There has been a 72% increase in the Asian American population from approximately 12 million in 2000 to 21 million in 2015. By 2050, there will be 33.4 million Asian Americans living in the United States, making this population the most rapidly growing ethnic group in the country. There is a myth that Asian Americans are a model conservative minority group in terms of sexual behavior and safe sexual practices and are not at risk of sexually transmitted infections including HIV. However, they are the only ethnic group in the United States that had a continuous increase in HIV infection rates from 4.9 per 100,000 in 2011 to 5.5 per 100,000 in 2016. Due to state and national methods of data collection for race and ethnicity with regard to sexually transmitted infection and HIV, the Asian American population's data are often limited. The purpose of this article is to identify the potential historical and political reasons why the Asian American population's HIV or sexual risk has not been fully documented and to propose potential health policy solutions.

Introduction: Berry acculturation model (BAM) includes five measurement components. Current instruments do not examine all five components. This study’s aim was to complete cognitive interviews with Asian American college-aged women using two frequently used measures and investigate whether all five BAM’s components of acculturation are included. Methodology: This is a qualitative study using in-depth semistructured cognitive interviewing. Data were collected until saturation was reached ( n = 20). Content analysis was completed. Results: Two themes emerged: Components of acculturation and survey structure. All components of BAM were evident in the data. The women agreed that physical, biological, cultural, and social relationships are important aspects of acculturation. The psychological component emerged as women discussed intergenerational conflicts related to acculturation. Discussion: Future research includes psychometric testing of a new acculturation instrument that incorporates all five components of BAM. A valid, comprehensive measure is needed to understand how AA women adapt to mainstream culture.

Purpose: There was a growth of approximately ten million Asian American individuals in the United States between 2000 and 2015. Asian Americans have conservative values surrounding sexual health and sexual communication is a cultural taboo. Researchers have shown discrepancies on whether the level of acculturation influences Asian mother-daughter sexual communication. In other minority populations there is evidence that a connected mother–daughter relationship increases sexual communication and delays sexual initiation. The purpose of this study was to examine whether motherdaughter connectedness and level of acculturation predict sexual communication in turn affecting the age of female Asian emerging adult’s sexual initiation. Methods: This was a longitudinal, secondary analysis of AddHealth examining whether mother-daughter connectedness and level of acculturation predict sexual communication. There were 243 Asian American mother-daughter dyads in Wave I with linked data in Wave III who were included in the study. Acculturation, connectedness, and sexual communication were all measured using interval level data. Results: Connectedness did not significantly contribute to the relationship between any of the concepts. Although it was predicted that sexual communication would delay initiation, the opposite was found. Also, communication mediated the relationship between acculturation and initiation. Conclusions: Further studies are needed to explore how connectedness is defined by Asian American mother-daughter dyads. In addition, more detailed operational definitions of acculturation and communication are needed, specifically the timing of sexual communication.

Background: As of 2017, American Indian/Alaska Natives (AI/AN) had the highest prevalence of illicit drug use of any ethnic group in the United States, with 17.6% of the population aged 12 and older reporting using illicit drugs in the last month. Studies have shown the positive correlation between a history of trauma and substance use disorder. In fact, the majority of youth in treatment for substance misuse reported a history of trauma. Intergenerational trauma, systematic discrimination, and displacement are downstream effects of colonization, and experiences of racism often define the life experiences of AI/ANs who use substances. This paper describes the process of designing a developmentally and culturally appropriate primary prevention supplement for an evidence-based program to prevent substance use and increase cultural identity among AI/AN youth.