Changing racial boundaries and mixed unions: the case of second-generation Filipino Americans

I examine an understudied topic of intermarriage – nonwhite mixed unions. Drawing on a study of second-generation Filipino Americans, I compare how respondents in inter-ethnic (those partnered with other Asians) and nonwhite interracial (i.e. Latino, black, and non-Asian bi-racial) unions perceive racial boundaries, or their ‘racial schemas’. I argue that mixed unions can change how partners view racial boundaries. Drawing on phenotype, culture, and power position, both inter-ethnically and nonwhite interracially partnered respondents viewed themselves as different from whites. However, they differed in how they constructed nonwhite boundaries. Respondents in inter-ethnic unions drew on their Asian identity to distinguish themselves from Latinos and blacks, while informants in nonwhite interracial unions highlighted their Filipino identity to distance themselves from East Asians and align themselves with Latinos and blacks. These findings show that marriage affects racial boundary development and that mixed unions impact individuals’ racial incorporation.     

Are second-generation Filipinos ‘becoming’ Asian American or Latino? Historical colonialism,culture and panethnicity

Abstract

This article examines how second-generation Filipinos understand their panethnic identity, given their historical connection with both Asians and Latinos, two of the largest panethnic groups in the USA. While previous studies show panethnicity to be a function of shared political interests or class status, I argue that the cultural residuals of historical colonialism in the Philippines, by both Spain and the USA, shape how Filipinos negotiate panethnic boundaries with Asians and Latinos, albeit in different ways. Filipinos cite the cultural remnants of US colonialism as a reason to racially demarcate themselves from Asians, and they allude to the legacies of Spanish colonialism to blur boundaries with Latinos. While the colonial history of Filipinos is unique, these findings have implications for better understanding racialization in an increasingly multiethnic society – namely, how historical legacies in sending societies interact with new racial contexts to influence panethnic identity development.     

Risk Factors for Acute Stroke among South Asians Compared to Other Racial/Ethnic Groups

Background

Studies of racial/ethnic variations in stroke rarely consider the South Asian population, one of the fastest growing sub-groups in the United States. This study compared risk factors for stroke among South Asians with those for whites, African-Americans, and Hispanics.

Methods

Data on 3290 stroke patients were analyzed to examine risk differences among the four racial/ethnic groups. Data on 3290 patients admitted to a regional stroke center were analyzed to examine risk differences for ischemic stroke (including subtypes of small and large vessel disease) among South Asians, whites, African Americans and Hispanics.

Results

South Asians were younger and had higher rates of diabetes mellitus, blood pressure, and fasting blood glucose levels than other race/ethnicities. Prevalence of diabetic and antiplatelet medication use, as well as the incidence of small-artery occlusion ischemic stroke was also higher among South Asians. South Asians were almost a decade younger and had comparable socioeconomic levels as whites; however, their stroke risk factors were comparable to that of African Americans and Hispanics.

Discussion

Observed differences in stroke may be explained by dietary and life style choices of South Asian-Americans, risk factors that are potentially modifiable. Future population and epidemiologic studies should consider growing ethnic minority groups in the examination of the nature, outcome, and medical care profiles of stroke.     

Concerning Constructions of Self and Other: Auto-racism and Imagining Amerika in the Christian Philippines

The term ‘colonial mentality’ is popularly used among many Filipinos to refer to a tendency to compare themselves negatively to Amerikanos. This paper explores the everyday form such deprecating self/other constructions take on the island of Siquijor in the Central Visayas region of the archipelago. It sheds light on how these constructions are socially situated, deployed and reproduced, their limits and their effects. It shows that comparisons between categories of Filipino and Amerikano must be understood in relation to local hierarchies. On Siquijor, local imaginings of Amerikano lifestyles and bodies not only serve as reference points for ideals of affluence and beauty, but act as markers of prestige in competitions for status between neighbours and kin, sustaining a sense of Amerikano superordinancy. While, on Siquijor, superordinancy presumes neither innate nor moral superiority (and, indeed, there exists ambivalence towards the relative moral status of Amerikanos and Filipinos), there is a strong presumption specifically that the ‘failure’ of the Philippines to achieve similar levels of affluence to the US is due to moral deficiencies of the Filipino self. Thus, outward-looking desire is contained by inward-looking discontent, the latter keeping the former from spilling over into demands for change to a global status quo.     

