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. 2015 Jul;105(Suppl 3):e16–e25. doi: 10.2105/AJPH.2015.302626

TABLE 2—

NYU Center for the Study of Asian American Health Strategies for Developing and Implementing a Population Health Equity Agenda Advancing Health Equities in Asian Americans in New York City

Key Themes CSAAH Strategies and Examples
Social determinants of health CSAAH’s research is based on CBPR principles and the role of social determinants and acculturation that affect the health of Asian American communities, who are primarily first- and second-generation immigrants.
Perform ongoing descriptive/longitudinal research to monitor changes in social factors and population health outcomes13 In 2004–2007, CSAAH conducts a first round of CHRNAs in the Cambodian, Chinese, Filipino, Korean, South Asian, and Vietnamese communities in NYC. Currently, a second round of assessments is being implemented in major and emerging subgroups.
A multisectoral (Health in All Policies) approach CSAAH conducts research, which is guided by multisectoral coalitions grounded in addressing social and health equity to ensure actionable, and policy-oriented outcomes.
Recognize the role of social determinants on social and health equity and incorporates health considerations into decision-making across sectors and policy areas to improve the health of all people14,15 CSAAH is committed to advancing the health of Asian American communities beyond the conduction of research and includes activities to raise awareness, to engage in outreach, and advocate for the implementation of strategies and policies.
Community engagement In 2007, CSAAH recruits and forms an NAC, comprising 20 national partners/experts representing multiple sectors serving Asian American constituencies, to inform and develop research priorities.
Develop community-based ethnic coalitions and pan-ethnic advisory groups by identifying/recruiting health and nonhealth organizations and stakeholders In 2011–2013, in partnership with the APIAHF, CSAAH co-leads the Strategies to Reach and Implement the Vision of Health Equity (STRIVE) program fostering community-driven initiatives.
Disaggregated data collection In 2007–2012, CSAAH’s National Center of Excellence in the Elimination of Hepatitis B Disparities (B Free CEED) program site is 1 of 28 Racial and Ethnic Approaches to Community Health across the US (REACH US) sites that worked with the CDC to survey an oversample of Asian Americans in NYC between the years 2009–2012.
Bridge information gaps by promoting equitable collection and reporting of data, such as through community health needs assessments to identify underserved population needs and to inform areas of health equity research16 In 2013, CSAAH and its community partners work with CDC and Westat to conduct targeted outreach for oversampling of Asian Americans in NYC for National Health and Nutrition Examination Survey data collection.
CSAAH continues ongoing partnerships with APIAHF, Project Coalition for Health Access to Reach Greater Equity and other local and national coalitions with activities related to promoting equitable policy efforts informed by culturally competent data.
Asset-based approaches and building human and social capital CSAAH CHWs help inform and tailor intervention programs to meet specific social, linguistic, and cultural needs and address health inequities among Asian American immigrant communities in NYC.
Integrate CHWs in program design and implementation and develop strategies that build on community assets and resources In 2003–2013, participants in hypertension management program led by CHWs in Filipino American community demonstrate significant decreases in systolic and diastolic blood pressure, and improvement of hypertension management, heart disease knowledge, exercise, and dietary behaviors (e.g., sodium and fat intake).
Implements health promotion and disease prevention strategies in partnership with trusted social service and faith-based organizations to reach underserved communities.
Linkages to access to care In 2014, Agency for Healthcare Research and Quality designates Project Asian American Partnerships in Research and Empowerment (AsPIRE) Health Innovations Model for CHW research in bridging access to care for vulnerable populations.
Partner with and disseminate information through community-based organizations and social service agencies In 2013–2014, in partnership with the Coalition for Asian American Children and Families, CSAAH receives a subcontract to train In-Person Assistors/Navigators for the NY State of Health Insurance marketplace, facilitating targeted enrollment—fielded 1000 calls; holds 170 in-person appointments; and enrolls more than 102 consumers in qualified health insurance programs.
Build sustainable shifts through internal structures Founded in 1973, CSAAH community partner, Korean Community Services of Metropolitan New York, Inc. establishes a Public Health and Research Center to promote access and community education in areas ranging from health advocacy, diabetes prevention, hepatitis B, tobacco control, and women’s health.
Strengthen community-based infrastructures through capacity-building activities and support efforts to inform health policy Founded in 2004, CSAAH leadership serve on board of directors and work closely with the Kalusugan Coalition, Inc., a multidisciplinary collaboration dedicated to improving the health of the Filipino American community in NY/NJ area through network/resource development, educational activities, research, community advocacy.
Since 2011, CSAAH leadership has served on various workgroups for the New York State Medicaid Redesign Team to identify community–clinical linkage strategies aimed to reduce health disparities and integrate social determinants of health perspective in improving quality and access to care. Such strategies include Medicaid reimbursement and financing models to support CHWs and peer facilitators employed in community settings and engaged in health promotion and disease prevention activities.

Note. APIAHF = Asian and Pacific Islander American Health Forum; CBPR = community-based participatory research; CDC = Centers for Disease Control and Prevention; CHRNAs = Community Health Resource and Needs Assessments; CHW = community health worker; CSAAH = Center for the Study of Asian American Health; NAC = National Advisory Committee; NYC = New York City; NYU = New York University.