Asian Pacific Islander Health

  • Erika Takada
  • Judy M. Ford
  • Linda S. Lloyd


Asian Pacific Islander Americans (A/PI), one of the United States’ smallest subpopulations at 3% of the total U.S. population (1990 U.S. Census, in Lum, 1995), is also the fastest growing minority group in the United States. Three factors contribute to its rapid increase in size. The Immigration Act of 1965, which did away with country quotas and promoted the reunification of immigrant families, the steady influx of Southeast Asian refugees since 1975, and the contemporary stream of Asian immigrants into the United States swelled the A/PI population 141% between 1970 and 1980. Between 1980 and 1990, the population continued to grow and doubled in size from 3.5 million to more than 7 million (Burr & Mutchler, 1993; Lin-Fu, 1988). With this continued rate of growth, the U.S. Asian Pacific Islander population is estimated to reach 10 million by the year 2000 (Lin-Fu, 1988).


Prenatal Care Western Medicine Pacific Islander Betel Quid Asian American Woman 
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  1. Abrantes, P. (1994). The impact of race and culture on adolescent girls: Four perspectives. Women’s Health Issues, 4(2), 85–91.PubMedCrossRefGoogle Scholar
  2. Agbayani-Siewert, P. (1994, September). Filipino American culture and family: Guidelines for practitioners. Journal of Contemporary Human Services, 429-438.Google Scholar
  3. Anonymous. (1991, Summer). [Editorial]. Journal of Christian Nursing, 5-6.Google Scholar
  4. Bailey S., Bennett, P., Hicks, J., Kemp, C., & Warren, S. H. (1996). Cancer detection activities coordinated by nursing students in community health. Cancer Nursing, 19(5), 348–352.PubMedCrossRefGoogle Scholar
  5. Barker, J. C. (1991). Pacific Island migrants in the United States: Some implications for aging services. Journal of Cross-Cultural Gerontology, 6, 173–192.CrossRefGoogle Scholar
  6. Barringer, H. R., Gardner, R. W, & Levin, M. J. (1993). Asians and Pacific Islanders in the United States. New York: Russell Sage Foundation.Google Scholar
  7. Brown, W. J. (1992, August). Culture and AIDS education: Reaching high-risk heterosexuals in Asian-American communities. Journal of Applied Communication Research, 275-291.Google Scholar
  8. Browne, C., & Broderick, A. (1994). Asian and Pacific Island elders: Issues for social work practice and education. Social Work, 39(3), 252–259.PubMedGoogle Scholar
  9. Burr, J. A., & Mutchler, J. E. (1993). Nativity, acculturation, and economic status: Explanations of Asian American living arrangements in later life. Journal of Gerontology, 48(2), S55–S63.PubMedCrossRefGoogle Scholar
  10. Carlson, E. B., & Rosser-Hogan, R. (1993). Mental health status of Cambodian refugees ten years after leaving their homes. American Journal of Orthopsychiatry, 63(2), 223–231.PubMedCrossRefGoogle Scholar
  11. Catolico, O. (1997). Psychological well-being of Cambodian women in resettlement. Advances in Nursing Science, 19(4), 75–84.PubMedGoogle Scholar
  12. Chen, M. S., Anderson, J., Moeschberger, M., Guthrie, R., Kuun, P., & Zaharlick, A. (1994). An evaluation of heart health education for Southeast Asians. American Journal of Preventive Medicine, 10(4), 205–208.PubMedGoogle Scholar
  13. Chin, S. Y. (1992). Cross-cultural medicine a decade later: This, that and the other: Managing illness in a first-generation Korean-American family. Western Journal of Medicine, 157(3), 305–309.PubMedGoogle Scholar
  14. Choi, K. H., Lew, S., Vittinghoff, E., Catania, J. A., Barrett, D. C., & Coates, T. J. (1996). The efficacy of brief group counseling in HIV risk reduction among homosexual Asian and Pacific Islander men. AIDS, 10, 81–87.PubMedCrossRefGoogle Scholar
