

Progress in Asian American and Pacific Islander (AAPI) health data had begun by the 1990s, although the gains have been temporal and localized. This resource paper reviews the Hawai’i Health Interview Survey, the California Health Interview Survey, and the National Health Interview Survey (NHIS) with specific data on AAPIs. We then provide an analysis of the NHIS to illustrate its usefulness and limitations in estimating access to health services of three socioeconomically similar AAPI subgroups– Chinese, Filipinos, and Koreans. The results underscore the need to disaggregate AAPI data. In tandem with recent improvements in the NHIS, other states with a large AAPI population should invest in ethnic-specific oversampling and in-language survey efforts similar to what has been done in California.

Download Full-text

Mammography screening disparities in Asian American women: Findings from the California Health Interview Survey 2015-2016.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.e18568 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. e18568-e18568

Author(s):

Yannan Li ◽

Hui Xie ◽

Nicholas Theodoropoulos ◽

Qian Wang

Keyword(s):

Preventive Care ◽

Asian American ◽

Mammography Screening ◽

California Health Interview Survey ◽

Care Utilization ◽

Foreign Born ◽

Asian American Women ◽

American Women ◽

Borderline Hypertension ◽

Interview Survey

e18568 Background: Foreign-born Asians were less likely to utilize preventive care due to medicine beliefs, language barriers, insurance coverage, and more. Their perceptions of breast cancer risks and screening benefits for asymptomatic conditions may differ from individuals born in the United States. It is urgent for preventive health professionals to understand screening disparities in Asian Americans. Methods: Data from the California Health Interview Survey (CHIS) 2015-2016 were used. Multivariable adjusted logistic regressions were generalized to identify the up-to-date mammography screening in relation to socioeconomic, chronic health condition/health behavior, and preventive care utilization, stratified by race. Results: Of NH-White and Asian American women aged 40 and above (unweighted N = 13,451), 78.41% were NH-White, 25.38% were foreign-born, 56.88% spoke only English at home, and 6.44% were not currently insured. The prevalence for self-reported mammography screening in NH-White and Asian American women were 68.06% and 65.97%, respectively. Among Asian American women, the lowest rate of mammograms was in Koreans (55.29%) and Chinese (72.19%) had the highest rate (p = 0.6438). In NH-White women, place of birth, smoking status, borderline diabetes, high blood pressure, is currently insured, and having a preventive care visit in the past 12 months were significant factors. Within Asian American women, borderline hypertension and having a preventive care visit were significant factors, but not ethnicity. Conclusions: The findings indicate that mammogram disparity in relation to socioeconomics, health behaviors, preventive care utilization, and race. Further development of ethnic-specific cancer prevention strategies and policies that address the subgroup differences within the larger racial/ethnic population are needed. Public health outreach and cancer education should target Asian American women with borderline hypertension and no preventive care visits.

Download Full-text

Association between Acculturation and Binge Drinking among Asian-Americans: Results from the California Health Interview Survey

Journal of Addiction ◽

10.1155/2013/248196 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10 ◽

Cited By ~ 6

Author(s):

Monideepa B. Becerra ◽

Patti Herring ◽

Helen Hopp Marshak ◽

Jim E. Banta

Keyword(s):

Binge Drinking ◽

South Asian ◽

Asian Americans ◽

Asian American ◽

First Generation ◽

South Asians ◽

California Health Interview Survey ◽

Health Interview Survey ◽

Health Interview ◽

Interview Survey

Objective. Evaluate the association between acculturation and binge drinking among six Asian-American subgroups.Methods. A cross-sectional analysis of public access adult portion of 2007, 2009, and 2011/2012 California Health Interview Survey data was conducted. Univariate and multivariable logistic regression analyses were utilized with any binge drinking in the past year as the outcome variable and language spoken at home and time in USA as proxy measures of acculturation.Results. A total of 1,631 Asian-Americans (N=665,195) were identified as binge drinkers. Binge drinking was positively associated with being first generation South Asian (OR=3.05, 95%CI=1.55, 5.98) and monolingual (English only) Vietnamese (OR=3.00; 95%CI=1.58, 5.70), especially among females. Other factors associated with increased binge drinking were being female (Chinese only), not being current married (South Asian only), and being an ever smoker (all subgroups except South Asians).Conclusion. First generation South Asians and linguistically acculturated Vietnamese, especially females, are at an increased risk of binge drinking. Future studies and preventive measures should address the cultural basis of such health risk behaviors among Asian-American adults.

Download Full-text

The Overlooked Burden of Food Insecurity among Asian Americans: Results from the California Health Interview Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081684 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1684 ◽

Cited By ~ 4

Author(s):

Monideepa Becerra ◽

Salome Mshigeni ◽

Benjamin Becerra

Keyword(s):

Food Insecurity ◽

Asian Americans ◽

Asian American ◽

English Language ◽

The United States ◽

California Health Interview Survey ◽

Health Interview Survey ◽

Health Interview ◽

Interview Survey ◽

At Home

Objective: Food insecurity remains a major public health issue in the United States, though lack of research among Asian Americans continue to underreport the issue. The purpose of this study was to evaluate the prevalence and burden of food insecurity among disaggregated Asian American populations. Methods: The California Health Interview Survey, the largest state health survey, was used to assess the prevalence of food insecurity among Asian American subgroups with primary exposure variable of interest being acculturation. Survey-weighted descriptive, bivariate, and multivariable robust Poisson regression analyses, were conducted and alpha less than 0.05 was used to denote significance. Results: The highest prevalence of food insecurity was found among Vietnamese (16.42%) and the lowest prevalence was among Japanese (2.28%). A significant relationship was noted between prevalence of food insecurity and low acculturation for Chinese, Korean, and Vietnamese subgroups. Language spoken at home was significant associated with food insecurity. For example, among Chinese, being food insecure was associated with being bilingual (prevalence ratio [PR] = 2.51) or speaking a non-English language at home (PR = 7.24), while among South Asians, it was associated with speaking a non-English language at home was also related to higher prevalence (PR = 3.62), as compared to English speakers only. Likewise, being foreign-born also related to being food insecure among Chinese (PR = 2.31), Filipino (PR = 1.75), South Asian (PR = 3.35), Japanese (PR = 2.11), and Vietnamese (PR = 3.70) subgroups, when compared to their US-born counterparts. Conclusion: There is an imperative need to address food insecurity burden among Asian Americans, especially those who have low acculturation.

Download Full-text

Health of Older Asian Americans in California: Findings from the California Health Interview Survey

10.36650/nexus6.2_17-44_wonetal ◽

2008 ◽

Vol 6 (2) ◽

pp. 17-44

Author(s):

Jong Min ◽

Siyon Rhee ◽

Phu Phan ◽

Jessica Rhee ◽

Thanh Tran

Keyword(s):

Health Care ◽

Health Status ◽

Asian Americans ◽

Asian American ◽

Health Care Services ◽

California Health Interview Survey ◽

Health Interview Survey ◽

Care Services ◽

Health Interview ◽

Interview Survey

Health studies on older Asian Americans based on national and statewide representative data are scarce. This study examined subgroup differences in demographic, socioeconomic and general health status, health conditions, and access to health care services among five groups of Asian Americans aged 60 or older (Chinese, Filipino, Japanese, Korean, and Vietnamese), using data from the 2001 California Health Interview Survey. Significant differences in demographic and socioeconomic characteristics, health status, chronic conditions, and coverage and use of health care services were found in the five groups, indicating the complexity, diversity, and heterogeneity of older Asian American populations. Practice and research implications are discussed.

Download Full-text