Diversity Within Diversity

Summary

Asian American elderly form a heterogeneous group with respect to immigration history, ethnic/cultural background, socioeconomic position, and health and mental health status. This paper provides an overview of the internal heterogeneity within the Asian American elderly population and identifies those who experience multiple stressors affecting their quality of life. Then it discusses barriers to formal service utilization as well as strengths and deficits of informal support systems. To better serve Asian American elders with their multiple needs for health, mental health, and social services, increased funding is recommended for research on this group, diversification of social service programs in coethnic communities, and increased cultural competence in non-Asian social service agencies.     

Understanding Asian American Clients

Abstract

Asian Americans are the fastest growing ethnic minority in the United States today. Therefore, the Asian American population greatly needs the services of qualified cross-cultural counselors. An ethnic match between an Asian American client and his/her counselor is generally recommended. However, due to the limited number of qualified Asian American counselors and problems sometimes encountered with an ethnic match, an ethnic match between the counselor and client is very often not realistic nor always preferred. However, Western counselors who work with Asian Americans need to understand their clients' acculturation problems. They also need to understand the preventable mistakes often made in counseling Asian American clients.     

AsianWORKs

ABSTRACT

Achieving economic self-sufficiency through employment is the ultimate goal of recent changes to the welfare program. The Asian American and Pacific Islander (AAPI) population is most vulnerable to failing in this goal because of language difficulty, low education levels and lack of job skills in the labor market. Many AAPI immigrants, and Southeast Asian Americans in particular, suffer from adjustment and mental health problems due to their experiences as refugees. These are but a few of the obstacles for AAPI welfare recipients to become self-sufficient, making them one of the most “hard-to-serve” populations. The goal of self-sufficiency through employment can be reached if culturally appropriate and adequate support services are provided to meet the unique needs of the population. Few programs, however, are targeted at AAPIs. Using key-informant interviews and the case material review method, this article highlights the difficulties of AAPI welfare recipients and describes a unique program serving the Southeast Asian American, particularly the Cambodian, population. The article focuses on the program components of outreach and engagement, day socialization and job readiness, and family support services, and it discusses improvement to service access and lessons learned for the practice of cultural competence.     

The Role of Hawaiian Elders in Substance Abuse Treatment Among Asian/Pacific Islander Women

SUMMARY

The elders of a culture are often the designated transmitters of long-standing values and ways that define the unique essence of a people. Küpuna (elders) teachings are especially important to Native Hawaiians who have experienced the cumulative effects of cultural imperialism, which has taken their lands, discouraged use of their language and cultural ways, damaged their identity as a people and destroyed their sovereignty.

Modern day cultural imperialism, which universalizes the dominant group's experience and culture, renders minority groups as invisible while marginalizing them (Young, 1990). The chronic stress of this insidious form of oppression can translate into physical, mental health problems which lead to decreased life expectancy (McEwen, 1998; Schulkin, Gold & McEwen, 1998). Statistics on Hawaiians and other Asian/Pacific Islanders in Hawaiì indicate these groups have high rates of health problems and increasing rates of substance abuse (Office of Hawaiian Affairs, 1998).

This article describes the roles and Hawaiian practices of küpuna who acted as facilitators in the healing of Asian/Pacific Islander pregnant and postpartum women who participated in a culturally based substance abuse treatment program (CBSATP). The findings of a qualitative study, which examined the effectiveness of küpuna in these roles and their implications for practice are discussed.     

Culturally Competent Substance Abuse Treatment for Asian/Pacific Islander Women

Summary

In response to the urgent need for substance abuse treatment among pregnant and postpartum Asian/Pacific Islander (A/PI) women, heath care and social service providers in a rural community of Hawaii established a culturally based, women-centered residential treatment program. The program was designed to address barriers that often prevent A/PI women from engaging and completing treatment. Treatment included Hawaiian healing practices or deep cultural therapy, provision for newborns to live with their mothers, infant health-care services, parent education, and infant-mother bonding guided by kupu-na (elders) of the community.

