Journal of Immigrant and Minority Health

, Volume 14, Issue 5, pp 731–737

Health Care Access and Utilization Among US-Born and Foreign-Born Asian Americans

Authors

    • National Center for Primary Care, Community Health and Preventive MedicineMorehouse School of Medicine
    • Department of Community Health and Preventive MedicineMorehouse School of Medicine
  • Dominic Mack
    • National Center for Primary Care, Community Health and Preventive MedicineMorehouse School of Medicine
    • Department of Internal MedicineMorehouse School of Medicine
  • Yvonne Fry-Johnson
    • National Center for Primary Care, Community Health and Preventive MedicineMorehouse School of Medicine
    • Department of PediatricsMorehouse School of Medicine
  • Katrina Parker
    • National Center for Primary Care, Community Health and Preventive MedicineMorehouse School of Medicine
    • Department of PediatricsMorehouse School of Medicine
Original Paper

DOI: 10.1007/s10903-011-9543-9

Cite this article as:
Ye, J., Mack, D., Fry-Johnson, Y. et al. J Immigrant Minority Health (2012) 14: 731. doi:10.1007/s10903-011-9543-9

Abstract

Despite efforts to eliminate inequality in health and health care, disparities in health care access and utilization persist in the United States. The purpose of this study was to compare the access to care and use of health care services of US-born and foreign-born Asian Americans. We used aggregated data from the National Health Interview Survey (NHIS) from 2003 to 2005, including 2,500 participants who identified themselves as Asian. Associations between country of birth and reported access and utilization of care in the previous 12 months were examined. After controlling for covariates, being foreign-born was negatively related to indicators of access to care, including health insurance (OR = 0.29, 95%CI = 0.18–0.48), routine care access (OR = 0.52, 95%CI = 0.36–0.75), and sick care access [OR = 0.67, 95%CI = 0.47–0.96)]. Being foreign-born was also negatively related to all indicators of health care utilization (office visit: OR = 0.58, 95%CI = 0.41–0.81; seen/talked to a general doctor: OR = 0.69, 95%CI = 0.52–0.90; seen/talked to a specialist: OR = 0.42, 95%CI = 0.28–0.63) but ER visit (OR = 0.84, 95%CI = 0.59–1.20). There are substantial differences by country of birth in health care access and utilization among Asian Americans. Our findings emphasize the need for developing culturally sensitive health services and intervention programs for Asian communities.

Keywords

Access to careAsian AmericanForeign-bornHealth care services

Copyright information

© Springer Science+Business Media, LLC 2011