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Chinese enclave protections among married Chinese American women: exploratory secondary analysis of colon cancer survival.

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Title: Chinese enclave protections among married Chinese American women: exploratory secondary analysis of colon cancer survival.
Authors: Kcomt, Luisa, Gorey, Kevin M.
Source: Ethnicity & Health. Nov2020, Vol. 25 Issue 8, p1089-1102. 14p. 3 Charts.
Subjects: Colon tumor prevention, Colon tumors, Confidence intervals, Longitudinal method, Research funding, Sex distribution, Women's health, Secondary analysis, Socioeconomic factors, Patient Protection & Affordable Care Act, Descriptive statistics
Geographic Terms: California
Abstract: Objective: Like the barrio advantage theory related to Mexican Americans, a theory about the protective effects of Chinese American enclaves is developing. Such protections were examined among socioeconomically vulnerable people with colon cancer. Design: A colon cancer cohort established in California between 1995 and 2000, and followed until the enactment of the Affordable Care Act was utilized in this study. Secondary analysis was conducted on the 5-year survival among 127 Chinese Americans and 4524 other Americans (3810 non-Hispanic white and 714 Hispanic people). A third of the original cohort was selected from high poverty neighborhoods. Chinese American enclaves were neighborhoods where typically 25% or more of the residents were Chinese Americans. Effects were tested with Cox regressions and group differences described with age and stage-standardized survival rate ratios (RR). Results: Though they were less adequately insured, Chinese American women residing in Chinese American enclaves (63%) were more likely to survive than were other Americans (50%, RR = 1.26). The protective effect of being married was also larger for Chinese Americans (RR = 1.31) than for others (RR = 1.17). Chinese American women (61%) were more likely than men (46%) to live in such enclaves and a large enclave survival advantage was observed among Chinese American women only (RR = 1.59). Conclusions: There is consistent evidence of the relatively protected status of Chinese American women, particularly those who were married and resided in Chinese American enclaves. Mechanisms that explain their apparent advantages are not yet well understood, though relatively large, kin-based social networks seem instrumental. Research on the influence of social networks as well as the possible effects of acculturation is needed. This study also exposed structural inequities related to the institutions of marriage, health care and communities that disadvantage others. Policy makers ought to be aware of them as future reforms of American health care are considered. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Chinese enclave protections among married Chinese American women: exploratory secondary analysis of colon cancer survival.
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  Data: <searchLink fieldCode="AR" term="%22Kcomt%2C+Luisa%22">Kcomt, Luisa</searchLink><br /><searchLink fieldCode="AR" term="%22Gorey%2C+Kevin+M%2E%22">Gorey, Kevin M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. Nov2020, Vol. 25 Issue 8, p1089-1102. 14p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Colon+tumor+prevention%22">Colon tumor prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Colon+tumors%22">Colon tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+Protection+%26+Affordable+Care+Act%22">Patient Protection & Affordable Care Act</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22California%22">California</searchLink>
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  Label: Abstract
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  Data: Objective: Like the barrio advantage theory related to Mexican Americans, a theory about the protective effects of Chinese American enclaves is developing. Such protections were examined among socioeconomically vulnerable people with colon cancer. Design: A colon cancer cohort established in California between 1995 and 2000, and followed until the enactment of the Affordable Care Act was utilized in this study. Secondary analysis was conducted on the 5-year survival among 127 Chinese Americans and 4524 other Americans (3810 non-Hispanic white and 714 Hispanic people). A third of the original cohort was selected from high poverty neighborhoods. Chinese American enclaves were neighborhoods where typically 25% or more of the residents were Chinese Americans. Effects were tested with Cox regressions and group differences described with age and stage-standardized survival rate ratios (RR). Results: Though they were less adequately insured, Chinese American women residing in Chinese American enclaves (63%) were more likely to survive than were other Americans (50%, RR = 1.26). The protective effect of being married was also larger for Chinese Americans (RR = 1.31) than for others (RR = 1.17). Chinese American women (61%) were more likely than men (46%) to live in such enclaves and a large enclave survival advantage was observed among Chinese American women only (RR = 1.59). Conclusions: There is consistent evidence of the relatively protected status of Chinese American women, particularly those who were married and resided in Chinese American enclaves. Mechanisms that explain their apparent advantages are not yet well understood, though relatively large, kin-based social networks seem instrumental. Research on the influence of social networks as well as the possible effects of acculturation is needed. This study also exposed structural inequities related to the institutions of marriage, health care and communities that disadvantage others. Policy makers ought to be aware of them as future reforms of American health care are considered. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2018.1493432
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 1089
    Subjects:
      – SubjectFull: Colon tumor prevention
        Type: general
      – SubjectFull: Colon tumors
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Patient Protection & Affordable Care Act
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: California
        Type: general
    Titles:
      – TitleFull: Chinese enclave protections among married Chinese American women: exploratory secondary analysis of colon cancer survival.
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            NameFull: Kcomt, Luisa
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            NameFull: Gorey, Kevin M.
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              Text: Nov2020
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              Y: 2020
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