_________________________________________________________ Cultural Humility in Behavioral Health
Tables 2-4 provides a breakdown of the US population by race.
The way in which individuals and groups are treated on a sociopolitical (macro) level, group (mezzo) level and on a daily individual interactional (micro) level necessarily affects their views and understanding of the world in which they live. From a person-in-environment perspective, individuals act upon the environment, and the environment acts upon and reacts to the individual. Thus, while individuals help shape the environ- ment around them, the environment also shapes the individual (Hutchison, 2021). A demographic breakdown of the diversity in the U.S. is provided in Tables 1 and 2. This breakdown may help healthcare professionals better conceptualize the potential diversity of experiences among their patients. DEMOGRAPHICS The U.S. has more immigrants than any other country in the world. Currently, more than 40 million people living in the U.S. were born in another country. This figure represents one-fifth of the world’s immigrants. Nearly every country in the world is represented among U.S. immigrants (Pew Research Center, 2020b). In 2018, there were a record 44.8 million immigrants living in the U.S. This figure represents 13.7% of the nation’s popu- lation. Since 1965, the number of immigrants living in the U.S. has more than quadrupled. Since 1970, the number of immigrants has nearly tripled (Pew Research Center, 2020a). Table 1 provides a breakdown of the U.S. foreign-born popula- tion by national origin. FOREIGN-BORN POPULATION BY PLACE OF BIRTH 2018 Region Number of People Percentage Mexico 11,182,111 25% East and South- east Asia 8,648,525 19.3% Europe 4,848,270 10.8% Caribbean 4,463,891 10% South America 3,304,380 7.4%
Data show that the population varies significantly by place of birth and race. To practice cultural humility, mental and behavioral healthcare professionals must be aware of the populations they serve.
POPULATION BY RACE SELF-IDENTIFICATION 2018 Race Number of People Percentage White 236,102,692 72.2% Black or African American 41,683,829 12.7% Asian 18,449,856 5.6% Some Other Race 16,273,008 5% Two or More Races 11,224,731 3.4%
2,826,336
0.9%
Native American Indian and Alaska Native Native Hawaiian and other Pacific Islander
606,987
0.2%
Based on data from the Pew Research Center (2020a). Table 2
POPULATION BY RACE SELF-IDENTIFICATION US BORN Race Number of People Percentage White 215,726,882 76.4% Black or African American 37,413,425 13.2% Two or More Races 10,169,825 3.6% Some Other Race 9,655,701 3.4% Asian 2,627,659 2.2%
Central America
3,590,330
8%
South Asia Sub-Saharan Africa Middle East- North Africa Canada and Other North America
3,668
8.2% 4.5%
2,032,470
1,784,898
4%
2,627,659
0.9%
Native American Indian and Alaska Native Native Hawaiian and other Pacific Islander
827,093
1.8%
460,543
0.2%
Oceania
246,371 131,854
0.6% 0.3%
Central Asia
TOTAL 100% Based on data from the Pew Research Center (2020a). Table 1 44,760,622
Based on data from the Pew Research Center (2020a). Table 3
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