{"title":"A Brief Review of Mental Health Issues among Asian and Pacific Islander Communities in the U.S.","authors":"Mijung Park","doi":"10.31372/20200504.1124","DOIUrl":"https://doi.org/10.31372/20200504.1124","url":null,"abstract":"<p><p>The purpose of this paper is to provide a brief summary of mental health issues among Asian and Pacific Islander (API) communities in the U.S. APIs include individuals from Far East Asia (e.g., Korea, China), Central Asia (e.g., Afghanistan, Uzbekistan), South Asia (e.g., India, Pakistan), South East Asia (e.g., Thailand, Philippines), Western Asia (e.g., Iran, Saudi Arabia), and Pacific islands (e.g., Hawaii, Samoa, Mariana island, Fiji, Palau, French Polynesia, Marshall Islands, Micronesia, New Zealand, Tokelau islands, Niue, and Cook Islands). Collectively they speak more than one hundred languages and dialects. Such a diversity across the API community presents unique challenges and opportunities for research, education, and practice. The existing body of literature on mental health issues in API communities is marred by the lack of high-quality data and insufficient degrees of disaggregation. Such a knowledge gap hindered our ability to develop culturally and linguistically tailored interventions, and in turn, API communities have experienced mental health disparities and mental health services' disparities. To move the field forward, future research effort with APIs should focus on articulating variations across different API subgroups, identifying what explains such variations, and examining the implications of such variations to research, practice, education, and policy.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"248-250"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536701","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":"Home Visit Based Mindfulness Intervention for Vietnamese American Dementia Family Caregivers: A Pilot Feasibility Study.","authors":"Christine Trinh Le, Jung-Ah Lee","doi":"10.31372/20200504.1096","DOIUrl":"https://doi.org/10.31372/20200504.1096","url":null,"abstract":"<p><p><b>Background:</b> Healthcare disparities continue to exist among the Vietnamese American (VA) community and many factors (e.g., fear of social stigma) deter family caregivers of persons with dementia (PWD) from seeking assistance. <b>Purpose:</b> To pilot-test a language-specific and culturally appropriate mindfulness intervention to improve dementia VA family caregiver well-being. <b>Methods:</b> Bilingual, trained research assistants administered a mindfulness exercise (i.e., deep breathing) to family caregivers and provided continuous support and care resources through weekly home visits for a month. Weekly surveys measured changes in emotion, feelings of connectedness to the PWD, and mood (i.e., happiness) before and after the intervention. <b>Results:</b> A total of nine VA family caregivers of PWD participated in this pilot study. Positive affect showed an increasing trend (<i>M</i> <sub>pre</sub> = 16.0 (SD = 3.48), <i>M</i> <sub>post</sub> = 17.1 (SD = 3.06)) and negative affect showed a decreasing trend (<i>M</i> <sub>pre</sub> = 6.44 (SD = 3.31), <i>M</i> <sub>post</sub> = 5.22 (SD = 0.359)). Happiness showed an increasing trend (<i>M</i> <sub>pre</sub> = 4.30 (SD = 0.767), <i>M</i> <sub>post</sub> = 4.44 (SD = 0.873)). <b>Conclusions:</b> These findings suggest that a home-based dementia family caregiver intervention with mindfulness exercises may potentially increase positive affect and decrease negative affect in Vietnamese American family caregivers of PWD. Similar interventions may help reduce caregiver burden in dementia family caregivers of other cultures.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"207-216"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536313","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":"Factors Associated with Attempt for Smoking Cessation among Hardcore Smokers in Taiwan.","authors":"Hui-Wen Huang, Ya-Hui Yang, Wen-Wen Li, Chih-Ling Huang","doi":"10.31372/20200504.1117","DOIUrl":"https://doi.org/10.31372/20200504.1117","url":null,"abstract":"<p><p><b>Background:</b> Tobacco control activities have mostly influenced those smokers who found it easier to quit and, thus, remaining smokers are those who are less likely to stop smoking. This phenomenon is called \"hardening hypothesis,\" which individuals unwilling or unable to quit smoking and likely to remain so. The aim of this study was to identify the factors correlated with smoking cessation among hardcore smokers. <b>Methods:</b> A cross-sectional descriptive correlational research design was employed. Hardcore smokers from communities in Taiwan were recruited to participate in the study (<i>N</i> = 187). Self-report questionnaires were used to collect demographic data as well as data on nicotine dependence, quitting self-efficacy, social smoking motives, attitudes towards the Tobacco Hazards Prevention Act (THPA), and smoking cessation. Logistic regression analysis was used to examine the factors that were related to quit smoking. <b>Results:</b> About 30.3% (<i>n</i> = 54) reported having experienced quitting smoking over 7 days in the past year. Logistic regression analysis indicated that attitudes towards the THPA was identified as a particularly important factor contributing to the increase in smoking cessation among hardcore smokers. <b>Conclusions:</b> Nurses should cooperate with smoking cessation coaches to facilitate the improvement of attitudes towards the THPA as a key means through which to increase the smoking cessation rate among hardcore smokers.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"251-258"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536703","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}
