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