Convening for a Thriving Future: Pacific Islander, Native Hawaiian, Asian, and Asian American Community

On October 1, 2022, Portland State University (PSU) held the Convening for a Thriving Future for Pacific Islander, Native Hawaiian, Asian, and Asian American (PIAA) Communities at the university’s Native American Student Community Center (NASCC). This event was part of a series of BIPOC-centered and -led community convenings by PSU’s Global Diversity & Inclusion as one of our action items in the Time to Act Plan for Equity & Racial Justice. PSU contracted with Roxanna Bautista of Rise Up Solutions to support the planning, development, and coordination of this convening, in addition to providing facilitation and contributing to this convening report. In addition, PSU partnered with PIAA communitybased organizations to hold this convening. Those community partners were: API Forward, Asian Pacific American Network of Oregon (APANO), Oregon Pacific Islander Coalition (OPIC), Filipino Bayanihan Center, and the Immigrant and Refugee Community Organization (IRCO)-Pacific Islander Asian Family Center. The convening was organized into morning and afternoon sessions and breakfast and lunch were provided by Asian owned businesses, Phat Cart and Khao Niew Lao Street Food. The morning sessions consisted of remarks and presentations on data and PSU history from PSU leadership and Global Diversity & Inclusion. After these presentations, the next session featured a panel of PIAA community-based organizations and leaders who responded to discussion prompts, including what they would say a thriving future looks like for PIAA communities. After lunch, the afternoon sessions were composed of four breakout groups, where facilitators guided the discussion through various prompts. The convening wrapped up with report backs from those breakout groups and completion of evaluations. Related Materials: Five affinity-based convenings: Latiné Futures Convening Convening on the Future of Black Thriving & Joy Convening for a Thriving Future for Pacific Islander, Native Hawaiian, Asian, and Asian American Communities (PIAA) Convening for a Prosperous Future for Middle East, North African and South Asian Community (MENASA) Native Leaders Roundtable Time to Act Events:The Future and Thriving of BIPOC Communities: A Time to Act Macroconvening(Affinity groups met in-person November 2022)Time 2 Act: Continuing Action for a Just and Equitable PSU(Video - Winter Symposium 2021) Time to Act: Envisioning and Creating a Just and Equitable PSU(Video - Virtual Equity Summit, October 30, 2020) Equity Plan: Time to Act: Plan for Equity & Racial Justice 2021 - 2024 (PDF - Report, 2021

Nativity Differences in Stress among Asian and Pacific Islander American Women

According to the Stress Process Theory, people who are marginalized in society encounter more stress than those in more advantaged positions. Immigrants are one such marginalized group in the United States (US) who may experience greater psychological stress than their US-born counterparts due to (1) severing of social ties; (2) social disadvantage and marginalization; and (3) adaptation to a new environment. This study examines the disparity in stress by nativity, and how social factors contribute to this disparity for Asian and Pacific Islander (API) women. Data come from the Asian Community Health Initiative, which included a sample of 291 foreign-born and 155 US-born API women in the San Francisco Bay Area. Multivariable linear regression was used to estimate associations between nativity status and stress, measured using the Cohen Perceived Stress Scale, accounting for various social stressors. Foreign-born women had higher levels of stress compared to US-born. Stress was greater among women experiencing fewer socioeconomic resources, more discrimination, more acculturative stress, and low English proficiency. English proficiency accounted for much of the disparity in stress between foreign-born and US-born API women. This study contributes to our understanding of how stress among APIs is influenced by social disadvantage and marginalization in US society. Future research should further study how aspects of the immigrant experience are associated with stress among APIs over time

Ethnicity, socioeconomic status, and overweight in Asian American adolescents

Asian American children and adolescents are an under-investigated subpopulation in obesity research. This study aimed to identify specific profiles of Asian subgroups at high risk of adolescent overweight with special attention to Asian ethnicity, socioeconomic status (SES), and their interaction. Multiple logistic regression models were fitted using a sample of 1533 Asian American adolescents ages 12–17 from the 2007–2012 California Health Interview Survey (CHIS). In addition to Asian ethnicity and socioeconomic status (assessed by family income and parental education level), age, gender, nativity, and two lifestyle variables, fast food consumption and physical activity, were also controlled for in these models. Key predictors of overweight in Asian American adolescents included certain Asian ethnicities (Southeast Asian, Filipino, and mixed ethnicities), low family income (<300% of the Federal Poverty Level), and being male. Multiplicative interaction terms between low family income and two ethnicities, Southeast Asian and Vietnamese that had the lowest SES among Asian ethnic groups, were significantly associated with greatly elevated odds of being overweight (ORs = 12.90 and 6.67, respectively). These findings suggest that high risk of overweight in Asian American adolescents associated with low family incomes may be further elevated for those in low-income ethnic groups. Future research might investigate ethnic-group SES as a meaningful indicator of community-level socioeconomic disparities that influence the health of Asian Americans. Keywords: adolescent overweight, health disparities, Asian American health, social determinants of healt

