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非美国公民的亚裔美国人在获得医疗保健方面的种族差异:华裔、韩裔和越南裔群体。

Ethnic variation in access to health care of Asian Americans who are not U.S. citizens: Chinese, Korean, and Vietnamese ethnic groups.

作者信息

Lee Sungkyu, Choi Sam, Jung Min-Jung

出版信息

J Health Care Poor Underserved. 2014 May;25(2):577-90. doi: 10.1353/hpu.2014.0104.

Abstract

Using the 2009 California Health Interview Survey, this study examined ethnic variation in the predictors of having a usual source of health care among Asian Americans who are non-U.S. citizens. Chinese residents reported the highest probability of having a usual source of health care (78.0%), followed by Vietnamese (59.8%) and Korean residents (45.2%), and the differences were statistically significant (χ2 = 11.65, p < .01). Poverty status was the only significant predictor for Korean residents and insurance status was the only significant predictor for Vietnamese residents. By contrast, both poverty and insurance status predicted which Chinese residents had a usual source of care. To enhance health care access for vulnerable subgroups of non-U.S. citizens, health care professionals must be aware that there are cultural differences in the predictors of having a usual source of health care based on whether one is an immigrant from China, Korea, or Vietnam.

摘要

本研究利用2009年加利福尼亚健康访谈调查,考察了非美国公民的亚裔美国人中,在拥有常规医疗保健来源的预测因素方面的种族差异。华裔居民报告拥有常规医疗保健来源的可能性最高(78.0%),其次是越南裔(59.8%)和韩裔居民(45.2%),差异具有统计学意义(χ2 = 11.65,p <.01)。贫困状况是韩裔居民唯一显著的预测因素,保险状况是越南裔居民唯一显著的预测因素。相比之下,贫困和保险状况都能预测哪些华裔居民拥有常规医疗保健来源。为了改善非美国公民弱势群体获得医疗保健的机会,医疗保健专业人员必须意识到,基于一个人是来自中国、韩国还是越南的移民,在拥有常规医疗保健来源的预测因素方面存在文化差异。

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