Asian Americans in the Labor Market: Public Policy Issues

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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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

JCO Oncology Practice ◽

10.1200/op.21.00412 ◽

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.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19020924 ◽

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.

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

Medical Care Research and Review ◽

10.1177/1077558716676595 ◽

2016 ◽

Vol 75 (1) ◽

pp. 100-126 ◽

Cited By ~ 2

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.

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

10.36650/nexus7.1_105-130_ryoo ◽

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.

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Medicaid And Private Insurance Coverage For Low-Income Asian Americans, Native Hawaiians, And Pacific Islanders, 2010–16

Health Affairs ◽

10.1377/hlthaff.2019.00316 ◽

2019 ◽

Vol 38 (11) ◽

pp. 1911-1917 ◽

Cited By ~ 2

Author(s):

John J. Park ◽

Benjamin D. Sommers ◽

Sarah Humble ◽

Arnold M. Epstein ◽

Graham A. Colditz ◽

...

Keyword(s):

Asian Americans ◽

Low Income ◽

Private Insurance ◽

Insurance Coverage ◽

Pacific Islanders ◽

Native Hawaiians

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Asian American, Native Hawaiian, and Pacific Islander Data and Policy Needs in Civil Rights

10.36650/nexus9.1-2_1-3_leeetal ◽

2011 ◽

Vol 9 (1-2) ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Taeku Lee ◽

Janelle Wong

Keyword(s):

Civil Rights ◽

Asian American ◽

The United States ◽

Pacific Islanders ◽

Native Hawaiians ◽

Full Inclusion ◽

The Public ◽

Policy Relevance ◽

The Public Sphere ◽

Rights Issues

In this section, researchers examine the policy priorities and data needs regarding civil rights issues affecting Asian Americans (and, where relevant and possible, Native Hawaiians and Pacific Islanders [NHPIs]). To the uninitiated, the policy relevance of civil rights issues confronting AANHPI members may seem unusual, exotic, or misplaced. Each of the following articles underscores the fact that, for AANHPI communities, the contemporary challenges resulting from discrimination and exclusion remain serious, varied, and evolving. A key theme across all of the pieces featured here is that in order for AANHPIs to achieve full inclusion and fair treatment in the United States, their voices and experiences must be lifted up in the public sphere. Too often, invisibility (or visibility only through a selective and distorted lens) is the hallmark of AANHPI policy issues.

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