Preventing Chronic Disease | Recommendations for Implementing Policy, Systems, and Environmental Improvements to Address Chronic Diseases in Asian Americans, Native Hawaiians, and Pacific Islanders - CDC
Recommendations for Implementing Policy, Systems, and Environmental Improvements to Address Chronic Diseases in Asian Americans, Native Hawaiians, and Pacific Islanders
Pedro Arista, MPH; Ed Tepporn, BA; Simona Kwon, DrPH; Catlin Rideout, MPH; Shilpa Patel, MPH; Marianne Chung, MPH; Roxanna Bautista, MPH, CHES; Chau Trinh-Shevrin, DrPH; Kathy Ko-Chin, MS
Suggested citation for this article: Arista P, Tepporn E, Kwon S, Rideout C, Patel S, Chung M, et al. Recommendations for Implementing Policy, Systems, and Environmental Improvements to Address Chronic Diseases in Asian Americans, Native Hawaiians, and Pacific Islanders. Prev Chronic Dis 2014;11:140272. DOI: http://dx.doi.org/10.5888/pcd11.140272.
Emphasis has increased recently on disseminating high-impact, population-wide strategies for the prevention of chronic diseases. However, such strategies are typically not effective at reaching Asian Americans, Native Hawaiians, Pacific Islanders, or other underserved communities. The objectives of this article were to 1) present the methods of the Strategies to Reach and Implement the Vision of Health Equity program in which 15 community-based organizations in the United States and the Pacific region implemented evidence-based policy, systems, and environmental improvements in their local communities and 2) provide recommendations for using these tailored approaches in other communities and geographic locations. Further support is needed for organizations in tailoring these types of population-wide strategies. Implementing population health improvements should be adapted to maximize effectiveness to decrease chronic diseases in these populations and ultimately eliminate racial/ethnic health disparities.
Asian Americans and Native Hawaiians and Pacific Islanders (NHPIs) are a rapidly growing population in the United States (1). They encompass a diverse spectrum of more than 50 countries (eg, China, Philippines, Samoa) and speak more than 100 languages and dialects (1). Although Asian Americans and NHPIs are regarded as a “model minority community” with universally high levels of education and wealth, recent census data indicate otherwise (2).
Gaps in the literature and a lack of disaggregated data on nutrition and physical activity prevent in-depth understanding of the health of Asian Americans and NHPIs. However, some research does indicate poor nutrition patterns for certain Asian American and NHPI subgroups, including Chinese, Filipinos, Japanese, and Native Hawaiians (3). Similarly, studies suggest that contributors to poor nutrition among Asian Americans and NHPIs are the convenience and availability of American fast food (4), lack of access to traditional foods, and exposure to Western-style diets and unhealthy options (5).
This publication is supported by CDC’s Racial and Ethnic Approaches to Community Health Cooperative Agreement 1U58DP004685. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of CDC. The authors acknowledge Corina Chung, MS, for conducting data analysis for this manuscript. Additionally, the authors thank all of the STRIVE partners; this program would not have been possible without their hard work. These partners included Asian Pacific Community in Action (Arizona), Asian Services in Action, Inc. (Ohio), Boat People SOS (Alabama), Boat People SOS (California), Center for Pan Asian Community Services, Inc. (Georgia), Korean Community Services (New Jersey), Kōkua Kalihi Valley Comprehensive Family Services (Hawaii), New Mexico Asian Family Center (New Mexico), National Tongan American Society (Utah), Orange County Asian and Pacific Islander Community Alliance (California), Operation Samahan (California), Restaurant Opportunities Center of New Orleans (Louisiana), Taulama for Tongans (California), United Sikhs (New Jersey), University of Hawai’i Manoa (Guam’s Non-Communicable Disease Consortium).
Corresponding Author: Pedro Arista, MPH, Asian & Pacific Islander American Health Forum, 450 Sutter St, Ste 600, San Francisco, CA 94108. Telephone: 415-568-3311. E-mail: email@example.com.
Author Affiliations: Ed Tepporn, Marianne Chung, Roxanna Bautista, Kathy Ko-Chin, Asian & Pacific Islander American Health Forum, San Francisco, California; Simona Kwon, Catlin Rideout, Shilpa Patel, Chau Trinh-Shevrin, New York University School of Medicine, Department of Population Health, New York, New York.
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