Ethnicity and suicide in Hawaii

Abstract

A multivariate model was built to investigate the effect of ethnicity on suicide in Hawaii. To provide the model with enough flexibility, both linear and nonlinear functions were employed. The three ethnic groups studied were Japanese, Caucasians, and Filipinos. The results show that Japanese have the highest tendency to commit suicide while the Filipinos have the lowest. However, the suicide rates of the three groups appear to be approaching a common value. While age and sex proved to be highly significant in explaining suicides, the magnitude and the form of their effect differ between one ethnic group and another. The trends of suicide rates for each ethnic group seem to be the least uniform. Suicide rates are decreasing for Japanese males and females and for Caucasian males. They are increasing for Caucasian females and Filipino males, while not changing for Filipino females.     

Group size and group income as influences on marriage patterns in Hawaii

This paper analyzes the association of ethnic group size and median ethnic group income with the percentages of cross-ethnic marriages and combinations of marriages of each of the 5 major racial/ethnic groups in Hawaii. The data cover marriages that took place from 1975-1977 in Hawaii's 5 major ethnic groups: 1) Caucasian, 2) Chinese, 3) Filipino, 4) Japanese, and 5) Hawaiian or part-Hawaiian. The number of Caucasians marrying in Hawaii are severely inflated by military and tourist marriages. Chinese (highest median income) and Hawaiians or part-Hawaiians (lowest median income) show the highest percentages of outmarriage. The number of persons making up given groups appears to play a role; larger groups have lower outmarriage rates. Since 19 of 20 potential marriage partners a Chinese person meets are of another racial group, as compared to 2 of 3 for Caucasians or Japanese, it is hardly surprising that the Chinese outmarry more often than other groups. Data show a tendency to an East-West split; Chinese-Japanese marriages are overrepresented, and marriages of Japanese men to Caucasian women are underrepresented. However, marriages of Caucasian males to Chinese women are also overrepresented. Also, Puerto Ricans and Filipinos tend to be more representative of the West than Caucasians are. The authors conclude that cultural attributes likely to lead to a given level of income, rather than income per se, influence the probability of persons marrying a member of a given racial/ethnic group other than their own.     

Racial differences in cephalometric measurements and incidence of cleft lip with or without cleft palate

A study was made to search for the morphological basis and, indirectly, the developmental basis for racial differences in risk of cleft lip with or without cleft palate CL(P) in Hawaii. A total of ten linear and three angular measurements read from anterior-posterior cephalographs were examined on 210 healthy adult Caucasian, Hawaiian, Japanese, Chinese, and Filipino subjects. Racial comparisons were made on these variables after adjusting for age and sex. Generally, the CL(P) high-risk group consisting of Japanese, Chinese, and Filipinos had smaller dimensions than Caucasians and Hawaiians in the variables (S-N, N-Ba) representing size of cranial base and the measurements of face height (N-A, N-ANS), palatal length (ANS-PNS), and mandibular length (Ar-Gn). Facial width relative to palatal length as measured by the ratio of bizygomatic diameter to palatal length showed a marked consistency with the racial differences in CL(P) risk. Possible significance of this finding is discussed in relation to development of the orofacial structure.     

The ‘other’ looks back: racial distancing and racial alignment in migrant domestic workers' stereotypes about white and Chinese employers

While the racial and ethnic stereotyping practised by the employers of migrant domestic workers has received significant scholarly attention, these workers' racial essentializations of their employers have been largely ignored. Drawing upon interviews with Filipino migrant domestic workers in Singapore and Hong Kong, I present findings concerning the racial stereotypes these workers hold about white and Chinese employers. This stereotyping involves both racial distancing from local Chinese employers and racial alignment with expatriate white employers. This two-track racial project is a defensive tactic that allows Filipino workers to redefine themselves as occupying a higher position in the global racial order (as they see it) on cultural grounds. However, it also makes them complicit in naturalizing legacy stereotypes that valorize whites as morally and culturally superior. In addition, it encourages them to privilege the West as an idealized destination where they fantasize they will enjoy comfortable working conditions from local white employers.     

