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Open Access Publications from the University of California

Scholarly Works (9 results)

  • Article
  • Peer Reviewed
AAPI Nexus: Policy, Practice and Community, Volume 4, Issue 1 (2006)
Despite scientific advances that documents race and ethnicity as critical factors associated with inequities in health and health care quality, the general political climate has the potential to undermine efforts to improve the quality of life for people in diverse communities. We call for more creative research programs on health issues in Asian American communities to move beyond prevalence and risk factors toward investigating the mechanisms and processes that produce illness and lead to poor quality of health. We emphasize a compelling need to revisit traditional and accepted findings to determine their appropriateness for Asian American communities. We also suggested that as we establish the mechanisms that link social factors and health, we must also place them within the appropriate historical and cultural contexts that are essential for the health of people in their communities.
    Cover page: Glancing Back, Looking Forward: Some Comments on Health Research in Asian American CommunitiesCreative Commons 'BY-NC-ND' version 4.0 license
    • Article
    • Peer Reviewed
    UCLA Previously Published Works (2016)
    Alcohol use and misuse account for 3.3 million deaths every year, or 6 percent of all deaths worldwide. The harmful effects of alcohol misuse are far reaching and range from individual health risks, morbidity, and mortality to consequences for family, friends, and the larger society. This article reviews a few of the cultural and social influences on alcohol use and places individual alcohol use within the contexts and environments where people live and interact. It includes a discussion of macrolevel factors, such as advertising and marketing, immigration and discrimination factors, and how neighborhoods, families, and peers influence alcohol use. Specifically, the article describes how social and cultural contexts influence alcohol use/misuse and then explores future directions for alcohol research.
      Cover page: Social and Cultural Contexts of Alcohol Use: Influences in a Social-Ecological Framework.
      • Article
      • Peer Reviewed
      UC Irvine Previously Published Works (2008)
      Objectives. We examined whether racial discrimination is associated with increased body mass index (BMI) and obesity among Asian Americans. Further, we explored whether this association strengthens with increasing time in the United States.Methods. We analyzed data from the 2002 to 2003 National Latino and Asian American Study (n=1956). Regression models tested whether reports of racial discrimination were associated with BMI and obesity, after accounting for weight discrimination, age, gender, marital status, ethnicity, generation, employment, health status, and social desirability bias (the tendency to seek approval by providing the most socially desirable response to a question).Results. We found that (1) racial discrimination was associated with increased BMI and obesity after we controlled for weight discrimination, social desirability bias, and other factors and (2) the association between racial discrimination and BMI strengthened with increasing time in the United States.Conclusions. Racial discrimination may be an important factor related to weight gain among ethnic minorities.
        Cover page: Disentangling the Effects of Racial and Weight Discrimination on Body Mass Index and Obesity Among Asian Americans
        • Article
        On-Line Working Paper Series (2007)

        This study examines whether social, and physical environment characteristics related to urban design interact with individual perceptions of traffic stress to influence individual well-being. The Chinese American Psychiatric Epidemiologic Study data, the US census data, and the Geographic Information System (GIS) data are employed. Analyses used hierarchical linear modeling. The results indicate that perceived traffic stress was associated with lower health status and higher depression. More importantly, higher density of major streets and greater vehicular burden in the neighborhood pose potential harm to health by reinforcing the negative impacts of perceived traffic stress. On the other hand, more park land in the neighborhood could alleviate the damage of traffic stress on individual’s well-being. The implications of the results for future research are discussed.

