Is Assimilation Costing Asian Americans Their Health? Type 2 Diabetes in California's Asian American Populations

同化正在损害亚裔美国人的健康吗？

• 批准号: 9378073
• 负责人: Edith Chen
• 金额: $ 43.7万
• 依托单位: CALIFORNIA STATE UNIVERSITY NORTHRIDGE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-18 至 2021-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9378073
• 关键词: Acculturation; Address; Affect; African American; Alcohol consumption; American; Asian Americans; Asian Indian; Asians; Assimilations; California; Child; China; Chinese American; Chinese People; Cholesterol; Chronic Disease; Communities; Coronary heart disease; Country; Cultural Diversity; Data; Data Aggregation; Data Analyses; Development; Diabetes Mellitus; Diet; Disease; Economic Factors; Education; Educational Curriculum; Employment Status; English Language; Environmental Exposure; Ethnic group; Filipino; Focus Groups; Funding; Future; Generations; Group Interviews; Health; Health Insurance; Hour; Immigrant; Income; Individual; Interview; Japan; Japanese American; Japanese Population; Koreans; Language; Latina; Lead; Learning; Link; Los Angeles; Manuscripts; Marmota; Measures; Meta-Analysis; Methods; Mexican Americans; Minority; Minority Groups; Modeling; Multilingualism; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Pacific Island Americans; Parents; Pattern; Play; Population; Prevalence; Process; Research; Research Personnel; Research Project Grants; Risk; Risk Factors; Role; Rural; Smoking; Societies; Socioeconomic Status; Stress; Students; Subgroup; Surveys; Universities; Work; Writing; base; contextual factors; cost; diabetes risk; graduate student; hands on research; health disparity; high risk; interest; minority health; obesity prevention; preference; racial and ethnic; research study; skills; social; socioeconomics; undergraduate student

PROJECT SUMMARY/ABSTRACT The diabetes rates for Asian Americans has been increasing over the last twenty years, with over 1 out of 5 Asian Americans having diabetes, almost twice the rates to their White counterparts (11.3%) (Lee et al., 2011; Menke, Casagrande, Geiss, & Cowie, 2015). The diabetes prevalence for Asians living in the U.S. are higher than those individuals living in their countries of origin (Fujimoto et al. 2012; Stewart 2016 et al.), and these vary widely by ethnic subgroup (Kanaya, 2010; Wang et al. 2011; Stewart et al 2016). We know little about what are the causes of these health disparities, and why the rates of the immigrants and the growing second generation are more at risk than in their respective Asian countries. Together, these observations suggest that assimilation, or the process of becoming American, may be putting immigrant minority groups, especially at risk for diabetes and other chronic diseases (Oza-Frank et al 2011; Popkin & Udry, 1998). This mixed-method project examines the relationship between assimilation and diabetes prevalence in Asian American populations, using quantitative and qualitative approaches. Pooling data from years 2005- 2014 from the California Health Interview Survey, it examines the relationship between immigrant generation and type 2 diabetes, focusing on the top 6 Asian American ethnic groups in California. It also examines the extent acculturation and socioeconomic contextual factors might lead to differential risks for diabetes, while considering known risk factors. Partnering with the Los Angeles community-based organization, Asian Pacific Islanders Obesity Prevention Alliance (APIOPA), we supplement our quantitative findings with multilingual focus groups and interviews with Asian American from the different ethnic groups. As one of the only research projects at our university to focus on Asian American health, the proposed project will provide a valuable opportunity for Asian American students to engage in research directly affecting their community as well as for other students with an interest in immigrant and minority health. Undergraduate and graduate students will be involved throughout the project including concept development, developing multicultural competent measures for quantitative data analysis, interview-guide construction, manuscript writing, and skills for community-engaged research.

项目摘要/摘要 在过去的二十年中，亚裔美国人的糖尿病率一直在增加，超过1个 在5个患有糖尿病的亚裔美国人中，几乎是白人同行的两倍（11.3％）（Lee等人。 2011; Menke，Casagrande，Geiss和Cowie，2015年）。居住在美国亚洲人的糖尿病患病率是 比居住在其原籍国的人高（Fujimoto等人，2012年； Stewart 2016等人）和 这些因种族子群体差异很大（Kanaya，2010； Wang等，2011； Stewart等人2016）。我们不知道 关于这些健康差异的原因是什么，以及为什么移民的比率和增长 第二代比各自的亚洲国家更具风险。这些观察在一起 表明同化或成为美国的过程可能会使移民少数群体群体， 特别是有糖尿病和其他慢性疾病的风险（Oza-Frank等，2011； Popkin＆Udry，1998）。 该混合方法项目研究了同化与糖尿病患病率之间的关系 亚裔美国人使用定量和定性方法。合并2005年的数据 - 2014年加利福尼亚健康访谈调查中，它研究了移民一代的关系 和2型糖尿病，重点关注加利福尼亚州的亚裔美国族裔。它还检查了 范围适应和社会经济的情境因素可能会导致糖尿病的不同风险，而 考虑已知的危险因素。与洛杉矶社区组织亚洲太平洋合作 岛民肥胖预防联盟（APIOPA），我们通过多语言补充定量发现 焦点小组和来自不同种族的亚裔美国人的访谈。 作为我们大学唯一专注于亚裔美国人卫生的研究项目之一，拟议的 项目将为亚裔美国学生提供宝贵的机会，从而直接影响研究 他们的社区以及对移民和少数民族健康感兴趣的其他学生。本科生 研究生将参与整个项目，包括概念开发，发展 多元文化胜任的量化措施，用于定量数据分析，访谈固定构建，手稿 写作和社区参与研究的技能。

项目成果

MyPlate and urban low-income Asian Americans in the United States: a study to improve nutrition education.

MyPlate 和美国城市低收入亚裔美国人：一项改善营养教育的研究。

• DOI: 10.1057/s41271-022-00377-3
• 发表时间: 2022
• 期刊: Journal of public health policy
• 影响因子: 3.8
• 作者: Garcia,Vanessa;Sklyar,Lana;Caldwell,JuliaI;Shah,Dipa;Prudencio,JamieMichelle;Kuo,Tony
• 通讯作者: Kuo,Tony