Analysis of twenty-one in-depth interviews revealed factors that A/ PI women participants found vital to their treatment process: having their children with them in a non-punitive, mutually respectful treatment milieu; working with consistent, competent residential staff and culturally-sensitive interdisciplinary professionals; and involvement in a range of substance abuse interventions, including cultural healing practices.

Findings underscore the importance of learning about and affirming women's lived-experiences and cultural contexts in the development of culturally competent practice models, interventions, research procedures, and policies that focus on the complex needs of chemically dependent pregnant and parenting women (Brindis & Theidon, 1997).     

A Qualitative Analysis of Cultural and Social Vulnerabilities to HIV Infection Among Gay,Lesbian, and Bisexual Asian Youth

Abstract

The study reported here was undertaken to investigate cultural and social barriers that may increase HIV risk among gay, lesbian, and bisexual Asian youth. Interviews and focus groups were used to collect the data because they are well suited for this type of exploratory research. A total of 15 gay, lesbian, and bisexual Asian youth (7 females and 8 males) were recruited. Most of the participants (n = 11) self-identified as lesbian or gay. The mean age was 20.7, ranging from 17 to 24. Twelve participated in one of three focus groups while the remaining three were interviewed. Categories and themes identified include: (1) the lack of sex education at home, (2) homophobia in Asian families, (3) unresponsive health and social service providers, (4) lack of social support, (5) negative stereotypes, (6) ideal standards of beauty, and (7) negative perceptions of safer sex practices among Asian lesbian and bisexual women. HIV prevention strategies are suggested based on the recommendations and needs of our participants.     

An Examination of Influences on Body Dissatisfaction Among Asian American College Females: Do Family,Media, or Peers Play a Role?

Abstract

Objective: The etiology of body dissatisfaction and its correlates (eg, disordered eating) among ethnic minorities is generally unknown. The purpose of this study was to replicate the tripartite model of influence in an Asian American college female sample in order to examine this relationship. Participants: Participants were 80 undergraduate Asian American females between the ages of 18 and 25. Methods: Participants completed a survey that included the Tripartite Influence Scale, Body Parts Satisfaction Scale, and Sociocultural Attitudes towards Appearance Questionnaire–3. Results: Mediation analyses indicated that thin-ideal internalization fully mediated the relationship between media influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Family influence did not significantly predict body dissatisfaction. Conclusions: Asian American college females experience body dissatisfaction through mechanisms that have not been examined in detail. These factors must be considered when creating targeted health promotion strategies and developing best practices for eating disorder assessment and treatment protocols at university health centers.     

Social and Emotional Functioning of Older Asian American Adolescents

This study identified a constellation of psychosocial problems reported by older Asian American adolescents that was different from their Caucasian peers. When compared to 386 Caucasian American adolescents from the same community, Asian American students performed better academically and reported fewer delinquent behaviors. However, these Asian American youth reported higher levels of depressive symptomatology, withdrawn behavior, and social problems. They also perceived themselves more poorly and were more dissatisfied with their social support. These differences highlight the unique mental health needs of older Asian American youth. Practice recommendations are made that consider traditional Asian values and the role that family members can play in the development of effective treatment plans.     

“Being Indian,” “Being American”

Summary

This is a cross-cultural study that seeks to understand an aspect of Asian Indian women's realities by exploring concepts such as: attitudes toward gender roles, level of stress in their lives, and their ethnic identity. It compares Asian Indian women raised in the U.S. (n = 45), with women born and raised in India (n = 50) and with European American women in the U.S. (n = 50). Additionally, excerpts from in-depth interviews with Asian Indian women in the U.S. are included. Most Asian Indian women in this study feel that they are both Indian and American and feel the two can be very well combined. However, they have problems with their families for not being Indian enough, especially on issues regarding marriage, career choice, and dating. The study found that “being Indian” might be different for the first generation Indian immigrants and the Asian Indian women who were born and raised in the U.S. These Asian Indian women are striving to claim a new identity for themselves, one which is both Indian and American.     

