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Patterns of child maltreatment referrals among Asian and Pacific Islander families.

Much of the available data on Asian American families who become involved with the child welfare system relies on global ethnic categories, such as the category Asian/Pacific Islander. To explore the diversity of experience that is hidden by such categories, this article analyzes two years of child maltreatment referrals for Asian and Pacific Island families in Washington state. The study findings show that considerable variation exists within the Asian and Pacific Islander population with regard to child protection referrals. Although Asian Americans as a whole were less likely to be referred to child protective services than other groups, the within group picture that these data capture is considerably more complex. Some Asian/Pacific Islander ethnic groups, particularly those which have experienced higher levels of social and economic stress, were more at risk of child welfare involvement than other groups. Such findings underscore the need for child welfare policies and practice that are sensitive to the considerable variability within the Asian/Pacific Islander community.

Asian↗

Mitochondrial DNA of ancient Cumanians: culturally Asian steppe nomadic immigrants with substantially more western Eurasian mitochondrial DNA lineages.

The Cumanians were originally Asian pastoral nomads who in the 13th century migrated to Hungary. We have examined mitochondrial DNA from members of the earliest Cumanian population in Hungary from two archeologically well-documented excavations and from 74 modern Hungarians from different rural locations in Hungary. Haplogroups were defined based on HVS I sequences and examinations of haplogroup-associated polymorphic sites of the protein coding region and of HVS II. To exclude contamination, some ancient DNA samples were cloned. A database was created from previously published mtDNA HVS I sequences (representing 2,615 individuals from different Asian and European populations) and 74 modem Hungarian sequences from the present study. This database was used to determine the relationships between the ancient Cumanians, modern Hungarians, and Eurasian populations and to estimate the genetic distances between these populations. We attempted to deduce the genetic trace of the migration of Cumanians. This study is the first ancient DNA characterization of an eastern pastoral nomad population that migrated into Europe. The results indicate that, while still possessing a Central Asian steppe culture, the Cumanians received a large admixture of maternal genes from more westerly populations before arriving in Hungary. A similar dilution of genetic, but not cultural, factors may have accompanied the settlement of other Asian nomads in Europe.

Asian People↗

Pharmacokinetics of desipramine in Asian and Caucasian volunteers.

The pharmacokinetic differences of tricyclic antidepressants (TCAs) in Asians and Caucasians remain controversial. Thirty-seven age-matched healthy volunteers (18 Asians and 19 Caucasians) ingested a single desipramine (DMI) dose of 1.0 mg/kg of body weight. Blood was obtained at 1, 3, 5, 7, 12, 24, 48, 72, and 96 hours after dosing. Serial 24-hour urine samples were collected for 5 days. There were no statistically significant differences in plasma levels between the two groups. DMI concentrations peaked a median of 5 hours after ingestion in Asians vs. 3 hours in Caucasians. Total clearances of DMI (CL DMI) and hydroxylated DMI (OH-DMI) were greater in Caucasians. These differences were no longer significant when corrected for body weight. Clearances appeared to follow tri-modal distributions. The proportions of Asians and Caucasians falling into the slow, intermediate, and rapid clearance groups were not significantly different, but there was a tendency for more Caucasians to be in the rapid clearance group.

Adult↗

Therapy for Asian Americans.

IN ORDER THAT ASIAN AMERICANS BE MORE ADEQUATELY PROVIDED WITH MENTAL HEALTH SERVICES, IT WILL BE NECESSARY TO: (1) have a thorough educational campaign over a long period of time to help Asians overcome their negative prejudices against mental illness, (2) devise culturally relevant diagnostic techniques, and (3) have treatment consonant with the cultural backgrounds of the patients and befitting the role expectations of the patients. It is likely that even with an excellent educational campaign, appropriate diagnoses, and culturally sensitive treatment methods, the first patients we will see will be those most seriously and chronically disturbed, probably when the family feels no longer able to cope with their psychotic behavior. We hope that subsequently, through the educational campaign and also through the outreach efforts of the Asian Mental Health Clinic, Asian Americans who are not psychotic but who want relief from psychosomatic symptoms, tension, depression, or help with family or marital problems will apply.

Acculturation↗

Urinary excretion of 2-amino-3,8-dimethylimidazo-[4,5-f]quinoxaline in white, black, and Asian men in Los Angeles County.

