scholarly journals Simultaneously Blamed and Ignored: Barriers, Behaviors, and Impact of COVID-19 on Asian Americans (Preprint)

2020 ◽  
Author(s):  
Thu Quach ◽  
Lan Doan ◽  
Julia Liou ◽  
Ninez Ponce

BACKGROUND The diverse Asian American population is impacted by the COVID-19 pandemic, but due to limited data and other factors, disparities for this population are hidden. OBJECTIVE Our objective was to describe the Asian American community’s experiences and impacts during this pandemic, focusing on the Greater San Francisco Bay Area, California, to better inform our health care services. METHODS We conducted a cross-sectional survey in May-June 2020 with 1,297 Asian American participants, with questions on COVID-19-related testing and preventative behaviors, economic impacts of COVID-19, experience with anti-Asian violence, and mental health challenges. RESULTS We found that only 3% (n=39) were tested, and 49% stated that they could not find a place to get tested. Three-quarters of participants reported feeling stressed, and about one-quarter reported feeling depressed. 6% of participants reported being treated unfairly because of their race/ethnicity. 36.3% of participants had lost their regular jobs and 25.4% had reduced hours or reduced income. CONCLUSIONS Our findings highlight the longstanding need for culturally and linguistically-appropriate mental health services and resources. These findings led to the establishment of the first Asian multi-lingual and multi-cultural COVID-19 testing site in the county.

Author(s):  
Tanushri Dalvi ◽  
Shrivardhan Kalghatgi ◽  
Samruddhi Metha ◽  
Amol Karagir ◽  
Madhuri Sale ◽  
...  

Background: In the last few decades, information and communication technology in social media has brought tremendous changes in the whole business, educational and political system; Dentistry is not an exception. The rise of social media has transformed how health professionals interact with their patients and deliver different types of health care services. Aim: To assess the attitudes and practices related to social media usage among dental practitioners in Sangli-Miraj-Kupwad city. Methods: A self-designed questionnaire survey was conducted among all dental practitioners in Sangli-Miraj-Kupwad city, Maharashtra, India. The questionnaire consisted of first part with socio-demographic variables like age, gender, years of experience and area of expertise and second part to assess attitudes and practices towards social media usage. Results: Among total of 138 dental practitioners, majority (68.1%) were belonging to age of 36-44 years followed by those above 45 years of age (17.4%). Around 49.3% dental practitioners were practicing dentistry since less than 5 years. Gender wise comparison showed no significant difference between attitudes and practices for social media usage. Although significant difference was found for question 3, 6 and 11 for P < 0.05. Conclusion: There has been wide adoption of social media among dental practitioners and shows no significant difference with different genders for both attitudes and practices.


2021 ◽  
Author(s):  
Nadine Misago ◽  
Desire Habonimana ◽  
Ann Alero Roberts ◽  
Patrick Bitangumutwenzi

Abstract Background3502 Congolese refugees based in Bujumbura possess the United Nations Higher Commissioner for Refugees (UNHCR) health insurance covering primary health care needs offered by CMC SOLIS clinic. This study sought to assess the quality of health care services received by Congolese refugees and determine factors affecting satisfaction. MethodsA cross-sectional survey was conducted on 400 refugees visiting CMC SOLIS for health care from June to August 2018. A questionnaire based on SERQUAL tool composed of five health quality dimensions was used to collect data on reliability, tangibility, assurance, responsiveness, and empathy. Logistic models were used to determine factors affecting satisfaction. ResultsOverall, 43% of refugees reported satisfaction with health care services. Age and gender significantly determined overall satisfaction. Other determinants such as education did not have significant effects. ConclusionsOverall, results from this study claim that CMC SOLIS does not offer quality health care services to Congolese refugees living in Bujumbura. Most importantly, the quality of health care services worsened with an increasing age as older ages were associated with less likelihood of satisfaction. Also, health care services offered to females seem to be deficient. Trial registration: N/A


2012 ◽  
Vol 51 (2) ◽  
Author(s):  
Judith L. Mwakalounge ◽  
Daniel A. Badoe

This paper investigates the forecast performance of a traditional cross-classification model and alternative models that seek to address the shortcomings of traditional cross-classification analysis, specifically when it has cells with inadequate data. The study uses five cross-sectional datasets collected in the San Francisco Bay Area in 1965, 1981, 1990, 1996, and 2000. Alternative models, estimated with travel data collected in the base year, were assessed for their ability to replicate the number of trips made by households in each cell of a cross-classification matrix and at the traffic zone level, respectively, in each of the five years. The results showed that the traditional crossclassification analysis (CCA) model, notwithstanding having a few unreliable cells provided more consistent predictions of travel than any of the alternative methods. They also show that it is better to synthesize trip rates for only those cells of the cross-classification matrix with inadequate data rather than to adjust the entire trip-rate matrix as is currently the practice.


2013 ◽  
Vol 10 (1) ◽  
pp. 131-153 ◽  
Author(s):  
Dina Okamoto ◽  
Melanie Jones Gast

AbstractIn this paper, we examine how community-based organizations (CBOs) and their leaders negotiate and expand the boundaries of the communities they serve and represent. Drawing upon interviews with organizational leaders and documentary data from Asian American CBOs in the San Francisco Bay Area, we find that nearly all of the organizations in our sample engaged in cross-racial work, incorporating other racial groups into their programs, campaigns, and partnerships. However, leaders varied in how they understood this work as tied to maintaining or expanding their community of focus. The majority of the leaders in our sample discussed cross-racial work as a way to accommodate other racial groups while maintaining a focus on Asian Americans or Asian-ethnics. Other leaders included other racial groups, mainly Latinos and African Americans, in expanded missions and goals, broadening not only resources and collective action efforts, but also community boundaries through racial inclusion. We argue that pressures and incentives related to funding, shared interests, and organizational survival may encourage CBOs to engage in cross-racial work, but these factors do not necessarily sustain racial inclusion over time. Instead, how leaders identify and construct a sense of expanded group boundaries for the community that they serve and represent helps an organization to commit to racial inclusion.