Perception of Sexual Violence Against Women in Asian American Communities

Abstract

The study was a cross-sectional survey using a convenient sample of 186 respondents to examine the perception of sexual violence against women and help-seeking responses to sexual victimization among four Asian groups; Chinese, Japanese, Korean, and Southeast Asian (Cambodian, Laotians, and Vietnamese). The authors examined respondents' perception of the severity of the problem of sexual violence against women for Asian American populations, the perceived relationships between perpetrators and victims, the preferred preventive measures, and help-seeking responses. Findings indicated a split opinion among the four Asian groups regarding the perceived severity of the problem. There was a perceived insignificant role of family members in inflicting sexual violence, a general tendency of not choosing an immediate, confrontative stance against the perpetrator to stop sexual violence, and a preference to utilize help from the private domain in situations of sexual victimization. In addition, findings of the study supported the role of shame in deterring individuals from seeking outside professional help and demonstrated the existence of inter-group differences among various ethnic groups. At the same time, findings of the study raise important questions pertaining to the role of family members in sexual victimization of women, changing perceptions, inter-group differences, and the importance of localized knowledge in generating intervention efforts. In addition, findings of the study challenge a simplistic view of the reluctance of Asian American populations to utilize outside professional help. Implications for developing culturally relevant interventions for prevention and treatment as well as future research are discussed.     

Asian American Adolescents' Academic Achievement

Summary

This investigation examined the attitudes and behavior regarding academic achievement from the perspective of 153 Asian American adolescents who participated in an essay contest entitles “Growing Up Asian American.” Less than half the adolescents (42.5%) reported a positive attitude toward academic achievement, while over half expressed either negative attitude (13.1%) or mixed positive/negative attitude (44.4%). In contrast, an overwhelming majority (83%) of the adolescents exhibited embracing behavior toward academic achievement, while only 1.3% rejected and 15.7% showed mixed embracing/rejecting behavior. In addition, attitude and behavior were significantly correlated. All of the adolescents with positive attitudes exhibited embracing behavior. Adolescents with non-positive attitudes (negative or mixed) were more likely to show embracing behavior (70.5%) than non-embracing (rejecting or mixed) behavior (29.5%). The findings suggest significant distress among Asian American adolescents even though, behaviorally, they may be embracing academic achievement.     

Korean American Elderly's Knowledge and Perceptions of Elder Abuse

ABSTRACT

“This study examines Korean American elders” perceptions of elder abuse and its perpetrators and explores cultural, as well as non-cultural influences on such perceptions. Face-to-face interviews were conducted with 100 elderly Korean Americans, 60 years of age or older, residing in Los Angeles County. Respondents reported 46 abuse cases, categorized into the following six types: financial abuse (36%), psychological abuse (24%), culturally specific abuse (17%), neglect (15%), physical abuse (4%), and other (4%). Most respondents identified elder abuse in terms of abrogation of filial piety, suggesting the centrality of “children” in Korean American elders⁵ lives and well-being. Findings demonstrate that employing a uniform definition of elder abuse across all cultures and ethnic groups without attending to the cultural and subjective aspects of a given situation may result in missing problems and needs identified as important by the elderly themselves. Implications for social work practice and program development are discussed.     

Acculturation Level and Internalized Homophobia of Asian American Lesbian and Bisexual Women

ABSTRACT

This is an exploratory study of the acculturation level and internalized homophobia of Asian American lesbian and bisexual women. Participants were 27 Asian American women self-disclosed as lesbian or bisexual. They completed a demographic sheet, the Suinn-Lew Asian Self-Identity Acculturation Scale (SL-ASIA; Suinn et al., 1987), and the Lesbian Internalized Homophobia Scale (LIHS; Szymanski & Chung, 2001). Results suggest that Asian-identified persons have lower levels of internalized homophobia than Western-identified persons. There were no significant differences in levels of internalized homophobia between bicultural persons and Asian or Western-identified persons. Counseling and psychological implications, future research directions, and limitations of the study are presented.     

Acculturation,diet, and psychological health among Asian students

Objective: The study examined the association between acculturation level, dietary nutrient intake, and psychological health of Asian students at the University of Delaware. Participants: A total of 172 students completed the study. Methods: Data were collected, using questionnaires, through Qualtrics®. Linear regression models were used to examine the association between normally distributed diet and acculturation and demographic data. Results: As length of residence in the United States increased, acculturation level and maintenance of original culture both increased. There was no significant association between acculturation and nutrient intake. Chinese students were more likely than other Asian students to have nonspecific psychological distress. Conclusion: There was no significant association between diet and acculturation level. A larger sample population with longer US residence is needed to further investigate this association. In an effort to improve psychological health of Asian students, challenges specific to this population, such as the language barrier, should be addressed.     

