National Asian Pacific American Families Against Substance Abuse

Abstract BackgroundVietnamese Americans are a large Asian American group in the U.S. and at high risk for health disparities, partially due to their limited English proficiency, low socioeconomic status, history of war and trauma, and a lack of culturally and linguistically appropriate care. As this relatively recent refugee population continues to age in the U.S., it is important to engage them in research around Alzheimer’s disease and related dementias (ADRD). Yet few studies have examined their perceptions of aging, dementia, and ADRD research participation. This qualitative study examined the perceptions of Vietnamese in Northern and Southern California, the state with the largest population of Vietnamese Americans in the U.S.MethodWe conducted three focus groups with a total of 20 Vietnamese individuals in both Vietnamese and English. The focus group guide assessed participants’ attitudes and experiences with research participation, perceptions of ADRD and aging, and insights into registry outreach and recruitment. There were nine women, and the mean age was 40 years, SD = 17.74 (range 18‐73). Participants consisted of key stakeholders including community leaders, ADRD caregivers, and community members.ResultSeveral themes emerged from the analyses, including (1) Motivations to participate in research to gain knowledge: (a) for oneself, (b) for family’s benefit, and (c) for the Vietnamese American community as a whole; (2) The necessity of trustworthy and credible individuals/spokespersons to promote the research initiative; (3) Recruitment strategies that are age‐specific and culturally appropriate, and (4) Importance of monetary incentives.ConclusionResults highlight key issues that are important to Vietnamese Americans’ participation in aging and dementia research. Practical implications of these results will be discussed.

This book provides a scholarly discussion of arguably the most important advance in U.S. public health services since Medicare 50 years ago - how the Federal program known as the Patient Care and Affordable Care Act of 2010 (ACA) or "Obamacare" became law. It addresses ACA in terms of its impact on improving health and behavioural health services for key diverse populations in America, including people with disabilities, consumers, women, racial and ethnic minorities, and veterans and their families. From the very beginning, ACA was controversial and the topic of heated political debate at both state and national levels. This book examines more closely how the legislation was developed, including the political history of the act; the many advocacy efforts at the national level and the community-based action strategies at the grassroots level; how ACA will affect a broad cross-section of America; the integration of health and behavioural health services as a key component of ACA; the financing of ACA and parity for behavioural health services. This book was originally published as a special issue of the Journal of Social Work in Disability & Rehabilitation.

This article provides an overview of the Asian and Pacific Islander (API) populations in the United States as it relates to developing targeted alcohol, tobacco, and other drug (ATOD) prevention media. Although APIs represent several ethnic subgroups, many API communities face the same risk factors including pressure on youth to achieve, immigration and acculturation stressors, shame and denial in addressing substance abuse, and racism and discrimination. The authors recommend that media prevention campaigns targeting API communities emphasize cultural and family strengths and the active involvement of parents. The article concludes with an introduction to eight API communities in the United States.