The heterocyclic aromatic amines produced by high temperature cooking of foods containing creatin(in)e and amino acids (such as beef, pork, poultry and fish) are a class of potent animal carcinogens and have been implicated indirectly in human colon and pancreas carcinogenesis. We studied the urinary excretion of a mutagenic heterocyclic aromatic amine compound, 2-amino-3,8-dimethylimidazo-[4,5-f]quinoxaline (MelQx), among 47 black, 41 Asian (Chinese or Japanese), and 43 non-Hispanic white (white) male residents of Los Angeles County by quantitative analysis of total free and conjugated MelQx in pooled overnight urine collections. Significant interracial differences were observed. Geometric mean level in blacks was 1.3- and 3.0-fold higher than that in Asians and whites, respectively. Urinary level of MelQx was positively associated with intake frequencies of bacon, pork/ham and sausage/luncheon meats among study subjects, consistent with the observation that in Los Angeles, blacks had the highest consumption of these three food groups among the three races. Among men in Los Angeles County, the incidence rates of pancreas and colon cancers, which have been shown to be positively related to intake of fried meats, are 50% and 20% higher in blacks relative to Asians and whites, respectively. Our results are, therefore, consistent with the hypothesis that exposure to heterocyclic aromatic amines is related to risk of pancreas and colon cancers, and may in part explain the higher incidence among blacks relative to Asians and whites in Los Angeles.

Adult↗

Computed tomographic osteometry of the Asian lumbar spine.

The computed tomography (CT) scans of 100 adult Chinese patients 18-60 years of age were studied to provide osteometric data on the Asian lumbar spine. The study population was composed of 63 men and 37 women. A total of 29 parameters were measured from each vertebral level. All the data were statistically analyzed for differences between men and women and left and right sides for paired structures. The data then were compared with data for white individuals where available. The results show that for Asians there is a significant sex difference (p < 0.001) for vertebral body and disk dimensions but not for the posterior elements or spinal canal. Compared with white individuals, Asians have a smaller vertebral body and a different spinal canal shape, with the lower part of the canal in relation to the vertebral body being narrowest. Such findings are of significance to the radiologist, to the surgeon, and in the design of instruments and implants for the Asian lumbar spine.

Adolescent↗

Latino, Asian, and black segregation in U.S. metropolitan areas: are multiethnic metros different?

This study examines 1990 residential segregation levels and 1980-1990 changes in segregation for Latinos, Asians, and blacks in U.S. metropolitan areas. It also evaluates the effect of emerging multiethnic metropolitan area contexts for these segregation patterns. While black segregation levels are still well above those for Latinos and Asians, there is some trend toward convergence over the decade. More than half of the areas increased their Latino segregation levels over the 1980s, and almost three-fourths increased their Asian segregation levels. In contrast, black segregation levels decreased in 88% of metropolitan areas. Multiethnic metropolitan area context is shown to be important for internal segregation dynamics. Black segregation levels are lower, and were more likely to decline in multiethnic metropolitan areas and when other minority groups grew faster than blacks. Latino segregation was also more likely to decline in such areas, and declines in both Latino and Asian segregation were greater when other minority groups were growing. These findings point up the potential for greater mixed-race and mixed-ethnicity coresidence in the neighborhoods of multiethnic metropolitan areas.

Adult↗

Plasminogen activator inhibitor (PAI-1) and non-insulin-dependent diabetes in Pima Indians, south Asians and Europeans. Populations at varying risk of NIDDM and coronary artery disease.

Activity of plasminogen activator inhibitor-1 (PAI-1), a potent inhibitor of fibrinolysis, is raised in non-insulin-dependent diabetes mellitus (NIDDM) and may contribute to excess macrovascular disease. We investigated the association of PAI-1 activity with NIDDM in Pima Indians, a racial group with low risk of coronary artery disease, but in whom the impact of NIDDM on the occurrence of coronary artery disease is similar to other racial groups. We studied 308 (136 non-diabetic, 172 diabetic) Pima Indians from Arizona, and 138 (98 non-diabetic, 40 diabetic) South Asians and 129 (80 non-diabetic, 49 diabetic) Europeans living in North London. PAI-1 activity was measured by a spectrophotometric assay, and insulin, intact proinsulin and des 31,32 proinsulin concentrations were measured employing highly specific monoclonal antibody-based assays. Compared with non-diabetic subjects, PAI-1 activity was significantly higher in subjects with NIDDM among South Asians (22.8 +/- 7.3 vs. 17.4 +/- 6.9 AU/ml, p < 0.001) and Europeans (23.1 +/- 6.6 vs. 16.5 +/- 6.1 AU/ml, p < 0.001) but not among Pima Indians (19.5 +/- 9.6 vs. 18.5 +/- 8.6 AU/ml, ns). The association of PAI-1 activity with diabetes remained statistically significant when controlled for age, sex, body mass index and waist-hip ratio, serum triglyceride and fasting insulin concentrations in South Asians (p < 0.001) and Europeans (p < 0.001). The relationships of PAI-1 activity with clinical and biochemical variables were similar in the three racial groups other than for fasting and 2 h plasma glucose concentrations which were significantly associated with PAI-1 activity in South Asians (partial r = 0.32 and 0.31) and Europeans (partial r = 0.44 and 0.50) but not in Pima Indians (partial r = 0.11 and 0.15). In Pima Indians with NIDDM, PAI-1 activity was similar in those treated with sulphonylureas, insulin, or no drugs for diabetes. In conclusion, the association of PAI-1 with diabetes differs in racial groups who are at different risk of NIDDM and ischaemic heart disease. Previously reported differences in the prevalence of ischaemic heart disease between diabetic and non-diabetic Pima Indians, and between non-diabetic subjects from the three racial groups, are unlikely to be due to differences in PAI-1 activity.

