CAUSES: Causes of Asian American mortality Understood by Socio-Economic Status

描述(申请人提供)：亚裔美国人是美国增长最快的种族/民族群体，人口超过1400万，预计到2050年将达到近3400万。然而，我们目前对亚裔美国人的理解是作为一个集合群体，对六个不同的亚裔美国人种族/民族(亚裔印度人、中国人、菲律宾人、日本人、韩国人和越南人)知之甚少，他们有广泛的疾病风险、移民史和社会经济地位。目前在这些不断扩大的亚群的健康方面存在知识差距，而且没有信息来建议研究议程、制定公共卫生政策和提供临床指南。我们目前对亚裔美国人死亡率模式的理解被不同亚群的聚合、在外国出生的人口和在美国出生的人口分组以及社会人口因素的未知影响所扭曲。虽然美国人口普查在1980年首次开始分解亚裔亚群，但美国死亡记录上的亚裔亚群分解发生在2003年很晚，现在美国50个州中超过一半的州分解了亚裔亚群。这项研究的目的是检查亚裔美国人亚群死亡率与其他种族/民族(非西班牙裔白人、非裔美国人、拉美裔美国人)相比的种族/民族、出生地和地理差异。根据出生人口调查不同亚群中的特定原因死亡率，并考虑社会人口因素，将是评估和解决亚裔美国人社区健康差距的基础。 公共卫生相关性：目前缺乏亚裔美国人亚群的全国死亡率统计数据，这使得很难建议研究议程，制定公共卫生政策，并为不同的亚裔美国人亚群提供临床指南。这项研究的目的是检查亚裔美国人亚群死亡率与其他种族/民族(非西班牙裔白人、非裔美国人、拉美裔美国人)相比的种族/民族、出生地和地理差异。

DESCRIPTION (provided by applicant): Asian Americans are the fastest growing racial/ethnic group in the United States, with a population of over 14 million that is projected to reach nearly 34 million by 2050. However, our current understanding of Asian Americans is as an aggregated group, and very little is known about the six diverse Asian American racial/ethnic subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese), who have a wide range of disease risks, immigration histories, and socioeconomic status. There is currently a knowledge gap on the health of these expanding subpopulations, and there is no information to recommend research agendas, create public health policy, and offer clinical guidelines. Our current understanding of Asian American mortality patterns is distorted by the aggregation of distinct subgroups, the grouping of foreign-born and U.S.- born populations, and the unknown impact of sociodemographic factors. While the U.S. Census first started disaggregating Asian subgroups in 1980, disaggregation of Asian subgroups on U.S. death records occurred much later in 2003, and now over half of the 50 U.S. States disaggregate Asian subgroups. The goal of this study is to examine racial/ethnic, nativity, and geographic differences in Asian American subgroup mortality compared to other racial/ethnic groups (Non-Hispanic Whites, African Americans, Hispanics). Investigation of cause-specific mortality in distinct subgroups, by nativity, and considering sociodemographic factors will be fundamental in assessing and addressing health disparities in Asian American communities. PUBLIC HEALTH RELEVANCE: The current lack of national mortality statistics for Asian American subgroups makes it difficult to recommend research agendas, create public health policy, and offer clinical guidelines for diverse Asian American subgroups. The goal of this study is to examine racial/ethnic, nativity, and geographic disparities in Asian American subgroup mortality compared to other racial/ethnic groups (Non-Hispanic Whites, African Americans, Hispanics).