2013 ◽  
Vol 19 (3) ◽  
pp. 244 ◽  
Author(s):  
Deon V. Canyon

This paper reports on an investigation into five risk prevention factors (technology, people, organisational structure, culture and top management psychology) to inform organisational preparedness planning and to update managers on the state of health care services. Data were collected by means of a 10-question, cross-sectional survey of key decision-making executives in eight different types of 75 health care organisations. Many organisations were found to have deficient risk prevention practices and allied health organisations were considerably worse than health organisations. Forty per cent of hospitals and chiropractic practices had out-dated or poor technology. Results on organisational culture and structure found that many executives associate these factors with risk prevention, but none of them appreciate the relationship between these factors and crisis causation. Gaps and areas for improvement are identified and a change in top management attitude is recommended to address resource allocation and implement appropriate risk prevention systems and mechanisms. Reactive managers need to increase their awareness of risks in order to become capable of preventing them. Proactive managers are those who invest in risk prevention.


Community level health seeking behavior needs investigation since community plays either protective or pathogenic role to health. This study, therefore, intended to examine the health seeking behavior of Afar using a community based cross-sectional survey design. The survey employed both quantitative and qualitative methods to collect relevant data. The findings revealed that a substantial number of participants have had misconceptions and/or erroneous knowledge about the causes and symptoms of illnesses. Besides, most of the participants preferred treatment service from modern health care institutions. Their choice is significantly associated with age and level of education. Moreover, various factors including cost, distance, attitude toward health, decision-making power on health, perceived satisfaction, social capital and socio-religious behaviour affect the utilization of available health care services. In general, the findings implied the presence of a positive health seeking behavior among Afar that can be further strengthened with interventions. The interventions should address the misconceptions about causes/symptoms of illnesses and promote appropriate hierarchy of resort to the utilization of available health care services.


Author(s):  
Nhung Nguyen ◽  
Louisa M. Holmes ◽  
Minji Kim ◽  
Pamela M. Ling

Given the emerging tobacco landscape, dual use of cigarettes and e-cigarettes has increased among young adults, but little is known about its associated factors. Peer crowds, defined as macro-level connections between individuals with similar core values (e.g., “Hip Hop” describing a group that prefers hip hop music and values strength, honor, and respect), are a promising way to understand tobacco use patterns. We examined associations between peer crowds and tobacco use patterns by using data from a cross sectional survey of 1340 young adults in the San Francisco Bay Area in 2014. Outcomes were the past 30-day use of: neither cigarettes nor e-cigarettes; cigarettes but not e-cigarettes; e-cigarettes but not cigarettes; and both cigarettes and e-cigarettes. Peer crowds included Hipster, Hip Hop, Country, Partier, Homebody, and Young Professional. Multinomial regression analysis indicated that peer crowds were significantly associated with different tobacco use patterns. Compared to Young Professionals, Hip Hop and Hipster crowds were more likely to dual use; Hipsters were more likely to use e-cigarettes only, and Country participants were more likely to smoke cigarettes only. These findings suggest that tobacco control campaigns and cessation interventions should be tailored to different young adult peer crowds and address poly-tobacco use.


Vaccines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1406
Author(s):  
Yingjie Weng ◽  
Di Lu ◽  
Jenna Bollyky ◽  
Vivek Jain ◽  
Manisha Desai ◽  
...  

Objective: The study was designed to compare intentions to receive COVID-19 vaccination by race–ethnicity, to identify beliefs that may mediate the association between race–ethnicity and intention to receive the vaccine and to identify the demographic factors and beliefs most strongly predictive of intention to receive a vaccine. Design: Cross-sectional survey conducted from November 2020 to January 2021, nested within a longitudinal cohort study of the prevalence and incidence of SARS-CoV-2 among a general population-based sample of adults in six San Francisco Bay Area counties (called TrackCOVID). Study Cohort: In total, 3161 participants among the 3935 in the TrackCOVID parent cohort responded. Results: Rates of high vaccine willingness were significantly lower among Black (41%), Latinx (55%), Asian (58%), Multi-racial (59%), and Other race (58%) respondents than among White respondents (72%). Black, Latinx, and Asian respondents were significantly more likely than White respondents to endorse lack of trust of government and health agencies as a reason not to get vaccinated. Participants’ motivations and concerns about COVID-19 vaccination only partially explained racial–ethnic differences in vaccination willingness. Concerns about a rushed government vaccine approval process and potential bad reactions to the vaccine were the two most important factors predicting vaccination intention. Conclusions: Vaccine outreach campaigns must ensure that the disproportionate toll of COVID-19 on historically marginalized racial–ethnic communities is not compounded by inequities in vaccination. Efforts must emphasize messages that speak to the motivations and concerns of groups suffering most from health inequities to earn their trust to support informed decision making.


Author(s):  
Michael Dessen

This essay is an introduction to what has been called the Asian American Creative Music Movement, focusing especially on musicians based in the San Francisco Bay area. It examines the history of those musicians' networks and situates their work as both musicians and activists in relation to African American creative music legacies.


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