  15. Clarke, G., Sack, W. H., & Goff, B. (1993). Three forms of stress in Cambodian adolescent refugees. Journal of Abnormal Child Psychology, 21(1), 65–77.PubMedCrossRefGoogle Scholar
  16. D’Avanzo, C. E., Frye, B., & Froman, R. (1994). Culture, stress and substance use in Cambodian refugee women. Journal of Studies on Alcohol, 55(4), 420–426.PubMedGoogle Scholar
  17. Douglas, K. C., & Fujimoto, D. (1995). Asian Pacific elders: Implications for health care providers. Clinics in Geriatric Medicine, 11(1), 69–82.PubMedGoogle Scholar
  18. Flaskerud, J. H., & Akutsu, P. D. (1993). Significant influence of participation in ethnic-specific programs on clinical diagnosis for Asian-Americans. Psychological Reports, 72, 1228–1230.PubMedCrossRefGoogle Scholar
  19. Flaskerud, J. H., & Soldevilla, E. Q. (1986). Pilipino and Vietnamese clients: Utilizing an Asian mental health center. Journal of Psychosocial Nursing, 24(8), 32–36.Google Scholar
  20. Frye, B. A., & D’Avanzo, C. D. (1994). Cultural themes in family stress and violence among Cambodian refugee women in the inner city. Advances in Nursing Science, 16(3), 64–77.PubMedGoogle Scholar
  21. Fuentes-Afflick, E., & Hessol, N. A. (1997). Impact of Asian ethnicity and national origin in infant birth weight. American Journal of Epidemiology, 145(2), 148–155.PubMedCrossRefGoogle Scholar
  22. Gock, T. S. (1994). Acquired Immunodeficiency Syndrome. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 247–265). Thousand Oaks, CA: Sage.Google Scholar
  23. Handelman, L., & Yeo, G. (1996). Using explanatory models to understand chronic symptoms of Cambodian refugees. Clinical Research and Methods, 28(4), 271–276.Google Scholar
  24. Hann, H. W. L. (1994). Hepatitis B. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 148–173). Thousand Oaks, CA: Sage.Google Scholar
  25. Imazu, M., Sumida, K., Yamabe, T., Yamamoto, H., Ueda, H., Hattori, Y., Miyauchi, A., Hara, H., & Yamakido, M. (1996). A comparison of the prevalence and risk factors of high blood pressure among Japanese living in Japan, Hawaii, and Los Angeles. Public Health Reports, 3 (Suppl. 2), 59–61.Google Scholar
  26. Jackson, J. C., Rhodes, L. A., Inui, T. S., & Buchwald, D. (1997). Hepatitis B among the Khmer: Issues of translation and concepts of illness. Journal of General Internal Medicine, 12(5), 292–298.PubMedGoogle Scholar
  27. Jambunathan, J., & Stewart, S. (1995). Hmong women in Wisconsin: What are their concerns in pregnancy and childbirth? Birth, 22(4), 204–210.PubMedCrossRefGoogle Scholar
  28. Jenkins, C. N. H., McPhee, S. J., Bird, J. A., & Bonilla, N. T. H. (1990, July). Cancer risks and prevention practices among Vietnamese refugees. Western Journal of Medicine, 153, 34–39.PubMedGoogle Scholar
  29. Jenkins, C. N. H., Le, T., McPhee, S. J., Stewart, S., & Ha, N. T. (1996). Health care access and preventive care among Vietnamese immigrants: Do traditional beliefs and practices pose barriers? Social Science and Medicine, 43(1), 1049–1056.PubMedGoogle Scholar
  30. Katz, J., Prescott, K., & Woolf, A. D. (1996). Strychnine poisoning from a Cambodian traditional remedy. American Journal of Emergency Medicine, 14(5), 415–411.Google Scholar
  31. Kelly, A. W., Chacori, M. D. M. F., Wollan, P. C., Trapp, M. H., Weaver, A. L., Barrier, P. A., Franz III., W. B., & Kottke, T. E. (1996). A program to increase breast and cervical cancer screening for Cambodian women in a midwestern community. Mayo Clinic Proceedings, 71(5), 437–444.PubMedCrossRefGoogle Scholar
