Experiences of racism and discrimination are stressors that adversely affect the well-being of marginalized populations, including Native Hawaiians and Pacific Islanders (NHPI). However, commonly used data aggregation methods obscure information on NHPI communities and their lived experiences. The aim of our study is to understand the types and frequency of discrimination experienced by NHPI adults in the USA. The study utilized online survey data collected from 252 NHPI adults living in the USA between September and October 2021. Younger NHPI adults, those who report constantly thinking about their race/ethnicity, and those who are socially assigned a race/ethnicity that does not match their own report experiencing more types of discrimination. NHPI who constantly think about their race/ethnicity and those who are socially assigned a race/ethnicity that does not match their own report a greater frequency of discrimination. Findings indicate the need to understand the experiences of discrimination in this population.
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http://dx.doi.org/10.1007/s40615-022-01509-x | DOI Listing |
Med Care
February 2025
RAND, Health Care, Santa Monica, CA.
Background: Medicare Bayesian Improved Surname and Geocoding (MBISG), which augments an imperfect race-and-ethnicity administrative variable to estimate probabilities that people would self-identify as being in each of 6 mutually exclusive racial-and-ethnic groups, performs very well for Asian American and Native Hawaiian/Pacific Islander (AA&NHPI), Black, Hispanic, and White race-and-ethnicity, somewhat less well for American Indian/Alaska Native (AI/AN), and much less well for Multiracial race-and-ethnicity.
Objectives: To assess whether temporal inconsistency of self-reported race-and-ethnicity might limit improvements in approaches like MBISG.
Methods: Using the Medicare Health Outcomes Survey (HOS) baseline (2013-2018) and 2-year follow-up data (2015-2020), we evaluate the consistency of self-reported race-and-ethnicity coded 2 ways: the 6 mutually exclusive MBISG categories and individual endorsements of each racial-and-ethnic group.
Ann Epidemiol
January 2025
School of Medicine, Virginia Commonwealth University, Richmond, VA, United States.
Purpose: To analyze drug overdose mortality trends among Asian American and Native Hawaiian/Pacific Islander (AANHPI) populations.
Methods: We obtained data on drug overdose deaths and population totals from CDC WONDER and the American Community Survey (2018-2022). Crude mortality rates per 100,000 were calculated overall and by sex, U.
Psychiatr Serv
December 2024
Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston (Nguyen); Department of Health Services, Policy, and Practice (Nguyen) and Department of Epidemiology (Choy), Brown University School of Public Health, Providence, Rhode Island; Medicare Payment Advisory Commission, Washington, D.C. (Oh); Department of Population Health, Section for Health Equity, New York University Grossman School of Medicine, New York City (Ðoàn); Asian American Research Center on Health, San Francisco (Chu); Department of Health Policy and Management, Fielding School of Public Health (Banawa), Center for Health Policy Research (Banawa), and Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Oronce), University of California, Los Angeles, Los Angeles; Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles (Oronce); Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut (Choy); Department of Public Health, Wayne State University, Detroit (Zhou).
Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) people are often aggregated into a monolithic group, but when they are disaggregated into ethnic groups (e.g., Chinese), inequities can be identified.
View Article and Find Full Text PDFmedRxiv
November 2024
Department of Pharmacotherapy, University of Utah, Salt Lake City, UT, United States.
BMC Pregnancy Childbirth
October 2024
Department of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, 96813, USA.
Background: Native Hawaiian and Pacific Islanders (NHPI) are disproportionately burdened by pregnancy-related deaths in the United States and have the lowest engagement in prenatal care compared to all other US racial groups. Aside from access barriers, studies suggest that NHPI face challenges with patient-clinician communication, perceived discrimination, and cultural conflicts within healthcare settings. This paper describes the cultural adaptation of the 14-item Mothers On Respect index for NHPI, originally developed by Vedam et al.
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