scholarly journals Racially Diverse US Young Adults’ Experience of COVID-19-related anti-Asian Discrimination: Types and Emotional Reactions

Author(s):  
Hyeouk Chris Hahm ◽  
Casey Xavier Hall ◽  
Kana Tsurudome Garcia ◽  
Anna Cavallino ◽  
Yoonsook Ha ◽  
...  

Abstract Objectives: Little is known about both Asian and Asian American (A/AA) and non-Asian young adults’ experiences and emotional reactions regarding COVID-19 anti-Asian discrimination. This is the first study to explore the nature and impact of COVID-19 anti-Asian discrimination through a racially diverse sample. Design: This study uses open-ended qualitative free-text responses from Wave I of the COVID-19 Adult Resilience Experiences Study (CARES) data collected between March to September 2020. Thematic analysis was used to explore two open-ended questions: “Are there experiences we missed in the survey so far that you wish to describe?” and “What are your thoughts about the current social climate?” The data analysis for this study focused on 113 discrimination or racism-related comments. Results: A total of 1,331 young adults completed an online survey of which 611 provided comments; a total of 95 racially diverse individuals (65.3% non-Asians) contributed 113 COVID-19 anti-Asian discrimination or racism-related comments. Two overarching themes were: types of discrimination (societal, interpersonal, intrapersonal), and emotional reactions to discrimination (fear, anxiety/distress, hopeless/depression, and avoidance). Not only did both A/AA and non-Asian participants report witnessing or hearing reports of anti-Asian discrimination, but both groups reported experiencing negative emotional reactions to anti-Asian discrimination. Conclusion: Anti-Asian discrimination in the face of COVID may be more widespread than initial reports indicate. Our finding suggests that anti-Asian discrimination is a societal illness that impacts all populations in the U.S. This calls for cross-racial coalitions and solidarity in the fight against discrimination and racism.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Casey D. Xavier Hall ◽  
Kana Tsurudome Garcia ◽  
Anna Cavallino ◽  
Yoonsook Ha ◽  
...  

Abstract Background Little remains known about both Asian and Asian American (A/AA) and non-Asian young adults’ experiences and affective reactions regarding COVID-19 anti-Asian discrimination. To our knowledge, this is the first study that explores the nature and impact of COVID-19 anti-Asian discrimination within a multi-racial sample. Methods This study uses qualitative open-ended responses from a sub-sample of Wave I of the COVID-19 Adult Resilience Experiences Study (CARES) data collected between March to September 2020. Thematic analysis was used to explore two open-ended questions: “Are there experiences we missed in the survey so far that you wish to describe?” and “What are your thoughts about the current social climate?” The data analysis for this study focused on 113 discrimination or racism-related comments. Results A total of 1331 young adults completed an online survey of which 611 provided comments; a multi-racial sample of 95 individuals (65.3% non-Asians, 24.7% A/AA) contributed 113 COVID-19 anti-Asian discrimination or racism-related comments. Two overarching themes were: types of discrimination (societal, interpersonal, intrapersonal) and affective reactions to discrimination (fear, anxiety/distress, hopelessness/depression, and avoidance). Not only did both A/AA and non-Asian participants report witnessing or hearing reports of anti-Asian discrimination, but both groups described having negative affective reactions to anti-Asian discrimination. Conclusion Anti-Asian discrimination in the face of COVID may be more widespread than initial reports indicate. Our finding suggests that anti-Asian discrimination is a societal illness that impacts all populations in the U.S. This calls for cross-racial coalitions and solidarity in the fight against discrimination and racism.


2021 ◽  
pp. 026921632110198
Author(s):  
Catriona R Mayland ◽  
Rosemary Hughes ◽  
Steven Lane ◽  
Tamsin McGlinchey ◽  
Warren Donnellan ◽  
...  