Social Security in Asia and the Pacific

Abstract

In terms of numbers of people, the global challenges facing social security systems are largely Asian. Because of rapid population aging in Asia, while it accounted for 28% of the world's population aged 60 and older in 1985, that percentage will more than double to 58% in 2050. Provident funds are a prominent feature of retirement income systems in the region-Asia and the Pacific contain the majority of the world's countries with provident funds. These programs typically provide lump-sum benefits, and thus, do not provide annuity protection against outliving one's resources. Because of the influence of Confucian philosophy with its emphasis on family responsibility for elders, countries in the region have been relatively slow in developing social security programs. China does not have a social security program for workers who do not work for the government or in government-owned enterprises.     

Cultural Factors in Collegiate Eating Disorder Pathology: When Family Culture Clashes With Individual Culture

Objective: The authors evaluated the validity of familial enmeshment (extreme proximity in family relationships) as a risk factor for eating disorders across cultural value orientations. They tested the hypothesis that although familial enmeshment may be a risk factor for eating disorder pathology for (1) participants of non-Asian descent or (2) culturally independent participants, enmeshment will not be a risk factor for (1) participants of Asian descent or (2) culturally interdependent participants. Participants: 255 undergraduate women participated. Methods: Participants completed questionnaires on cultural value orientations, enmeshment, and eating disorder pathology. Results: As hypothesized, enmeshment was related to eating disorder pathology in non-Asian American and culturally independent participants, but not in Asian American and culturally interdependent participants. Conclusions: Depending on cultural values, enmeshment may or may not be a risk factor for eating disorders. This study highlights the importance of examining risk factors in the appropriate cultural framework when considering college student mental health.     

Perception of Substance Use Problems in Asian American Communities by Chinese,Indian, and Vietnamese American Youth

SUMMARY

The study was a cross-sectional survey using a convenience sample of 87 Asian American youth respondents to examine their perceptions of substance use problems in the Asian American community. The authors examined respondents' perceptions of the severity of substance use problems in the Asian American community, perceived characteristics of persons with problems of substance use, perceived etiology of substance use problems, beliefs about treatment, perceived help-seeking preferences and helpful services. The youth demonstrated an increased awareness of the severity of substance use problems in the community, although such awareness was more prominent for drinking problems than drug use problems. Respondents showed a positive attitude toward treatment, although such an attitudinal change was not yet accompanied by a change in their behavioral preferences. Findings suggested a tendency for Asian American youth respondents to utilize personal resources rather than professional help or formal treatment programs in response to substance use problems. In addition, respondents shared similar “myths” of Asian problem drinkers and drug users. Implications for developing culturally relevant interventions for prevention and treatment as well as future research are discussed.     

American Studies in East Asia

Abstract

American Studies as practised in China, Japan, and Korea has some features of its own and reflects the specific conditions and needs of each country. Chinese Americanists have shown keen interest in US economy, politics, and China policy. Japanese Americanists are interested in ethnic studies and contemporary international issues involving the USA, while Korean Americanists are attracted to ethnic writers and politicians. Unlike their colleagues elsewhere, some East Asian Americanists have tended to study the USA in order to find the source of American strength through social sciences more than the American national ethos reflected in American culture, literature, and history.     

Learning Racial Literacy While Navigating White Social Studies

Abstract

How do children develop racial literacy? How do they make sense of and respond to the master narratives of race and racism? What role does elementary social studies education play in children’s racial literacy development? I explored these questions as a parent–researcher, inquiring how my child, an Asian American elementary student, develops racial literacy as she learns U.S. history at school. In the following, I first situate my inquiry within the literature on social studies education from a critical race perspective. Next, I delineate my positionality as a critical race motherscholar and the rationale for studying my own child. Last, I present the findings from my inquiry and discuss its implications for elementary social studies education.