Connie K Y Nguyen-Truong, Shameem Rakha, Deborah U Eti, Lisa Angelesco
{"title":"Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families.","authors":"Connie K Y Nguyen-Truong, Shameem Rakha, Deborah U Eti, Lisa Angelesco","doi":"10.31372/20200504.1109","DOIUrl":"https://doi.org/10.31372/20200504.1109","url":null,"abstract":"<p><p>Some patients and families of color, including Asian Americans, face significant adverse stressors due to living within a White-dominant society. Xenophobia and racism can impact health. Research evidence points to early exposure to adverse childhood experiences such as racial discrimination as being detrimental and having significant short-term and long-term impact on physical and mental health. The purpose of this commentary article is to illuminate the need of patients and their families who may seek health care providers (HCPs) to express their concerns and fears when issues of xenophobia and racism arise. Patients and families need space in a healthcare setting to feel heard and understood. Anti-Asian xenophobia and racism among medically underserved Asian Americans persists and has been heightened during the COVID-19 pandemic. We describe tenets of Critical Race Theory and AsianCrit, and use this lens to understand an example actual scenario, a counter-story, of a Vietnamese mother, and her Vietnamese-Chinese American family's experience with xenophobia and racism at a community recreation center and the subsequent communication of this experience with a HCP. We describe the impacts of these experiences of seeking healing including discontinuity of a HCP-patient-family relationship. It takes bravery for patients and families to tell their story of xenophobia and racism to a HCP. There are Asian Americans who are afraid to seek healthcare because of anti-Asian xenophobia and concerns about White fragility. Following, we highlight research evidence on implicit bias, also known as unconscious bias, as context about its persistent and widespread existence among healthcare professionals in general and the need to address this in healthcare. Implicit bias can influence care provided to a patient-family and the interactions between a HCP-patient-family. We include additional resources such as those from the National Association of Pediatric Nurse Practitioners, American Psychological Association Office on Children Youth and Families, the Office of Ethnic Minority Affairs, the Office on Socioeconomic Status, and American Academy of Pediatrics to consider in support of equity in healthcare practice of children and their families.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"227-235"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536315","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}
Sonia Lai, Deborah Huang, Indraneil Bardhan, Mijung Park
{"title":"Associations between Food Insecurity and Depression among Diverse Asian Americans.","authors":"Sonia Lai, Deborah Huang, Indraneil Bardhan, Mijung Park","doi":"10.31372/20200504.1114","DOIUrl":"https://doi.org/10.31372/20200504.1114","url":null,"abstract":"<p><p><b>Background:</b> Proper nutrition is an essential component to both physical and emotional health. Food insecurity (FI) is a potentially critical public health problem. The link between FI and elevated risk for depression has been well documented. Yet, it is largely unknown how diverse older adult populations experience FI differently. Therefore, the aims of this study were to examine how gender, race/ethnicity, and nativity may impact the magnitude of the association between FI and depression. <b>Methods:</b> We used a nationally representative sample of the Asian American population from the National Latino and Asian American Study (NLAAS). We built logistic regression models with major depression in the past 12 months as the dependent variable, and FI as the independent variable. Several demographic and socioeconomic characteristics were added to the models to control for potential biases. All statistical estimates were weighted, using the recommended NLAAS sampling weight, to ensure representativeness of the US population. <b>Results:</b> About 35% (weighted adjusted 95% CI: 29.49-39.00) of Asian Americans experienced some level of FI at the time of survey. Experiencing FI over the past 12 months increased the likelihood of having clinical depression (weighted adjusted odds ratio: 1.44, weight adjusted confidence interval: 0.79-2.10). The magnitude of associations between FI and depression varied by race/ethnicity (<i>F</i> (7, 47) = 6.53, <i>p</i> (3, 41) = 10.56, <i>p</i> (3, 41) = 9.85). <b>Conclusions:</b> Food insecurity significantly increases the likelihood of clinical depression among Asian Americans. Greater attention is needed towards food-insecure Asian Americans and their mental health.