Preventive Healthcare Utilization among Asian Americans in the U.S.: Testing the Institute of Medicine’s Model of Access to Healthcare

Author:

Lee Siryung1,Yoon Hyunwoo2,Chung Soondool1ORCID,Jang Yuri13ORCID,Naseh Mitra4

Affiliation:

1. Department of Social Welfare, Ewha Womans University, Seoul 03760, Republic of Korea

2. Department of Social Welfare, Institute of Social Welfare, Kongju National University, Gongju-si 32588, Republic of Korea

3. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA 90007, USA

4. Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA

Abstract

The current research, guided by the intersectionality theory and the Institute of Medicine’s healthcare access model, explored the determinants of preventive care utilization within the Asian American community. Analyzing data from the Asian American Quality of Life Survey (with a sample size of 2535), logistic regression models were employed, incorporating various factors: demographic variables, immigration-related variables, health and access, and patient–provider relationship. Results revealed that longer stays in the U.S., having health insurance coverage, having a usual source of care, and higher satisfaction levels with prior healthcare services were associated with increased odds of utilizing preventive healthcare. These findings contribute to our comprehension of preventive care utilization among Asian Americans and offer practical insights for targeted interventions in social work and public health and strategic healthcare planning.

Funder

National Research Foundation of Korea

Publisher

MDPI AG

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3. Barnes, Patricia M., Adams, Patricia F., and Powell-Griner, Eve (2023, August 11). Health Characteristics of the Asian Adult Population, United States, 2004–2006, Available online: https://stacks.cdc.gov/view/cdc/13210.

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5. When a usual source of care and usual provider matter: Adult prevention and screening services;Blewett;Journal of General Internal Medicine,2008

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