Steve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd., D 3500, Austin, TX, 78712, USA.
School of Nursing, The University of Texas at Austin, Austin, TX, USA.
J Immigr Minor Health. 2019 Apr;21(2):264-270. doi: 10.1007/s10903-018-0763-0.
The present study examined the extent to which limited English proficiency (LEP) poses a risk to health service use in Asian Americans. With data drawn from the 2015 Asian American Quality of Life Survey (N = 2594), logistic regression was used to model the odds for four outcomes (no usual place for care, no regular check-up, unmet needs for medical care, and communication problems in healthcare settings). More than 62% of the sample had LEP. In the group with LEP, the odds of not having usual place for care increased by 2.09 times, of not having regular check-up by 1.69 times, of having unmet needs for medical care by 1.89 times, and of having communication problems in healthcare settings by 4.95 times. The findings highlight the vulnerabilities of Asian Americans with LEP in health service use and provide implications for health planning and interventions.
本研究考察了英语水平有限（LEP）对亚裔美国人健康服务利用的影响程度。本研究利用 2015 年亚裔美国人生活质量调查（N=2594）的数据，采用逻辑回归模型对四个结果（无常规就诊地点、无定期检查、医疗需求未得到满足和医疗保健环境中的沟通问题）的几率进行建模。超过 62%的样本存在 LEP。在 LEP 群体中，没有常规就诊地点的几率增加了 2.09 倍，没有定期检查的几率增加了 1.69 倍，医疗需求未得到满足的几率增加了 1.89 倍，在医疗保健环境中存在沟通问题的几率增加了 4.95 倍。研究结果凸显了英语水平有限的亚裔美国人在健康服务利用方面的脆弱性，并为健康规划和干预提供了启示。
