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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 ISSN 2197-3792.
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WRAP-factors-associated-health-insurance-status-Asian-American-population-New-York -City-2018 .pdf - Accepted Version - Requires a PDF viewer. Download (482Kb) | Preview |
Official URL: http://dx.doi.org/10.1007/s40615-018-0485-y
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 | ||||||||
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| 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 |
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| 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: |
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| 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 | ||||||||
| Date of first compliant deposit: | 21 September 2018 | ||||||||
| Date of first compliant Open Access: | 26 March 2019 |
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