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Past studies have shown wide variation in the obesity rates of Asian American ethnic subgroups. However, whether weight-related behaviors that occur during acculturation are associated with obesity disparities among Asian American ethnic subgroups is unknown. This study examines the differences in body mass index (BMI) across Asian American ethnic subgroups and assesses how acculturation and weight-related behaviors influence these differences. The linear regression models employed in this study use data pools from 2011 to 2014 released by the California Health Interview Survey (CHIS). The sample comprises 3,248 foreign-born Asian Americans aged 18–59 years. Asian Americans who spoke fluent English had significantly lower BMIs than those who spoke poor English, but English fluency did not explain body size disparities among Asian American ethnic subgroups. Filipino Americans had the highest average BMI (25.89 kg/m²) and obesity rate (53.12%), and they were particularly prone to engage in unhealthy weight-related behaviors, such as consuming fast food, drinking soda, and engaging in sedentary lifestyles. However, weight-related behaviors did not explain their high risk of obesity compared to other Asian American ethnic subgroups. The results underscore the potential for misinterpretation when pan-ethnic labels, such as Asian American, collapse the unique experiences of different immigrant origin groups. Future research may investigate whether other factors that affect the acculturation process, such as attitudes, self-identity, beliefs, or experiences with racism and discrimination, explain obesity disparities among Asian American ethnic subgroups.

Past studies have shown that acculturation has been linked with media consumption (Shi, 2005; Shohat & Stam, 1996). Some risky health behaviors are associated with immigrants’ acculturation into the American society. In this study, we investigate the association between Latino adolescents’ recreational use of media with acculturation as related to risky health behaviors such as the consumption of sugar-sweetened beverages, the experience of getting sunburns, smoking, and drinking alcohol.

Regression models were run to analyze the Latino adolescent subsample (aged 12–17) of the 2009 California Health Interview Survey (Ponce et al., 2004).

The regression models show that weekend television and video gaming are significantly associated with the number of sunburns one had in the past year (incident rate ratio = 1.008, z = 2.73), and weekend recreational computer use is significantly associated with the number of cans of soda with sugar one drank during the previous day (incident rate ratio = 1.003, z = 2.09). The use of English for the interview, age, parents’ educational attainment, household size, and gender are also found to be associated with different acculturation-related risky health behaviors investigated in this study.

This study is the first to analyze media consumption’s association with sunburn among Latino adolescents. Our findings indicate that among Latino adolescents in the United States, a large amount of media consumption can lead to risky health behaviors that were not common in Latin America. Therefore, parents should heed possible behavioral consequences when they decide on the amount of media exposure children have.

The purpose of this paper is to investigate electronic benefits transfer (EBT) card reforms in California’s Food Stamp Program, and its impact on food insecurity.

The authors test the hypothesis that EBT cards reduce food insecurity by reducing the food costs associated with loss and theft of benefits, as well as by decreasing fraudulent sales of benefits. The authors use a natural experiment in the form of the time-varying roll-out of EBT card reforms across California counties in conjunction with the California Health Interview Survey, to conduct an event study.

The findings suggest no evidence for a decrease in food insecurity. The authors do, however, find evidence of a transitory increase in food insecurity immediately following implementation of EBT reforms. Reforms increase the likelihood of food insecurity by about 3 percent for up to two months. The result is distinguishable from zero, and robust to changes in specification, inclusion of controls, and measurement choices. The authors posit the increase was due to frictions in the transition to EBT card systems.

Although a considerable literature with regard to the FSP exists, very little has been written investigating a specific linkage between EBT cards and food security. The findings are not supportive of policy makers’ hypothesis that a positive externality of EBT benefits delivery is a lasting reduction in food insecurity.

While social cohesion is important for the promotion of immigrant health, language is a core component through which immigrant groups establish social connections. Since language is a vehicle through which immigrant groups establish social linkages and that English language proficiency has been established as a virtual requirement for full participation in US society, the purpose of this paper is to examine the role of language in establishing social cohesion affecting immigrant health.

Using the 2012 California Health Interview Survey, the authors investigated the role of language efficacy in the relationship between social cohesion and utilization of healthcare among immigrant groups with good and poor health statuses (n=11,134). Mediation analyses were conducted using PROCESS Macro.

The direct effect of social cohesion on healthcare utilization and the effect of English language efficacy on healthcare utilization were significant for both groups. English language efficacy was a significant mediator between social cohesion and healthcare utilization among immigrants with good health statuses.

