Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care

Le, Thomas K.; Cha, Leah; Gee, Gilbert C.; Dean, Lorraine T.; Juon, Hee‐Soon; Tseng, Winston

doi:10.1007/s40615-021-01216-z

Cited by 3 publications

(4 citation statements)

References 47 publications

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“…33 Qualitative experiences of Asian American patients living with MS, including need for educational materials and social support, should also be explored in future studies. 6 Various Asian groups have experienced structural racism from colonialism, discriminatory immigration policy, and forced internment; 34 with the COVID-19 pandemic, racism against Asians has become more evident. 35 Racism against Asian Americans has also been reported in health care, 6 and perceived discrimination should be investigated in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…6 Various Asian groups have experienced structural racism from colonialism, discriminatory immigration policy, and forced internment; 34 with the COVID-19 pandemic, racism against Asians has become more evident. 35 Racism against Asian Americans has also been reported in health care, 6 and perceived discrimination should be investigated in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…33 Qualitative experiences of Asian American patients living with MS, including need for educational materials and social support, should also be explored in future studies. 6…”

Section: Discussionmentioning

confidence: 99%

“…2 To date, there has not been a study of MS clinical characteristics in Asian Americans. Given MS risk and disease burden may be influenced by ancestry (specifically, worse among Black and Latinx Americans) [3][4][5] and Asian Americans face racism in health care and underrepresentation in clinical research, 6,7 it is important to evaluate MS course in Asian Americans.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of multiple sclerosis and demyelinating disease in an Asian American population

Fan,

Alexander,

Poole

et al. 2023

Mult Scler

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Background: Race and ancestry influence the course of multiple sclerosis (MS). Objectives: Explore clinical characteristics of MS and neuromyelitis optica spectrum disorder (NMOSD) in Asian American patients. Methods: Chart review was performed for 282 adults with demyelinating disease who self-identified as Asian at a single North American MS center. Demographics and clinical characteristics were compared to non-Asian MS patients and by region of Asian ancestry. Results: Region of ancestry was known for 181 patients. Most (94.7%) preferred English, but fewer East Asian patients did (80%, p = 0.0001). South Asian patients had higher neighborhood household income ( p = 0.002). Diagnoses included MS (76.2%) and NMOSD (13.8%). More patients with NMOSD than MS were East and Southeast Asian ( p = 0.004). For MS patients, optic nerve and spinal cord involvement were similar across regions of ancestry. Asian MS patients were younger at symptom onset and diagnosis than non-Asian MS patients. MS Severity Scale scores were similar to non-Asian MS patients but worse among Southeast Asians ( p = 0.006). Conclusions: MS severity was similar between Asian American patients and non-Asian patients. Region of ancestry was associated with differences in sociodemographics and MS severity. Further research is needed to uncover genetic, socioeconomic, or environmental factors causing these differences.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…33 Qualitative experiences of Asian American patients living with MS, including need for educational materials and social support, should also be explored in future studies. 6…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of multiple sclerosis and demyelinating disease in an Asian American population

Fan,

Alexander,

Poole

et al. 2023

Mult Scler

View full text Add to dashboard Cite

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Predictors of healthcare usage among Asian Americans during the COVID-19 pandemic in California

Tran,

Santhiveeran

2024

Journal of Human Behavior in the Social Environment

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Contributors to Underdiagnosis of ADHD among Asian Americans: A Narrative Review

Feng,

O’Neill,

Rostain

2024

J Atten Disord

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Objective Rates of ADHD are lowest among Asian American children (1–6.1%) compared to all other major ethnic and racial groups in the US, but there is limited literature on reasons for the disparity in estimated prevalence rates. Method: We conducted a narrative review to integrate the literature on ADHD in children in Asian countries with that on ADHD among Asian American youth to highlight potential explanations for disparities in ADHD diagnosis and treatment among Asian American children relative to other racial and ethnic groups. Results: Factors possibly contributing to the low estimated prevalence rates of ADHD among Asian American children include: a higher proportion of Inattentive ADHD presentation among Chinese, Malaysian, and Indian children; racial bias and the influence of the Model Minority Myth; cultural differences in classroom identification; mental health stigma in Asian American communities; parent perception of ADHD as misbehavior rather than a neurodevelopmental disorder; and parent support for children’s academic activities that may mask impairment. Conclusion: We offer recommendations to inform individual and community-level psychoeducation, and new directions for research to address this health disparity.

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Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care

Cited by 3 publications

References 47 publications

Characteristics of multiple sclerosis and demyelinating disease in an Asian American population

Characteristics of multiple sclerosis and demyelinating disease in an Asian American population

Predictors of healthcare usage among Asian Americans during the COVID-19 pandemic in California

Contributors to Underdiagnosis of ADHD among Asian Americans: A Narrative Review

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