Larger Amounts of Visceral Adipose Tissue in Asian Americans

Objective: Excess visceral adipose tissue (VAT) is recognized as an important risk factor for the development of coronary heart disease and type 2 diabetes. Several studies have reported less VAT in African Americans compared with whites. As little is known about the levels of VAT in Asians, we compared whole‐body VAT in Asian Americans with European Americans. Research Methods and Procedures: VAT was measured using whole‐body multislice magnetic resonance imaging in 54 women (18 Asian Americans, 36 European Americans) and 53 men (19 Asian Americans, 34 European Americans) with body mass index (measured in kilograms per square meter) < 30. Data were analyzed by multiple regression modeling. Results: Asian American women had higher log‐transformed VAT compared with European American women (p < 0.05), after adjusting for age and total body fat. There was a significant age by race interaction such that race differences in VAT were most evident over the age of 30 years. No differences in VAT could be detected between Asian American and European American men, even after adjusting for potential covariates, including total adiposity. %Discussion: These data are the first to demonstrate higher amounts of VAT in healthy Asian Americans, a finding that suggests normative VAT values or standards derived from whites may not be applicable to Asians.     

Racial disparities in clinical presentation,surgical procedures,and hospital outcomes among patients with hepatocellular carcinoma in the United States

BackgroundHepatocellular carcinoma (HCC) is one of the leading causes of cancer-related deaths in the United States (US), with substantial disparities observed in cancer incidence and survival among racial groups. This study provides analyses on race and ethnicity disparities for patients with HCC.MethodsThis is a cross-sectional analysis of data from the National Inpatient Sample (NIS) between 2011 and 2016, utilizing the STROBE guidelines. Multivariate logistic regression analyses were used to examine the risk-adjusted associations between race and pre-treatment clinical presentation, surgical procedure allocation, and post-treatment hospital outcomes. All clinical parameters were identified using ICD-9-CM and ICD-10-CM diagnosis and procedure codes.Results83,876 weighted HCC hospitalizations were reported during the study period. Patient demographics were divided according to NIS racial/ethnic categorization, which includes Caucasian (57.3%), African American (16.9%), Hispanic (15.7%), Asian or Pacific Islanders (9.3%), and Native American (0.8%). Association between greater odds of hospitalization and Elixhauser Comorbidity Index > 4 was significantly higher among Native Americans (aOR=1.79; 95% CI: 1.23–2.73), African Americans (aOR=1.24; 95% CI: 1.12–1.38), and Hispanics (aOR=1.11; 95% CI, 1.01–1.24). Risk-adjusted association between race and receipt of surgical procedures demonstrated that the odds of having surgery was significantly lower for African Americans (aOR=0.64; 95% CI: 0.55–0.73) and Hispanics (aOR=0.70; 95% CI: 0.59–0.82), while significantly higher for Asians/Pacific Islanders (aOR=1.36; 95% CI: 1.28–1.63). Post-operative complications were significantly lower for African Americans (aOR=0.68; 95% CI: 0.55–0.86) while the odds of in-hospital mortality were significantly higher for African Americans (aOR=1.28; 95% CI: 1.11–1.49) and Asians/Pacific Islanders (aOR=1.26; 95% CI: 1.13–1.62).ConclusionsAfter controlling for potential confounders, there were significant racial disparities in pre-treatment presentations, surgical procedure allocations, and post-treatment outcomes among patients with HCC. Further studies are needed to determine the underlying factors for these disparities to develop targeted interventions to reduce these disparities of care.     