Adult↗

The collectivistic nature of ethnic identity development among Asian-American college students.

Current theories of ethnic identity oversimplify the development process by failing to recognize the malleability of identity within its social context, a conceptualization of self that is particularly relevant for Asian-Americans. Further, these theories tend to view identity in static, deterministic terms, despite social psychology data suggesting that identity is a dynamic ongoing process. Data were analyzed from a sample of 87 Asian-American undergraduates, using the Ethnic Identity Development Exercise (EIDE). While many theories suggest that ethnic identity development is predominantly an internal, intro-psychic process, our data indicate that Asian-Americans are largely influenced by relationships and external forces. In addition, the avoidance of shame was found to be a strong motivating factor in determining their ethnic identification. Thus, ethnic identification theories must acknowledge the malleable and collectivistic nature of ethnic identity development among Asian-Americans. Three theoretical frameworks of research on ethnic identity are reviewed and summarized: identity formation, social identity, and acculturation.

Acculturation↗

Cardiovascular risk factors among Asian Americans.

MANY ASIANS HAVE RECENTLY IMMIGRATED to the United States, but there have been few studies of cardiovascular risk factors in these groups. Researchers analyzed data from 13,031 people who described themselves as Chinese, Filipino, Japanese, and other Asians, and used regression analyses controlled for age, alcohol use, education, and marital status. Adjusted mean body mass index and smoking prevalence were lowest in Chinese men and women. Adjusted total cholesterol levels were highest in Japanese men and women. Hypertension prevalence was highest in Filipino men and women. Comparisons of Asians born outside the United States with those U.S.-born showed 1) no major cholesterol differences; 2) higher body mass index in U.S.-born men, but not in women of most races; 3) more hypertension only in U.S.-born Chinese men; and 4) a lower smoking prevalence in U.S.-born men but generally higher smoking prevalence in U.S.-born women. These data show important ethnic differences in cardiovascular risk factors among Asian Americans and have implications for targeting public health efforts.

Adult↗

Asian or Pacific Islander mortality, selected states, 1992.

OBJECTIVES: In this report the National Center for Health Statistics (NCHS) presents mortality data in greater race detail than has previously been presented for the Asian or Pacific Islander (API) population. METHODS: Deaths, estimated death rates, age-adjusted death rates, exploratory life expectancies, and ranking of leading causes are presented for a selected area. RESULTS: In 1992 a total of 19,478 deaths occurred in the Asian or Pacific Islander population in the seven States examined in this report. Heart disease and cancer were the two leading causes of death for each of the Asian or Pacific Islander subgroups. By age there is striking variation in leading causes among the race groups. Among the API subgroups in these States, age-adjusted death rates are greatest for the Samoan and Hawaiian populations and smallest for the Asian Indian, Korean, and Japanese populations. Life expectancy is lowest for the Hawaiian and Samoan populations.

Adolescent↗

Epidemiologic paradox in multiple births among Asians in Illinois. Correlation between risk factors and outcomes.

