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Association of Cancer History and Health Care Utilization Among Female Immigrants Using NHANES 2007–2016 Data

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Abstract

Background

Despite health disparities in preventive care among adult female immigrants, the extent to which their health service utilization is influenced by a cancer history remains largely unknown.

Methods

Using Andersen’s behavioral model, 2007–2016 National Health and Nutrition Examination Survey data were analyzed to examine the influence of a cancer history on health service utilization among adult immigrant women. Multivariate logistic regression models assessed factors related to past year health care utilization, operationalized as an outpatient doctor’s visit and an inpatient overnight hospital stay.

Results

Once other factors were considered, a past cancer history increased the likelihood of a past year inpatient overnight hospital stay, but was not associated with a past year outpatient doctor’s visit.

Discussion

An outpatient doctor’s visit for adult female immigrant cancer survivors would provide an opportunity for essential preventive health services. They must be educated about the importance of ongoing outpatient care for cancer surveillance and health maintenance.

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Fig. 1

Adapted from Andersen’s behavioral model of health services utilization

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Acknowledgements

The authors received no financial support or other form of compensation related to the development of the manuscript. The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Hunter-Bellevue School of Nursing, Hunter College, 425 East 25th Street, Rm.416W, New York, NY, 10010, USA

    Jin Young Seo & Shiela M. Strauss

  2. Rory Meyers College of Nursing, New York University, New York, NY, USA

    Shiela M. Strauss

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  1. Jin Young Seo
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Correspondence to Jin Young Seo.

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Seo, J.Y., Strauss, S.M. Association of Cancer History and Health Care Utilization Among Female Immigrants Using NHANES 2007–2016 Data. J Immigrant Minority Health 22, 1208–1216 (2020). https://doi.org/10.1007/s10903-020-01090-7

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