Sex‐Specific Fat Distribution Is Not Linear Across Pubertal Groups in a Multiethnic Study

Objective: To investigate sexual dimorphism and race differences in fat distribution (android/gynoid) before and during puberty. Research Methods and Procedures: Fat distribution was measured by skinfold thickness and DXA in healthy African‐American, Asian, and white subjects (n = 920), divided into pre‐, early, and late pubertal groups. Results: Gynoid fat masses adjusted for covariates were lower in late pubertal compared with prepubertal boys, but were not consistently greater in late pubertal compared with prepubertal girls. Progression of sex‐specific fat distribution with increasing maturation was present in Asians only. Among African‐American and white subjects, early pubertal boys had greater gynoid fat mass compared with the prepubertal group, whereas early pubertal girls had less gynoid fat mass compared with the prepubertal group. Sexual dimorphism in fat distribution was present in all pubertal groups, except among whites at early puberty. Among girls, Asians had lower gynoid fat than whites and African Americans in all pubertal groups. Among boys, Asians had less gynoid fat by DXA in early puberty and late puberty. Discussion: Comparison among races demonstrated differences in sexual dimorphism and sex‐specific fat distribution with progression in pubertal group. However, in all race groups, the fat distribution of late pubertal boys was more “male” or “android” than prepubertal boys, but late pubertal girls did not differ consistently from prepubertal girls. These findings suggested that the greater sexual dimorphism of fat distribution in late puberty compared with prepuberty may be attributable to larger changes in boys with smaller changes in girls.     

Genetic risk factors for BMI and obesity in an ethnically diverse population: Results from the population architecture using genomics and epidemiology (PAGE) study

Objective:

Several genome–wide association studies (GWAS) have demonstrated that common genetic variants contribute to obesity. However, studies of this complex trait have focused on ancestrally European populations, despite the high prevalence of obesity in some minority groups.

Design and Methods:

As part of the “Population Architecture using Genomics and Epidemiology (PAGE)” Consortium, we investigated the association between 13 GWAS‐identified single‐nucleotide polymorphisms (SNPs) and BMI and obesity in 69,775 subjects, including 6,149 American Indians, 15,415 African‐Americans, 2,438 East Asians, 7,346 Hispanics, 604 Pacific Islanders, and 37,823 European Americans. For the BMI‐increasing allele of each SNP, we calculated β coefficients using linear regression (for BMI) and risk estimates using logistic regression (for obesity defined as BMI ≥ 30) followed by fixed‐effects meta‐analysis to combine results across PAGE sites. Analyses stratified by racial/ethnic group assumed an additive genetic model and were adjusted for age, sex, and current smoking. We defined “replicating SNPs” (in European Americans) and “generalizing SNPs” (in other racial/ethnic groups) as those associated with an allele frequency‐specific increase in BMI.

Results:

By this definition, we replicated 9/13 SNP associations (5 out of 8 loci) in European Americans. We also generalized 8/13 SNP associations (5/8 loci) in East Asians, 7/13 (5/8 loci) in African Americans, 6/13 (4/8 loci) in Hispanics, 5/8 in Pacific Islanders (5/8 loci), and 5/9 (4/8 loci) in American Indians.

Conclusion:

Linkage disequilibrium patterns suggest that tagSNPs selected for European Americans may not adequately tag causal variants in other ancestry groups. Accordingly, fine‐mapping in large samples is needed to comprehensively explore these loci in diverse populations.     

Properdin factor B frequencies in four Asian populations

The distribution of Properdin factor B (Bf) phenotypes and their gene frequencies were investigated in four Asian populations (Chinese, Filipino, Thai and Japanese). The frequency of the BfS phenotype in Filipinos (0.717) was significantly lower than that in Chinese (0.900) and Thai (0.889) (p less than 0.01), but not different from the Japanese (0.840). One variant, BfF 0.65 S, was identified in a Japanese subject. Thus, in the Asian populations studied, Bfs frequencies were high and the frequency of variants other than F and S were low.     

