scholarly journals Thirty-Day Inpatient Readmissions for Asian American and Pacific Islander Subgroups Compared With Whites

2016 ◽  
Vol 75 (1) ◽  
pp. 100-126 ◽  
Author(s):  
Tetine Sentell ◽  
Hyeong Jun Ahn ◽  
Jill Miyamura ◽  
Deborah A. Taira
Keyword(s):  
Asian American ◽  
Odds Ratio ◽  
Pacific Islander ◽  
Age Groups ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Policy And Practice ◽  
Asian And Pacific Islander ◽  
Residence Location ◽  
Multivariable Models

Asian and Pacific Islander (API) 30-day potentially preventable readmissions (PPRs) are understudied. Hawaii Health Information Corporation data from 2007-2012 statewide adult hospitalizations ( N = 495,910) were used to compare API subgroup and White PPRs. Eight percent of hospitalizations were PPRs. Seventy-two percent of other Pacific Islanders, 60% of Native Hawaiians, and 52% of Whites with a PPR were 18 to 64 years, compared with 22% of Chinese and 21% of Japanese. In multivariable models including payer, hospital, discharge year, residence location, and comorbidity, PPR disparities existed for some API subpopulations 65+ years, including Native Hawaiian men (odds ratio [OR] = 1.14; 95% confidence interval [CI] = 1.04-1.24), Filipino men (OR = 1.19; 95% CI = 1.04-1.38), and other Pacific Islander men (OR = 1.30; 95% CI = 1.19-1.43) and women (OR = 1.23; 95% CI = 1.02-1.51) compared with Whites, while many API groups 18 to 64 years had significantly lower PPR odds. Distinct PPR characteristics across API subpopulations and age groups can inform policy and practice. Further research should determine why elderly API have higher PPR rates, while nonelderly rates are lower.

Prostate Cancer Disparities in Risk Group at Presentation and Access to Treatment for Asian Americans, Native Hawaiians, and Pacific Islanders: A Study With Disaggregated Ethnic Groups

2021 ◽  
Author(s):  
Bhav Jain ◽  
Kenrick Ng ◽  
Patricia Mae G. Santos ◽  
Kekoa Taparra ◽  
Vinayak Muralidhar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
High Risk ◽  
Asian Indian ◽  
Asian American ◽  
Native Hawaiian ◽  
Risk Group ◽  
Pacific Islander ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
High Risk Disease

PURPOSE We identified (1) differences in localized prostate cancer (PCa) risk group at presentation and (2) disparities in access to initial treatment for Asian American, Native Hawaiian, and Pacific Islander (AANHPI) men with PCa after controlling for sociodemographic factors. METHODS We assessed all patients in the National Cancer Database with localized PCa with low-, intermediate-, and high-risk disease who identified as Thai, White, Asian Indian, Chinese, Vietnamese, Korean, Japanese, Filipino, Hawaiian, Pacific Islander, Laotian, Pakistani, Kampuchean, and Hmong. Multivariable logistic regression defined adjusted odds ratios (AORs) with 95% CI of (1) presenting at progressively higher risk group and (2) receiving treatment or active surveillance with intermediate- or high-risk disease, adjusting for sociodemographic and clinical factors. RESULTS Among 980,889 men (median age 66 years), all AANHPI subgroups with the exception of Thai (AOR = 0.84 [95% CI, 0.58 to 1.21], P > .05), Asian Indian (AOR = 1.12 [95% CI, 1.00 to 1.25], P > .05), and Pakistani (AOR = 1.34 [95% CI, 0.98 to 1.83], P > .05) men had greater odds of presenting at a progressively higher PCa risk group compared with White patients (Chinese AOR = 1.18 [95% CI, 1.11 to 1.25], P < .001; Japanese AOR = 1.36 [95% CI, 1.26 to 1.47], P < .001; Filipino AOR = 1.37 [95% CI, 1.29 to 1.46], P < .001; Korean AOR = 1.32 [95% CI, 1.18 to 1.48], P < .001; Vietnamese AOR = 1.20 [95% CI, 1.07 to 1.35], P = .002; Laotian AOR = 1.60 [95% CI, 1.08 to 2.36], P = .018; Hmong AOR = 4.07 [95% CI, 1.54 to 10.81], P = .005; Kampuchean AOR = 1.55 [95% CI, 1.03 to 2.34], P = .036; Asian Indian or Pakistani AOR = 1.15 [95% CI, 1.07 to 1.24], P < .001; Native Hawaiians AOR = 1.58 [95% CI, 1.38 to 1.80], P < .001; and Pacific Islanders AOR = 1.58 [95% CI, 1.37 to 1.82], P < .001). Additionally, Japanese Americans (AOR = 1.46 [95% CI, 1.09 to 1.97], P = .013) were more likely to receive treatment compared with White patients. CONCLUSION Our findings suggest that there are differences in PCa risk group at presentation by race or ethnicity among Asian American, Native Hawaiian, and Pacific Islander subgroups and that there exist disparities in treatment patterns. Although AANHPI are often studied as a homogenous group, heterogeneity upon subgroup disaggregation underscores the importance of further study to assess and address barriers to PCa care.

