Item 3 - Health Assessment Presentation UT Austin Revised — original pdf

Backup

Health Assessment on the Asian and Asian American Community in Austin Shetal Vohra-Gupta, Ph.D., MSW, Assistant Professor Cheng Chow, MPhil, PhD Student Steve Hicks School of Social Work The University of Texas at Austin Chinese Americans: 24% (5.4 million) Indian Americans: 21% (4.6 million) Filipinos:19% (4.2 million) Roots in Vietnam (2.2 million), Korea (1.9 million) and Japan (1.5 million) each have a population of at least 1 million. Asian population is on the rise in Texas The number of Asian Americans in Texas increased by 91,921 people from 2022 to 2023 The fastest growing numbers were in the Austin-Round Rock-San Marcos metro area, with 10.5% increase from 2022 to 2023 – First among U.S. metro areas. Source: U.S. Census Bureau Credit: Elijah Nicholson-Messmer Older age groups – the sharpest increase Social services? Healthcare access? Affordability? Chronic health conditions? Caregiver resources? Transportation? Social isolation? Support infrastructure? Source: U.S. Census Bureau Credit: Elijah Nicholson-Messmer Population growth 33% 45% Natural Increase International Migration Internal Migraiton 22% Source: U.S. Census Bureau, Population Estimates Vintage 2023. Diversity of Asian population in Austin - San Marcos - Round Rock Metro area Population Total Asian Asian Indian Chinese Filipino Japanese Korean Vietnamese ACS 2015 Estimation ACS 2023 Estimation 92,512 28,195 18,549 6,877 2,332 8,188 16,697 5.0% 1.5% 1.0% 0.4% 0.1% 0.4% 0.9% 193,555 81,618 37,099 12,366 2,473 9,893 19,786 7.8% 3.3% 1.5% 0.5% 0.1% 0.4% 0.8% Source: U.S. Census Bureau American Community Survey Estimates Asian American Health Assessment Health issues identified Obesity, Diabetes, Heart Disease, Cancer, Hepatitis B, Tuberculosis, Behavioral Health, Healthcare Access Barriers Recommendations suggested Improve OUTREACH to subpopulations Focus on PREVENTION Increase ACCESS to health care Provide CULTURALLY SENSITIVE health care Asian American Quality of Life Survey Asian American Quality of Life Survey Major findings (N=2,609) • A majority of the survey participants (90.8%) were foreign-born immigrants • More than 28% of the overall sample had at least one chronic disease • Tobacco use more prevalent among Korean and Vietnamese while Koreans and Filipinos were least likely to engage in physical exercise and a healthy diet. • More than 11% reported an experience of unmet health care needs during the past 12 months (particularly in Koreans [15.4%] and Vietnamese [17.1%]) -inconsistent with the findings from national data (2.8% among Asians) • 20% of the sample reported the need for transportation and interpretation (particularly high in Koreans [29.5%], Chinese [24.0%], and Vietnamese [22.4%]) • The prevalence of mental distress and serve mental illness was 44.2% and 6.1% versus national data (18% and 3%, respectively) while only about 5% of the overall sample had received treatment from mental health professionals Gaps and moving forward • • • Changed population dynamics Evolved landscape of health services after COVID-19 • What are the prevalent mental health conditions? • What are the barriers to care within and across Asian subgroups ? How about the influence of socio-cultural factors? Asian Americans remain one of the least understood populations in terms of health needs - The lack of detailed and up-to-date information https://www.texastribune.org/2024/06/26/texas-asian-american-growth-census/ Proposed project – A pilot study • A1: Identify primary health concerns and barriers to healthcare access among Asian population. • A2: Refine the Asian American Quality of Life (AAQoL) Survey to better capture health, social, and cultural dynamics. • A3: Pilot the updated AAQoL acorss Asian subgroups in Austin to reflect health needs and inform future policy and resource allocation. Stage 1 Qualitative: Interviews with key informants and community members Stage II Quantitative: An updated AAQoL survey among community members Large- scale studies Interventions Policy advocacy Proposed project – A pilot study Stage I Qualitative: Interviews with key informants and community members Target sample • Open-ended interviews with five key informants (health professionals) • Focus group discussions with 20 community members Stage II Quantitative: An updated AAQoL survey among community members Large- scale studies Interventions Policy advocacy Sample questions • How has your experience as a [Asian subgroup] influenced how you navigate healthcare or access resources in Austin? • What challenges or supports have you encountered? • In what ways do you feel your cultural background or identity as a [Asian subgroup] has influenced how you deal with healthcare decisions in Austin? Have you noticed any changes in your health or well-being since moving to the Austin/U.S., compared to when you were originally ? • • What do you think might have contributed to these changes? Proposed project – A pilot study Stage I Qualitative: Interviews with key informants and community members Development: Findings from Stage1 to address emerging themes and variables specific to the current study population in Austin. Stage II Quantitative: An updated AAQoL survey among community members Target sample: 300 respondents disaggregated by ethnicity, age, English proficiency, immigration status etc. Large- scale studies Interventions Policy advocacy Sampling: site-based purposive sampling approach, targeting locations and events frequented by Asian American community members Proposed project – A pilot study Stage I Qualitative: Interviews with key informants and community members Stage II Quantitative: An updated AAQoL survey among community members Funding Application Funding source: The St. David’s Center for Health Promotion & Disease Prevention Research in Underserved Populations (St. David’s CHPR), School of Nursing, The University of Texas at Austin Funding amount: $25,000 Stage: letter of interest submitted & proposal invited Support: AARC Large- scale studies Interventions Policy advocacy Thank You! Shetal Vohra-Gupta: sgupta@austin.utexas.edu Cheng Chow: chengchow@utexas.edu Steve Hicks School of Social Work The University of Texas at Austin