Using Evidence-Based Policy, Systems, and Environmental Strategies to Increase Access to Healthy Food and Opportunities for Physical Activity Among Asian Americans, Native Hawaiians, and Pacific Islanders

Patel, Shilpa; Kwon, Simona C.; Arista, Pedro; Tepporn, Ed; Chung, Marianne; Chin, Kathy Ko; Rideout, Catlin; Islam, Nadia; Trinh‐Shevrin, Chau

doi:10.2105/ajph.2015.302637

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…Participants provided suggestions for outreach efforts tailored to their communities, an approach used in other studies. 35,36 The subthemes and community-specific recommendations were organized according to each level of the SEM framework to address barriers most pertinent to each respective community. Table 2 summarizes these community-specific recommendations for future efforts, reinforcing the main point of our findings: Barriers to CalFresh participation occur at multiple levels.…”

Section: Discussionmentioning

confidence: 99%

“…Targeted and culturally adapted interventions have been shown to be effectively implemented at the community level through CBOs. 35 In addition to CBOs, partnerships with the Department of Public Health, faith-based organizations, and community liaisons can greatly reduce stigma and promote participation.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, a policy, systems, and environmental approach to address nutrition and physical activity issues among APIs has been shown to be potentially effective among APIs. 35…”

Section: Discussionmentioning

confidence: 99%

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Perceptions and Barriers to SNAP Utilization Among Asian and Pacific Islanders in Greater Los Angeles

2020

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Purpose: To examine the perceptions of and barriers to Supplemental Nutrition Assistance Program (SNAP) participation among Asian and Pacific Islander (API) immigrants. Design: Qualitative focus groups were conducted in 4 API communities. Setting and Participants: Participants were recruited from 4 API communities (n = 68; 22 Tongan, 18 Vietnamese, 16 Filipino, and 12 Chinese) through local community-based organizations in Los Angeles and Orange Counties. Method: Trained bilingual and bicultural researchers conducted 8 focus groups in English, Chinese, and Vietnamese. Prior to the start of each focus group, participants completed a demographic questionnaire which included a United States Department of Agriculture (USDA) Food Security Module. Analysis: Audio recordings were transcribed verbatim and those in the native languages were transcribed verbatim. Transcripts in native languages were reviewed and translated into English. All transcripts were organized in ATLAS ti version 8.0 and analyzed using thematic analysis. The USDA Food Security Module results were scored and assessed for food insecurity. Results: Median age of participants was 58 years and 59.4% (n = 38) were food insecure. Barriers to SNAP participation were identified and organized within the Social Ecological Model by the following themes: (1) unclear program information, (2) application process, (3) shame, and (4) pride. Despite commonalities found across API subgroups, unique challenges with public charge and immigration existed within the subgroups. Conclusion: Culturally relevant in-language SNAP materials and multilevel interventions are needed to mitigate barriers and increase SNAP participation rates among low-income API groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perceptions and Barriers to SNAP Utilization Among Asian and Pacific Islanders in Greater Los Angeles

2020

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“…Moreover, being insufficiently active, defined as less than 150 minutes of aerobic Interdisciplinary health professionals can work together to identify potential barriers limiting physical activity engagement (e.g., transportation, limited time, and lack of resources). Previous studies have identified that barriers such as mistrust and lack of support may discourage racial and ethnic minorities from participating in various research and healthrelated interventions (George et al, 2014;Patel et al, 2015). During the coronavirus disease 2019 (COVID-19) pandemic, physical activity programs are being creative.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Physical Activity and Health Among Native Hawaiian and other Pacific Islander Older Adults

Lee

Braun

et al. 2021

J Aging Health

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Objectives: Native Hawaiian and other Pacific Islander (NHPI) older adults often experience social disadvantages and poor health outcomes. Physical activity has been associated with better health in other racial groups, but limited studies have examined these associations in NHPI older adults. Methods: Using data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey ( n = 1,045), logistic regression models examined associations between physical activity and memory/psychological distress/self-rated health. Results: Sufficient levels of physical activity were associated with lower odds of memory problems, serious psychological distress, and poor/fair self-rated health. Unfortunately, only half of the sample reported sufficient physical activity and approximately 30% reported none. Also, 78% of the sample was estimated to be overweight/obese, and 29% had diabetes. Discussion: Culturally-appropriate interventions are recommended to increase physical activity in this population, which could also help reduce high rates of overweight/obesity and diabetes.

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“…Further our group, the New York University Center for the Study of Asian American Health (NYU CSAAH) has demonstrated that health promoting activities are feasible, acceptable, and sustainable by immigrant-serving CBO leadership and members. [14][15][16][17][18] For these reasons, CBOs are ideally situated to play an essential role in dementia care by providing education, addressing social needs, and creating a supportive environment for diverse adults.…”

Section: Introducing Defining and Refining The Role Of Community Organizationsmentioning

confidence: 99%

Redefining the Care Continuum to Create a Pipeline to Dementia Care for Minority Populations

Sadarangani

Salcedo

Chodosh

et al. 2020

J Prim Care Community Health

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Multiple studies show that racial and ethnic minorities with low socioeconomic status are diagnosed with Alzheimer’s disease and Alzheimer’s disease–related dementias (AD/ADRD) in more advanced disease stages, receive fewer formal services, and have worse health outcomes. For primary care providers confronting this challenge, community-based organizations can be key partners in supporting earlier identification of AD/ADRD and earlier entry into treatment, especially for minority groups. The New York University Center for the Study of Asian American Health, set out to culturally adapt and translate The Kickstart-Assess-Evaluate-Refer (KAER) framework created by the Gerontological Society of America to support earlier detection of dementia in Asian American communities and assist in this community-clinical coordinated care. We found that CBOs play a vital role in dementia care, and are often the first point of contact for concerns around cognitive impairment in ethnically diverse communities. A major strength of these centers is that they provide culturally appropriate group education that focuses on whole group quality of life, rather than singling out any individual. They also offer holistic family-centered care and staff have a deep understanding of cultural and social issues that affect care, including family dynamics. For primary care providers confronting the challenge of delivering evidence-based dementia care in the context of the busy primary care settings, community-based organizations can be key partners in supporting earlier identification of AD/ADRD and earlier entry into treatment, especially for minority groups.

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Using Evidence-Based Policy, Systems, and Environmental Strategies to Increase Access to Healthy Food and Opportunities for Physical Activity Among Asian Americans, Native Hawaiians, and Pacific Islanders

Cited by 8 publications

References 17 publications

Perceptions and Barriers to SNAP Utilization Among Asian and Pacific Islanders in Greater Los Angeles

Perceptions and Barriers to SNAP Utilization Among Asian and Pacific Islanders in Greater Los Angeles

Physical Activity and Health Among Native Hawaiian and other Pacific Islander Older Adults

Redefining the Care Continuum to Create a Pipeline to Dementia Care for Minority Populations

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