Asian American and Pacific Islanders Serving Institutions: The Motivations and Challenges behind Seeking a Federal Designation

2009 ◽  
Vol 7 (2) ◽  
pp. 107-128 ◽  
Author(s):  
Julie Park ◽  
Mitchell Chang
Keyword(s):  
Asian American ◽  
Pacific Islander ◽  
Pacific Islanders ◽  
Policy Makers ◽  
Federal Support ◽  
The Future

This article examines the development of legislation to create a federal designation for Asian American and Pacific Islander (AAPI) serving institutions. Specifically, the article draws from interviews with nineteen policy makers, congressional staffers, and community advocates in order to address their motivations for establishing this designation and the related challenges that they encountered. Besides the complexities of ushering legislation through Congress, one of the major challenges highlighted includes the lack of political infrastructure for advocating Asian American issues related to education. Recommendations for the future sustainability of federal support for AAPI serving institutions are also discussed.

Making Visible the Invisible: Multistudy Investigation of Disproportionate Special Education Identification of U.S. Asian American and Pacific Islander Students

2020 ◽  
Vol 86 (4) ◽  
pp. 449-467
Author(s):  
Amanda L. Sullivan ◽  
Tara Kulkarni ◽  
Vichet Chhuon
Keyword(s):  
Special Education ◽  
Relative Risk ◽  
Asian American ◽  
Quantitative Research ◽  
Descriptive Analysis ◽  
Pacific Islander ◽  
The United States ◽  
Asian And Pacific Islander ◽  
And Performance ◽  
Special Education Identification

Although disproportionality has been a focus of special education research for more than 50 years, relatively few researchers have addressed potential inequitable or inappropriate treatment of Asian American and Pacific Islander (AAPI) students in the United States, particularly in quantitative research. This multistudy investigation explored patterns and predictors of AAPI representation in special education using (a) data from states’ federal child count reports and (b) a subsample of 4,290 participants from the Early Childhood Longitudinal Study–Kindergarten Class of 2010–11 (ECLS-K:2011). Descriptive analysis of states’ child count data indicated that, compared to White students, Asian and Pacific Islander students’ relative risk of identification differed for most disabilities, with Pacific Islanders generally demonstrating higher relative risk. Multivariate analysis of the ECLS-K:2011 subsample indicated that ethnic group differences in risk of special education identification were not robust to sociodemographic and performance controls. We discuss potential contributors to these patterns and implications for research.

scholarly journals The Influence of Community Cultural Wealth and Tauhi Va on the Navigation of Pacific Islanders in Science, Technology, Engineering and Mathematics (STEM)

2021 ◽  
Author(s):  
◽  
Marlena Wolfgramm
Keyword(s):  
Stereotype Threat ◽  
Asian American ◽  
Phenomenological Study ◽  
Positive Impact ◽  
Pacific Islander ◽  
Cultural Knowledge ◽  
Pacific Islanders ◽  
Community Cultural Wealth ◽  
Cultural Value ◽  
Cultural Wealth

