Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California (American Journal of Public Health)

The authors studied variations among non-Hispanic White and Asian American adults in California who had a usual source of care (USC), using data from the 2005 and 2009 California Health Interview Survey. 

Race-related disparities between Asian Americans and non-Hispanic Whites in having a USC were no longer significant after accounting for acculturation factors. Limited English proficiency and living a short time in the United States (less than five years) were significantly associated with not having a USC for both races. Increasing levels of education and insurance were not associated with better access among Asian Americans.   Key differences exist in how Asian American and non-Hispanic White adults access care. Acculturation factors are key drivers of disparities and should be included in access-to-care models with Asians. Insurance and education are differentially significant for Asian Americans and non-Hispanic Whites.  

 

Publication Authors:

• Eva Chang
• et al