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Factors associated with health insurance status in an Asian American population in New York City : analysis of a community-based survey

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Tan, Cynthia, Wyatt, Laura C., Kranick, Julie A., Kwon, Simona C. and Oyebode, Oyinlola (2018) Factors associated with health insurance status in an Asian American population in New York City : analysis of a community-based survey. Journal of Racial and Ethnic Health Disparities, 5 . pp. 1354-1364. doi:10.1007/s40615-018-0485-y

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Official URL: http://dx.doi.org/10.1007/s40615-018-0485-y

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Abstract

Background

Immigrants comprise approximately 13% of the US population and 33% lack health coverage. Asian Americans are the fastest growing immigrant group; many lack a usual source of care. This study examines factors associated with health insurance among Asian American immigrants living in New York City.

Methods

Community needs assessments were conducted among Asian American subgroups in New York City from 2013- 2015; analysis was completed in 2017 and 2018. Descriptive statistics examined factors associated with health insurance status while stratifying by Asian ethnic subgroup; multivariable logistic regression models further assessed these associations (P<0.05 significance level).

Results

Approximately 19% of the study population (n=1,399) was uninsured. Logistic regression models adjusted for all factors. Among East Asians, insurance status was associated with female sex (OR=2.8, p=0.005), excellent/very good health status (OR=3.5, p=0.014), and seeing a private doctor when sick or injured (OR=3.2, p=0.033). Among South Asians, insurance status was associated with high school/some college and college education (OR=2.6 and 2.9, respectively, p=0.039 and p=0.021), having a routine health check in the past year (OR=6.4, p<0.001), no diabetes diagnosis (OR=2.7, p=0.030), and a tuberculosis diagnosis (OR=4.7, p=0.019). Among Southeast Asians, insurance status was associated with less than high school education (p<0.05), living in the US >20 years (OR=3.7, p=0.009), having a routine health check in the past year (OR=5.6, p=0.025), and seeing a private doctor when sick or injured (OR=2.6, p=0.018).

Conclusions

Health insurance status was associated with differing factors among each subgroup. Findings may inform strategies to address challenges and barriers of healthcare access to immigrants, making healthcare more accessible to this underserved population.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Asian Americans -- Health services -- New York N.Y., Health insurance
Journal or Publication Title: Journal of Racial and Ethnic Health Disparities
Publisher: Springer Verlag
ISSN: 2197-3792
Official Date: 15 December 2018
Dates:
DateEvent
15 December 2018Published
26 March 2018Available
15 March 2018Accepted
Volume: 5
Page Range: pp. 1354-1364
DOI: 10.1007/s40615-018-0485-y
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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