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Tuesday June 7, 2011

Myth of 'Model Minority' Conceals Asian-American Health Needs

Nakul M. Havnurkar, theday.com

In 2009 President Barack Obama declared the month of May as Asian American and Pacific Islander Heritage Month. May is a time to appreciate the culture, traditions, history and status of Asian Americans and Pacific Islanders in the United States.

According to the 2010 Census, the estimated number of U.S. residents of Asian descent is 17.3 million, which is 5.6 percent of the total U.S. population. The Census Bureau also estimates that the fastest growing racial groups will continue to include the Asian/Pacific Islander (Asian American) population, with a predicted increase to 41 million by 2050.

In Connecticut, in the past decade, the Asian-American population grew by more than 30 percent to about 127,000. In 2000, Asians accounted for 2.1 percent of the Norwich population. A decade later that number is 7.7 percent, according to U.S. Census figures.

Connecticut just elected its first Indian-American state representative, Prasad Srinivasan, representing Glastonbury, and also confirmed Mohammed Nawaz Wahla to be a superior court judge. Asian-Americans, no doubt, are growing in political and social influence, in Connecticut and nationally.

But critical unaddressed issues hinder their progress. A recently published report by the Agency for Healthcare Research and Quality, for example, reveals startling findings relevant to the health of the Asian-American population. According to the report, disparities in access and in the quality of care are common for this population.

Startling statistics

• Asian-Americans are more likely than whites to report problems getting care as soon as wanted (24.5 percent compared with 14.3 percent, respectively).

• Asian-Americans have higher rates of in-patient heart attack mortality than whites (74.5 compared to 67.5 per 1,000 admissions, respectively).

• The percentage of patients with pneumonia who received recommended hospital care was significantly lower for Asians (87.6 percent) compared with whites (90.7 percent).

• White adults with limited English proficiency were significantly more likely than Asian-Americans to have a usual source of care with language assistance.

• Asian-Americans have a significantly higher rate of deaths following complications of care compared with whites (130.2 versus 111.3 per 1,000, respectively).

Other studies have revealed that one-third of Asian-Americans have limited English proficiency and one-quarter of Asian-Americans live in households without a member aged 14 or over who possesses English proficiency.

Moreover, 94 percent of Vietnamese, Laotian and Cambodian immigrants "reported having no knowledge of blood pressure and its significance, and 85 percent reported no knowledge of how to prevent heart disease."

The Asian-American community is labeled as the "model minority," a myth that has contributed to the perception that Asian-Americans suffer from few health issues.

Considerable health disparities, however, persist in the Asian-American community, and barriers in obtaining coverage and in finding culturally and linguistically appropriate health care contribute to and intensify these disparities.

The challenge the state and health advocates face is to find innovative solutions to address health disparities in minority communities.

Nakul M. Havnurkar is a legislative analyst with the state's Asian Pacific American Affairs Commission.

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