Background: COVID-19 public health restrictions have affected end-of-life care experiences for dying patients and their families. Aim: To explore bereaved relatives’ experiences of quality of care and family support provided during the last days of life; to identify the impact of factors associated with perceived support. Design: A national, observational, open online survey was developed and disseminated via social media, public fora and professional networks (June–September 2020). Validated instruments and purposively designed questions assessed experiences. Analysis used descriptive statistics, logistic regression and thematic analysis of free-text responses. Participants: Individuals (⩾18 years) who had experienced the death of a relative/friend (all care settings) within the United Kingdome during the COVID-19 pandemic. Results: Respondents ( n = 278, mean 53.4 years) tended to be female ( n = 216, 78%); over half were ‘son/daughter’ (174, 62.6%) to the deceased. Deceased individuals (mean 81.6 years) most frequently died in their ‘usual place of care’ ( n = 192, 69.3%). Analysis established five conceptual themes affecting individualised care: (1) public health restrictions compounding the distress of ‘not knowing’; (2) disparate views about support from doctors and nurses; (3) challenges in communication and level of preparedness for the death; (4) delivery of compassionate care; (5) emotional needs and potential impact on grief. Male respondents (OR 2.9, p = 0.03) and those able to visit (OR 2.2, p = 0.04) were independently associated with good perceptions of family support. Conclusion: Despite public health restrictions, individualised care can be enabled by proactive, informative communication; recognising dying in a timely manner and facilitating the ability to be present before death.


2016 ◽  
Vol 27 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Tamar Ginossar ◽  
Julian Benavidez ◽  
Zachary D. Gillooly ◽  
Aarti Kanwal Attreya ◽  
Hieu Nguyen ◽  
...  

Context and Setting: New Mexico (NM) is a minority–majority state. Despite its unique cultural characteristics and documented ethnic/racial disparities in deceased organ donation (DOD), past studies did not explore predictors of organ donor registration status (ODRS) in this state. Objectives: This study aimed at identifying demographic, cultural, and religious predictors of ODRS among a diverse sample of young adults in NM. Design: This study focused on recruitment of American Indian, Hispanic, and Asian American participants through online social network sites and university listservs. Participants (N = 602) answered an online survey. The largest racial/ethnic group included American Indians (n = 200). Main outcome measures included ODRS, demographics, religious affiliation, and open-ended question on reasons for objections to DOD. Results: Race/ethnicity, religion, and educational attainment were significant predictors of ODRS. Non-Hispanic whites (NHWs) were most likely to be registered as donors, with no significant difference between NHWs and Asians or Pacific Islanders. Non-Catholic Christians were most likely to be registered donors, followed by Catholics, practitioners of American Indian/Native American traditional religions, and Hindus, with Buddhists the least likely to register. This pattern was consistent with the propensity of individuals from these religious groups to cite religious objections to DOD. Finally, respondents who had graduated from high schools in NM were 2.3 times less likely to be registered as organ donors compared to those who had graduated in other states. Conclusion: This study provides evidence for the need for culturally tailored interventions targeting diverse communities in NM.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S259-S259
Author(s):  
Sudha Jain ◽  
Emma Adams ◽  
Alyson Lee

Aims1. To compare the experience of psychiatric trainees in Ireland of online Balint Groups (BG) in contrast to face to face groups.2. To assess the general attitudes of trainees to BG using the Psychological Medical Inventory (PMI) (Ireton and Sherman, 1988) scale.MethodAn online survey comprising two sections: 1. A questionnaire exploring participants experience, effectiveness and obstacles to attending the two formats of BG with a free text box response. 2. General attitude of trainees towards BG using PMI scale.An online cross-sectional survey using Survey Monkey. An invitation to participate in the survey was emailed to all trainees by the College of Psychiatrists in Ireland. All data were anonymised, and all data processing was conducted in line with GDPR. Statistical analysis was undertaken using Microsoft Excel. Thematic analysis was applied to the free-text box responses.Result16.49% (64/388) responded to the survey. Responses were uniform across all stages of training. 97% of respondents attended BG; 72% attended both formats, 25% attended only face-to-face and 3% online only. 65% of respondents preferred face to face compared to 18% online, whilst 11% stated no preference.On thematic analysis, trainees asserted a preference for face-to-face, describing better group cohesion, feeling safer to share, increased ease of interpreting non-verbal communication, and that conversation was more fluid. They described greater ease of engagement with the group/facilitator and preferred direct social interaction with peers.Conversely, most trainees acknowledged that online groups were convenient to attend, less time consuming & mitigated COVID risk associated with face-to-face meetings. Common themes against the use of online groups were: less psychotherapeutic in nature, technical issues, silences, unable to see participants faces and as though speaking “into the void”.Regarding trainees' attitudes to attending BG, most of the trainees found BG had been beneficial in developing more interest and confidence in dealing with the psychological aspects of patient care. Trainees agreed that skills improved in developing an excellent doctor-patient relationship, recognising patients under stress/ in distress, systemically obtaining psychological information and making treatment decisions based upon psychological needs and psychotherapeutic engagement. They agreed that they could better understand the influence of doctors' emotions on the doctor-patient relationship.ConclusionThis survey showed that most trainees find BG beneficial in developing better doctor-patient relationships, preferring face-to-face rather than online BG. However, they found online more convenient. A blended learning approach could provide trainees with the benefits of both formats of BG.


