Asian Americans in Context - NYU Langone Health...ASIAN AMERICAN SUBGROUPS TOTAL POPULATION PERCENT CHANGE FROM 2000-2010 Total 308,745,538 Total Asian 14,674,252 43.3% Total Asian

Asian Americans in Context

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].

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

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

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/

AANHPIsLiving in Poverty

Source: Spotlight: Asian American & Pacific Islander Poverty: http://nationalcapacd.org/sites/default/files/u12/aapi_poverty_report-web_compressed.pdf

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

Source: Trinh-Shevrin C, Islam N, Rey MJ. (Eds.) (2009). Asian American Communities and Health. CA: Jossey Bass Publishing.

Physical Exam in Past Year, by Race/Ethnicity

Source: The Commonwealth Fund. (2001). Health Care Quality Survey

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.

Source: Gaskin et al. J of National Medical Association. 2007;99(1):22-30.

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

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

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

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)

Cancer Death Ratesby Race and Ethnicity, 2003-2007

Per 100,000. Age adjusted to the 2000 U.S. Standard Population

*

Rate Per 100,000


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


Colon and Rectum Incidence RatesSeven Highest Rates by Population and Sex

1997-2001,1 1998-2002,2 1999-20043


Colon and Rectum Mortality Rates Seven Highest Rates by Population and Sex

1997-20011 and 1998-20022


Most Commonly Diagnosed Cancers in Selected U.S. Asian Men, 1998-2002

Per 100,000. Age adjusted to the 2000 U.S. population


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


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

Current Smoking Prevalence by Gender and Asian Subgroup, NYC

Source: Li et al. Smoking Among Asian Americans. Health Promotion and Practice. 2013 10 May.

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

Source: Diabetes in New York City, EPI Data Brief (2013): http://www.nyc.gov/html/doh/downloads/pdf/epi/databrief26.pdf

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.

Source: #GetCovered Campaign coverage on Angry Asian Man Blog: http://bit.ly/1c2oe4C

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 .

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Asian Americans in Context - NYU Langone Health...ASIAN AMERICAN SUBGROUPS TOTAL POPULATION PERCENT CHANGE FROM 2000-2010 Total 308,745,538 Total Asian 14,674,252 43.3% Total Asian