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"188-198"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536311","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":"Introduction to the Special Issue.","authors":"","doi":"10.31372/20200504.1125","DOIUrl":"https://doi.org/10.31372/20200504.1125","url":null,"abstract":"This special issue includes seven articles. We have a brief review of mental health issues among Asian and Pacific Island (API) communities. Two papers examine non-biological factors that may be associated with mood disorders, using a nationally representative sample of Asian Americans (AA). These papers are particularly informative because they report disaggregated results across four AA subgroups. Another two articles examine different interventions and their efficacy to improve mood and quality of life among APIs. Finally, the case of a clinical encounter during COVID-19 was examined through the lens of Asian critical theory. Although these papers differ in their focuses and methodologies, collectively, they provide valuable information about mental health issues among the API community.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"ii"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536704","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":"Feasibility of Using Mobile Technology to Improve Physical Activity Among People Living with Diabetes in Asia.","authors":"Nada Lukkahatai, Pratum Soivong, Dongmei Li, Phakjira Jaiman, Supornphan Thamkaew, Duenapen Chaiwong, Nutchari Hiranlalit, Jillian Inouye","doi":"10.31372/20200504.1110","DOIUrl":"10.31372/20200504.1110","url":null,"abstract":"<p><p><b>Background:</b> Chronic conditions such as diabetes (DM) and cardiovascular disease are associated with disability and poor quality of life. Asians are 30% more likely than non-Hispanic Whites to develop type 2 DM. The important roles of wearable technological applications or devices in maintaining individuals' motivation to attain their physical activity (PA) goal have been reported. However, evidence of the feasibility and impact of the mobile technology on the PA in Thailand is limited. This study aims to examine the feasibility and the impact of the immediate performance feedback feature of the wearable device on PA. <b>Methods:</b> This pilot study recruited persons aged 18 or older with diabetes from two diabetes clinics in Chiang Mai, Thailand. Participants were randomly assigned into three groups: the aware group (AW: can see the step count on the device screen), the unaware group (UW: the device screen was completely covered), and the control group (usual care). Participants in the AW and UW groups were asked to wear the device for 2 full days while the usual care group did not wear the device. All participants completed a questionnaire package at their first study visit. Data analysis of univariate and multivariate general linear models were conducted using SAS version 9.4 (SAS Institute Inc., Cary, NC). All significance levels were set at 5%. <b>Results:</b> One hundred and fourteen participants age ranged from 39 to 75 years old were included in this analysis. The majority were female (<i>n</i> = 86, 69%) and married (<i>n</i> = 103, 82%). No adverse events were reported among device users. Within 2 days, there were less than 10% missing data and more than 70% of participants liked the devices mainly because they could see the step count. More than 63% of participants who wore the device had an average of steps greater than 10,000 per day. Although the number of steps and sleep hours were not significantly different between the AW and UW groups, 68% of the AW participants found that the device help them with their exercise. <b>Discussion:</b> The results demonstrate the feasibility of the use of the wearable device among people living with chronic conditions. Participants found that the step count screen provided immediate physical performance feedback that was helpful with their exercise. The behavioral changes, however, could not be examined due to the short duration of the usage. Future studies that require longer device usage in larger sample sizes are needed.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 4","pages":"236-247"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536700","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":"2019 Asian American/Pacific Islander Nurses Association & Taiwan Nurses Association Joint International Conference: Changes in Nursing Research, Education, and Practice: From Local to Global","authors":"Young-Shin Lee, PhD, RN","doi":"10.31372/20190404.1007","DOIUrl":"https://doi.org/10.31372/20190404.1007","url":null,"abstract":"The 2019 Asian American/Pacific Islander Nurses Association (AAPINA) & Taiwan Nurses\u0000Association (TWNA) Joint International Conference was held with the theme of Changes in Nursing Research, Education, and Practice: From Local to Global on August 16–17, 2019 at the Splendor Hotel, Taichung City, Taiwan. More than 700 researchers,\u0000educators, and clinical nurses from over 10 countries participated in the conference. A dozen of internationally well-known nursing scholars and leaders including Dr.\u0000Pamela F. Cipriono, the Vice President of International Council of Nurses (ICN), Dr. Wen-Ying Chou, the Program Director of Health Communication and Informatics Research Branch, the National Cancer Institute of the USA, and Dr. Eun-Ok Im, the AAPINA\u0000President-Elect, and Dr. Hsiu-Hung Wang, the TWNA President provided keynote speeches. In addition, seven international scholars and leaders provided a thought-provoking forum on changes in nursing leadership in Asian countries.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"183 - 203"},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48433368","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}