Effect of acculturation on variations in having a usual source of care among Asian Americans and non-Hispanic whites in California

E. Chang, K.S. Chan and H.-R. Han

American Journal of Public Health, 2015, vol. 105, issue 2, 398-407

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 (

Keywords: adolescent; adult; Asian American; California; Caucasian; cultural factor; educational status; epidemiology; ethnology; female; health care delivery; health care disparity; health care survey; health insurance; human; male; middle aged; statistics and numerical data; young adult, Acculturation; Adolescent; Adult; Asian Americans; California; Educational Status; European Continental Ancestry Group; Female; Health Care Surveys; Health Services Accessibility; Healthcare Disparities; Humans; Insurance, Health; Male; Middle Aged; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301950_1

DOI: 10.2105/AJPH.2014.301950

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