Limitations include generalizability issues across immigrant sub-populations, limited measures in terms of English language efficacy and limitations with measures variables such as length of stay.

This study highlights that language is the channel that plays a crucial role not only to establish and maintain social cohesion for positive health outcomes, but also the ripple effects of promoting trust, belonging, opportunity of upward mobility and inclusion.

The findings of the study add value to other pertinent issues of linguistic diversity, positive social relationships and well-being of diverse communities.

Sterilisation in India (and globally) has a contentious and deeply politicised history. Despite this troubling legacy, India continues to rely on female sterilisation as the main form of contraception and family planning. Abortion, which has been legal under broad grounds since 1971, intersects with sterilisation at different points over women's reproductive lifecourse. Drawing on three case studies exploring women's abortion trajectories in Karnataka, India (2017), this chapter examines sterilisation as a reproductive technology (RT) in women's abortion narratives. These include experiences of failed sterilisation necessitating abortion, as well as narratives around pre- and post-abortion counselling with sterilisation conditionalities. Women report healthcare workers shaming or scolding them for not being sterilised after their last pregnancy – demonstrating the prominence of sterilisation as an enforced social norm using ‘health’ frames. Using reproductive justice (RJ) as a lens, I analyse how sterilisation interacts with abortion and the narratives of shame and stigma that surround the two technologies and make visible the ways in which it results in the denial and restriction of women's reproductive freedoms.

While musicians contribute a great deal to the atmosphere of a city like Austin, Texas, they may be poorly compensated for their work. Their low salaries, personality traits, and lifestyle preferences may also mean that musicians may be reluctant to engage in preventative health strategies. Frequently lacking sufficient health insurance, musicians may have difficulty coping with health challenges such as depression and anxiety, hearing loss, poor nutrition, and alcohol and substance abuse.

This chapter opens with background on the music scene in Austin, Texas and moves to a description of a recent study on how musicians feel their careers impact their health. This is followed by a literature review that summarizes what is known about musicians’ personalities, their lifestyles, the economic factors they face, and their health disparities. In the last half of the chapter, the author summarizes how libraries currently serve musicians and add recommendations for how libraries might expand these services.

Adults in the United States have low health literacy skills which puts them at high risk for serious health consequences. Libraries have traditionally provided programming on a variety of topics for patrons but barriers such as technology and transportation access may prevent potential patrons from attending. Librarians can help increase the health literacy skills of community members by providing health outreach programming to the communities they serve. This chapter examines strategies and specific examples that library managers can implement to facilitate technology and health literacy skills through programming in communities.

Health scientists and urban planners have long been interested in the influence that the built environment has on the physical activities in which we engage, the environmental hazards we face, the kinds of amenities we enjoy, and the resulting impacts on our health. However, it is widely recognized that the extent of this influence, and the specific cause-and-effect relationships that exist, are still relatively unclear. Recent reviews highlight the need for more individual-level data on daily activities (especially physical activity) over long periods of time linked spatially to real-world characteristics of the built environment in diverse settings, along with a wide range of personal mediating variables. While capturing objective data on the built environment has benefited from wide-scale availability of detailed land use and transport network databases, the same cannot be said of human activity. A more diverse history of data collection methods exists for such activity and continues to evolve owing to a variety of quickly emerging wearable sensor technologies. At present, no “gold standard” method has emerged for assessing physical activity type and intensity under the real-world conditions of the built environment; in fact, most methods have barely been tested outside of the laboratory, and those that have tend to experience significant drops in accuracy and reliability. This paper provides a review of these diverse methods and emerging technologies, including biochemical, self-report, direct observation, passive motion detection, and integrated approaches. Based on this review and current needs, an integrated three-tiered methodology is proposed, including: (1) passive location tracking (e.g., using global positioning systems); (2) passive motion/biometric tracking (e.g., using accelerometers); and (3) limited self-reporting (e.g., using prompted recall diaries). Key development issues are highlighted, including the need for proper validation and automated activity-detection algorithms. The paper ends with a look at some of the key lessons learned and new opportunities that have emerged at the crossroads of urban studies and health sciences.

We do have a vision for a world in which people can walk to shops, school, friends' homes, or transit stations; in which they can mingle with their neighbors and admire trees, plants, and waterways; in which the air and water are clean; and in which there are parks and play areas for children, gathering spots for teens and the elderly, and convenient work and recreation places for the rest of us. (Frumkin, Frank, & Jackson, 2004, p. xvii)