亚裔美国人医疗服务可及性的风险类型及其与未满足的医疗需求的关联。
The risk typology of healthcare access and its association with unmet healthcare needs in Asian Americans.
作者信息
Jang Yuri, Park Nan Sook, Yoon Hyunwoo, Huang Ya-Ching, Rhee Min-Kyoung, Chiriboga David A, Kim Miyong T
机构信息
School of Social Work, The University of Texas at Austin, Austin, TX, USA.
School of Social Work, University of South Florida, Tampa, FL, USA.
出版信息
Health Soc Care Community. 2018 Jan;26(1):72-79. doi: 10.1111/hsc.12463. Epub 2017 Jun 15.
Abstract
Using data from the 2015 Asian American Quality of Life Survey (N = 2,609), latent profile analysis was conducted on general (health insurance, usual place for care and income) and immigrant-specific (nativity, length of stay in the U.S., English proficiency and acculturation) risk factors of healthcare access. Latent profile analysis identified a three-cluster model (low-risk, moderate-risk and high-risk groups). Compared with the low-risk group, the odds of having an unmet healthcare need was 1.52 times greater in the moderate-risk group and 2.24 times greater in the high-risk group. Challenging the myth of model minority, the present sample of Asian Americans demonstrates its vulnerability in access to healthcare. Findings also show the heterogeneity in healthcare access risk profiles.
摘要
利用2015年亚裔美国人生活质量调查（N = 2609）的数据，对医疗服务可及性的一般风险因素（医疗保险、通常的就医地点和收入）以及特定于移民的风险因素（出生地、在美国的停留时间、英语水平和文化适应程度）进行了潜在类别分析。潜在类别分析确定了一个三类别模型（低风险、中度风险和高风险组）。与低风险组相比，中度风险组未满足医疗需求的几率高1.52倍，高风险组高2.24倍。对模范少数族裔这一神话提出质疑的是，目前的亚裔美国人样本显示出其在获得医疗服务方面的脆弱性。研究结果还表明了医疗服务可及性风险概况的异质性。
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