An Integrative Review of Relationships Between Discrimination and Asian American Health

Nadimpalli, Sarah B.; Hutchinson, M. Katherine

doi:10.1111/j.1547-5069.2012.01448.x

Cited by 52 publications

(29 citation statements)

References 31 publications

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“…Social capital may provide the motivation, by means of obligation, reciprocity and self-control, to invest in future family health. There is a vast literature suggesting that experiencing different types of personal or institutional discrimination has detrimental effects on health, including nutritional risk (30,31) . In the present study it was revealed that intolerance of diversity had negative associations with the Mediterranean diet score and thus the healthy dietary patterns of the participants.…”

Section: Discussionmentioning

confidence: 99%

Social capital, tolerance of diversity and adherence to Mediterranean diet: the Rhea Mother–Child Cohort in Crete, Greece

Kritsotakis

Chatzi

Vassilaki

et al. 2014

Public Health Nutr.

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Objective: To estimate the associations of individual maternal social capital and social capital dimensions (Participation in the Community, Feelings of Safety, Value of Life and Social Agency, Tolerance of Diversity) with adherence to the Mediterranean diet during pregnancy. Design: This is a cross-sectional analysis of data from a prospective mother-child cohort (Rhea Study). Participants completed a social capital questionnaire and an FFQ in mid-pregnancy. Mediterranean diet adherence was evaluated through an a priori score ranging from 0 to 8 (minimal-maximal adherence). Maternal social capital scores were categorized into three groups: the upper 10 % was the high social capital group, the middle 80 % was the medium and the lowest 10 % was the low social capital group. Multivariable log-binomial and linear regression models adjusted for confounders were performed. Setting: Heraklion, Crete, Greece. Subjects: A total of 377 women with singleton pregnancies. Results: High maternal Total Social Capital was associated with an increase of almost 1 point in Mediterranean diet score (highest v. lowest group: β coefficient = 0·95, 95 % CI 0·23, 1·68), after adjustment for confounders. Similar dose-response effects were noted for the scale Tolerance of Diversity (highest v. lowest group: adjusted β coefficient = 1·08, 95 % CI 0·39, 1·77). Conclusions: Individual social capital and tolerance of diversity are associated with adherence to the Mediterranean diet in pregnancy. Women with higher social capital may exhibit a higher sense of obligation to themselves and to others that may lead to proactive nutrition-related activities. Less tolerant women may not provide the opportunity to new healthier, but unfamiliar, nutritional recommendations to become part of their regular diet.

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Section: Discussionmentioning

confidence: 99%

Social capital, tolerance of diversity and adherence to Mediterranean diet: the Rhea Mother–Child Cohort in Crete, Greece

Kritsotakis

Chatzi

Vassilaki

et al. 2014

Public Health Nutr.

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“…Historically, Asian Americans have been under-represented in health research, and many studies that do include Asian Americans present aggregated data, masking critical health differences between ethnic subgroups. Disaggregated data demonstrate health disparities among subgroups on a number of chronic conditions, including cancer, heart disease, and mental health problems (Nadimpalli & Hutchinson, 2012). Factors contributing to deleterious health outcomes include limited health literacy, cultural and linguistic factors, and perceived discrimination (Clough, Lee, & Chae, 2013;Harris, 2012;Kandula, Kersey, & Lurie, 2004).…”

Section: Health Disparities Among Immigrant Groupsmentioning

confidence: 99%

Experiences and Lessons Learned in Using Community‐Based Participatory Research to Recruit Asian American Immigrant Research Participants

Katigbak

Foley

Robert

et al. 2016

J of Nursing Scholarship

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Purpose By 2050, the number of international migrants is expected to double from 214 million people. Of these, Asian immigrants are projected to comprise the largest foreign-born population in the United States by the year 2065. Asian American immigrants experience numerous health disparities, but remain under-represented in health research. The purpose of this article is to examine the experiences and lessons learned in applying community-based participatory research (CBPR) principles to access and recruit a sample of Asian American research participants. Approach This article reviews unique barriers to research participation among Asian Americans, describes the principles of CBPR, and provides examples of how these principles were employed to bridge recruitment challenges within a qualitative study. Findings and Conclusions CBPR facilitated greater research participation among a group of immigrant Asian Americans. Researchers must be additionally mindful of the importance of building trusting relationships with their community partners, understanding the significance of shared experiences, considering fears around immigration status, and considering ongoing challenges in identifying and reaching hidden populations. Clinical Relevance Clinicians and researchers can employ CBPR principles to guide their work with Asian immigrant communities and other under-represented groups to facilitate access to the population, improve participant recruitment, and foster engagement and collaboration.

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“…13,[37][38][39] Among the five discrimination experiences included in EDS, two specific items, ''people act as if they think you are not smart'' and ''people act as if they are afraid of you,'' had a significant positive association with the greater frequency of healthcare use. Despite increased health service efforts to improve patient-centered models of care and shared decision-making, patients continue to feel required to assume socially sanctioned roles where the physician is the authoritarian.…”

Section: Discrimination Healthcare Use and Health Statusmentioning

confidence: 99%

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

Dehkordy

Hall

Dalton

et al. 2016

Journal of Women's Health

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Background: Research has not adequately examined the potential negative effects of perceiving routine discrimination on general healthcare utilization or health status, especially among reproductive-aged women. We sought to evaluate the association between everyday discrimination, health service use, and perceived health among a national sample of women in the United States. Materials and Methods: Data were drawn from the Women's Healthcare Experiences and Preferences survey, a randomly selected, national probability sample of 1078 U.S. women aged 18-55 years. We examined associations between everyday discrimination (via a standardized scale) on frequency of health service utilization and perceived general health status using chi-square and multivariable logistic regression modeling. Results: Compared with women who reported healthcare visits every 3 years or less (reference group), each one-point increase in discrimination score was associated with higher odds of having healthcare visits annually or more often (odds ratio [OR] = 1.36, confidence interval [95% CI] = 1.01-1.83). Additionally, each one-point increase in discrimination score was significantly associated with lower odds of having excellent/very good perceived health (OR = 0.65; 95% CI = 0.54-0.80). Conclusion: Perceived discrimination was associated with increased exposure to the healthcare setting among this national sample of women. Perceived discrimination was also inversely associated with excellent/very good perceived health status.

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An Integrative Review of Relationships Between Discrimination and Asian American Health

Cited by 52 publications

References 31 publications

Social capital, tolerance of diversity and adherence to Mediterranean diet: the Rhea Mother–Child Cohort in Crete, Greece

Social capital, tolerance of diversity and adherence to Mediterranean diet: the Rhea Mother–Child Cohort in Crete, Greece

Experiences and Lessons Learned in Using Community‐Based Participatory Research to Recruit Asian American Immigrant Research Participants

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

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