Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Factors on Healthcare Utilization by Asian Immigrants in the United States

미국내 아시아 이민자들의 의료서비스 이용에 영향을 미치는 요인

  • So, Aeyoung (Department of Nursing, Gangneung-Wonju National University) ;
  • De Gagne, Jennie C. (School of Nursing, Duke University) ;
  • Oh, Jina (Department of Nursing, Institute of Health Science, Inje University)
  • 소애영 (강릉원주대학교 간호학과) ;
  • ;
  • 오진아 (인제대학교 간호학과)
  • Received : 2014.11.26
  • Accepted : 2015.04.13
  • Published : 2015.04.30
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Abstract

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 $X^2$-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.

Keywords

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