  32. Kim, S., & Rew, L. (1994). Ethnic identity, role integration, quality of life, and depression in Korean-American women. Archives of Psychiatric Nursing, 8(6), 348–356.PubMedCrossRefGoogle Scholar
  33. King, H., & Locke, F. B. (1987). Health effects of migration: U.S. Chinese in and outside the Chinatown. International Migration Review, 21, 555–575.PubMedCrossRefGoogle Scholar
  34. Kroll, J., Habenicht, M., Mackenzie, T., Yang, M., Chan, S., Vang, T., Nguyen, T., Ly, M., Phomma-sourvanh, B., Nguven, H., Vang, Y, Souvannasoth, L., & Cabugao, R. (1989). Depression and posttraumatic stress disorder in Southeast Asian refugees. American Journal of Psychiatry, 146(12), 1592–1597.PubMedGoogle Scholar
  35. Kuo, W. H. (1984). Prevalence of depression among Asian Americans. Journal of Nervous and Mental Disease, 172(8), 449–457.PubMedCrossRefGoogle Scholar
  36. Lew, L. S. (1991). Elderly Cambodians in Long Beach: Creating cultural access to health care. Journal of Cross-Cultural Gerontology, 6, 199–203.CrossRefGoogle Scholar
  37. Lin-Fu, J. S. (1988). Population characteristics and health care needs of Asian Pacific Americans. Public Health Reports, 103(1), 18–27.PubMedGoogle Scholar
  38. Loue, S., Lloyd, L., & Loh, L. (1996). HIV prevention in US. Asian Pacific Islander communities: An innovative approach. Journal of Health Care for the Poor and Underserved, 7(4), 364–376.PubMedCrossRefGoogle Scholar
  39. Lum, O. (1995). Health status of Asians and Pacific Islanders. Clinics in Geriatric Medicine, 11(1), 53–67.PubMedGoogle Scholar
  40. Mayeno, L., & Hirota, S. M. (1994). Access to health care. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 347–375). Thousand Oaks, CA: Sage.Google Scholar
  41. Miller, J. A. (1995). Caring for Cambodian refugees in the emergency department. Journal of Emergency Nursing, 21(6), 498–502.PubMedCrossRefGoogle Scholar
  42. Mishra, S. L., Luce-Aoelua, P., Wilkens, L. R., & Bernstein, L. (1996). Cancer among American-Samoans: Site-specific incidence in California and Hawaii. International Journal of Epidemiology, 25(4), 713–721.PubMedCrossRefGoogle Scholar
  43. Moeschberger, M. L., Anderson, M. A. S., Kuo, Y-F., Chen, M. S., Wewers, M. E., & Guthrie, R. (1997). Multivariate profile of smoking in Southeast Asian men: A biochemically verified analysis. Preventive Medicine, 26(1), 53–58.PubMedCrossRefGoogle Scholar
  44. Moore, L. J., & Boehnlein, J. K. (1991). Treating psychiatric disorders among Mien refugees from highland Laos. Social Science and Medicine, 32(9), 1029–1036.PubMedCrossRefGoogle Scholar
  45. Nichaman, M. Z., Hamilton, E. B., Kagan, A., Grier, T., Sacks, S. T., & Syme, S. L. (1975). Epidemiologic studies of CHD and stroke in Japanese men living in Japan, Hawaii, and California: Distribution of biochemical risk factors. American Journal of Epidemiology, 102, 491–501.PubMedGoogle Scholar
  46. Ong, A. (1995). Making the biopolitical subject: Cambodian immigrants, refugee medicine and cultural citizenship in California. Social Science and Medicine, 40(9), 1243–1257.PubMedCrossRefGoogle Scholar
  47. Palinkas, L. A., & Pickwell, S. M. (1995). Acculturation as a risk factor for chronic disease among Cambodian refugees in the United States. Social Science and Medicine, 40(12), 1643–1653.PubMedCrossRefGoogle Scholar
  48. Pickwell, S. M., Schimelpfening, S., & Palinkas, L. A. (1994). “Betelmania”: Betel quid chewing by Cambodian women in the United States and its potential health effects. Western Journal of Medicine, 160(4), 326–330.PubMedGoogle Scholar
