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Show Figure 7. Utah's Foreign Born Population: 1990 & 2000. Figure 9. Utah's European Foreign Born Population by Region. 80.000 ¦ 60,000 -40,000 - H1990 0 2000 20,000 -0 - -- ¦ r 1 r-T~ 1 rH-1 Latin America AS a Europe Oceania Northern America Africa 01990 13.825 15,898 17.820 3,448 5.469 704 D2000 87.883 28.373 25.640 6.612 7,735 2,414 '53 3o,ooo o U- 25,000 - n} += 20.000 - -' "5 "o §" 15.000 - CD Q_ CD £ 10,000 - CO m 5.000 - ub ® Western Asia Q South Eastern Asia 1 South Central Asia Q Eastern Asia fTTH nnff Source: Bureau of the Census, Jensen (1994), BEBR Calculations. (Note: Asians not otherwise classified are omitted from the figure.) Figure 8. Utah's European Foreign Born Population by Region. Figure 10. Utah's European Foreign Born Population by Region. B Eastern Europe ? Southern Europe 13 Western Europe D Northern Europe 90.000 - hor 80,000 - ja o 70,000 - S en 60,000 - are ofU n Popul 50.000 -40,000 -30,000 - CO o CD 20,000 - gions 10,000 -0 - Caribbean D Central America Excluding Mexico South America D Mexico Source: Bureau of the Census, Jensen (1994), BEBR Calculations. (Note: Asians not otherwise classified are omitted from the figure.) daily from California, because of national security concerns. During the Second World War at least 8,000 Japanese were incarcerated in camps at Topaz in Millard County. Many of these detainees, who had lost all of their property, remained in Utah after the war. hi the 2000 census, there were 6,186 persons who self-identified as Japanese (Taniguchi, 1994). Other Asian populations have immigrated to Utah since 1980. Southeast Asians in particular have come in larger numbers for family reunification and as refugees. These persons and subsequent generations born in the U.S. contribute to the growing count of Asians in Utah. The 2000 census enumerated 15,145 persons who identified themselves as Native Hawaiian and Other Pacific Islander alone. This compares to 7,675 persons of this group who were counted in the 1990 census in Utah. Nearly half (45 percent) of this single race population is Tongan and nearly one-third (30 percent) is Samoan. The population has grown rapidly over the past two decades because of immigration from Polynesia, particularly Tonga and Samoa. Salt Lake County ranks eighth in the nation for the share of total population that is Native Hawaiian or Other Pacific Islander alone in the 2000 census. The first five counties in the ranking are in Hawaii. (Figure 21). Even though the White population continues to be the dominant (albeit with a declining share) majority population in Utah, it is far from a homogeneous group. About 44 percent of Hispanics identify themselves as White in the 2000 census. The dissolution of the Soviet Union and the fall of the communist governments in the former Soviet satellites initiated a migration Source: Bureau of the Census, Jensen (1994), BEBR Calculations. of Eastern Europeans to Utah over the last decade. These have included Russians, Polish. Bosnians and Croatians. The failed attempt to add Arab Americans as a separate race category in the 2000 census resulted in their continued categorization as White. All of these populations were classified along with the original Mormon pioneers of Northern and Western European nativity as "White" in the census counts. A great cultural, ethnic, and national diversity has been hidden within this category. FURTHER RESEARCH: IMPLICATIONS FOR UTAH'S HEALTH The Utah population is becoming more diverse primarily as a result of increased international immigration, and tins trend is expected to continue. These changes have implications for health status and healthcare delivery in Utah. Certainly health status and access to healthcare are affected by race and ethnicity as well as economic circumstance. Research has established the crucial role of culture in the successful delivery of health care. Among others, language, gender, family roles, attitudes toward illness and death, and lifestyles are all culturally embedded. Similarly, different cultures embrace alternative medicine, specific birthing practices, and unique attitudes toward physicians, hi addition, immigration and citizenship / legal status, specific county of origin, and discrimination create another significant set of barriers to healthcare. A clear understanding of all of these effects (including the interactions) should contribute to a more precisely targeted healthcare policy and, in consequence, a 32 Utah's Health: An Annual Review Volume DC |