AsianPacific Island Nursing Journal最新文献

{"title":"Growth and Development Status of Children Post-COVID-19 Infection: Cross-Sectional Questionnaire Study.","authors":"Herlina Febrianti, Dessie Wanda, Efa Apriyanti","doi":"10.2196/75057","DOIUrl":"10.2196/75057","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 may impact children's growth and development, potentially leading to various health issues.</p><p><strong>Objective: </strong>This study aimed to identify factors associated with the growth and development status of children under 5 years of age after COVID-19 infection.</p><p><strong>Methods: </strong>This cross-sectional study included 292 children under five years of age assessed after COVID-19 infection. All participants had negative results via polymerase chain reaction (PCR) test and were hospitalized at a type A hospital in Jakarta between July 2021 and December 2022. Participants were selected using purposive sampling techniques.</p><p><strong>Results: </strong>Male sex and the age group of 25-36 months were significantly associated with growth status. The most dominant factor associated with child development was the presence of comorbidities.</p><p><strong>Conclusions: </strong>This study recommends improving hospital discharge planning and strengthening community health services to support children's growth and development after discharge.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e75057"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study.","authors":"Cynthia Taylor Greywolf, Donna Marie Palakiko, Pallav Pokhrel, Elizabeth A Vandewater, Merle Kataoka-Yahiro, John Casken","doi":"10.2196/68106","DOIUrl":"10.2196/68106","url":null,"abstract":"<p><strong>Background: </strong>Most studies using historical trauma theory have focused on American Indian tribes. There remains a dearth of research exploring historical trauma and substance use among Native Hawaiians. Native Hawaiians and American Indians experience a startlingly high degree of physical and mental health disparities and alcohol and other substance misuse. Indigenous scholars posit that historical trauma is intergenerationally transmitted to subsequent generations and is the primary cause of today's health and substance use disparities among these Indigenous populations.</p><p><strong>Objective: </strong>This study aimed to explore the lived experiences of colonization, historical trauma, and alcohol use among Native Hawaiians living in rural Hawaii.</p><p><strong>Methods: </strong>This qualitative study was guided by Husserl's transcendental phenomenological design. The historical trauma conceptual framework and story theory guided the study. The Native Hawaiian Talk-Story method was used to collect data from 10 Native Hawaiian adult participants in one-to-one interviews. The modified Stevick-Keen-Colaizzi method was used for data analysis.</p><p><strong>Results: </strong>In total, four themes emerged: (1) alcohol did not exist in Hawaii before European explorers arrived; (2) alcohol helped expand colonialism in Hawaii; (3) alcohol is used today as a coping strategy for feelings of grief and anger over losses (land, people, cultural traditions, and language); and (4) the kupuna (elders) teach the younger generations to drink alcohol.</p><p><strong>Conclusions: </strong>Native Hawaiians, like American Indians, experienced historical trauma, which is transmitted intergenerationally, resulting in mental and physical health disparities, substance misuse, and feelings of discrimination. The introduction of alcohol by European explorers provides the foundation for problematic alcohol use among Native Hawaiians today.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e68106"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Implementation of Family-Centered Care in COVID-19 Isolation Rooms Through Pediatric Nurses' Experiences: Qualitative Descriptive Study.","authors":"Siti Wahyuni, Dessie Wanda, Happy Hayati","doi":"10.2196/74403","DOIUrl":"10.2196/74403","url":null,"abstract":"<p><strong>Background: </strong>Even though the COVID-19 pandemic has passed, the implementation of regulations in pediatric isolation rooms during the COVID-19 pandemic put enormous pressure on the practice of family-centered care (FCC). For nurses in isolation rooms for children with COVID-19, it was a challenge to implement FCC, which is an approach to child health care that supports the strengths of families and increases the involvement of parents to provide the best care outcomes.</p><p><strong>Objective: </strong>This study aimed to explore nurses' experiences in implementing FCC in isolation rooms caring for children with COVID-19.</p><p><strong>Methods: </strong>A qualitative descriptive design was used based on semistructured interviews with 11 nurses who met the inclusion criteria and worked in 1 of 3 isolation rooms caring for children with COVID-19 in a tertiary hospital in Indonesia. Interviews were recorded and transcribed, then analyzed using thematic analysis.</p><p><strong>Results: </strong>Three themes were generated, including improving psychological well-being, encouraging family involvement, and making arrangements for communication.</p><p><strong>Conclusions: </strong>Communication was key to the implementation of FCC in pediatric isolation rooms, and it provided positive results, so it should continue to be implemented even after the pandemic has passed.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e74403"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Clinical Decision-Making Competencies of Emergency Nurses in Trauma Care in Indonesia: Qualitative Study.","authors":"Saharuddin Saharuddin, Elly Nurachmah, Masfuri Masfuri, Dewi Gayatri, Amelia Kimin, Muhammad Sakti, Sanisah Binti Saidi, Sri Yona","doi":"10.2196/74282","DOIUrl":"10.2196/74282","url":null,"abstract":"<p><strong>Background: </strong>Clinical decision-making is vital for emergency nurses, especially in trauma care that requires swift, accurate actions. In Indonesia, where resources are limited, little is known about how nurses manage such challenges.