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

描述（由申请人提供）：亚裔美国人是美国增长最快的种族/族裔群体，目前人口超过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一个综合群体，对六个不同的亚裔美国人种族/民族亚群体（亚洲印度人、中国人、菲律宾人、日本人、韩国人和越南人）知之甚少，他们具有广泛的疾病风险、移民历史和社会经济地位。目前对这些不断扩大的亚人群的健康存在知识缺口，也没有信息来推荐研究议程、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集、外国出生人口和美国出生人口的分组以及社会人口因素的未知影响所扭曲。虽然美国人口普查局在1980年首次开始对亚洲亚组进行分类，但在美国死亡记录中对亚洲亚组的分类要晚得多，直到2003年才开始，现在美国50个州中有一半以上对亚洲亚组进行了分类。本研究的目的是研究与其他种族/民族（非西班牙裔白人、非洲裔美国人、西班牙裔美国人）相比，亚裔美国人亚组死亡率的种族/民族、出生和地理差异。在不同亚群中按出生并考虑社会人口因素的死因特异性死亡率调查将是评估和解决亚裔美国人社区健康差异的基础。

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).