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Problems With the Collection & Interpretation of Asian-Americans…

- - - - National health data is often reported as one aggregated group
        
        May mask difference between Asian-American subgroups
        
        Reminded me of xenophobic and whiteness remarks as the sterotype for Asian individuals and Asian American is that they all look alike -- denaunces their specific culture and reduces them to all be the same
- - - - Coroner misclassification of ethnicity on death certificates in know to be greater in Asian Americans with 13% of deaths misclassified
  - - - Greater coronary heart disease risks for Asian Indians & lower risks for Chinese
      - Cancer -- Greater risks found for Japanese & lower risks for Asian Indians
        
        Greater heterogeneity emerging when specific cancers are examined
- - - - Disaggregation is only the first step
        
        Adequately sample Asian subgroups to provide statistically stable estimates across groups
        
        Offer surveys in languages & through translators to ensure adequate representation of limited English proficiency & low health literacy pop.
        
        Language barrier, mistrust of healthcare professionals
- - - - Classified Asian Americans as “other race”
        
        Huge sampling error
        
        Began oversampling Asian Americans
    - - Asian-American subgroups have greater risks of being excluded
        
        Use of telephone-based random-digit dialing methods
        
        Use landline -- miss people with cell phones who tend to be younger, poor, & new immigrants
        
        I worked at a call center for a day lol I hated it and quit but this is 100% the dilemma I was having
    - - Even though they have guidelines on the inclusion of women & minorities
    - - Mistrust of researchers & experimentation
      - Lack of information
      - Language & cultural barriers