</p><p><strong>Objective: </strong>This study aimed to explore the clinical decision-making competencies of emergency nurses in trauma care, focusing on challenges, strategies, and influencing factors.</p><p><strong>Methods: </strong>This was a qualitative study using semi-structured interviews with 16 emergency nurses, complemented by observations and document analyses. Data were analyzed thematically, with triangulation, thereby ensuring validity.</p><p><strong>Results: </strong>Six key themes emerged: (1) recognize cues; (2) analyze cues; (3) prioritize hypothesis; (4) generate solutions; (5) take actions; and (6) evaluate outcomes. These highlight the adaptive and multidimensional nature of decision-making in emergencies.</p><p><strong>Conclusions: </strong>The decision-making of emergency nurses integrates analysis, prioritization, collaboration, and reflection. Enhanced training, such as simulation-based learning, and addressing systemic barriers can improve competencies. Policymakers should provide adequate resources and robust standards to support nurses under pressure.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e74282"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Factors That Affect the Quality of Life of Mothers Caring for Children With Medical Needs at Home: Cross-Sectional Questionnaire Study.","authors":"Kanako Nakamura, Yuko Hamada, Ayaka Fujita, Seiichi Morokuma","doi":"10.2196/79368","DOIUrl":"10.2196/79368","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2196/63946.].</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e79368"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-Based Susceptibility to Mental Health Issues in Adolescents During the COVID-19 Pandemic: Descriptive Study.","authors":"Young-Shin Lee, Minjeong Kim, Kim Moreno","doi":"10.2196/63284","DOIUrl":"10.2196/63284","url":null,"abstract":"<p><strong>Background: </strong>Adolescence, the transitional phase between childhood and adulthood, is a stressful, fragile, and critical period. While the COVID-19 pandemic introduced numerous stressors affecting the mental health of all age groups, adolescents are particularly vulnerable. However, there is limited research focusing on the impact of COVID-19 on this population.</p><p><strong>Objective: </strong>This study aimed to explore the impact of COVID-19, coping strategies, depression, anxiety, and post-traumatic stress disorder (PTSD) in adolescents during the pandemic.</p><p><strong>Methods: </strong>This web-based cross-sectional survey study included 217 adolescents in Southern California, USA, between 2020 and 2021. Self-report measures include demographic questionnaires, COVID-19 impact, types of coping strategies used during COVID-19, depression, anxiety, and PTSD analyses. The χ2 tests were used for depression and anxiety, and ANOVA was used for PTSD analysis.</p><p><strong>Results: </strong>Female gender was identified as a risk factor for depression, anxiety, and PTSD. Approximately 24.2% (52/217) of participants had a family member or someone close who was infected with COVID-19 during the pandemic, which was a significant factor for both anxiety and PTSD (P<.05). More than half of all the participants (56.8%, 109/217) were Asian Americans, but there was no significant difference in depression, anxiety and PTSD among different racial or ethnic groups (P>.05). About a quarter of the participants reported experiencing depression (49/217, 25.5%) or anxiety (46/217, 24.0%). The mean (SD) score for PTSD was 8.08 (5.70). Social media and the internet were the most frequently used coping strategies, with 67.3% of participants using each.</p><p><strong>Conclusions: </strong>Considering our findings, prevention programs focusing on mental health, including routine screening, should be implemented at community level for adolescents. School programs fostering healthy social interactions and education on coping strategies should also be implemented for both families and adolescents.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e63284"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Lived Experiences of Racial and Ethnic Minority Nurses Exposed to Racial Microaggressions in the Hospital Setting: Qualitative Study.","authors":"Da S Kim, Ha Do Byon","doi":"10.2196/67029","DOIUrl":"10.2196/67029","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Type II (client-on-worker) workplace violence (WPV) between patients and nurses is an ongoing safety and health challenge in health care. However, little is known about the experiences of racial and ethnic minority nurses specifically in a profession in which most individuals identify as White. During and after the COVID-19 pandemic, type II WPV against certain minority groups increased, which suggests that underrepresented racial and ethnic minority nurses may have unique experiences with type II WPV inflicted by patients, their family members, or visitors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of this study was to (1) explore the lived experiences of racial and ethnic minority nurses who have faced type II WPV from patients in the hospital setting, and (2) assess the emotional and physical effects of type II violence among racial and ethnic minority nurses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Semistructured individual interviews were conducted with racial and ethnic minority nurses. The research team recruited participants through snowball sampling. Nurses were eligible to participate if they (1) were ages 18 years and older, (2) were currently working as a registered nurse in a hospital in the United States or had previous experience in this role, with the experience dating no earlier than March 2020, when the COVID-19 pandemic began, (3) had experienced WPV from patients, their family members, or visitors at some point during their career, and (4) identified as a racial and ethnic minority. Interviews were conducted between February 2023 and March 2023. A qualitative descriptive approach was used to analyze the findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 10 nurses from racial and ethnic minority groups were interviewed: 5 Asian, 2 Latina, 2 African American, and 1 Middle Eastern nurse. Violence experienced by the nurses fell under 2 categories: macroaggressions and microaggressions. Macroaggressions included physical violence, verbal abuse, and sexual violence. Microaggressions were subtle and often unconscious and unintentional comments, interactions, or behaviors relating to the participants' race. All nurses (10/10) reported experiencing racial microaggressions and considered them very harmful. Microaggressions left a negative impact on these nurses in terms of their self-esteem, the nurse-patient relationship, and their job performance. However, many participants did not speak up about microaggressions to either the perpetrator or management because they feared that their experiences would be dismissed. Minimization and normalization of microaggressions were common themes among participants. In total, 90% of participants (9/10) expressed that they do not feel supported in the hospital as nurses of underrepresented minority groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Microaggressions are a form of WPV. \"Micro\" implies small, but the consequences of microaggressions are additive and detrimental. Raci","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e67029"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Qigong Used for Insomnia Therapy (QUIT) Program for Improving Sleep Quality and Blood Pressure in Chinese Women With Menopause: Pre-Post Pilot Test of Feasibility.","authors":"Sean Huang, Jung Eun Kim, Wen-Wen Li","doi":"10.2196/70226","DOIUrl":"10.2196/70226","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Around 20%-50% of Chinese menopausal women experience insomnia, which is associated with elevated blood pressure (BP). Despite this, the population remains understudied. Qigong, a simple form of Chinese exercise, has been shown to improve insomnia and BP but has not been explicitly used to address menopausal symptoms in Chinese women. This study aims to test the feasibility of a Qigong-based intervention in enhancing sleep quality and BP control in this population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to develop and pilot test the feasibility of a culturally sensitive Qigong Used for Insomnia Therapy (QUIT) intervention in improving sleep quality and BP among Chinese menopausal women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;From August 2023 to May 2024, this study used a 1-group pretest-posttest design (N=22) to evaluate the QUIT intervention. The intervention consisted of a 10-minute Qigong demonstration video, a 10-minute practice and return demonstration and a 5-minute insomnia counseling session at baseline. Participants were instructed to engage in daily 10-minute Qigong practice for 1 month. Outcome measures, including sleep quality and BP, were assessed at baseline and at the 1-month follow-up. Data on demographics were collected via self-reported questionnaires. At the end of the study, participants were interviewed using semistructured questions to assess their perception of the intervention's feasibility. Qualitative data were analyzed using content analysis, with interviews transcribed and coded independently by the principal investigator and research assistant. Categories related to feasibility, adherence, and barriers were identified. Quantitative data were analyzed using SPSS 27.0 (IBM Corp), using descriptive statistics and paired sample t tests to assess changes in sleep quality and BP, with statistical significance set at .05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mean age of participants was 53.78 (SD 8.79, range 42-74) years. Most participants lived with relatives or friends (20/22, 91%), were employed (16/22, 73%), were married (19/22, 86%), and had at least high school education (19/22, 86%). The mean 23-item Sleep Quality Scale score significantly improved from 18.59 (SD 11.41) at baseline to 15.64 (SD 9.65; mean difference 2.96, SD 7.04; t21=1.97, P=.03) after 1 month, indicating better sleep quality (the 23-item Sleep Quality Scale was reversely scored). There was a trend toward reduced systolic BP from 115.47 (SD 14.95) at baseline to 113.59 (SD 13.93; mean difference -0.89, SD 1.64; t21=-1.15, P=.26) after 1 month. Diastolic BP also improved from 74.69 (SD 10.81) at baseline to 71.41 (SD 16.82) at 1 month (mean difference -3.28, SD 4.04; t21=-0.81, P=.43).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The QUIT intervention was culturally sensitive, low-cost, and easy to implement. It showed significant improvements in sleep quality and trends toward reduced BP in Chinese menopausal women. Furthe","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e70226"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Culturally Tailored Artificial Intelligence Chatbot (K-Bot) to Promote Human Papillomavirus Vaccination Among Korean Americans: Development and Usability Study.","authors":"Minjin Kim, Ellie Kim, Hyeongsuk Lee, Meihua Piao, Brittany Rosen, Jeroan J Allison, Adrian H Zai, Hoa L Nguyen, Dong-Soo Shin, Jessica A Kahn","doi":"10.2196/71865","DOIUrl":"10.2196/71865","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) worldwide and is associated with various cancers, including cervical and oropharyngeal cancers. Despite the availability of effective vaccines, significant disparities in HPV vaccination rates persist, particularly among racial and ethnic minorities, such as Korean Americans. Cultural stigma, language barriers, and limited access to tailored health information contribute to these disparities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to develop and evaluate the usability of K-Bot, an artificial intelligence (AI)-powered, culturally tailored, bilingual (Korean and English) chatbot designed to provide culturally sensitive health information about HPV vaccination to Korean immigrants and Korean Americans.