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and a senior director of research and evaluation for the city hospital system’s Office of Population Health. When Asians are all lumped together, she said, “we don’t see those differences in socioeconomic status.”
Without disaggregation, Asian American hospitalization and death rates are lower than for whites.
Nadia Islam, another co-author and an associate professor at New York University Langone Health, said that Asian Americans have long been left out of conversations about disparities. “That’s why this analysis is so important, because it really does shed light that this is a significant population,” she said.
Even before this new data was released, South Asian American community leaders had long been concerned about the virus’ disparate impact. Sophia Qureshi, the interim executive director for South Asian Americans Leading Together, said that the advocacy group had been hearing about the challenges faced by South Asians across the country, from working-class communities in Chicago to agricultural and meatpacking workers in California’s Central Valley, and that the study had confirmed these accounts.
“Early on the pandemic, we were hearing from South Asian community based organizations in NYC that the pandemic was hitting them hard, and that that impact wasn’t reflected in the public information out there because of a lack of disaggregated data on Asian communities,” she said in a statement. “The recent findings from the NYC public hospital system affirmed what we had suspected based on interviews we did in those early months — that South Asians were being hit hard by the pandemic because of these vulnerabilities that are so rarely talked about.”
Islam said that she hopes such disaggregated data will help health care systems better target resources and reach out to Asian American subgroups. New York’s public hospital system, for example, is now translating more Covid-19 education materials into additional Asian languages, including Hindi, Mandarin and Cantonese.
The study didn’t disaggregate all Asian American subgroups, including Filipino Americans, another large subset of New York Asians whose presence in the medical field has made the community particularly at risk for Covid-19.
But getting data on any additional Asian subgroups is helpful, advocates say.
“Disaggregated data is absolutely critical,” said Juliet Choi, CEO of the Asian & Pacific Islander American Health Forum, a health advocacy organization. “For the Asian American, Native Hawaiian, Pacific Islander community, we represent over 50 different countries and we speak more than 100 different languages. So to really understand both the wellness — or the lack of wellness — experienced by our communities, we need that disaggregated data.”
Jeffrey B. Caballero, executive director of the Association of Asian Pacific Community Health Organizations, said that without further disaggregation, some Asian subgroups will continue to be invisible, particularly Native Hawaiian and other Pacific Islander communities.
“I hope Covid teaches us all a lesson about how communities that are left out might be untreated, and how we might never be able to get over Covid if we leave people out from vaccination programs and screening programs,” Caballero said.
While South Asians, Chinese and Filipinos comprise a majority of the Asian American population, more studies are still needed to understand the pandemic’s impact on smaller Asian American subgroups, Arnab Mukherjea, an associate professor of health sciences at California State University, East Bay, said.
“We are likely missing comparable or greater disparities in the Covid outcomes studies among Vietnamese, Korean and Japanese populations, as well as Southeast Asian communities,” Mukherjea said.
And while the study’s methodology of disaggregating by analyzing surnames is common, it also “underscores the need for standard and uniform data collection which separates out large Asian American subgroups,” he said.
Source: | This article originally belongs to Nbcnews.com
