Hard-To-Reach Beneficiary Project: Asian Americans And .
Hard-To-Reach Beneficiary Project:Asian Americans and PacificIslandersAugust 4, 2016SHIP/SMP ConferenceMilwaukee, WisconsinAshley Muraoka-Mamaclay, MURPDirector of Outreach and Education
National Asian Pacific Center on AgingOur MissionNAPCA’s mission is to preserve and promote thedignity, well-being, and quality of life of AsianAmericans and Pacific Islanders (AAPIs) as theyage.Our VisionA society in which all AAPIs age with dignity andwell-being.www.napca.org
NAPCA serves AAPI elders throughvarious programs and initiatives Senior Community ServiceEmployment Program(SCSEP) National toll-freemultilingual Helpline Senior EnvironmentEmployment (SEE) AAPI Aging NationalResource Center Agriculture ConservationExperienced Services(ACES) AAPI SMP/SHIP TechnicalAssistance Project
SMP/SHIP Technical AssistanceProject: Overview Provide technical assistance and training toSHIP and SMP grantees for limited Englishproficient AAPI Medicare beneficiaries. Development of in-language Outreach andEducation materials. Development of an AAPI Toolkit to provideSHIP/SMP grantees with best practices andstrategies for working with our AAPIpopulation
Quick Overview of Asian Americanand Pacific Islander TrendsDefining Asian Americans and Pacific Islanders
Asian Americans and PacificIslanders A person with origins inany of the peoples of theFar East, Southeast Asia,Indian subcontinent orPacific Islands. The most diverse groupof any other minoritygroup. Over 30 countries andspeak over 100languages.
Growth of 60 AAPI Compared to other races, AAPI older populationincreased significantly. The Growth of 60 from 2000 to 2010 Asian American: 76%Native Hawaiian/Pacific Islander: 60%Black American: 30%Hispanic American: 65%Non-Hispanic White American: 19% Between 2010 and 2030, the AAPI older adultpopulation are projected to increase by 145%
AAPI Population Density of 60 (2006)
AAPI Population Density of 60 (2013)
Limited English Proficient AAPI Individuals who do not speak English astheir primary language and who have alimited ability to read, write, speak orunderstand English, may be limitedEnglish proficient. A person’s self-assessed ability to speakEnglish less than “Very Well”.
VIETNAMESETONGANTHAITAIWANESESRI LANKANSAMOANPAKISTANIOKINAWANNEPALESENATIVE ESEBANGLADESHIASIAN INDIANNHPIASIAN AMERICANAMERICAN INDIAN15.44%2.94%AFRICAN AMERICANHISPANIC2.45%8.07%WHITETOTAL POPULATIONLimited English Proficiency (LEP)of Older Adults (65 )
Poverty Ratesfor OlderAdults (65 ) Overall AAPI showlower levels ofpoverty, but whenthe data isdisaggregated,there are certainAAPI ethnicitieswho are greatlyabove thenational average. Income levelcharts show verysimilar data.Total PopulationWhiteAfrican AmericanHispanicAmerican IndianAsian AmericanNHPIAsian sianNative 10%19.30%
EducationalAttainment Disaggregated datashows .Lowest Bachelor’sDegree Attainment Micronesian(9.6%) Native Hawaiian(10.1%) Samoan (11.10%) Hmong (11.6%) Highest Rate of “Lessthan High School” Burmese (52.2%) Nepalese andCambodian (31%) Hmong andLaotian (28%)19%Total Population13%21%White8% 28%12%African American32%16%10%Hispanic27%9%American Indians21%Asian Americans10%10%High 0%40%Less Than High School
69.6%58.4%86.7%73.8%70.9%66.5%Immigration – Foreign Born Percentages
Health Disparities Breast cancer Outweighs heart disease as the leading cause of death for AAPI women Lung/Bronchial cancer Leading cause of death of Asian American men Colorectal cancer Lowest rates of colorectal cancer screening in Vietnamese Americans. Hepatitis C & Liver cancer 50% of the individuals afflicted with chronic Hepatitis B are AAPI 80% of Hepatitis B cases result in liver cancer Diabetes AAPIs who are overweight are at an increased risk Filipino and Japanese Americans are twice as likely to have diabetes. Native Hawaiians are four times as likely to have diabetes – three timesmore for women than men.
Barriers to Accessing Services Limited English Proficiency Cultural beliefs influencing help-seekingbehavior Historical or Immigration trauma (ie. Fear oruntrustworthy of Government) Lack of accessible and available information Lack of transportation
What We’ve DoneSo far
National Survey of SMP and SHIPGrantees – Key Highlights Responses from 39 states and U.S. territories. The most prevalent AAPI sub-populations were,Chinese, Vietnamese, and Korean. Filipino and Japanese followed closely behind. The respondents were most confident withproviding culturally competent and linguisticallyappropriate services. The respondents were least confident withrecruiting AAPI bilingual/bi-cultural volunteersand expanding outreach services to AAPIpopulations.
Cultural Competency WebinarSeries Conducted a three-part webinar seriesbetween June and August. “Defining and Identifying AAPI Populations” “Understanding AAPI Older Adult’s UniqueNeeds and Vulnerabilities” “Equipping Grantees with Ideas andStrategies about How to Better Reach andEngage these Populations”
What We’re Working onRight now
In-Language Outreach andEducation Materials Three outreach/education materials in 10different AAPI languages. “Help Stop Fraud” “Protect Yourself from Medicare Fraud” “Medicare Summary Notice” Cambodian, Chinese, Hmong, Ilocano,Korean, Laotian, Samoan, Tagalog, Tongan,and Vietnamese.
Nationwide Focus Groups Partnering with the Pacific Gateway Centerand Southeast Asian Resource ActionCenter. Conducting focus groups in the same 10languages.1. Quality control for translated materials2. Recruitment and retention strategies3. Other strategies for engaging AAPI Identifying and reporting fraud Medicare benefits
What’s to Come! AAPI Toolkit for SMP and SHIP Grantees Comprehensive publication that will documentbest practices and strategies on how to betterreach and engage LEP AAPI older adults. The National Resource Center on AAPIAging It will incorporate AAPI specific resources onfour issue areas: Long Term Services and SupportsElder JusticeCaregivingAlzheimer’s Disease and Related Dementias
How NAPCA can help! Provide your program with technicalassistance on how to better serve the AAPIin your service area. Assist in the development of yourState/Service Area AAPI data profiles. A number of Resources on our websitewww.napca.org. Something missing, just contact us and we canwork on finding that information for YOU!
Fa'afetaiMahaloTHANK YOU!Mālō
Contact InformationAshley Muraoka-Mamaclay, MURPDirector of Outreach and Educationashley@napca.orgPlease feel free to contact me if you havequestions!
National Asian Pacific Center on Aging Our Mission NAPCA’s mission is to preserve and promote the dignity, well-being, and quality of life of Asian Americans and Pacific Islanders (AAPIs) as they age. Our Vision A society in which all AAPIs age with dignity and well-being. www.napca.org
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