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KMID : 0379720150290010053
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Journal of Korean Community Health Nursing Academic Society
2015 Volume.29 No. 1 p.53 ~ p.66
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Factors on Healthcare Utilization by Asian Immigrants in the United States
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So Ae-Young
Jennie C. De Gagne
Oh Jin-A
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Abstract
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Purpose: This study was considered in order to identify the factors affecting healthcare utilization by Asian immigrants in the United States.
Methods: From February to April 2011, a descriptive survey study was conducted in a convenience sample of 250 Korean and Asian Indian immigrants aged between 40 and 64 in the Triangle area of North Carolina. An author-developed instrument was used to assess predisposing, enabling, and need factors according to Anderson’s Behavioral Model of Health Services. Utilization Data analysis was performed by X2-test, t-test, and binary logistic regression.
Results: Participants’ healthcare services experiences were significantly different when they had a longer stay in
the U.S., had been employed, had higher income, were Asian Indians, had better English-speaking skills, better health status, more knowledge of health system and health insurance, had higher satisfaction with the healthcare system, and when they were taking prescribed medications and having health insurance. The strongest association with
experience of healthcare services was having health insurance with an adjusted odds ratio (OR) of 15.37 (95% CI 4.95-47.71, p<.001) and self-reported English proficiency (OR=1.99, 95% CI 1.00-3.96, p=.05).
Conclusion: Intervention strategies to increase accessibility to healthcare services should focus on these significant predictors.
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KEYWORD
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Migrants, Minority health, Health services accessibility, Asian Americans, ethnic groups
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