Prevalence of Traditional Asian Postpartum Practices at a Federally Qualified Health Center

To evaluate the knowledge of, participation in, attitudes towards, and experiences with “doing the month” (DTM), a traditional Chinese and Vietnamese postpartum practice, at a federally qualified health center that serves predominantly Asian immigrants. DTM practices revolve around the balance between yin and yang and include practices such as the mother remaining on bed rest for as long as possible, restricting diet to certain foods, and avoiding visitors and social activities. A cross-sectional survey in Chinese, Vietnamese, and English was developed to determine the prevalence of women who have heard of and participated in DTM. 154 respondents participated. The mean age of respondents was 40.1 years. Without prompting of what DTM was, 58 (37.7%) responded that they had heard of DTM. After an explanatory paragraph, this increased to 117 (76.6%) participants. Out of 107 patients who have children, 65 (60.7%) “did the month” after giving birth. Participation rates were highest for women who identified as Chinese or Vietnamese. Likert-type scale questions showed that respondents believed DTM was stressful but enjoyable and helpful for recovery from childbirth. In conclusion, DTM is a common practice that health providers should be aware of.

There Was So Much Silence Growing Up…: Artistic Interventions of Tomie Arai and Flo Oy Wong

This essay explores the specific artworks of Asian American artists Tomie Arai and Flo Oy Wong as complex articulations between culture, identity, history, and memory. Based on oral history interviews that were integral parts of their artistic processes, Arai and Wong created works that explored the family histories and memories of Asian immigrants and Asian Americans living in New York City’s Chinatown and California. Their artworks open up a space to explore memory as a way of knowing that is shaped not only by what is said, but more importantly by what is not said—by silences and secrets.

Ethnic Organizations and Adaptation: A Case Study of Indian Immigrant Engineers in the US

The United States has witnessed waves of immigration throughout its history, with the current immigration policies regulated by the reforms enacted under President Lyndon Johnson in 1965. Immigrants now come from all over the world, with China and India supplying the largest numbers in science and engineering (S&E) fields. Although the US is seen as coping rather successfully with immigration from Europe, that is not the case with Asian immigration. Assimilation theorists have long argued that Asian immigrants face problems in adapting to the American culture and lifestyles; in contrast, multicultural theorists have hailed cultural diversity brought by Asian immigrants. Ethnic organizations can play an integral role in Asian immigrants’ adaptation and integration in the United States. Utilizing 40 in-depth interviews of Indian immigrant engineers working in the US technology companies, the present study examines if they belong to ethnic associations. If yes, why do they feel a need to belong to these associations? If no, why not? It further sheds light on their need to belong to such associations. The findings show that the need to belong to Indian associations varied with the stage of their lives, which can be depicted as a U-shaped curve.

Transforming the Ich-Du to the Ich-Es: The Migrant as “Terrorist” in Kabir Khan’s New York and Kamila Shamsie’s Home Fire

Terror narratives have been characterized by a dialogism where the “normative” I—i.e. the “non-threatening mainstream”—defines and delineates subjects whose identity is centred on their (actual or presumed) location in the terror network. This is especially so in the case of Asian migrants who settle down in Western countries, as their very identity as Asian locates them at a precarious point in the real or imagined “terror network.” The migrant is no longer the Du (Thou), but the Es (It), imparting an identity to the Ich (I), where the Ich denotes the “original” citizens of the country. The transactions of the “I” with the “Thou” and the “It” become significant in the context of Asian immigrants in that, for the dominant mainstream (the “I”), the “terrorist” is an Es/”It” that has gradually marked its transition from the Du/“Thou.” The person of the “terrorist” finds its ontological properties from the gradual movement away from a “Thou” to an “It.” The hitherto unbounded “Thou” is transformed into a definable “It,” by ascribing to her/him a religion, race, colour, nationality and ethnicity. He/she is not confronted, as every “Thou” is, but is rather “experienced” as a source of terror, as an “It.” The paper attempts to explore the transformation of the figure of the “migrant terrorist” from a confronted “Thou” to an “imagined/experienced” “It” through an analysis of New York (2009) by Kabir Khan and Home Fire (2017) by Kamila Shamsie.

The association of cultural and environmental factors with mental health among Asian immigrants

Purpose During exposure to new cultures, immigrants face numerous life changes and challenges, which negatively affect mental health, yet environmental supports may address these concerns. This study aims to examine how neighborhood quality, acculturation and acculturative stress are associated with immigrants’ mental health. Design/methodology/approach The sample consisted of 511 Asian immigrants who were born in their country of origin and immigrated to the USA. Path analysis using analysis of moment structures (version 22.0) was conducted to test the hypothesized model. Findings The results from the path analysis indicated that perceived neighborhood quality and acculturative stress had direct effects on mental health among Asian immigrants. The study also found a significant indirect pathway to mental health where more favorable perceptions of neighborhood quality were associated with higher levels of acculturation and lower levels of acculturative stress, which, in turn, resulted in better mental health. Originality/value The results of the study highlight the importance of improving neighborhood quality as a means by which to facilitate cultural adjustment/adaptation to US culture and thus, improve mental health among Asian immigrants. In addition, the authors suggested considering cultural origin in designing health programs and/or policies for Asian immigrants, which could promote mental health among Asian immigrants. Based on the results of the model, this study produced insightful information and suggestions on how to improve Asian immigrants’ mental health more effectively.

The Impact of Structural Inequities on Older Asian Americans During COVID-19

Structural racism manifests as an historical and continued invisibility of Asian Americans, whose experiences of disparities and diverse needs are omitted in research, data, and policy. During the pandemic, this invisibility intersects with rising anti-Asian violence and other persistent structural inequities that contribute to higher COVID-19 mortality in older Asian Americans compared to non-Hispanic whites. This perspective describes how structural inequities in social determinants of health—namely immigration, language and telehealth access, and economic conditions—lead to increased COVID-19 mortality and barriers to care among older Asian Americans. Specifically, we discuss how the historically racialized immigration system has patterned older Asian immigrant subpopulations into working in frontline essential occupations with high COVID-19 exposure. The threat of “public charge” rule has also prevented Asian immigrants from receiving eligible public assistance including COVID-19 testing and vaccination programs. We highlight the language diversity among older Asian Americans and how language access remains unaddressed in clinical and non-clinical services and creates barriers to routine and COVID-19 related care, particularly in geographic regions with small Asian American populations. We discuss the economic insecurity of older Asian immigrants and how co-residence in multigenerational homes has exposed them to greater risk of coronavirus transmission. Using an intersectionality-informed approach to address structural inequities, we recommend the disaggregation of racial/ethnic data, meaningful inclusion of older Asian Americans in research and policy, and equitable investment in community and multi-sectoral partnerships to improve health and wellbeing of older Asian Americans.