202066 A community-based participatory research approach to understanding racial and ethnic disparities among Chinese-Americans in Malden, MA

Monday, November 9, 2009: 1:30 PM

Shalini Tendulkar, ScD, ScM , Institute for Community Health, Cambridge, MA
Shwuling Jane , Hallmark Health VNA, Malden, MA
Eric Lee, BS , Healthy Environment Leadership Project, Cambridge, MA
Kevin Duffy , Healthy Malden, Inc, Malden, MA
Renée Cammarata, MSW, MPA , Cambridge Health Alliance, Malden, MA
Patrice Melvin , Boston Children's Hospital, Boston, MA
Sandra Williams, SM , Institute for Community Health, Cambridge Health Alliance, Cambridge, MA
Elisa Friedman, MS , Department of Community Affairs/Institute for Community Health, Cambridge Health Alliance, Cambridge, MA
According to the 2000 Census, 10 million US residents identified themselves as Asians and these numbers continue to rise. In the last decade, Malden, Massachusetts has witnessed a similar, dramatic population shift resulting from the influx of immigrants and as of the 2000 census, 14% of Malden's population identified as Asians. The dramatic change in the demographic make-up of Malden's residents in the past 12 years has resulted in a high percentage of families with unmet basic needs, including limited access to health care due to social, cultural, educational and economic barriers. The objective of this study was to use a community-based participatory research (CBPR) approach to gather qualitative and quantitative data on the health status, healthcare needs and community strengths of the Chinese community in Malden. In collaboration with a core group of community members and with the assistance of two bi-lingual community outreach workers, this project involved the review of existing data, interviews with community stakeholders and the collection of population survey data from a sample of over 130 Chinese Malden residents. Qualitative and quantitative data suggest that key health issues in this immigrant community include cultural and linguistic concerns that affect health care access as well as mental health concerns. Key community strengths identified include a close-knit community, linkages to religious institutions and a strong sense of culture. Preliminary data obtained from this project suggests that immigrant Chinese populations in Malden, MA experience many health concerns, particularly in regards to healthcare access that warrant further exploration.

Learning Objectives:
1. Discuss potential ways to use community-based participatory research methods and principals to collect data on health and healthcare disparities. 2. Describe the health status and healthcare needs of Chinese residents in Malden, MA.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am responsible for facilitating this project, providing leadership on methodology, instrument development, analysis and dissemination of results. I also have a doctorate of science in Public Health from the Harvard School of Public Health and extensive experience in qualitative and quantitative methodologies. I have also participated in numerous community-based participatory research projects and have gained skills which inform this work. Finally, I have presented at numerous previous APHA meetings and at other conferences, on a range of topics including health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.