Anti-Asian American Racism: A Wake-Up Call for Population-Based Cancer Research

AbstractBackgroundHepatocellular carcinoma (HCC) is characterized by disparate risk patterns by race/ethnicity. We examined HCC incidence patterns and temporal trends among detailed racial/ethnic populations, including disaggregated Asian-American subgroups.MethodsUsing data from the population-based California Cancer Registry, we identified 41 929 invasive HCC cases diagnosed during 1988–2012. Patients were grouped into mutually exclusive racial/ethnic groups of non-Hispanic (NH) white, NH black, Hispanic, and NH Asian/Pacific Islander (API), as well as Asian subgroups of Chinese, Filipino, Japanese, Korean, Vietnamese, Cambodian, Laotian, and South Asian. Age-adjusted and age-specific incidence rates by sex, race/ethnicity, and time period were calculated. The average annual percent change (AAPC) in incidence rates was estimated using joinpoint regression. All estimates were provided with the 95% confidence intervals (CIs).ResultsAggregated NH API had higher HCC risk than NH whites, NH blacks, and Hispanics. When disaggregated, Southeast Asians (Vietnamese, Cambodians, and Laotians) had overall HCC incidence rates eight to nine times higher than NH whites and more than twice that of other ethnic Asians. Statistically significant rising temporal trends of HCC were found in NH whites, NH blacks, and Hispanics, especially those older than age 50 years. Overall HCC risk declined in Chinese males (AAPC = –1.3%, 95% CI = –2.0 to –0.6), but rose in Filipino (AAPC = +1.2%, 95% CI = 0.3 to 2.1) and Japanese males (AAPC = +3.0%, 95% CI = 0.4 to 5.6) and Vietnamese (AAPC = +4.5%, 95% CI = 0.7 to 8.5) and Laotian (+3.4%, 95% CI = 0.1 to 6.8) females.ConclusionsOur findings provide valuable information for the identification of at-risk ethnic subgroups of Asian Americans while underscoring the importance of disaggregating ethnic populations in cancer research.

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Exploratory and Confirmatory Factor Analyses of the Asian American Racism-Related Stress Inventory

Assessment ◽

10.1177/1073191110392497 ◽

2011 ◽

Vol 19 (1) ◽

pp. 53-64 ◽

Cited By ~ 7

Author(s):

Matthew J. Miller ◽

Jungeun Kim ◽

Grace A. Chen ◽

Alvin N. Alvarez

Keyword(s):

Factor Analysis ◽

Asian American ◽

Factor Model ◽

Factor Analyses ◽

Confirmatory Factor Analyses ◽

Confirmatory Factor ◽

Stress Inventory ◽

Related Stress ◽

Three Factor ◽

American Racism

The authors conducted exploratory and confirmatory factor analyses of the Asian American Racism-Related Stress Inventory (AARRSI) to further examine the underlying factor structure in a total sample of 1,273 Asian American participants. In the first step of analysis, an exploratory factor analysis with 651 participants yielded a 13-item two-factor solution to the data. In the second step, a confirmatory factor analysis with 622 participants supported both the 13-item two-factor model and the original 29-item three-factor model in the cross-validation sample and generational and ethnicity analyses. The two-factor and three-factor models produced internal consistency estimates ranging from .81 to .95. In addition, the authors examined convergent and criterion related evidence for 13-item and 29-item versions of the AARRSI. Given its brief nature and generally good fit across generational status and ethnicity, the authors suggest that the 13-item AARRSI might be advantageous for research and assessment endeavors.

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