OBJECTIVE: To determine if the plural birth rate, maternal risk factors and neonatal outcomes among Asian American populations residing in Illinois are homogeneous or heterogeneous with regard to maternal risk factors and neonatal outcomes and to attempt to establish correlations between maternal risk factors and neonatal outcomes. STUDY DESIGN: A total of 1,145,962 computerized birth certificate files were analyzed for 11 Asian subgroups giving birth in Illinois in the years 1989-1994. RESULTS: The multiple birth rates varied between 6 per 1,000 (Vietnamese) to 15 per 1,000 (Cambodian) (heterogeneity among all groups, P < .005). The percent of neonates born at gestational ages 22-33 weeks varied between 0 (Cambodian) to 28 (Thai). Japanese women showed the highest rate of neonates with birth weight less than 2,500 g after adjustment for race: 15.38 per 1,000. Women from Cambodia and Laos had the highest sum of maternal risk factors; those from the Philippines and Thailand had the least. The lowest collective adverse neonatal outcomes were in infants born to women from Cambodia and Laos. CONCLUSION: The 11 subgroups of Asians living in Illinois demonstrate heterogeneity with respect to multiple birth rate, selected maternal risk factors and adverse neonatal outcomes. After considering all maternal risk factors and neonatal outcomes, the two groups (Cambodians and Laotians) with the poorest maternal risk factors had the lowest rate of poor neonatal outcomes. This is the first time that this epidemiologic paradox has been observed in twins of Asian ancestry.

Adolescent↗

Attitudes toward counseling among Asian Indians in the United States.

Research suggests that Asian Indian immigrants do not consider counseling as an option for problem resolution. This study examined attitudes toward counseling among 101 Asian Indians and predicted that Asian Indian immigrants would espouse negative attitudes toward counseling and thus dismiss counseling as a coping strategy, whereas second-generation immigrants would have more positive opinions. Perceived prestige, pride, and privacy were factors predicted to positively correlate with negative attitudes. Results from an attitude survey created by the authors suggest that Asian Indians reported more neutral or fairly positive attitudes toward counseling than were expected. Individuals who immigrated before 10 years of age responded with more positive attitudes to counseling than did those who immigrated at a later age.

Adolescent↗

Risk factors for coronary artery disease and levels of lipoprotein(a) and fat-soluble antioxidant vitamins in Asian Indians of USA.

High rates of coronary artery disease have been reported in the Asian Indians who have migrated to other countries. Although many coronary artery disease risk factors (diabetes, high serum cholesterol, lipoprotein[a], and smoking) have been suggested, studies of coronary artery disease risk factors in Asian Indians living in USA are only a few. We investigated coronary artery disease risk factors in 110 Asian Indian physicians living in USA by questionnaire and measurement of their serum lipids and fat-soluble antioxidant vitamins. Differences in risk factors between genders, vegetarian diets and diabetic status were also studied. We found that lipoprotein(a) (mean=20 mg/dl), low density lipoprotein cholesterol, and diabetes (prevalence of 7.5%) are more important risk factors for coronary artery disease, but not smoking, when compared to other Americans. Higher levels of low density lipoprotein cholesterol, retinol, alpha-tocopherol, cryptoxanthin and lycopene, and lower levels of high density lipoprotein cholesterol were found in the males than in females. Comparable levels of lipoprotein(a) were found for males and females. Vegetarians, compared to non-vegetarians, had similar levels of lipids and fat-soluble antioxidants. Lower levels of retinol, lutein/zeaxanthin and lycopene were found in the diabetics compared to non-diabetics. These findings suggest that (1) the control of low density/high density lipoprotein cholesterol levels could be important in prevention of coronary artery disease in Indian males, (2) the vegetarian diets of Asian Indians do not favourably influence the serum lipid and antioxidant levels, and (3) increased serum levels of antioxidants may be beneficial for diabetics. Furthermore, for the first time, we show that serum levels of lutein/zeaxanthin and lycopene are significantly lower in the diabetics.

Adult↗

Evidence from facial morphology for similarity of Asian and African representatives of Homo erectus.

