Insurance, Acculturation, and Health Service Utilization Among Korean-Americans

Overview

Journal J Immigr Health

Publisher Springer

Specialty Public Health

Date 2005 Mar 25

PMID 15789158

Citations 17

Authors

Hosung Shin

Howin Song

Jinsook Kim

Janice C Probst

Affiliations

Soon will be listed here.

Abstract

This study describes the pattern and predictors of ambulatory care utilization among Korean Americans (KAs) living in Los Angeles. Data were gathered via a mail survey. Analysis employed a two-part model: logit model for factors affecting any health care use and truncated negative binomial model for frequency of use given one visit. Use of ambulatory care among KAs was low (2.80 visits during prior 12 months), compared to their counterparts in South Korea and the U.S. population. Variables associated with higher utilization included old age, health needs, and health insurance. Income had a positive effect on health care utilization decisions among the uninsured. Acculturation appeared to be neither a strong nor consistent predictor of ambulatory care utilization among KAs. Of particular concern is the finding that KAs suffer from inadequate access to care due to lack of employment-based health insurance.

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References

Pourat N, Lubben J, Yu H, Wallace S . Perceptions of health and use of ambulatory care: differences between Korean and White elderly. J Aging Health. 2000; 12(1):112-34. DOI: 10.1177/089826430001200106. View

Saver B, Peterfreund N . Insurance, income, and access to ambulatory care in King County, Washington. Am J Public Health. 1993; 83(11):1583-8. PMC: 1694877. DOI: 10.2105/ajph.83.11.1583. View

Aday L, Andersen R . A framework for the study of access to medical care. Health Serv Res. 1974; 9(3):208-20. PMC: 1071804. View

Anderson G, Hussey P . Comparing health system performance in OECD countries. Organization for Economic Cooperation and Development. Health Aff (Millwood). 2001; 20(3):219-32. DOI: 10.1377/hlthaff.20.3.219. View

Wolinsky F, Aguirre B, Fann L, Keith V, Arnold C, Niederhauer J . Ethnic differences in the demand for physician and hospital utilization among older adults in major American cities: conspicuous evidence of considerable inequalities. Milbank Q. 1989; 67(3-4):412-49. View

Juon H, Choi Y, Kim M . Cancer screening behaviors among Korean-American women. Cancer Detect Prev. 2001; 24(6):589-601. View

Xu G, Fields S, Laine C, Veloski J, Barzansky B, Martini C . The relationship between the race/ethnicity of generalist physicians and their care for underserved populations. Am J Public Health. 1997; 87(5):817-22. PMC: 1381056. DOI: 10.2105/ajph.87.5.817. View

Congress E, Lyons B . Cultural differences in health beliefs: implications for social work practice in health care settings. Soc Work Health Care. 1992; 17(3):81-96. DOI: 10.1300/J010v17n03_06. View

Leake J, Hawkins J, Locker D . Factors influencing the amount and type of dental services received by older adults in four municipalities in Ontario, Canada. J Public Health Dent. 1996; 56(4):182-9. DOI: 10.1111/j.1752-7325.1996.tb02434.x. View

10.

Wismer B, Moskowitz J, Chen A, Kang S, Novotny T, Min K . Rates and independent correlates of Pap smear testing among Korean-American women. Am J Public Health. 1998; 88(4):656-60. PMC: 1508456. DOI: 10.2105/ajph.88.4.656. View

11.

Jang M, Lee E, Woo K . Income, language, and citizenship status: factors affecting the health care access and utilization of Chinese Americans. Health Soc Work. 1998; 23(2):136-45. DOI: 10.1093/hsw/23.2.136. View

12.

Han E, Song H, Kim S . Doctor Visits among Korean Americans in Los Angeles County. Asian Am Pac Isl J Health. 1996; 4(1-3):146-148. View

13.

Uppaluri C, Schumm L, Lauderdale D . Self-reports of stress in Asian immigrants: effects of ethnicity and acculturation. Ethn Dis. 2001; 11(1):107-14. View

14.

LeClere F, Jensen L, Biddlecom A . Health care utilization, family context, and adaptation among immigrants to the United States. J Health Soc Behav. 1994; 35(4):370-84. View

15.

Moy E, Bartman B, Weir M . Access to hypertensive care. Effects of income, insurance, and source of care. Arch Intern Med. 1995; 155(14):1497-502. View

16.

Shin E, Yu E . Use of surnames in ethnic research: the case of Kims in the Korean-American population. Demography. 1984; 21(3):347-60. View

17.

. Behavioral Risk Factor Survey of Korean Americans--Alameda County, California, 1994. MMWR Morb Mortal Wkly Rep. 1997; 46(33):774-7. View

18.

Jenkins C, Le T, McPhee S, Stewart S, Ha N . Health care access and preventive care among Vietnamese immigrants: do traditional beliefs and practices pose barriers?. Soc Sci Med. 1996; 43(7):1049-56. DOI: 10.1016/0277-9536(95)00368-1. View

19.

Gerdtham U . Equity in health care utilization: further tests based on hurdle models and Swedish micro data. Health Econ. 1997; 6(3):303-19. DOI: 10.1002/(sici)1099-1050(199705)6:3<303::aid-hec270>3.0.co;2-p. View

20.

Carrasquillo O, Carrasquillo A, Shea S . Health insurance coverage of immigrants living in the United States: differences by citizenship status and country of origin. Am J Public Health. 2000; 90(6):917-23. PMC: 1446276. DOI: 10.2105/ajph.90.6.917. View