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Asian / Asian American Health Care: Health and Health Care Disparities

As an aggregate group, Asians in America appeared healthier than non-Hispanic whites, according to the study. But when researchers disaggregated the data, they uncovered a number of disparities, among them that Vietnamese respondents reported fair or poor health more than twice as often as non-Hispanic whites and Asians overall. Japanese respondents had a higher proportion of people who were obese or overweight than non-Hispanic whites and Asians overall, and Japanese and Koreans reported higher rates of diabetes than non-Hispanic whites and Asians overall.

(Study: Health Conditions, Outcomes, and Service Access Among Filipino, Vietnamese, Chinese, Japanese, and Korean Adults in California, 2011–2017)

Asian American Health Disparities

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Tuberculosis (TB)

Tuberculosis (TB)

Overall, 9,421 TB cases were reported to CDC from the 50 states and the District of Columbia in 2014. In 2014, Asians accounted for 32% of the total number of reported TB cases in the United States. Asians born outside the United States represented 46% of the TB cases among foreign-born persons in 2014.

Overview

Asian Americans are most at risk for the following health conditions: cancer, heart disease, stroke, unintentional injuries (accidents), and diabetes. Asian Americans also have a high prevalence of the following conditions and risk factors: chronic obstructive pulmonary disease, hepatitis B, HIV/AIDS, smoking, tuberculosis, and liver disease. (Minority Health)

Diabetes

Diabetes and Asian Americans

  • Asian Americans are 40 percent more likely to be diagnosed with diabetes than non-Hispanic whites.
  • Asians are 80 percent more likely to be diagnosed with end stage renal disease than non-Hispanic whites.
  • From 2013-2015, Asian American women were almost 3 times more likely to be diagnosed with diabetes, as compared to non-Hispanic white women.

Diagnosed Cases of Diabetes

Age-adjusted percentage of persons 18 years of age and over with diabetes, 2018
Asian American Non-Hispanic White Asian American /
Non-Hispanic White Ratio
11.4 8.0 1.4

Source: CDC 2019. Summary Health Statistics: National Health Interview Survey: 2018. Table A-4a.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

Diabetes Resourcesr Asian Americans, Native Hawaiians, and Pacific Islanders

Hepatitis

Hepatitis and Asian Americans

In the United States, one study reports that approximately half of the 1 million persons with chronic hepatitis B virus (HBV) infection are Asian/Pacific Islanders, most of whom became infected with HBV before arriving in the United States.

  • In 2015, Asian Americans were 1.7 times more likely to contract hepatitis A, as compared to whites.
  • Among all ethnic groups in 2015, Asian/Pacific Islanders had the highest incidence of hepatitis A.
  • Asian Americans are twice as more likely to develop chronic hepatitis B, as compared to whites.
  • 2016 surveillance shows that Asian Americans were eight times more likely to die from hepatitis B than non-Hispanic whites.

 

VIRAL HEPATITIS

Death Rates for Viral Hepatitis, 20145(all types)
 
Asian/Pacific
Islander
Non-Hispanic
White
Asian/Pacific Islander / Non-Hispanic White
Ratio
Male
1.5
2.3
0.7
Female
1.1
1.1
1.0
Total
1.3
1.7
0.8

Source: CDC, 2017. Deaths: Final data for 2015. National vital statistics reports; vol. 66, no.6. Table 10 and Table I-27.
http://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_06.pdf [PDF | 2.65MB]

Cancer

Top Cancer Sites for Asian Americans (2012-2016)

Cancer Incidence Rates per 100,000 – Men
Cancer Asian/Pacific Islander
Men
Non-Hispanic
White Men
Asian/Pacific Islander/
Non-Hispanic White Ratio
All Sites 301.1 505.5 0.6
Colon & Rectum 37.9 44.1 0.8
Liver & IBD 19.9 10.8 1.8
Lung 46.3 67.5 0.7
Pancreas 10.8 15.1 0.7
Prostate 55.6 104.5 0.5
Stomach 14.3 8.2 1.7

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html

 

Top Cancer Sites for Asian Americans (2012-2016)

Cancer Incidence Rates per 100,000 – Women
Cancer Asian/Pacific Islander Women Non-Hispanic
White Women
Asian/Pacific Islander/
Non-Hispanic White Ratio
All Sites 299.7 448.0 0.7
Breast 100.0 136.6 0.7
Cervical 6.4 6.6 1.0
Colon & Rectum 26.9 34.3 0.8
Liver & IBD 7.4 3.7 2.0
Lung 28.2 56.0 0.5
Pancreas 9.1 11.5 0.8
Stomach 8.2 3.8 2.2
Uterus 20.8 28.5 0.7

Source: NCI 2020. Seer Cancer Statistics Review, 1975-2016. Tables 2.15 through 24.15
https://seer.cancer.gov/csr/1975_2016/sections.html