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

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Monideepa B. Becerra ◽  
Patti Herring ◽  
Helen Hopp Marshak ◽  
Jim E. Banta

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.

Author(s):  
Monideepa Becerra ◽  
Salome Mshigeni ◽  
Benjamin Becerra

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.


2008 ◽  
Vol 6 (2) ◽  
pp. 17-44
Author(s):  
Jong Min ◽  
Siyon Rhee ◽  
Phu Phan ◽  
Jessica Rhee ◽  
Thanh Tran

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.


2007 ◽  
Vol 5 (1) ◽  
pp. 97-113
Author(s):  
Nadereh Pourat ◽  
Ninez Ponce ◽  
Roberta Wyn

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.


2006 ◽  
Vol 4 (1) ◽  
pp. 61-80 ◽  
Author(s):  
Ninez Ponce ◽  
Melissa Gatchell

The lack of health data on Asian ethnic subgroups has been noted as the major setback in dispelling the myth of the model minority. Population-representative samples of this relatively low-frequency racial group still fail to yield sufficient sample size to provide disaggregated information on Asian ethnic groups. As such, health information for Asian American subgroups is often acquired from surname list-assisted sampling methods, which may be fraught with biases toward particular groups not representative of the overall population. As one of the first major surveys to use both RDD and surname list-assisted sampling methods to sample Asian subgroups, the 2001 California Health Interview Survey provides the unique opportunity to determine whether significant differences exist between the RDD sample and the list-assisted sample for South Asians, Japanese, Koreans and Vietnamese. For each Asian ethnic group, we performed chi-squared tests to compare the list and RDD sample proportions for several demographic health access and health status measures. We found that demographic differences in lists versus probability samples are most pronounced among South Asians and Vietnamese and to a lesser extent among Japanese, but it is less of an issue among Koreans. In addition, we found that the list and RDD samples did not deviate significantly from each other in most of the health status and health access measures. Particularly for South Asians, Japanese, Koreans and Vietnamese, we conclude that surname lists approximated population-based estimates of their health status and health access and surname list sampling should continue to be considered as an alternative strategy when cost constraints prohibit investment in probability-based oversamples.


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