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Title

Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care (Journal of Ethnic Health Disparities)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); 2017 California Health Interview Survey (CHIS 2017); Asian; Native Hawaiian or Pacific Islander; Low-Income; Immigrant

Publication Type

CHIS Journal Article

Publication Date

2022-01-11T08:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1966\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1966&amp;RootFolder=*">Thomas Le</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=623\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=623&amp;RootFolder=*">Gilbert Gee, PhD</a>

Author 3

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=196\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=196&amp;RootFolder=*">Winston Tseng</a>

Author 4

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Abstract

Summary: Self-reported racial or ethnic discrimination in a health care setting has been linked to worse health outcomes and not having a usual source of care, but has been rarely examined among Asian ethnic subgroups.

Authors examined the association between Asian ethnic subgroup and self-reported discrimination in a health care setting, and whether both factors were associated with not having a usual source of care.

Using the California Health Interview Survey (CHIS) 20152017, researchers used logistic regression models to assess associations among Asian ethnic subgroup, self-reported discrimination, and not having a usual source of care. Interactions between race and self-reported discrimination, foreign-born status, poverty level, and limited English proficiency were also analyzed.

Respondents represented adults age 18+ residing in California who identified as white, Black, Hispanic, American Indian/Alaska Native, Asian (including Chinese, Filipino, Japanese, Korean, Vietnamese, and Other Asian), and other.

Authors examined two main outcomes: self-reported discrimination in a health care setting and having a usual source of care.

Findings: There were 62,965 respondents. After survey weighting, Asians as an aggregate group were more likely to report discrimination than non-Hispanic whites. When Asians were disaggregated, Japanese and Koreans were more likely to report discrimination than non-Hispanic whites. Self-reported discrimination was marginally associated with not having a usual source of care. Koreans were the only group associated with not having a usual source of care. Foreign-born Chinese and foreign-born Japanese were more associated with self-reported discrimination than being independently foreign-born and Chinese or Japanese.

Differences in self-reported discrimination in a health care setting and not having a usual source of care were observed among Asian ethnic subgroups. Better understanding of these differences in their sociocultural contexts will guide interventions to ensure equitable access to health care.

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Journal Article: Asian American Self-Reported Discrimination in Healthcare and Having a Usual Source of Care

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Press Release

Related Link 1

California Health Interview Survey (CHIS)

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