It has been argued that Homo erectus is a species confined to Asia. Specialized characters displayed by the Indonesian and Chinese skulls are said to be absent in material from eastern Africa, and individuals from Koobi Fora and Nariokotome are now referred by some workers to H. ergaster. This second species is held to be the ancestor from which later human populations are derived. The claim for two taxa is evaluated here with special reference to the facial skeleton. Asian fossils examined include Sangiran 4 and Sangiran 17, several of the Ngandong crania, Gongwangling, and of course the material from Zhoukoudian described by Weidenreich ([1943] Palaeontol. Sin. [New Ser. D] 10:1-484). African specimens compared are KNM-ER 3733 and KNM-ER 3883 from Koobi Fora and KNM-WT 15000 from Nariokotome. Hominid 9 from Olduvai is useful only insofar as the brows and interorbital pillar are preserved. Neither detailed anatomical comparisons nor measurements bring to light any consistent patterns in facial morphology which set the African hominids apart from Asian H. erectus. Faces of the African individuals do tend to be high and less broad across the orbits. Both of the Koobi Fora crania but not KNM-WT 15000 have nasal bones that are narrow superiorly, while the piriform aperture is relatively wide. In many other characters, including contour of the supraorbital torus, glabellar prominence, nasal bridge dimensions, internasal keeling, anatomy of the nasal sill and floor, development of the canine jugum, orientation of the zygomaticoalveolar pillar, rounding of the anterolateral surface of the cheek, formation of a malar tubercle, and palatal rugosity, there is variation among individuals from localities within the major geographic provinces. Here it is not possible to identify features that are unique to either the Asian or African assemblages. Additional traits such as a forward sloping "crista nasalis," presence of a "sulcus maxillaris," a high (and massive) cheek coupled with some flexion of the malar pillar, and a posterior position for the incisive canal are present in all groups. These characters seem to be plesiomorphic, in comparison to the derived states evolved in later humans. Much or all of the variation in facial form can be attributed to sex dimorphism and/or local differentiation of populations within the Asian and African geographic regions. Metric differences among the fossils are comparable to those documented in a subset of recent H. sapiens, and there is no evidence that the Pleistocene specimens show greater dispersion than expected within a single species. This finding is generally in keeping with observations made on other parts of the cranium, lower jaw, and teeth. All of the hominids can be placed in H. erectus. Although its phylogenetic origins remain obscure, this lineage must be rooted in Africa. The species flourished for a long time. At several sites in China, H. erectus is known from deposits of the later Middle Pleistocene, while at Ngandong in Indonesia, archaic people may have survived even into the Late Pleistocene (Swisher et al. [1996] Science 274:1870-1874). The Ngandong fossils may record the last appearance of the lineage.

Africa↗

Eating attitudes among Asian schoolgirls: the role of perceived parental control.

Asian girls living in the United Kingdom have more unhealthy eating attitudes than Caucasian girls. It has been suggested that this difference may be due to "cultural conflicts," but that term needs to be operationalized by determining the underlying practical and psychological mechanisms. This study examines the role of perceived parental control as a potential mediating factor between cultural issues and eating psychopathology among schoolgirls. Asian girls had a greater level of bulimic attitudes than Caucasian girls, but a significant part of this difference was due to the Asian girls' greater levels of perceived maternal control. Perceived paternal control also masked an underlying tendency for the Caucasian girls to be more dissatisfied with their bodies than the Asian girls. Further research on ethnic issues and their relationship to clinical interventions is discussed.

Adolescent↗

Developmental role of perceived parental control in the eating psychopathology of Asian and Caucasian schoolgirls.

It has been suggested that the relatively high levels of eating psychopathology among Asian schoolgirls living in the United Kingdom are due to "culture clash," but this construct needs further definition. A recent study has shown that perceived control by family members is important in determining the relatively unhealthy eating attitudes of Asian adolescents. However, that study focused on older adolescents (aged 14-15 years). The present study examines the development of that effect in a sample of Asian and Caucasian adolescent girls with a broader range of ages (aged 12-16 years). Again, the unhealthy eating attitudes of Asian girls were partly explained by their high levels of perceived maternal control. However, this effect was particularly strong among the older girls, suggesting a developmental trend through adolescence. There might be clinical benefits of addressing perceived or actual maternal control in these girls.

Adolescent↗

Western versus Asian types of multiple sclerosis: immunogenetically and clinically distinct disorders.

The polymorphism of HLA-DRB1, -DRB3, and -DRB5 genes as well as magnetic resonance images of the brain and spinal cord were studied in 57 Japanese patients with multiple sclerosis (MS). Twenty-three patients clinically displayed selective involvement of the optic nerve and spinal cord and were classified as having Asian-type MS. The other 34 patients had disseminated central nervous system involvement and were classified as having Western-type MS. Patients with Asian-type MS had fewer brain lesions shown by magnetic resonance imaging, but more gadolinium-enhanced spinal cord lesions than did patients with Western-type MS (47% vs 17%). Furthermore, the DR2-associated DRB1*1501 allele and DRB5*0101 allele were associated with Western-type MS (41.2%), but not with either Asian-type MS (0%) or healthy control subjects (14.2%). Heterogeneity in the immunogenetic background and in the magnetic resonance imaging features between the two subtypes of MS thus suggests the presence of two etiologically distinct diseases in Asians.

Alleles↗