Animals ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 845
Author(s):  
Elizabeth Riddle ◽  
Jill R. D. MacKay

The rapid rise of social media in the past decade represents a new space where animals are represented in human society, and this may influence human perceptions, for example driving desire for exotic pet keeping. In this study, 211 participants (49% female) between the ages of 18 to 44 were recruited to an online survey where they viewed mock-up pages from a social media site. All participants saw the same image of a primate but were randomly assigned to a pro exotic pet keeping or anti exotic pet keeping narrative condition. When participants were presented with the anti narrative they perceived the animal to be more stressed (χ2 = 13.99, p < 0.001). In free text comments, participants expressed reservations in the face of a narrative they disagreed with in free text comments. Overall, this study found evidence to suggest that people moderate their discussions on human-animal interactions based on the social network they are in, but these relationships are complex and require further research.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044961
Author(s):  
Charlotte Freer-Smith ◽  
Laragh Harvey-Kelly ◽  
Katie Mills ◽  
Hannah Harrison ◽  
Sabrina H Rossi ◽  
...  

ObjectivesKidney cancer has been identified as a disease for which screening might provide significant benefit for patients. The aim of this study was to understand in detail the facilitators and barriers towards uptake of a future kidney cancer screening programme, and to compare these across four proposed screening modalities.DesignAn online survey including free-text responses.SettingUKParticipants668 adultsPrimary and secondary outcome measuresThe survey assessed participants’ self-reported intention to take-up kidney cancer screening with four different test methods (urine test, blood test, ultrasound scan and low-dose CT). We conducted thematic analysis of 2559 free-text comments made within the survey using an inductive approach.ResultsWe identified five overarching themes that influenced screening intention: ‘personal health beliefs’, ‘practicalities’, ‘opinions of the test’, ‘attitudes towards screening’ and ‘cancer apprehension’. Overall, participants considered the tests presented as simple to complete and the benefits of early detection to outweigh any drawbacks to screening. Dominant facilitators and barriers varied with patterns of intention to take up screening across the four tests. Most intended to take up screening by all four tests, and for these participants, screening was seen as a positive health behaviour. A significant minority were driven by practicalities and the risks of the tests offered. A smaller proportion intended to reject all forms of screening offered, often due to fear or worry about results and unnecessary medical intervention or a general negative view of screening.ConclusionsMost individuals would accept kidney cancer screening by any of the four test options presented because of strong positive attitudes towards screening in general and the perceived simplicity of the tests. Providing information about the rationale for screening in general and the potential benefits of early detection will be important to optimise uptake among uncertain individuals.


2018 ◽  
Vol 7 (6) ◽  
pp. 1
Author(s):  
Kenny Kwong

The current study explored factors influencing career choices of Asian American social workers and assessed if their personal characteristics and career-related experiences affected their perceived glass ceiling, perception of ethnic discrimination, and perception of career prospects.  A total of 208 Asian American social work administrators, supervisors, practitioners and graduate social work students participated in a comprehensive online survey.  Participants provided basic demographic and career-related information and completed a set of measures to explore their reasons of choosing social work as their career, and their career perceptions and prospects.  Correlation analyses and multiple regression analyses were used to identify predictors of their perception of ethnic discrimination, perceived glass ceiling, and perception of career prospects.  The findings showed that altruistic reasons were very important to extremely important in their choice of social work as their career.  Social work idealism was found to associate positively with both altruistic reasons and professional concerns of choosing social work.  There was a significant relationship between participant’s immigration status and family influence on their career choice.  Those who were not born in the U.S. were more likely to be influenced by their family in their career choice than those who were born in in the U.S.  Those whose parents were not born in the U.S. were more likely to be influenced by their family expectations on their career choice than either of their parents was born in the U.S.  Perceptions of organizational fairness was found to be a strong predictor of perceived glass ceiling, perception of ethnic discrimination, and perception of career prospects. Implications of the findings for social work education and future research were discussed. 