My research examines the influence of community cultural wealth and tauhi va on the navigation of Pacific Islanders (PIs) in STEM. The disaggregation of data on Asian American and Pacific Islanders (AAPIs) attaining STEM bachelor's degrees revealed that PIs (16%) are represented half as much as Asian Americans (35%) (NCES, 2020). Under the AAPI designation, PIs have been masked, underserved, and underresearched in higher education and STEM. For this reason, this study focuses on the educational trajectories and experiences of PIs in STEM to highlight their strengths and challenges to understand how better to serve and support PIs in STEM. In this phenomenological study, I used an asset-based framework; community cultural wealth and a PI cultural value, tauhi va, to explore how PIs navigate STEM. The research questions for this study are (a) How do community cultural wealth and tauhi va influence the navigation of Pacific Islanders in STEM? and (b) How does tauhi va create va specific to Pacific Islanders to wayfind STEM and develop community cultural wealth? This qualitative study included 31 participants who self-identified as Pacific Islander and were students and recent graduates in STEM. The methods used in this study included a brief demographic survey, an educational trajectory map, and a 60- to 90-minute semistructured artifact elicitation interview using talanoa. The main finding of this study was that the navigation of PIs in STEM was influenced by familial, aspirational, social, navigational, and resistant capital. After facing barriers such as inadequate advising, stereotype threat, and competitive and cutthroat STEM culture from peers, faculty, and staff, PI students maneuvered through the skill of wayfinding. PIs created va (space) to relate, heal, and network with other PIs and individuals who had encountered similar experiences. PIs maintain va through tauhi va, or the caretaking of sociospatial relationships through reciprocity, thus developing Pacific Islander cultural capital to navigate STEM. This qualitative research is based on the successful navigation of PIs in STEM through an asset-based framework and cultural value to highlight the positive impact of PI cultural knowledge, PI identity, and nuances of PIs in STEM.

scholarly journals Discrimination Experiences during COVID-19 among a National, Multi-Lingual, Community-Based Sample of Asian Americans and Pacific Islanders: COMPASS Findings

2022 ◽  
Vol 19 (2) ◽  
pp. 924
Author(s):  
Van M. Ta Park ◽  
Marcelle M. Dougan ◽  
Oanh L. Meyer ◽  
Bora Nam ◽  
Marian Tzuang ◽  
...  
Keyword(s):  
Asian Americans ◽  
Asian American ◽  
Family Income ◽  
Negative Impact ◽  
Empirical Studies ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Survey Study ◽  
Survey Period ◽  
Related Factors

Reports of escalated discrimination among Asian Americans and Pacific Islanders (AAPIs) due to COVID-19 are alarming, making this a public health priority. However, there are limited empirical studies on the scope and impact of COVID-19-related discrimination among AAPIs. Using the COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) data (N = 4971; survey period: October 2020–February 2021), which is a U.S.-wide multi-lingual survey, we examined the prevalence of, and factors associated with discrimination experiences attributable to being an AAPI during the COVID-19 pandemic. Overall, 60.7% reported experiencing discrimination; the group prevalence ranged from 80.0% (Hmong) to 40.5% (Native Hawaiians and Pacific Islanders). Multivariable logistic regression models revealed that COVID-19-related factors were associated with many discrimination experiences: having a shelter-in-place order of ≥1 month, living in areas with perceived similar/higher COVID-19 severity, and negative impact in family income/employment due to COVID-19. Additionally, being Asian American (versus Native Hawaiians and Pacific Islanders), females, non-heterosexuals, younger, more severe effect on family income, living in the non-West, and poorer health were significantly correlated with discrimination experiences. Findings may assist in formulating anti-AAPI-discrimination policies and programs at the local, state, and federal levels. Culturally appropriate programs and policies to combat this are urgently needed.

scholarly journals HIV Care in Asian and Pacific Islanders in Kansas

2019 ◽  
Vol 18 ◽  
pp. 232595821882165 ◽  
Author(s):  
Pie Pichetsurnthorn ◽  
Stephanie Pankow ◽  
Donna Sweet ◽  
Ken James Kallail
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Pacific Islander ◽  
Pacific Islanders ◽  
Hiv Care ◽  
Sensitive Information ◽  
Narrative Study ◽  
Asian And Pacific Islander ◽  
Asian And Pacific Islanders ◽  
Cultural Dynamic

A complex cultural dynamic within the Asian and Pacific Islander (APIs) population contributes to barriers in HIV care. This qualitative narrative study investigated how awareness, resource accessibility, and cultural taboo impact HIV care in APIs in Kansas. Eleven HIV-infected API patients were interviewed. Two evaluators independently completed a qualitative themes analysis. Important themes impacting HIV care included lack of awareness, sex as a taboo topic, and misconceptions about HIV infection. These factors create a closed community regarding HIV prevention and care. Clinicians must be aware of these barriers and provide specific culturally sensitive information and care to this population.

