Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California.
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| Title: | Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California. |
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| Authors: | Chang, Eva (AUTHOR), Chan, Kitty S. (AUTHOR), Hae-Ra Han (AUTHOR) |
| Source: | American Journal of Public Health. Feb2015, Vol. 105 Issue 2, p398-407. 10p. |
| Subjects: | Acculturation, Asians, Chi-squared test, Confidence intervals, Help-seeking behavior, Insurance, Population research, Questionnaires, Research funding, White people, Multiple regression analysis, Residential patterns, Cross-sectional method, Retrospective studies, Case-control method, Data analysis software, Descriptive statistics, Odds ratio |
| Geographic Terms: | California |
| Abstract: | Objectives. We examined variations in having a usual source of care (USC) among non-Hispanic White and Asian American adults in California. Methods. Data were from the 2005 and 2009 California Health Interview Survey. Using a modified Anderson model, we used multiple logistic regression to compare odds of having a USC between non-Hispanic White (n = 38 554) and Asian American adults (n = 7566) and to examine associations with acculturation factors (English proficiency, length of residence, residence in a racially concordant neighborhood) and key enabling (employment, income, insurance) and predisposing (education) factors. Results. Race-related disparities between Asian Americans and non-Hispanic Whites in having a USC were no longer significant after accounting for acculturation factors. Limited English proficiency and short time in the United States (< 5 years) were significantly associated with not having a USC for both races. Increasing levels of education and insurance were not associated with better access among Asian Americans. Conclusions. Key differences exist in how Asian American and non- Hispanic White adults access care. Acculturation factors are key drivers of disparities and should be included in access-to-care models with Asians. Insurance and education are differentially significant for Asian Americans and non-Hispanic Whites. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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