2014 ◽  
Vol 28 (3) ◽  
pp. 148-161 ◽  
Author(s):  
David Friedman ◽  
Ray Johnson

A cardinal feature of aging is a decline in episodic memory (EM). Nevertheless, there is evidence that some older adults may be able to “compensate” for failures in recollection-based processing by recruiting brain regions and cognitive processes not normally recruited by the young. We review the evidence suggesting that age-related declines in EM performance and recollection-related brain activity (left-parietal EM effect; LPEM) are due to altered processing at encoding. We describe results from our laboratory on differences in encoding- and retrieval-related activity between young and older adults. We then show that, relative to the young, in older adults brain activity at encoding is reduced over a brain region believed to be crucial for successful semantic elaboration in a 400–1,400-ms interval (left inferior prefrontal cortex, LIPFC; Johnson, Nessler, & Friedman, 2013 ; Nessler, Friedman, Johnson, & Bersick, 2007 ; Nessler, Johnson, Bersick, & Friedman, 2006 ). This reduced brain activity is associated with diminished subsequent recognition-memory performance and the LPEM at retrieval. We provide evidence for this premise by demonstrating that disrupting encoding-related processes during this 400–1,400-ms interval in young adults affords causal support for the hypothesis that the reduction over LIPFC during encoding produces the hallmarks of an age-related EM deficit: normal semantic retrieval at encoding, reduced subsequent episodic recognition accuracy, free recall, and the LPEM. Finally, we show that the reduced LPEM in young adults is associated with “additional” brain activity over similar brain areas as those activated when older adults show deficient retrieval. Hence, rather than supporting the compensation hypothesis, these data are more consistent with the scaffolding hypothesis, in which the recruitment of additional cognitive processes is an adaptive response across the life span in the face of momentary increases in task demand due to poorly-encoded episodic memories.


2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711293
Author(s):  
Sarah Garnett ◽  
Hajira Dambha-Miller ◽  
Beth Stuart

BackgroundEmpathy is a key health care concept and refers to care that incorporates understanding of patient perspective’s, shared decision making, and consideration of the broader context in which illness is experience. Evidence suggests experiences of doctor empathy correlate with improved health outcomes and patient satisfaction. It has also been linked to job satisfaction, and mental wellbeing for doctors. To date, there is a paucity of evidence on empathy levels among medical students. This is critical to understand given that it is a key point at which perceptions and practices of empathy in the longer term might be formed.AimTo quantify the level of empathy among UK undergraduate medical studentsMethodAn anonymised cross-sectional online survey was distributed to medical students across three universities. The previously validated Davis’s Interpersonal Reactivity Index was used to quantify empathy. The survey also collected information on age, sex, ethnicity, year of medical school training and included a free-text box for ‘any other comments’.ResultsData analysis is currently underway with high response rates. Mean empathy scores by age, sex, year of study and ethnic group are presented. A correlation analysis will examine associations between age and year of study, and mean empathy sores.ConclusionThese data will help to provide a better understanding of empathy levels to inform the provision of future empathy training and medical school curriculum design. Given previous evidence linking experiences of empathy to better health outcomes, the findings may also be significant to future patient care


2003 ◽  
Vol 1 (1) ◽  
pp. 67-84
Author(s):  
Douglas Miller ◽  
Douglas Houston

There is a serious lack of demographic and socioeconomic data about Asian Americans living in distressed areas. The approach suggested to address this problem is community development with professional and academics to provide updated information on many issues such as poverty, educational attainment pertinent to these disadvantaged AA communities. The article discusses the selection criteria employed to choose the fourteen distressed communities that is analyzed. Details describing demographic characteristics, such as most AA communities are racially diverse, are supplemented with statistics to provide concrete data. Unemployment and poverty go hand-in-hand and in distressed AA communities these problems are occurring in higher frequency than other communities. The typical depiction of an AA community as a rich ethnic-enclave is debunked. The dominant problems in these communities are also representative of the problems most immigrants face today. The motivation for this analysis is to compel policy-makers to develop further research into these communities to understand their problems in order to make policies effectively addressing their needs.


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