Asian American Health Needs Assessment Asian American Health Needs Assessment Phase One: the AsANA survey Beverly J. Gor, EdD, RD, LD, CDE, TruongSon Hoang, BS, Angelina Esparza, RN, BSN, BA, Michelle A. Detry, PhD, Mike Hernandez, MS, Lovell A. Jones, PhD Center for Research on Minority Health Department of Health Disparities Research

Source: U.S. Census, 2000 Asian population in Houston

Why is the AsANA study important? Inconsistent and inadequate collection of Asian health data Inconsistent and inadequate collection of Asian health data Asian American health concerns are poorly understood and often overlooked Asian American health concerns are poorly understood and often overlooked Groupings for “whites” or “others” include Asians and other ethnic groups Groupings for “whites” or “others” include Asians and other ethnic groups Aggregation of Asian data masks true health problems within Asian subgroups Aggregation of Asian data masks true health problems within Asian subgroups Without baseline data, we are unable to focus our research or measure changes Without baseline data, we are unable to focus our research or measure changes

Asian American Health Needs Assessment  To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding area  To establish baseline data that can set the stage for future studies and research projects with Asian populations  To compare data with that of other minority groups and the general population  To provide the data to the targeted communities so they can apply for community development funding Objectives: To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding area To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding area To establish baseline data that can set the stage for future studies and research projects with Asian populations To establish baseline data that can set the stage for future studies and research projects with Asian populations To compare data with that of other minority groups and the general population To compare data with that of other minority groups and the general population To provide the data to the targeted communities so they can apply for community development funding To provide the data to the targeted communities so they can apply for community development funding

Survey Development & Administration Texas Community Health Survey (CHS) Texas Community Health Survey (CHS) Translated to Vietnamese and Chinese Translated to Vietnamese and Chinese Reviewed by Asian Community Health Review Panel Reviewed by Asian Community Health Review Panel Randomly selected Chinese/Vietnamese households from Asian surname list Randomly selected Chinese/Vietnamese households from Asian surname list Participants 18+ years old Participants 18+ years old Informed consent Informed consent

AsANA Survey Instrument From the Texas CHS: Demographics Demographics Mental health Mental health Health practices Health practices Physical exams Physical exams Cancer screenings Cancer screenings Immunization Immunization Diseases Diseases Heart disease Heart disease Diabetes Diabetes Cancer Cancer Behaviors Behaviors Smoking Smoking Alcohol use Alcohol use Nutrition Nutrition Physical activity Physical activity 100+ questions Added questions: Cancer knowledge Cancer knowledge Acculturation Acculturation Environmental exposure Environmental exposure Alternative therapy Alternative therapy Pain Pain Oral Health Oral Health Colorectal cancer screening Colorectal cancer screening Men’s health Men’s health Hepatitis B immunization Hepatitis B immunization

AsANA Posters

AsANA Data

Data collection 4097 numbers called in nine weeks 4097 numbers called in nine weeks 1085 respondents 1085 respondents 814 completed interviews: 814 completed interviews: 405 Chinese (25.7% refusal rate) 405 Chinese (25.7% refusal rate) 38% male, 62% female 38% male, 62% female 409 Vietnamese (23.8% refusal rate) 409 Vietnamese (23.8% refusal rate) 48.2% male, 51.8% female 48.2% male, 51.8% female Calls averaged minutes Calls averaged minutes

Age Distribution

Residency status

Education Level

English proficiency

Do you have any form of health insurance?

In your leisure time, how many days did you do vigorous exercise or activities?

How many servings of fruits or vegetables did you eat yesterday?

Have you smoked at least 100 cigarettes in your entire life?

Have you ever had a mammogram? (Women 40 yrs and older)

Have you ever had a Pap smear? (All women)

Have you ever had prostate cancer screening? (Men 40 yrs and older)

Have you ever had colorectal cancer screening? (Adults over 50 years old)

What does this mean for Asians in Houston? Access to health care may be difficult Access to health care may be difficult due to lack of insurance Limited English proficiency Limited English proficiency Low cancer screening rates Low cancer screening rates Less aware of health resources and cancer prevention guidelines Less aware of health resources and cancer prevention guidelines

Where do we go from here? Further analysis and dissemination of AsANA data Further analysis and dissemination of AsANA data Providing this information to community based organizations Providing this information to community based organizations Needs assessment, resource mapping and community discussions Needs assessment, resource mapping and community discussions Expanding this to other Asian populations, such as the South Asians Expanding this to other Asian populations, such as the South Asians Future studies on other health topics Future studies on other health topics Periodic re-surveying of the population Periodic re-surveying of the population

Acknowledgements Funding for this project was provided by The National Center on Minority Health and Health Disparities (NCMHD) Purdue Pharma Asian American Network for Cancer, Awareness, Research and Training