asian americans in context - nyu langone health...asian american subgroups total population percent...
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Asian Americans in Context
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Asian Americans: The fastest growing minority group
By 2050, the Asian American, Native Hawaiian, and Pacific Islander (AANHPI) population is projected to double to 43.2 million [AA: 40.6 million; NHPI: 2.6 million].
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Asian Americans in the U.S.
Source: Pew Research Center, Interactive Map of Total U.S. All Asian American Population: http://www.pewsocialtrends.org/asianamericans-maps/#all asians
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Asian American & Pacific Islander Groups 2010 Census Inclusive
17,320,856 = Total U.S. Asian Population
Source: U.S. Census 2010; Asian Pacific Islander American Health Forum (APIAHF)& APINCSN
1,225,195 = Total U.S. NHPI Population
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ASIAN AMERICAN
SUBGROUPSTOTAL
POPULATION
PERCENTCHANGE FROM
2000-2010
Total 308,745,538
Total Asian 14,674,252 43.3%Total Asian in combinationwith 1+ races 2,646,604 59.8%
Asian Indian 2,918,807 69 .8%
Bangladeshi 142,080 202.9%
Cambodian 255,497 39.0%
Chinese* 3,535,382 37.9%
Filipino 2,649,973 38.9%
Hmong 252,323 44.4%
Indonesian 70,096 58.6%
Japanese 841,824 -1.2%
Korean 1,463,474 33.1%
Laotian 209,646 17.1%
Pakistani 382,994 132.6%
Thai 182,872 51.2%
Vietnamese 1,632,717 39.6%
Other Asian 218,922 0.5%
Diversity of Asian American Population
*Chinese including Taiwanese
ASIAN AMERICAN
SUBGROUPS
MEDIAN HOUSEHOLD INCOME ($)
LIVING IN POVERTY
(%)
SPEAKSENGLISH
LESS THAN “VERY WELL”
Asian Indian $88,000 9% 24%
Bangladeshi $35,964 20% 51%
Cambodian $47,873 17% 53%
Chinese* $65,050 14 48%
Filipino $75,000 6% 22%
Hmong $42,689 24% 48%
Indonesian $56,207 13% 38%
Japanese $65,390 8% 18%
Korean $50,000 15% 46%
Laotian $54,000 13% 51%
Pakistani $60,000 13% 33%
Thai $48,614 15% 46%
Vietnamese $53,400 15% 59%
Other Asian n/a n/a
Source: U.S. Census Bureau , The Asian Population: 2010 Census Brief : http://www.census.gov/prod/cen2010/briefs/c2010br-11.pdfDemographics of Asian Americans; Pew Research Center: http://www.pewsocialtrends.org/2013/04/04/asian-groups-in-the-u-s/
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AANHPIsLiving in Poverty
Source: Spotlight: Asian American & Pacific Islander Poverty: http://nationalcapacd.org/sites/default/files/u12/aapi_poverty_report-web_compressed.pdf
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Linguistic Characteristics of Asian Americans in the U.S.
Limited English Proficiency (LEP)A respondent, who speaks a language other than English at home and assesses their English speaking ability as less than “very well.” In 2010, LEP individuals accounted for 25.2 million or
9% of the U.S. population over 5 years of age. In 2010, the most common languages spoken by 79%
of all LEP individuals Spanish, Chinese, Vietnamese, Korean, and Tagalog were
The Top 6 traditional immigrant-destination states with the highest concentration of LEP individuals were CA, TX, NY, FL, IL, and NJ.
In the US, 36% of Asians nationwide is LEP with rates varying across Asian subgroups (Chinese: 45%; Korean 46%; Vietnamese 61%; Bangladeshi 52%)
In NYC, 60% of all Asians citywide is LEP with rates varying across Asian ethnic groups (Chinese: 67%; Korean 63%; Vietnamese 61%; Hindi 30%).
