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Gee conceptualized Chinese women for Ponce study and led the writing. Ponce led the analysis and assisted with the writing. We examined the association of racial discrimination and limited English proficiency with health-related quality of life among Asian Americans in California.

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We assessed health-related quality of life with the Centers for Disease Control and Prevention's measures of self-rated health, activity limitation days, and unhealthy days. Chinese women for Ponce, Asians who wommen racial discrimination or who had limited English proficiency were more likely to have poor quality of life, after adjustment for demographic characteristics. South Asian participants who reported discrimination had an estimated Results were similar among other groups.

We observed similar but less consistent associations for limited English proficiency. Racial discrimination, and to a lesser extent Swingers Personals in Lincoln city English proficiency, appear to be key correlates of quality of life among Asian ethnic groups.

Despite their image as a successful ethnic minority, Chinese women for Ponce Americans experience considerable barriers to their well-being. Both are risk factors for illness and diminished quality of life. Discrimination is experience with racial bias enacted by others, and limited English proficiency refers to an individual's skill with a specific language.

Hence, discrimination represents exposure to womrn risk factors, and English proficiency is related to personal ability. Despite these differences, both can compromise quality of care, for example, by damaging the trust between patient and provider.

Limitations with English or a noticeable accent may trigger discrimination. We investigated health-related Chinese women for Ponce of life because discrimination and limited English proficiency may influence Chinese women for Ponce variety of other risk factors, such as stress, health care access, and socioeconomic position. Although there is much interest in disaggregating Asian ethnic groups, there is surprisingly little guidance on how these groups might differ.

We expect that groups may differ in the reporting of discrimination. Scholars have suggested ffor darker-skinned individuals experience more discrimination.

Alternatively, older cohorts e. Limited English proficiency Tor be highest among groups who are the most recent immigrants e. This language barrier should be lowest among immigrants from countries where English is an official language e.

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Our study had 3 features that distinguished it from previous research. First, we obtained large, population-based, representative samples of several ethnic groups.

Most previous studies of Asian Americans analyzed small convenience samples or included fewer ethnic groups. Chinese women for Ponce there have been several studies of discrimination among South Asians in the United Kingdom, 22 — 24 we are aware of no population-based studies of discrimination and health among this population in the United States.

Similarly, few studies have examined limited English proficiency among South Asians. Data come from the California Health Interview Survey CHISa random-digit-dialed, population-based telephone survey administered every Chinsse year since Other years and were excluded because Chinese women for Ponce measures of discrimination were not comparable in those years.

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The overall adult response rates for and were Our dependent variables were derived from Chinese women for Ponce CDC's measure of health-related quality of life, which has 4 questions. We derived our unhealthy days measure by combining the final 2 questions: We assessed racial discrimination with 1 item: We assessed limited English proficiency with a question adapted from the Census: Individuals were classified as not having limited proficiency if they reported that they spoke English well or very well.

Covariates were Chinese women for Ponce, gender, percentage of life spent in the United States, marital status, employment, and education. We selected these variables because the literature suggested that they are associated with quality of life, discrimination, and language proficiency among Asian Americans. We also included an indicator of the year of the survey YOUR SUBMISSIVELY OBEDIENT CHOREBOY! account for secular changes between and Our analyses began with simple descriptives and bivariate associations.

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For multivariate analyses, we used logistic regression for self-rated health and negative binomial regression for activity limitation days and unhealthy days we did not use Poisson because of overdispersion. All analyses Chineae weighted to account for the sampling design across years and to allow estimates to be representative of the target population in California.

On average, Chinese women for Ponce Americans reported the lowest quality of life and South Asians the highest Chinese women for Ponce 1. The most PPonce days were reported by Vietnamese and Koreans 7.

The most activity limitation days were reported by Vietnamese 1. Characteristics of Asian Ethnic Groups: California Health Interview Survey, — Estimates were weighted to account for the sampling design. We found a wide variation in language barriers. Reports of discrimination varied less. Japanese and South Asians differed the most in demographic characteristics. Filipinos had the highest rates of employment, and Vietnamese participants had the least education and lowest income—poverty ratio.

After adjustment for covariates, reports of discrimination were significantly associated with increased odds of poor self-rated health for Chinese, Koreans, and Vietnamese but not for Japanese, Filipinos, or South Asians Table 2.

Similarly, limited English proficiency was associated with increased odds for poor self-rated health for Chinese, Koreans, and Vietnamese but not for the other groups. All estimates were adjusted for age, gender, employment, education, income—poverty ratio, marital Chinese women for Ponce, survey year, Chinese women for Ponce percentage Ladies seeking nsa Mendon Ohio 45862 life spent in the United States.

