Journal of Immigrant and Minority Health

, Volume 14, Issue 5, pp 731–737 | Cite as

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

  • Jiali Ye
  • Dominic Mack
  • Yvonne Fry-Johnson
  • Katrina Parker
Original Paper


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.


Access to care Asian American Foreign-born Health care services 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Jiali Ye
    • 1
    • 2
  • Dominic Mack
    • 1
    • 3
  • Yvonne Fry-Johnson
    • 1
    • 4
  • Katrina Parker
    • 1
    • 4
  1. 1.National Center for Primary Care, Community Health and Preventive MedicineMorehouse School of MedicineAtlantaUSA
  2. 2.Department of Community Health and Preventive MedicineMorehouse School of MedicineAtlantaUSA
  3. 3.Department of Internal MedicineMorehouse School of MedicineAtlantaUSA
  4. 4.Department of PediatricsMorehouse School of MedicineAtlantaUSA

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