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;K-Bot was developed using CloudTuring and Google Dialogflow. Its dialogues were created using Centers for Disease Control and Prevention (CDC) evidence-based HPV information and tailored to the Korean American population based on findings from previous studies. The evaluation and refinement process for K-Bot was organized into 3 phases: (1) expert evaluation by a multidisciplinary panel, (2) usability testing, and (3) iterative refinement based on feedback. An online survey collected demographics, HPV awareness, and vaccination status before 6 focus groups (N=21) sessions using semistructured questions guided by Peter Morville's usability framework. Quantitative data were analyzed descriptively, and thematic analysis assessed usability, cultural relevance, and content clarity across 6 dimensions: desirability, accessibility, findability, credibility, usability, and usefulness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Participants had a mean age of 23.7 (SD 4.7) years, with most being female (n=12, 57.1%), second-generation individuals (n=13, 61.9%), and single (n=20, 95.2%). HPV awareness was high (n=19, 90.5%), vaccine knowledge was also high (n=18, 81.8%), but only 11 (52.4%) participants were vaccinated. Feedback-driven refinements addressed usability challenges, including simplifying navigation and adding visual elements. Participants described K-Bot as a promising tool for promoting HPV vaccination among Korean and Korean American users, citing its bilingual functionality and culturally tailored content as key strengths. Evidence-based information was valued, but participants recommended visuals to improve engagement and reduce cognitive load. Accessibility concerns included broken links, and participants proposed enhancements, such as animations, demographic-specific resources, and interactive features, to improve usability and engagement further.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Usability testing of K-Bot revealed its potential as a culturally tailored, bilingual tool for promoting HPV vaccination among Korean immigrants and Korean Americans. Participants valued its evidence-based information, ","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e71865"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19-Related Racism and Mental Health Among Asian Americans: Integrative Review.","authors":"Tania Von Visger, Amy Lyons, Yanjun Zhou, Kayla Wardlaw, Eunhee Park, Yu-Ping Chang","doi":"10.2196/63769","DOIUrl":"https://doi.org/10.2196/63769","url":null,"abstract":"<p><strong>Background: </strong>Racism against Asian Americans escalated during the COVID-19 pandemic. About 31%-91% of Asian American adults and children reported experiencing various types of racism during the pandemic. According to the Federal Bureau of Investigation hate crime statistics, anti-Asian hate crime incidents increased from 158 in 2019 to 279 in 2020 and 746 in 2021. In 2022, the incidents decreased to 499, corresponding to the downward trend of the pandemic. The degree of impact racism has on mental health and wellness among Asian Americans requires investigation, specifically during the COVID-19 pandemic.</p><p><strong>Objective: </strong>We aim to describe racism-related mental health problems experienced by Asian Americans living in the United States and propose implementation strategies for mitigating their consequences.</p><p><strong>Methods: </strong>We conducted an integrative review of peer-reviewed publications in English reporting anti-Asian sentiments and racism's impacts on mental health among Asian Americans in the United States.</p><p><strong>Results: </strong>The 29 eligible articles report on studies that utilized cross-sectional survey designs with various sample sizes. Racism is directly correlated with the prevalence of depression and anxiety experienced by victims of racist acts. The prevalence of in-person direct racism (racist expression aimed directly at the victim) is lower than in-person indirect racism (racist expression aimed at the ethnic group the victim belongs to). During the COVID-19 pandemic, the incidence of explicit online racism was lower than online indirect racism.</p><p><strong>Conclusions: </strong>COVID-19-related racism exacerbated preexisting racism, contributing to worse depression and anxiety among Asian Americans. To address this issue, we propose 2 main approaches: increase public awareness and education about recognizable racist sentiments/acts and systematized reporting of racially motivated crimes to guide political action. At an individual level, culturally responsive, trauma-informed interventions promoting cultural support and cohesion for various Asian American groups will foster this empowerment. These proposed actions will help alleviate racism by reducing stereotypes, empowering victims, and chipping away at the systemic racism structure.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"9 ","pages":"e63769"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}