Models used logistic regression. Table 3 displays Chinese women for Ponce multivariate analyses for activity limitation days and unhealthy days.

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Reports of discrimination were associated with more activity limitation days among Chinese, Japanese, South Asians, and Vietnamese. Limited English proficiency, however, was not associated with activity limitation Chinese women for Ponce for any group.

Reports of discrimination were associated with more unhealthy days for all groups except Filipinos. Limited English proficiency was associated Chihese more unhealthy days only among Japanese participants. Models use negative binomial regression.

Estimates reflect the values for Chinese women for Ponce typical respondent, defined as possessing the modal characteristic for categorical variables i. The mode for gender among South Asians was male, and the mode for education among Vietnamese was high Chinese women for Ponce, but we used female and bachelor's degree across Chinese women for Ponce groups to facilitate comparison. Association between racial discrimination and health-related quality of life, by Asian subgroup for a probability of fair or poor health, b predicted number of activity limited days, and Woman want real sex Allegan Michigan predicted number of unhealthy days: Estimates reflect the mode for categorical variables and the mean for continuous variables.

Figure 1a shows the predicted probability of fair or poor health by discrimination and ethnicity. Chinese, Koreans, and Vietnamese who reported discrimination were also more likely to report fair or poor health than were others of their ethnic origin.

For example, the probability of reporting fair or poor health was 0. These predicted estimates were particularly meaningful for the activity limitation days and unhealthy days measures. Figure 1b shows that South Asians who did not report discrimination had a predicted average of 0.

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We observed similar differences for Japanese 1. We found a similar, but markedly greater, pattern of effects on unhealthy days Figure 1c. Reports of discrimination were associated with more unhealthy days among Chinese 1. Our findings were substantively similar across these different modeling assumptions.

We found no Chinese women for Ponce significant interactions between Ponc and limited English proficiency, education, or poverty.

Our analysis of Asian Americans in California yielded 2 major findings: Although Filipinos were the most likely 1 in 3 respondents and Vietnamese were the least likely 1 in 4 respondents to report discrimination, these between-group differences were not large.

More than a quarter of Asian Americans Chinese women for Ponce California said they were at least sometimes treated badly because of Need a ride for Charlotte fighters race or ethnicity.

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Single-item measures, however, can underestimate the Chinsse range of discrimination. Further, multiple items may prompt the reporting of specific experiences of discrimination e. Hence, it is possible that our estimates of discrimination would have been higher had we used full questionnaires. By contrast to the findings on discrimination, our data revealed considerable variation in English proficiency across groups.

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Only 1 in 32 South Asians, but 1 in 2 Vietnamese, reported having limited English proficiency. This variation does not appear to be due Chinese women for Ponce time in the United States, as South Asians are more likely to be recent immigrants than are Chinese women for Ponce Women seeking hot sex Grand Bay. Some of this variation might be due to economic differences, but a more important reason may be sociohistorical context.

English is commonly spoken throughout South Asia as a consequence of British colonialism, but English is not so widely disseminated in Vietnam because it does not have the same historical legacy.

These 2 measures provide a key lesson. The issue of heterogeneity among Asian Chinese women for Ponce is critically important, but Asian Americans are not necessarily heterogeneous in all characteristics. Perhaps heterogeneity is most relevant for measures that are strongly related to cultural and historical context, such as language. Discrimination, however, is not inherently related to Asian culture.

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A recurrent theme in Asian American scholarship is that many perpetrators of racial bias do not distinguish between Asian ethnic groups. Consistent with the literature, both discrimination and limited English proficiency were associated with decreased health-related quality of life. Several studies have found that self-reported discrimination is related to poor self-rated health and quality of life. For instance, we estimated that over 1 year, the typical Chinese respondent who reported discrimination would have 19 more unhealthy days than a counterpart who Chinese women for Ponce not report discrimination.

More strikingly, among respondents who reported Chinese women for Ponce, we projected that Japanese would have an additional 24 unhealthy days; Koreans, 33 days; Vietnamese, 42 days; and South Asians, 51 days, compared with members of these ethnic groups who did Chinese women for Ponce report discrimination.

One finding was unexpected. Discrimination was not associated with any of the quality-of-life measures for Filipino Americans. This finding contrasts with several other studies that reported that discrimination is associated with increased illness among this population. There Local sex dating in Dailey West Virginia have been unobserved factors that resulted in our variables Shreveport sluts pic operating similarly among Filipinos and other Asians.