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Changing U.S. Demographics  15




                           Hispanic health is influenced by factors such as the language barrier, lack of access

                       to preventive care, and lack of health insurance. The leading causes of illness and
                       death among Hispanics are heart disease, cancer, unintentional injuries (accidents),
                       stroke, and diabetes. In addition, Hispanics are significantly affected by asthma,

                       chronic obstructive pulmonary disease, HIV/AIDS, obesity, suicide, and liver disease
                       (OMH, 2007).

                           Asians
                        The Asian population in the United States is not homogeneous, as it includes many
                       groups that differ in language and culture (U.S. Census Bureau, 2007b). Asian refers
                       to people who have their origins in the Far East, in Southeast Asia, or on the Indian
                       subcontinent, including people from Cambodia, China, the Philippines, India, Japan,
                       Korea, Malaysia, Pakistan, and Vietnam (Reeves  &  Bennett, 2003). According to the
                       2005 Census Bureau population estimate, there were over 14 million Asians living in
                       the United States in that year (OMH, 2007), with Chinese, Asian Indians, and Filipi-
                       nos accounting for about 60 percent of this population (U.S. Census Bureau, 2007b).
                       Moreover, in 2004, approximately 50 percent of the Asian population resided in three
                       states: California, New York, and Texas (U.S. Census Bureau, 2007b).
                            The Asian population is younger on average than the non - Hispanic white popula-

                       tion. In 2004, Asians had a median age of 34.8, about five years younger than non -
                           Hispanic whites (U.S. Census Bureau, 2007b). Moreover, Asians were more likely
                       than non - Hispanic whites to be married (62 percent) and to live in family households
                       (74 percent), with a higher percentage of households maintained by married couples
                       (60 percent). Although more than two - thirds of Asians were U.S. citizens, either
                       through birth or naturalization, approximately 68 percent of Asians were foreign born
                       (U.S. Census Bureau, 2007b). Most important, about 50 percent of foreign - born Asians
                       arrived in the United States after 1990, and about 77 percent of all Asians in the United
                       States spoke a language other than English at home. Moreover, the proportion of those
                       5 years of age and older who spoke a language other than English at home varied
                       among Asians: 88 percent of Vietnamese, 83 percent of Chinese, 66 percent of
                         Filipinos, and 47 percent of Japanese (U.S. Census Bureau, 2007b).
                            When it comes to education, approximately 85 percent of Asians 25 years old and
                       older had at least a high school diploma and 48 percent had attained a bachelor ’ s degree
                       or higher level of education (U.S. Census Bureau, 2007b). Among specifi c Asian sub-
                       groups, Asian Indians, Filipinos, Japanese, and Koreans had the highest percentages of
                       persons 25 years old and older with a bachelor ’ s degree or higher. Moreover, Asians
                       were more likely to be employed in management, professional, and related occupations
                       than were non - Hispanic whites, 45 versus 38 percent respectively. Among Asian sub-
                       groups, higher percentages of Asian Indians (61 percent), Chinese (52 percent), and
                       Japanese (48 percent) are employed in management, professional, and related occupa-
                       tions compared to other Asian subgroups (U.S. Census Bureau, 2007b). Finally, in
                       2005, the median income for Asian households was almost  $ 15,000 higher than the
                       national median income for all households (OMH, 2007). Among Asian subgroups,








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