Early Holocene human skeletal remains from Sumidouro Cave, Lagoa Santa, Brazil: history of discoveries, geological and chronological context, and comparative cranial morphology

In this work, we present new evidence supporting the idea that the first Americans were very distinct from late and recent Native Americans and Asians in terms of cranial morphology. The study is based on 30 early Holocene specimens recovered from Sumidouro Cave (Lagoa Santa region, central Brazil) by Peter Lund in 1843. Sumidouro is the largest known collection of Paleoindian skulls deriving from a single site. Six different multivariate statistical methods were applied to assess the morphological affinities of the Sumidouro skulls in comparison to Howells' worldwide extant series and late archaic Brazilian series (Base Aérea and Tapera). The results show a clear association between Sumidouro and Australo-Melanesians and none with late Asian and Amerindian series. These results are in accordance with those of previous studies of final Pleistocene/early Holocene human skulls from South, Central, and North America, attesting to a colonization of the New World by at least two different, succeeding biological populations: an early one with a cranial morphology similar to that found today in the African and Australian continents, and a later one with a morphology similar to that found today among northeastern Asians.     

Skin Responses to Ultraviolet Radiation: Effects of Constitutive Pigmentation,Sex, and Ancestry

Constitutive skin pigmentation and skin responses to ultraviolet radiation were measured on a sample of volunteers (n=250) living in State College, PA, USA. The sample was composed of individuals of European American (n=190), Hispanic (n=45), and East Asian ancestry (n=15). Constitutive pigmentation was measured using the Adjusted Melanin Index (AMI), Erythemal Dose Response (EDR) was measured using the slope of a* at 24 h (Δa*), and Melanogenic Dose–Response (MDR) was measured using ΔAM, the slope of AMI at 7 d. The relationships between constitutive skin pigmentation, EDR, MDR, sex, age, and ancestry were investigated. European Americans showed a lower constitutive pigmentation, had a significantly higher burn response (EDR), and had a significantly lower tanning response (MDR) than Hispanics and East Asians. No significant difference is seen between Hispanics and East Asians for either constitutive pigmentation or EDR. Constitutive pigmentation in females was slightly lower than in males in all three samples, but the difference was not significant. While no differences were observed in MDR between sexes, males had a stronger EDR than females regardless of population or constitutive pigmentation level, and this difference was significant in European Americans and Hispanics. We observed no age‐related differences in any of the populations or measures investigated. We evaluated the relationship between constitutive pigmentation, EDR and MDR. There was a strong inverse correlation between constitutive pigmentation and EDR in the three samples (European Americans, R²=0.176, P < 0.001; Hispanics, R²=0.204, P=0.009; East Asians, R²=0.223, P=0.098) and a strong direct correlation between constitutive pigmentation and MDR in European Americans and Hispanics (European Americans, R²=0.094, P < 0.001; Hispanics, R²=0.164, P=0.012). In other words, persons with lower constitutive pigmentation both burn more and tan less than persons with higher pigmentation. However, after controlling for constitutive pigmentation, EDR and MDR were significantly correlated in European Americans (R²=0.041 P=0.006). Thus, the general observation that persons who burn more tan less is probable because of the common link that these two phenotypes have with constitutive skin pigmentation and, in fact, once pigmentation has been adjusted for, there is a positive correlation between tanning response and burning response in European Americans.     

Money,museums, and memory: cultural patronage by black voluntary associations

While the middle- and upper-class is typically cast as using museum patronage to support narratives that reinforce the position of dominant racial groups, this paper presents an alternative perspective. Drawing on ethnographic and archival data, I conceptually and empirically elaborate how gifts by black middle- and upper-class voluntary organizations to African American museums are enabled by racial uplift ideology and directed at nurturing counter-narratives about African Americans. As patrons of memory they aim to reconstitute recollections of African Americans by challenging master narratives of national life where they are either absent or marginalized. Gifts to black museums also support the inclusion of their own organizations and members as protagonists in this counter-memory. By turning attention to cultural patronage among black middle- and upper-class voluntary organizations, this paper demonstrates how museum patronage among elites can unsettle, rather than reinforce, master racial narratives.     