A Community Assessment of Psychological Distress in Pacific Islanders Across San Francisco Bay Area Churches During the COVID-19 Pandemic

BackgroundThe COVID-19 pandemic has exacerbated health and social disparities among US Pacific Islanders (PI). Historically, PIs have experienced a high burden of mental illness yet have underutilized mental health services. These already large treatment gaps in mental health care among PIs may worsen during the COVID-19 pandemic. In the face of pre-existing challenges, little is known about the impacts of the COVID-19 pandemic on mental health outcomes among PIs.MethodsA community-based, cross-sectional survey was administered to members of 13 PI churches across the San Francisco Bay Area. We assessed the burden of psychological distress among PIs and its associations with demographic, sociocultural, and health factors.Key resultsAmong 439 PI respondents, nearly half reported moderate or severe psychological distress. Only about one-tenth took prescription medication for mental health and less than half utilized a mental health provider in the past year. Most trusted PI churches to provide health and social services. Respondents reporting moderate or severe psychological distress were less likely to utilize a mental health provider in the past year and more likely to feel marginalized, excluded, isolated, or alienated from society "most of the time" or "always." Psychological distress was also associated with "fair" or "poor" health status, female gender, older adults, low trust in PI churches to provide health and social services, and concern over household finances.ConclusionPartnerships with faith-based and community-based organizations are essential to address unmet mental health needs and promote support-seeking behaviors among PIs during this ongoing pandemic and beyond

Neighborhood Contexts and Breast Cancer Among Asian American Women.

BackgroundThis study examines how neighborhood socioeconomic status (nSES) and ethnic composition are associated with breast cancer risk for Asian American women.MethodsWe linked individual level data from a population-based case-control study of breast cancer among Asian American women with neighborhood level data in the Greater San Francisco Bay Area (cases: n = 118, controls: n = 390). Multivariable logistic regression models examined the association between nSES, ethnic composition, and odds of having breast cancer.ResultsAsian American women living in neighborhoods with high nSES and high ethnic composition had the highest odds of breast cancer, compared to those living in neighborhoods with high nSES and low ethnic composition (OR = 0.34, 95% CI [0.16-0.75]) or in neighborhoods with low nSES and high ethnic composition (OR = 0.37, 95% CI [0.17-0.83]).DiscussionNeighborhood socioeconomic and ethnic contexts are associated with breast cancer for Asian American women. We discuss explanations and avenues for future research

Higher Breast Cancer Risk Among Immigrant Asian American Women Than Among US-Born Asian American Women.

IntroductionGiven rising rates of breast cancer in parts of Asia, immigrant Asian American women in the United States may have higher rates of breast cancer than previously anticipated. This study examined breast cancer risk among Asian American women by nativity and percentage of life lived in the United States, accounting for established breast cancer risk factors.MethodsWe analyzed a breast cancer case-control data set of Asian American women living in the San Francisco Bay Area; this data set included 132 cases of women with breast cancer selected from a Surveillance, Epidemiology, and End Results cancer registry and 438 Asian American women without diagnosed breast cancer matched to cases by age and country of origin. We used logistic regression to compare 3 Asian American groups: US-born, immigrants who lived 50% or more of their life in the United States, and immigrants who lived less than 50% of their life in the United States.ResultsIn the minimally adjusted and fully adjusted models, both groups of immigrant Asian American women had higher risk of breast cancer than US-born Asian American women. In the fully adjusted model, compared with US-born Asian American women, immigrant Asian American women who lived more than 50% of their life in United States were on average 3 times as likely (odds ratio = 3.00; 95% confidence interval, 1.56-5.75) and immigrants who lived less than 50% of their life in United States were on average 2.46 times as likely (odds ratio = 2.46; 95% confidence interval, 1.21-4.99) to have breast cancer. We found no difference in fully adjusted odds ratios of having breast cancer between the 2 immigrant groups.ConclusionThis study provides preliminary evidence that breast cancer risk among immigrant Asian American women may be higher than among their US-born counterparts