Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California

Bibliographic Data

ID11021089
AuthorsEva Chang (0000-0003-2547-7780, At the time of this research, Eva Chang was with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Kitty S. Chan is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Hae-Ra Han is with the Department of Community–Public Health, Johns Hopkins School of Nursing.), Kun-Sun Chan (0000-0003-2639-4186, Johns Hopkins University), Kitty S Chan (At the time of this research, Eva Chang was with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Kitty S. Chan is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Hae-Ra Han is with the Department of Community–Public Health, Johns Hopkins School of Nursing.), Hae-Ra Han (0009-0009-0607-432X, At the time of this research, Eva Chang was with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Kitty S. Chan is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Hae-Ra Han is with the Department of Community–Public Health, Johns Hopkins School of Nursing.), Hae‐ra Han (0000-0002-9419-594X, Johns Hopkins University)
Year2015
Volume105
Issue2
Pages398-407
Publication date2015-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.301950
PMID25033147
PMCIDPMC4318297
OpenAlexW2063959500
LanguageEN
Citations received10
References cited53

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 ( 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

Acculturation · Asian americans · Ethnic group · Geography · Immigration · Logistic regression · Mexican americans · Non-Hispanic whites · Odds · Race (biology) · Residence · Sociology · Demography · Geriatric Care and Nursing Homes · Medicine · Migration, Health and Trauma · Racial and Ethnic Identity Research · Gerontology

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