HAAPIE

API (Asians and Pacific Islanders)/AANHPI (Asian Americans, Native Hawaiians, and

Pacific Islanders): Terminology referencing Asians, Native Hawaiians, and Pacific Islanders

residing in the United States have historically been complex and are continually evolving to

best reflect the vast diversity of this population. Traditionally, either AAPI (Asian Americans

and Pacific Islanders) or API are commonly used. In our initiative, HAAPIE, we will use API to

specifically also include individuals from diasporas who do not/not yet identify as American,

as well as individuals of undocumented and refugee statuses. However, we further

recognize that Native Hawaiians may be unique from other Asian and Pacific Islander

diasporas. Therefore, throughout the curriculum, we will be referring to these populations

collectively as AANHPI, aligning with the adoption of this terminology in recent times.

Health Disparity: “a particular type of health difference that is closely linked with social,

economic, and/or environmental disadvantage. Health disparities adversely affect groups of

people who have systematically experienced greater obstacles to health based on their

racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive,

sensory, or physical disability; sexual orientation or gender identity; geographic location; or

other characteristics historically linked to discrimination or exclusion.

Health Equity: “attainment of the highest level of health for all people. Achieving health

equity requires valuing everyone equally with focused and ongoing societal efforts to

address avoidable inequalities, historical and contemporary injustices, and the elimination

of health and health care disparities.”

Social Determinants of Health: “Conditions in the environments in which people are born, live,

learn, work, play, worship, and age that affect a wide range of health, functioning, and qualityof-

life outcomes and risks.”

Cultural Competence: Cultural and linguistic competence is a set of congruent behaviors,

attitudes, and policies that come together in a system, agency, or among professionals that

enables effective work in cross-cultural situations. 'Culture' refers to integrated patterns of

human behavior that include the language, thoughts, communications, actions, customs,

beliefs, values, and institutions of racial, ethnic, religious, or social groups. 'Competence' implies

having the capacity to function effectively as an individual and an organization within the

context of the cultural beliefs, behaviors, and needs presented by consumers and their

communities. (Adapted from Cross, 1989).

Cultural Humility: “a lifelong commitment to self-evaluation and critique, to redressing power

imbalances . . . and to developing mutually beneficial and non-paternalistic partnerships with

communities on behalf of individuals and defined populations” (Tervalen and Marray-Garcia,

1998)

Intersectionality: “theoretical framework for understanding how aspects of a person's social

and political identities (e.g., gender, sex, race, class, sexuality, religion, disability, physical

appearance, height, etc.) combines to create unique modes of discrimination and privilege.”