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With the rise of digital tools used for media entrepreneurship, media outlets staffed by only one or two individuals and targeted to niche and super-niche audiences are developing across a wide range of platforms. Minority communities such as immigrants and refugees have long been pioneers in this space, operating ethnic media outlets with limited staff and funding to produce content that is relevant and accessible to their specific community.  Micro Media Industries  explores the specific case of Hmong American media, showing how an extremely small population can maintain a robust and thriving media ecology in spite of resource limitations and an inability to scale up. Based on six years of fieldwork in Hmong American communities in Wisconsin, Minnesota, and California, it analyzes the unique opportunities and challenges facing Hmong newspapers, radio, television, podcasts, YouTube, social media, and other emerging platforms. It argues that micro media industries, rather than being dismissed or trivialized, ought to be held up as models of media innovation that can counter the increasing power of mainstream media.  

Background The Hmong population constitutes an independent ethnic group historically dispersed throughout Southeast Asia; fallout from the Vietnam War led to their forced migration to the United States as refugees. This study seeks to investigate characteristics of the Hmong population diagnosed with in colorectal cancer (CRC) as well as survival within this population. Methods Cases of colon and rectal adenocarcinoma diagnosed between 2004 and 2017 were identified from the National Cancer Database (NCDB). Summary statistics of demographic, clinical, socioeconomic, and treatment variables were generated with emphasis on age and stage at the time of diagnosis. Cox‐proportional hazard models were constructed for survival analysis. Results Of 881,243 total CRC cases within the NCDB, 120 were classified as Hmong. The average age of Hmong individuals at diagnosis was 58.9 years compared 68.7 years for Non‐Hispanic White (NHW) individuals (p < 0.01). The distribution of analytic stage differed between the Hmong population and the reference NHW population, with 61.8% of Hmong individuals compared to 45.8% of NHW individuals with known stage being diagnosed at stage III or IV CRC compared to 0, I, or II (p = 0.001). However, there was no difference in OS when adjusting for potential confounders (HR 1.00 [0.77–1.33]; p = 0.998). Conclusions Hmong individuals are nearly a decade younger at the time of diagnosis of CRC compared to the NHW individuals. However, these data do not suggest an association between Hmong ethnicity and overall survival, when compared to the NHW population.

Purpose: This study explores the impact of green tourism on the Hmong community in Lao Cai province, Vietnam, including their awareness of sustainable tourism principles and factors influencing their engagement. It aims to provide practical recommendations to enhance understanding and commitment to sustainable tourism, contributing to the existing knowledge and offering insights applicable to other regions and communities interested in promoting green tourism.   Theoretical framework:   The theoretical framework for this research draws upon concepts and theories from sustainable tourism, community development, and environmental psychology, explicitly focusing on community participation and empowerment in tourism development. It explores the impact of the Hmong people's awareness, involvement in decision-making, and sense of ownership over green tourism initiatives on their commitment to participate in the green tourism model.   Design/methodology/approach:   This study employed a mixed-methods approach, a quantitative survey, to collect data from 200 Hmong individuals in Lao Cai province in early 2022. A thorough literature review accompanied the survey design, distribution, collection, and analysis of responses. By utilizing this approach, the research aims to comprehensively understand the Hmong community's awareness and commitment to participating in the green tourism model in Lao Cai province, Vietnam.   Findings:  The study's findings show that green tourism's environmental and sociocultural benefits positively influence the Hmong community's awareness and commitment to sustainable tourism practices. However, economic benefits were not significantly associated with public perception, indicating a greater emphasis on cultural heritage conservation than financial gains. These results highlight the significance of involving local communities in decision-making and offering tangible benefits to foster their active engagement in sustainable tourism initiatives.   Research, Practical & Social implications: This study makes two significant contributions to the existing knowledge. Firstly, it provides a comprehensive understanding of the impact of green tourism on local communities, particularly the Hmong community in Vietnam. Secondly, it highlights the vital role of community participation in sustainable tourism development. The findings recommend policymakers' active involvement of local communities in decision-making and the provision of tangible benefits for their engagement in sustainable tourism practices, promoting their commitment to sustainable tourism.   Originality/value: Being the pioneering study on this subject in Vietnam, this research holds a unique significance in raising awareness and fostering commitment among the Hmong community regarding their participation in green tourism within Lao Cai province. Furthermore, the study's findings can serve as a valuable resource for shaping policies and programs that actively involve the Hmong community in green tourism, leading to mutual benefits for the community and the local region.

