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Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California.
- Source :
-
American Journal of Public Health . Feb2015, Vol. 105 Issue 2, p398-407. 10p. 4 Charts. - Publication Year :
- 2015
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 105
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 100373440
- Full Text :
- https://doi.org/10.2105/AJPH.2014.301950