          Cover page: Do Physical Neighborhood Characteristics Matter in Predicting Traffic Stress and Health Outcomes?
          • Article
          • Peer Reviewed
          UCLA Previously Published Works (2010)
          Socioeconomic position is often operationalized as education, occupation, and income. However, these measures may not fully capture the process of socioeconomic disadvantage that may be related to morbidity. Economic opportunity, subjective social status, and financial strain may also place individuals at risk for poor health outcomes. Data come from the Asian subsample of the 2003 National Latino and Asian American Study (n = 2095). Regression models were used to examine the associations between economic opportunity, subjective social status, and financial strain and the outcomes of self-rated health, body mass index, and smoking status. Education, occupation, and income were also investigated as correlates of these outcomes. Low correlations were observed between all measures of socioeconomic status. Economic opportunity was robustly negatively associated with poor self-rated health, higher body mass index, and smoking, followed by financial strain, then subjective social status. Findings show that markers of socioeconomic position beyond education, occupation, and income are related to morbidity among Asian Americans. This suggests that potential contributions of social disadvantage to poor health may be understated if only conventional measures are considered among immigrant and minority populations.
            Cover page: Examining Alternative Measures of Social Disadvantage Among Asian Americans: The Relevance of Economic Opportunity, Subjective Social Status, and Financial Strain for Health
            • Article
            • Peer Reviewed
            UC Davis Previously Published Works (2019)
            Race and ethnicity are consequential constructs when it comes to exposure to air pollution. Persistent environmental racial/ethnic inequalities call for attention to identifying the factors that maintain them. We examined associations between racial residential segregation and racial/ethnic inequalities in exposure to three types of air pollutants. Using data from the Panel Study of Income Dynamics (1990-2011), the U.S. Census (1990- 2010), and the Environmental Protection Agency, we tested the independent and joint contributions of race/ethnicity and metropolitan-level residential segregation on individual levels of exposure to air pollution nationwide. We found that racial and ethnic minorities were exposed to significantly higher levels of air pollution compared to Whites. The difference between minorities and Whites in exposure to all three types of air pollution was most pronounced in metropolitan areas with high levels of residential segregation. The environmental inequities observed in this study call for public health and policy initiatives to ameliorate the sources of racial/ethnic gaps in pollution exposure. Given the links between the physical environment and health, addressing such uneven environmental burdens may be a promising way to improve population health and decrease racial/ethnic inequalities therein.
              Cover page: Residential Segregation and Racial/Ethnic Disparities in Ambient Air Pollution
              • Article
              • Peer Reviewed
              UC Irvine Previously Published Works (2016)
              Citizenship is both a system of privilege and a source of social identity. This study examines whether there are disparities in psychological distress between citizens and noncitizens, and whether these disparities may be explained by markers of social disadvantage (e.g., poverty, discrimination) or perceptions of success in the United States (i.e., subjective social status). We analyze data from the Asian subsample (n = 2,095) of the National Latino and Asian American Study. The data show that noncitizens report greater psychological distress compared with naturalized citizens and native-born citizens after accounting for sociodemographics (e.g., age, gender, Asian subgroup), socioeconomic characteristics (education, employment, income-to-poverty ratio), immigration (e.g., interview language, years in the United States, acculturative stress), health care visits, and everyday discrimination. Preliminary evidence suggests that subjective social status may explain some of the disparities between naturalized citizen and noncitizen Asian Americans.
                Cover page: Citizenship as Privilege and Social Identity
                • Article
                On-Line Working Paper Series (2007)

                Objectives. We examined lifetime and 12-month rates of any depressive, anxiety, and substance abuse disorders in a national sample of Asian Americans. We focused on factors related to nativity and immigration as possible correlates of mental disorders. Methods. Data were derived from the National Latino and Asian American Study, the first national epidemiological survey of Asian Americans in the United States. Results. The relationships between immigration-related factors and mental disorders were different for men and women. Among women, nativity was strongly associated with lifetime disorders, with immigrant women having lower rates of most disorders compared with US-born women. Conversely, English proficiency was associated with mental disorders for Asian men. Asian men who spoke English proficiently generally had lower rates of lifetime and 12-month disorders compared with nonproficient speakers. Conclusions. For Asian Americans, immigration-related factors were associated with mental disorders, but in different ways for men and women. Future studies will need to examine gender as an important factor in specifying the association between immigration and mental health.

                  Cover page: Immigration and Mental Disorders among Asian Americans
                  • Peer Reviewed
                  UC Berkeley Previously Published Works (2015)
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