Through a sociological analysis of Hmong former refugees’ grassroots movements in the United States between the 1990s and 2000s, Immigrant Agency shows how Hmong, despite being one of America’s most economically impoverished ethnic groups, were able to make sustained claims on and have their interests represented in public policies. The author, Yang Sao Xiong argues that the key to understanding how immigrants incorporate themselves politically is to understand how they mobilize collective action and make choices in circumstances far from racially neutral. Immigrant groups, in response to political threats or opportunities or both, mobilize collective action and make strategic choices about how to position themselves vis-à-vis other minority groups, how to construct group identities, and how to deploy various tactics in order to engage with the U.S. political system and influence policy. In response to immigrants’ collective claims, the racial state engages in racialization which undermines immigrants’ political standing and perpetuates their marginalization.

Meticulously researched and beautifully written, Fit to Be Citizens? demonstrates how both science and public health shaped the meaning of race in the early twentieth century. Through a careful examination of the experiences of Mexican, Japanese, and Chinese immigrants in Los Angeles, Natalia Molina illustrates the many ways local health officials used complexly constructed concerns about public health to demean, diminish, discipline, and ultimately define racial groups. She shows how the racialization of Mexican Americans was not simply a matter of legal exclusion or labor exploitation, but rather that scientific discourses and public health practices played a key role in assigning negative racial characteristics to the group. The book skillfully moves beyond the binary oppositions that usually structure works in ethnic studies by deploying comparative and relational approaches that reveal the racialization of Mexican Americans as intimately associated with the relative historical and social positions of Asian Americans, African Americans, and whites. Its rich archival grounding provides a valuable history of public health in Los Angeles, living conditions among Mexican immigrants, and the ways in which regional racial categories influence national laws and practices. Molina's compelling study advances our understanding of the complexity of racial politics, attesting that racism is not static and that different groups can occupy different places in the racial order at different times.

In this article, the author provides a first-hand account of the significance and meaning of the Hmong Minnesotan community for his lifelong experiences and identity as a Hmong American. Keywords: Hmong American, Minnesota

Background COVID-19 mitigation strategies such as masking, social distancing, avoiding group gatherings, and vaccination uptake are crucial interventions to preventing the spread of COVID-19. At present, COVID-19 data are aggregated and fail to identify subgroup variation in Asian American communities such as Hmong Americans. To understand the acceptance, adoption, and adherence to COVID-19 mitigation behaviors, an investigation of Hmong Americans’ contextual and personal characteristics was conducted. Methods This study aims to describe COVID-19 mitigation behaviors among Hmong Americans and the contextual and personal characteristics that influence these behaviors. A cross-sectional online survey was conducted from April 8 till June 1, 2021, with Hmong Americans aged 18 and over. Descriptive statistics were used to summarize the overall characteristics and COVID-19 related behaviors of Hmong Americans. Chi-square and Fisher’s Exact Test were computed to describe COVID-19 mitigation behaviors by gender and generational status (a marker of acculturation). Results The sample included 507 participants who completed the survey. A majority of the Hmong American participants in our study reported masking (449/505, 88.9%), social distancing (270/496, 55.3%), avoiding group gatherings (345/505, 68.3%), avoiding public spaces (366/506, 72.3%), and obtaining the COVID-19 vaccination (350/506, 69.2%) to stay safe from COVID-19. Women were more likely to socially distance ( P  = .005), and avoid family ( P  = .005), and social gatherings ( P  = .009) compared to men. Social influence patterns related to mitigation behaviors varied by sex. Men were more likely compared to women to be influenced by Hmong community leaders to participate in family and group gatherings ( P  = .026), masking ( P  = .029), social distancing ( P  = .022), and vaccination uptake ( P  = .037), whereas healthcare providers and government officials were social influencers for social distancing and masking for women. Patterns of social distancing and group gatherings were also influenced by generational status. Conclusion Contextual and personal characteristics influence COVID-19 mitigation behaviors among English speaking Hmong Americans. These findings have implications for identifying and implementing culturally appropriate health messages, future public health interventions, policy development, and ongoing research with this population.