  49. Rairdan, B., & Higgs, Z. R. (1992, March). When your patient is a Hmong refugee. American Journal Nursing, 52-55.Google Scholar
  50. Reichart, P. A., Schmidtberg, W., & Scheifele, C. (1996). Betel chewer’s mucosa in elderly Cambodian women. Journal of Oral Pathology & Medicine, 25(7), 367–370.CrossRefGoogle Scholar
  51. Rice, P. L., Ly, B., & Lumley, J. (1994). Childbirth and soul loss: The case of a Hmong woman. Medical Journal of Australia, 160(9), 577–578.PubMedGoogle Scholar
  52. Sack, W. H., Clarke, G., Him, C., et al. (1993). A 6-year follow-up study of Cambodian refugee adolescents traumatized as children. Journal of the American Academy of Child and Adolescent Psychiatry, 32(2), 431–437.PubMedCrossRefGoogle Scholar
  53. Shimada, J., Jackson, J. C., Goldstein, E., & Buchwald, D. (1995). “Strong medicine”: Cambodian views of medicine and medical compliance. Journal of General and Internal Medicine, 10(7), 369–374.CrossRefGoogle Scholar
  54. Smith, M. J., & Ryan, A. S. (1987). Chinese-American families of children with developmental disabilities: An exploratory study of reactions to service providers. Mental Retardation, 25(6), 345–350.PubMedGoogle Scholar
  55. Spring, M. A., Ross, P. J., Etkin, N. L., & Deinard, A. S. (1995). Sociocultural factors in the use of prenatal care by Hmong women, Minneapolis. American Journal of Public Health, 85(7), 1015–1017.PubMedCrossRefGoogle Scholar
  56. Stavig, G. R., Igra, A., & Leonard, A. R. (1984). Hypertension among Asians and Pacific Islanders in California. American Journal of Epidemiology, 119(5), 677–691.PubMedGoogle Scholar
  57. Sworts, V D., & Riccitelli, C. N. (1997). Health education lessons learned: the H.A.P.I. Kids Program. Journal of School Health, 67(7), 283–285.PubMedCrossRefGoogle Scholar
  58. Syme, S. L., Marmot, M. G., Kagan, A., Kato, H., & Rhoads, G. (1975). Epidemiologic studies of CHD and stroke in Japanese men living in Japan, Hawaii, and California: Introduction. American Journal of Epidemiology, 102, 477–480.PubMedGoogle Scholar
  59. Takeuchi, D. T., & Young, K. N. J. (1994). Overview of Asian Pacific Islander Americans. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific Islander Americans (pp. 3–21). Thousand Oaks, CA: Sage.Google Scholar
  60. Tran, T. V. (1993). Psychological traumas and depression in a sample of Vietnamese people in the United States. Health and Social Work, 18(3), 184–194.PubMedGoogle Scholar
  61. Uba, L. (1992). Cultural barriers to health care for Southeast Asian refugees. Public Health Reports, 107(5), 544–548.PubMedGoogle Scholar
  62. Yi, J. K., & Prows, S. L. (1996). Breast cancer screening practices among Cambodian women in Houston, Texas. Journal of Cancer Education, 11(4), 221–225.PubMedGoogle Scholar
  63. Ying, Y. W. (1990). Explanatory models of major depression and implications for help-seeking among immigrant Chinese-American women. Culture, Medicine and Psychiatry, 14, 393–408.PubMedCrossRefGoogle Scholar
  64. Zane, N. W. S., Sue, S., Hu, L., & Kwon, J. H. (1991). Asian-American assertion: A social learning analysis of cultural differences. Journal of Counseling Psychology, 38(1), 63–70.CrossRefGoogle Scholar
  65. Zane, N. W. S., Takeuchi, D. T., & Young, K. N. J. (1994). Confronting critical health issues of Asian and Pacific Islander Americans. Thousand Oaks, CA: Sage.Google Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Erika Takada
    • 1
  • Judy M. Ford
    • 2
  • Linda S. Lloyd
    • 2
  1. 1.Division of Health Promotion, Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA
  2. 2.Alliance Healthcare FoundationSan DiegoUSA

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