Source: • Pandya C, Batalova J, McHugh M. Limited English Proficiency in the United States: Numbers, Share, Growth, and
Linguistic Diversity [Internet]. Washington, DC: Migration Policy Institute; 2011. Available from: http://bit.ly/v7Z3tb.• Distinct Places, Shared Opportunity: A Neighborhood-based Analysis of Asian Americans in NYC [Internet]. New
York: Asian Americans for Equality, Inc. Available from: http://on.nyc.gov/16iS9OQ. • Diverse Communities, Diverse Experiences: The Status of Asian Americans & Pacific Islanders in the U.S.
Available from: http://bit.ly/16h6sZH
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Source: Trinh-Shevrin C, Islam N, Rey MJ. (Eds.) (2009). Asian American Communities and Health. CA: Jossey Bass Publishing.
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Physical Exam in Past Year, by Race/Ethnicity
Source: The Commonwealth Fund. (2001). Health Care Quality Survey
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Has Regular MD
Perceives MD as Caring
White Black Hispanic Asian
Access to Care Factors by Race and Ethnicity of Women 25-45, 2006
Source: Shreffler et al. (2009). Odds of having a regular physician and perceptions of caring: Ethnic patterns among women aged 25 to 45. Family Medicine, 41(4), 248-253.
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Source: Gaskin et al. J of National Medical Association. 2007;99(1):22-30.
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78
75
68
66
76 81
0
20
40
60
80
100
Per
cent
Source: Medical Expenditure Panel Survey (MEPS), AHRQ. Progress Review 2002, CDC Healthy People 2010
2010 target
I 95% Confidence Interval
**Persons of Hispanic origin may be of any race.*Includes persons of Hispanic and non-Hispanic origin.
Persons with usual primary care provider, by race/ethnicity, 1999
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Asian American less likely to report positive patient-physician interactions
Base: Adults with a health care visit in the past two years.* As defined by language spoken at homeSource: The Commonwealth Fund. (2001). Health Care Quality Survey
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Percent of U.S. adults age 18 and over with selected conditions, by race and ethnicity, 2004-2006 (Barnes et al., 2008)
5.6
6.9
9.2
5.1
3.94.4
9
6.5
12.2
17.1
26.8
20.9
25.2
21.6
17
21.221.7
24.9
2.42
1.6
2.51.9
2.4
33.7
4.6
2.3 1.8
2.93.1
8.2
6.2
8.9
14.2
4.9
6.1
4
6.77.5
6.45.9
4.5 4.5
2.8 2.2
5.9
2.9
4.2
2.8
0
5
10
15
20
25
30
Chinese Filipino Asian Indian Japanese Vietnamese Korean Other Asian andNHOPI³
All Asian andNHOPI³
White
Heart disease Hypertension
Stroke Cancer
Diabetes Hepatitis
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Cancer Incidence Ratesby Race and Ethnicity, 2003-2007
Per 100,000. Age adjusted to the 2000 U.S. Standard Population
Rate Per 100,000
*
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Cancer Death Ratesby Race and Ethnicity, 2003-2007
Per 100,000. Age adjusted to the 2000 U.S. Standard Population
*
Rate Per 100,000
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Colorectal CancerIncidence and Mortality Rates
by Race/Ethnicity and Sex, 2003-2007Per 100,000. Age adjusted to the 2000 U.S. Standard Population
Race/EthnicityIncidence Mortality
Male Female Male Female
All Persons 57.2 42.5 21.2 14.9
Non-Hispanic Black 68.3 51.6 30.5 21.0
Non-Hispanic White 56.8 41.9 20.9 14.6
American Indian/ Alaska Natives*
43.2 34.4 19.2 12.9
Asian American/Pacific Islander
Hispanic/Latino 49.2 34.8 15.6 10.5
42.8 13.232.5 9.9
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Colon and Rectum Incidence RatesSeven Highest Rates by Population and Sex