In collaboration with the Minnesota Hmong community, we have previously discovered significant differences in allele frequencies for key Single Nucleotide Variations (SNVs) within Very Important Pharmacogenes (VIPs) between Hmong and East Asians. Recognizing the potential clinical implications of these observed differences, we sought to validate these observations in a Hmong cohort residing in California, the state with the largest Hmong population in the US. Robust validation of these differences would affect motivation for clinicians treating individuals who identify as Hmong to consider pharmacogenomic (PGx) testing as a means to improve clinical decision making when using therapeutic agents in this unique population. Guided by California Hmong community leaders and utilizing the basic approach of community-based participatory research, demographic, clinical information and a buccal swab was obtained from Hmong adults residing in California. A commercial PGx testing panel was performed on these samples and specific allele frequencies of interest were compared between California and Minnesota Hmong. Allele frequency differences between California Hmong, East Asians and Europeans, were also compared. Return-of-PGx-results and presentations of group data were made to members of the Hmong along with PGx educational sessions to help interpret the observations. In 118 California Hmong who completed the study, the allele frequencies for SNV's were similar to previous Minnesota Hmong results. Furthermore, out of the 18 SNVs that were not previously reported in Hmong, allele frequencies were statistically different in 38% (7/18) of SNVs comparing California Hmong to East Asians, and in 77.8% (14/18) SNVs comparing California Hmong to Europeans. These results validate the original study's findings that Hmong people living in different US locations have similar allele frequencies for key PGx genes. Further, for many of these PGx genes, their allele frequencies are significantly different compared to either East Asians or Europeans. Clinicians should consider these important differences when prescribing medications for people who identify as Hmong.

Occupational Therapy Practitioners (OTPs) can serve as a bridge between Western medicine and traditional healing by educating health professionals about the role of Hmong shamans. This qualitative study explored the occupational identity and lived experiences of 10 Hmong shamans in Minneapolis-Saint Paul, MN, through an occupational therapy lens. Guided by Wilcock and Hocking's (2015) concepts of doing, being, becoming, and belonging, the research gained a deeper understanding of participants' beliefs, culture, and spiritual values. The findings revealed that daily routines, spiritual guidance, emotional resilience, and community support shape a shaman's identity. This study offers valuable insight into how Hmong shamans navigate their healing roles and highlights the importance of culturally competent care.

Background. Blastomycosis is a potentially life-threatening infection caused by the soil-based dimorphic fungus Blastomyces dermatitidis, which is endemic throughout much of the Midwestern United States. We investigated an increase in reported cases of blastomycosis that occurred during 2009–2010 in Marathon County, Wisconsin. Methods. Case detection was conducted using the Wisconsin Electronic Disease Surveillance System (WEDSS). WEDSS data were used to compare demographic, clinical, and exposure characteristics between outbreak-related and historical case patients, and to calculate blastomycosis incidence rates. Because initial mapping of outbreak case patients' homes and recreational sites demonstrated unusual neighborhood and household case clustering, we conducted a 1:3 matched case-control study to identify factors associated with being in a geographic cluster. Results. Among the 55 patients with outbreak-related cases, 33 (70%) were hospitalized, 2 (5%) died, 30 (55%) had cluster-related cases, and 20 (45%) were Hmong. The overall incidence increased significantly since 2005 (average 11% increase per year, P < .001), and incidence during 2005—2010 was significantly higher among Asians than non-Asians (2010 incidence: 168 vs 13 per 100 000 population). Thirty of the outbreak cases grouped into 5 residential clusters. Outdoor activities were not risk factors for blastomycosis among cluster case patients or when comparing outbreak cases to historical cases. Conclusions. This outbreak of blastomycosis, the largest ever reported, was characterized by unique household and neighborhood clustering likely related to multifocal environmental sources. The reasons for the large number of Hmong affected are unclear, but may involve genetic predisposition.