Obesity and C-reactive protein levels among white, black, and hispanic US adults

Objective: Studies suggest that obesity's adverse impact on cardiovascular mortality may be reduced in African Americans relative to white Americans. We examined whether obesity's association with novel cardiovascular risk factors such as C‐reactive protein (CRP) also varies by race and ethnicity. Methods and Procedures: We analyzed data from 10,492 white, African‐American, and Hispanic‐American participants of the 1999–2004 National Health and Nutrition Examination Survey, who were aged 20 years and older, with a BMI ≥18.5 kg/m² and CRP ≤10 mg/l. We fit sex‐specific multivariable models of the association of BMI or waist circumference with log CRP levels and tested for interactions of BMI or waist circumference with race/ethnicity. Results: Higher BMI was significantly associated with higher CRP in all racial/ethnic groups for both men and women (P > 0.05 for BMI–race/ethnicity interaction) before and after adjustment for age, education, and health behaviors. Larger waist circumference was also associated with higher CRP levels in all racial/ethnic groups before and after adjustment; among women, the relationship was strongest for Mexican Hispanics (P < 0.01 for waist circumference–race/ethnicity interaction). Results were similar after additional adjustment for medications that might affect CRP levels. Discussion: The association between obesity and CRP is at least as strong in African Americans and Hispanic Americans as in white Americans. Racial differences in the relationship between obesity and cardiovascular mortality are unlikely to be due to racial differences in obesity's impact on CRP.     

Adiponectin and ghrelin levels and body size in normoglycemic Filipino, African-American, and white women

Objective: Prior studies have reported ethnic differences in adiponectin and ghrelin, but few have assessed the role of body size in normoglycemic women. We compared fasting adiponectin and ghrelin concentrations in normoglycemic 40‐ to 80‐year‐old Filipino, African‐American, and white women. Methods: Participants included women from the Rancho Bernardo Study (n = 143), the University of California‐San Diego Filipino Women's Health Study (n = 136), and the Health Assessment Study of African‐American Women (n = 212). A 2‐hour oral glucose tolerance test was administered; glucose, insulin, lipid, and anthropometric measurements were obtained. Fasting adiponectin and ghrelin were measured by radioimmunoassay. Results: Whites and Filipinas had similar BMI (23.7 and 24.3 kg/m², respectively), waist girth (75.6 and 77.2 cm, respectively), and total body fat (27.4 and 28.5%, respectively); African‐Americans had significantly larger BMI (28.8 kg/m²), waist girth (86.3 cm), and body fat (39.6%, p < 0.0001). Adiponectin was lower in Filipinas (8.90 µg/mL) and African‐Americans (9.67 µg/mL) compared with whites (15.6 µg/mL, p < 0.001) after adjusting for age, homeostasis model assessment of insulin resistance (HOMA‐IR), and waist‐to‐hip ratio. Compared with whites, Filipinas (β = ?5.06, p < 0.0001) and African‐Americans (β = ?6.85, p < 0.0001) had significantly lower adiponectin levels after adjusting for age, waist‐to‐hip ratio, HOMA‐IR, triglycerides, high‐density lipoprotein (HDL) cholesterol, exercise, and alcohol use. Ghrelin was significantly lower in Filipinas compared with African‐Americans (1146.9 vs. 1412.2 pg/mL, p < 0.001), and this observation persisted in multivariable analysis (β = ?245.4, p < 0.0001). Ghrelin levels did not differ between whites (1356.9 pg/mL) and either ethnic group. Discussion: Normoglycemic Filipino and African‐American women had significantly lower adiponectin concentrations than white women, and Filipinas had lower ghrelin levels than African‐Americans, independently of body size or indices of insulin resistance or lipids.     

"Kissing a Baby Is Not at All Good for Him": Infant Mortality, Medicine, and Colonial Modernity in the U.S.-Occupied Philippines

Feminist scholars have begun to consider the ways indigenous practices of child rearing were and are challenged in (post)colonial discourse and practice, and how these practices have become a terrain on which definitions of nation, state, and economy are contested. In this article, I adopt a historical anthropological approach to consider how Filipino child-rearing strategies were described and stigmatized in educational, public health, and public welfare discourses in the U.S.-occupied Philippines in the early 20th century. I demonstrate how public health practices and discourses that were generated as part of a "benevolent" campaign against high rates of infant mortality were strategically used as a weapon against Filipino arguments for independence. I also consider how discourses constructing Filipino caregivers as overly indulgent were linked to metropolitan concerns about production of the "new industrial man" and were used to develop a racialized critique of the cultural practices of Filipinos.