1997-2001,1 1998-2002,2 1999-20043
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Colon and Rectum Mortality Rates Seven Highest Rates by Population and Sex
1997-20011 and 1998-20022
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Most Commonly Diagnosed Cancers in Selected U.S. Asian Men, 1998-2002
Per 100,000. Age adjusted to the 2000 U.S. population
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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Most Commonly Diagnosed Cancers in Selected U.S. Asian Women, 1998-2002
Per 100,000. Age adjusted to the 2000 U.S. population
145.2
59
47.6
26
8.1
4.3
2.6
82.1
13.1 18
.8
13.5
6.1
4.7
3.9
77.6
29.7
40.2
12
5.6 11
.1
8.2
100.4
26
29.4
18.6
10
5.6
5.1
126.5
24.7
51.9
20.4
6.2
15
7.9
38.2
24.6
21.1
15.3
14.1
53.5
27.5
35.9
8 10.8
26.3
14.4
36.9
44.4
27.5
24.8
23.1
52.8
34.4
33.3
8.2
16.8
13.8 16.8
0
20
40
60
80
100
120
140
160
Breast Lung Colorectal Endometrium Cervix Uteri Stomach Liver
Non‐Hispanic White
Asian Indian/Pakistani
Chinese
Filipino
Japanese
Kampuchean
Korean
Laotian
Vietnamese
Source: Asian Pacific Islander American Health Forum (APIAHF)& Asian Pacific Islander National Cancer Survivors Network (APINCSN)
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NYC DOHMH Data NYC DOHMH Data NYU REACH Data by
Asian ethnic subgroupNYU REACH Data by
Asian ethnic subgroup
11%
23%
5%
8%
0%
5%
10%
15%
20%
25%
Chinese Korean AsianIndian
OtherAsian
Smoking Prevalence in NYC
Source: NYU School of Medicine - CDC REACH Risk Factor Survey 2007-2011 http://www.cdc.gov/reach/risk_factor_survey/; Li et al. Smoking Among Asian Americans. Health Promotion and Practice. 2013 10 May.
Source: NYC Dept of Health & Mental Hygiene. Trends in Cigarette Use among Adults in NYC. 2002-2010. Epi Data Tables. Nov 2011. http://on.nyc.gov/16qR33L
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Current Smoking Prevalence by Gender and Asian Subgroup, NYC
Source: Li et al. Smoking Among Asian Americans. Health Promotion and Practice. 2013 10 May.
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BRFSS Reference group – NHW. The diamond indicates the point estimate and the bar represents the 95% CI. Filled diamonds indicate statistical significance compared with NHWs at p < 0.05. Source: Ann Epidemiol. 2011 August ; 21(8): 608–614.
Age-adjusted Odds Ratios of Coronary Heart Disease by Asian American Subgroup 2007-2010
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Source: Diabetes in New York City, EPI Data Brief (2013): http://www.nyc.gov/html/doh/downloads/pdf/epi/databrief26.pdf
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13%
22%
10%9%
10%
All Asians Asian Indian Korean Chinese Other Asians
Diabetes Prevalence in NYC by Asian Subgroup
Source: NYC REACH Risk Factor Survey 2007-2011. Islam et al. Diabetes Care. 2013 Jan;36(1):e5.
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Source: #GetCovered Campaign coverage on Angry Asian Man Blog: http://bit.ly/1c2oe4C
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V i s i t U s o n t h e W e b !
W e b s i t e : h t t p : / / a s i a n - h e a l t h . m e d . n y u . e d u /
F a c e b o o k : h t t p : / / f a c e b o o k . C o m / N Y U . C S A A H
T w i t t e r : h t t p : / / t w i t t e r . c o m / n y u _ c s a a h ( @ N Y U _ C S A A H )
T h e s e s l i d e s w e r e c o m p i l e d b y t h e N Y U S c h o o l o f M e d i c i n e , C e n t e r f o r t h e S t u d y o f A s i a n A m e r i c a n H e a l t h ( C S A A H ) . C S A A H i s s u p p o r t e d b y t h e N I H / N I M H D c o o p e r a t i v e a g r e e m e n t n u m b e r 2 P 6 0 M D 0 0 0 5 3 8 - 1 0 .