Download - Asian American Quality of Life (AAQoL)
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Asian American Quality of Life (AAQoL)
Yuri Jang, Ph.D.Professor and Senior Scientist
USC Edward R. Roybal Institute on AgingUSC Suzanne Dworak-Peck School of Social Work
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Growth Rate of the U.S. Population: 2000─2010
9.3%
1.1%
11.1%
42.9% 42.9%
Total White Black Hispanic AsianSource: 2010 U.S. Census
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Model Minority Myth
• Asian Americans are well-educated, healthy, self-sufficient, and problem-free model minorities???
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Model Minority Myth
• Sampling artifact in national surveys
– English as a primary survey language – Exclusion of people with linguistic barriers
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Exemplary Datasets that Include Asian Americans# of
Asians Asian
Language
Medical Expenditure Panel Survey (MEPS) ~2000 X
National Health Interview Survey (NHIS) ~3000 X
California Health Interview Survey (CHIS) ~4000 O
National Latino and Asian American Study (NLAAS) ~2000 O
National Epidemiological Survey on Alcohol and Related Conditions (NESARC)
~900 X
National Health and Aging Trends (NHATS) ~200 X
National Survey on Drug Use and Health (NSDUH) ~2000 X
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Link available at https://www.austintexas.gov/department/aaqol
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Top Three States with the Largest Asian American Population
Proportion in the Asian Population
Percent Increase between 2000 and 2010
1. California 33.1% 33.7
2. New York 9.7% 35.1
3. Texas 6.6% 72.4
Source: 2012 U.S. Census
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Asian American Quality of Life (AAQoL)
• Target population: Asian American residents in Austin (aged 18+)
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Culturally and Linguistically Sensitive Approach
• Asian language versions of the survey
• Research personnel (e.g., recruiter and survey assistant) who share the same culture and language of the target population
• Community partnerships
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Survey Questionnaire
• English • Chinese (traditional and simplified versions)• Korean • Vietnamese• Hindi• Gujarati • Tagalog
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• Asian American Quality of Life • 亞裔美國人生活品質調查• 亚裔美国人生活品质调查• 아시아인의삶의질연구• Nghiên cứu chất lượng cuộc sống của người Châu Á• एिशयाई अमे�रकी रहन की गुणव�ा• એિશયન-અમેિરકન ની �વન-ગુણવ�ા-ક�ા• Kalidad ng Buhay ng mga Asyano-Amerikano
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Austin Asian Community Resource Database (AACRD)
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19
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• Final Sample Size = 2,609– 640 Chinese– 574 Asian Indians – 471 Koreans– 513 Vietnamese– 265 Filipinos– 146 Asians of other ethnic backgrounds
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Survey language N %
English 1,345 51.5
Traditional Chinese 215 8.2
Simplified Chinese 229 8.8
Korean 371 14.2
Vietnamese 365 14.0
Hindi 12 0.5
Gujarati 58 2.2
Tagalog 14 0.5
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Unmet Healthcare Needs• “Was there a time in the past 12 months when you
needed medical care but could not get it?”
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Unmet Healthcare Needs in the AAQoL Survey
11.5%10.8%
5.3%
15.4%
17.1%
10.3%
8.2%
Total Chinese Asian Indian Korean Vietnamese Filipino Other
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Cf. 11.5% in the U.S. general population (NHIS)
14.8%16.2%
10.5%
18.3%
14.9%
11.5%
19.5%
TotalSample
Chinese Asian Indain Korean Vietnamese Filipino Other
No Health Insurance
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38.1%35.6%
50.8%
41.5%
31.7%
23.3%
37.9%
TotalSample
Chinese Asian Indain Korean Vietnamese Filipino Other
Cf. 22% in the U.S. general population (NHIS)
No Usual Place for Care
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44.2%38.9% 41.0% 43.8%
54.6%
41.6%48.9%
Total Chinese Asian Indian Korean Vietnamese Filipino Other
Cf. 15% in the U.S. general population (NHIS)
Mental Distress (Kessler 6 ≥ 6)
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6.1%
4.8%4.2%
7.2%
9.2%
5.1%
7.1%
Total Chinese Asian Indian Korean Vietnamese Filipino Other
Cf. 3.1% in the U.S. general population (NHIS)
Serious Mental Illness (Kessler 6 ≥ 13)
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62.4%
71.7%
44.8%
79.2%
72.9%
44.8%49.3%
TotalSample
Chinese Asian Indain Korean Vietnamese Filipino Other
Limited English Proficiency (LEP)
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30.3%
34.0%
18.9%
36.4%
32.4%
28.3%
35.0%
TotalSample
Chinese Asian Indian Korean Vietnamese Filipino Other
Perceived Discrimination
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Social Determinants of HealthSocial Determinants of Health
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Social Determinants of Health
Acculturation
SES
Social Determinants of Health
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• Acculturation – Elements of Acculturation
• Language, food consumption, social relation, sense of belonging, familiarity with culture
– Multidimensions of Acculturation • Host and heritage cultures
– Acculturation vs. Acculturative stress – Acculturation in Contexts
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Other Factors to Consider
• Social network • Family solidarity • Ethnic identity• Community social cohesion
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Research into Practice
“Knowing is not enough; we must apply. Willing is not enough; we must do.”
Gothe (1749-1832)
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Acknowledgement
• The support for data collection was provided by the City of Austin’s Asian American Quality of Life initiative (Contract No. 26-8275-39, PI: Yuri Jang, Ph.D.).
• A list of AAQoL publications is available at https://www.austintexas.gov/department/aaqol