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Asian American Health Disparities - Coggle Diagram
Asian American Health Disparities
Data on Asian American health disparities is scarce
Studies usually group asian american subgroups together or study on group alone. There is a wide spectrum of education, household income, and language ability across the different subgroups.
It is important that there are more studies done on the different subgroups.
Omission of Asian Americans in health data leads to absence of knowledge regarding the health risks for this population. Also leads to misinterpretation that these groups have lower risk of disease compared with other racial/ethnic groups.
Few studies on Asian American subgroup deaths and disease. Most come from California.
Coroner misclassification of race/ethnicity highest amongst Asian Americans.
Standards increased to increase collection of data on Asian Americans; prioritizing Asian sample size and enhancement of the quality of data collected within the Substance Abuse and Mental Health Services Administration's National Survey on Drug Use and Health.
Most studies only focus on one subgroup. Example: Ni-Hon-San study for cardiovascular disease. Studies on one subgroup get extrapolated to all Asian-Americans
Aggregated health studies on Asian Americans instead of on subgroups masks differences between the groups. (greater coronary heart disease for Asian Indians and lower risk for Chinese.
Incident cancers and specific cancers differences between subgroups.
Omission of Asian-American Subjects
Many national surveys omit Asian Americans in the majority of reports. These surveys are used by researchers and policy makers to set the disparity agenda in US.
Many surveys omit limited english-proficient or low SES Asian Americans.
Also only use landlines, omitting people with only cell phones.
Omitted from clinical trials which limits understanding of how different drugs affect them
Recommendations
multi-stage sample design to include people with landlines and cellphones.
Interviews in all languages using a computer system.
Using community-based organizations to collect health data on Asian American subgroups.
Electronic health records
Oversampling of Asian Americans by subgroup