Cultural Preservation Policy and Asian Americans and Pacific Islanders: Reimagining Historic Preservation in Asian American and Pacific Islander Communities

2016 ◽  
Vol 14 (2) ◽  
pp. 105-116 ◽  
Author(s):  
Michelle Magalong ◽  
Dawn Mabalon
Keyword(s):  
Historic Preservation ◽  
Asian Americans ◽  
Asian American ◽  
Cultural Practices ◽  
Pacific Islander ◽  
Pacific Islanders ◽  
Cultural Preservation ◽  
Policy Recommendations ◽  
Cultural Sites ◽  
Park Service

Historic and cultural preservation is a significant issue for Asian Americans and Pacific Islanders (AAPIs) seeking to safeguard important historic places, preserve unique cultural practices, and receive official recognition of civic contributions. However, few sites associated with AAPI history and cultures have been recognized as landmarks. With the fiftieth anniversary of the Historic Preservation Act of 1966, the Department of the Interior and the National Park Service have embarked on an Asian American and Pacific Islander Heritage Initiative to explore how the legacy of AAPIs can be recognized, preserved, and interpreted for future generations. To understand what we could be commemorating on the act’s fifieth anniversary, this essay will offer policy recommendations for preserving, landmarking, and interpreting AAPI historic and cultural sites into 2040 and beyond.

Asian American and Pacific Islander Sport

2019 ◽  
Author(s):  
Robert T. Hayashi
Keyword(s):  
Asian American ◽  
Pacific Islander ◽  
Model Minority ◽  
Pacific Islanders ◽  
Global Capitalism ◽  
Basketball Player ◽  
Asian American Studies ◽  
American Experience ◽  
Collective Narratives ◽  
American Society

As a group, Asian Americans in particular have been portrayed by American society as incapable or uninterested in American sporting practices and traditions. When individuals have realized public acclaim for athletic prowess, their achievements have been characterized in media and elsewhere as an exception to the Asian American experience, even when their success also represents its common collective narratives. NBA (National Basketball Association) basketball player Jeremy Lin’s meteoric rise in 2012 was often defined through the trope of the model minority. Conversely, Pacific Islanders, in particular males, have been represented as possessing innate athletic prowess but with limited intellect. These tropes of Asian American and Pacific Islander identity in American society have long obscured their relation to sports and recreation, and there has been little scholarship in either sports studies or Asian American studies on the unique sporting cultures of these groups and their relations to American sporting practices and institutions. Asian American and Pacific Islander relations to American sport are best understood as a unique history defined by their relation to American colonialism, racism, global capitalism, and the transnational nature of modern sport.

Learning from the Alternative Asian American Press: A Close Look at Asian Americans & Pacific Islanders in Education through Gidra

2009 ◽  
Vol 7 (1) ◽  
pp. 105-130
Author(s):  
Jean Ryoo
Keyword(s):  
Public Policy ◽  
Asian Americans ◽  
Asian American ◽  
Pacific Islander ◽  
Careful Analysis ◽  
Pacific Islanders ◽  
The Past ◽  
American Press ◽  
Education Today ◽  
K 12

Through a careful analysis of the educational concerns and efforts described by Asian American and Pacific Islander (AAPI) activists in Gidra—the first radical Asian American newspaper described as “the journalistic arm of the [Asian American] Movement” (Wei, 1993, 103)—this article explores ways that current educators, public policy writers, and researchers can learn from the stories of the past to improve the state of K–12 education today. Drawing from five years of monthly Gidra publications, this article illustrates parallels between past and current issues in AAPI K–12 education while offering suggestions for action and change.

Asian Americans in the Labor Market: Public Policy Issues

2005 ◽  
Vol 3 (2) ◽  
pp. 39-58
Author(s):  
Don Mar
Keyword(s):  
Public Policy ◽  
Labor Market ◽  
Asian American ◽  
Low Income ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Southeast Asians ◽  
Policy Issues ◽  
Self Employment ◽  
Sample Data

Asian American/Pacific Islander public policy issues in the labor market are examined using the 2000 Census PUMS (Public Use Micro Sample) data. AAPI labor market problems raised by earlier studies are revisited with the more recent data. Southeast Asians, Vietnamese, Native Hawaiians, and Pacific Islanders continue to face problems of poverty/low income, unemployment, and discrimination in occupations and earnings. Many API groups are less likely to be employed in managerial occupations controlling for factors such as education and potential experience. New policy issues suggested by the data are lower rates of self-employment for many APIs compared to non-Hispanic whites as well as lower rates of homeownership by all API groups compared to non-Hispanic whites.

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