SAPHA - South Asian Public Health Association - logo
SAPHA - South Asian Public Health Association - logo

Disaggregating Diversity

Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities are often grouped together in health data due to being grouped together in the U.S. Census racial category, masking critical disparities within these diverse populations. South Asians, for example, experience higher rates of heart disease, diabetes, and certain cancers compared to other AANHPI groups. Without disaggregated data, these unique health risks go unnoticed, leading to inadequate healthcare policies, misinformed research, and disparities in treatment. By breaking down data by ethnicity, researchers and policymakers can better identify health inequities, develop targeted interventions, and ensure all South Asian communities receive the care and resources they need.

In an effort to begin to fill the gap in data, SAPHA has compiled a working list of health outcomes datasets disaggregated to varying degrees of specificity in regard to ethnicity. Liman Dexeris

Data Source Geographic Region Year Published / Inclusive Years Degree of Disaggregation  Reported Health Outcomes
American Community Survey State, county, and MSA*-specific data 5-year estimates Broken down to Asian Indian, Sri Lankan, Pakistani, Bangladeshi, Bhutanese, Nepalese for many data points; further disaggregation for Maldivian, Other, Sikh, Sindhi in fewer measures  Health insurance status, household status, education, poverty, Medicaid/Medicare status, internet access
New Jersey State Health Assessment New Jersey 2024 Asian Indians Birth and mortality rates, foreign-born proportion; other metrics, too, but not much for SAA subgroups
California Department of Health California 2024 Asians Age-adjusted death rates, leading causes of death 
Current Population Survey (US Bureau of Labor Statistics) Nationwide data; state- and region-specific data, too, but not stratified by race Until 2024 Asian; Asian Indian Employment rates, personal income, GDP per capita, wage
API Data Disaggregation Brief (California Department of Health, ACS, CHIS) California (state-specific data) 2022 Disaggregated data for South Asian ethnic subgroups COVID-19 cases/deaths, tuberculosis, poverty, unemployment, educational attainment
NYC Community Health Survey NYC Yearly, 2002-2020 Asian Indians, South Asian, Other South Asian Limited health outcomes reported for Asian Indians (education, employment, English literacy, insurance status), more health outcomes reported for broader ‘South Asian’ identifier (self-perceived health status, health behaviors)
Decennial Census National, state, county, and MSA-specific data 2010, 2020 Asian Indian, Pakistani, Bangladeshi, Sri Lankan, Nepalese, Bhutanese, Maldivian, Sikh, Sindhi Only population measures and distributional changes from 2010-2020; data on citizenship status also
NYC Health of API in NYC(Actually pulls most information from ACS or NYC CHS, but some data is pulled from other city-wide surveys - check footnotes) NYC 2014-2018 Asian Indians, some mention of Bangladeshis and Pakistanis, mostly South Asian  Employment, prenatal care utilization, LEP for all subgroups, more health outcomes for Asian Indians (self-reported health, household status, health behaviors)
South Asian Health Needs Assessment Survey (Houston) Houston 2015 All South Asian Americans in the area (but population mostly consists of Asian Indians) Self-rated health, health services used, drug use, stress perception, nutrition and dietary patterns, physical activity, medical conditions; cancer risk knowledge and beliefs, screening rates
Austin Asian American Health Assessment Austin 2014 All South Asian Americans (based in Austin MSA) Health literacy, perceptions of community health, health services utilized, sources of health information, barriers to healthcare, participant recommendations for AARC and City of Austin government
Maryland Department of Health / OMHHD Maryland 2013 Asian Indian, Pakistani, Bangladeshi, Nepalese, Sri Lankan Population distribution statewide, LEP; Asian aggregated health outcomes reported for healthcare access, affordable care, routine checkups
Nepali Community in NYC CITY New York 2010 ADHIKAR CHNA Nepalese Community Nepali Community Data
South Asians CHNA Report Minnesota 2010 All South Asians Americans (based in Minnesota) SA in Minnesota CHNA
South Asian Community Empowerment Project – (SAALT) Washington, D.C. 2009 All South Asian South Asians (based in Washington, D.C. MSA) Citizenship status, demographics, healthcare needs, service utilization, recommendations and priority issues for adapting healthcare services 
SAALT South Asian Report New York, NY 2007 All South Asian American subgroups, but focused on advocacy organizations Comprehensive information on South Asian America (first of its kind)
*MSA stands for Metropolitian-Statistical Area. It is the formal definition of a region that consists of a city and surrounding communities that are linked by social and economic factors. Metropolitan statistical areas usually consist of a core city with a large population (which must be over 50,000 people) and its surrounding region, which may include several adjacent counties.

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