Asian American Health Needs Assessment Phase One: the AsANA survey

1. Asian American Health Needs AssessmentPhase One: the AsANA survey Beverly J. Gor, EdD, RD, LD, CDE, TruongSon Hoang, BS, Angelina Esparza, RN, BSN, BA, Michelle A. Detry, PhD, Mike Hernandez, MS, Lovell A. Jones, PhD Center for Research on Minority Health Department of Health Disparities Research

2. Asian population in Houston Source: U.S. Census, 2000

3. Why is the AsANA study important? • Inconsistent and inadequate collection of Asian health data • Asian American health concerns are poorly understood and often overlooked • Groupings for “whites” or “others” include Asians and other ethnic groups • Aggregation of Asian data masks true health problems within Asian subgroups • Without baseline data, we are unable to focus our research or measure changes

4. Asian American Health Needs Assessment Objectives: • To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding area • To establish baseline data that can set the stage for future studies and research projects with Asian populations • To compare data with that of other minority groups and the general population • To provide the data to the targeted communities so they can apply for community development funding • To collect scientifically sound data on the health practices and health beliefs of Asian Americans in Houston and the surrounding area • To establish baseline data that can set the stage for future studies and research projects with Asian populations • To compare data with that of other minority groups and the general population • To provide the data to the targeted communities so they can apply for community development funding

6. Survey Development & Administration • Texas Community Health Survey (CHS) • Translated to Vietnamese and Chinese • Reviewed by Asian Community Health Review Panel • Randomly selected Chinese/Vietnamese households from Asian surname list • Participants 18+ years old • Informed consent

7. AsANA Survey Instrument 100+ questions Added questions: • Cancer knowledge • Acculturation • Environmental exposure • Alternative therapy • Pain • Oral Health • Colorectal cancer screening • Men’s health • Hepatitis B immunization From the Texas CHS: • Demographics • Mental health • Health practices Physical exams Cancer screenings Immunization • Diseases Heart disease Diabetes Cancer • Behaviors Smoking Alcohol use Nutrition Physical activity

8. AsANA Posters

9. AsANA Data

10. Data collection • 4097 numbers called in nine weeks • 1085 respondents • 814 completed interviews: • 405 Chinese (25.7% refusal rate) • 38% male, 62% female • 409 Vietnamese (23.8% refusal rate) • 48.2% male, 51.8% female • Calls averaged 25-40 minutes

11. Age Distribution

12. Residency status

13. Education Level

14. English proficiency

15. Do you have any form of health insurance?

16. In your leisure time, how many days did you do vigorous exercise or activities?

17. How many servings of fruits or vegetables did you eat yesterday?

18. Have you smoked at least 100 cigarettes in your entire life?

19. Have you ever had a mammogram? (Women 40 yrs and older)

20. Have you ever had a Pap smear?(All women)

21. Have you ever had prostate cancer screening? (Men 40 yrs and older)

22. Have you ever had colorectal cancer screening? (Adults over 50 years old)

23. What does this mean for Asians in Houston? Access to health care may be difficult due to lack of insurance Limited English proficiency Low cancer screening rates Less aware of health resources and cancer prevention guidelines

24. Where do we go from here? • Further analysis and dissemination of AsANA data • Providing this information to community based organizations • Needs assessment, resource mapping and community discussions • Expanding this to other Asian populations, such as the South Asians • Future studies on other health topics • Periodic re-surveying of the population

25. Acknowledgements Funding for this project was provided by The National Center on Minority Health and Health Disparities (NCMHD) Purdue Pharma Asian American Network for Cancer, Awareness, Research and Training