Health Care Access, Utilization, and Management in Adult Chinese, Koreans, and Vietnamese with Cardiovascular Disease and Hypertension Hispanics

Summary

Published Date: June 01, 2016

​​The study compared health care indicators among Chinese, Korean, Vietnamese, and non-Hispanic white adults with cardiovascular disease and hypertension. Authors analyzed 2011–2012 California Health Interview Survey (CHIS) health indicators from a sample of Asian and non-Hispanic white adults with cardiovascular disease and hypertension.

Findings: The study reports Koreans had the lowest utilization of emergency room (ER) or inpatient hospital services; Vietnamese had the lowest access to a personal doctor; Chinese had the lowest adjusted odds of having seen a doctor in the prior 12 months.

All Asians received fewer written heart disease care plans compared to non-Hispanic white adults. Even when utilization of ER for heart disease appeared to be similar, lack of access to a doctor was a more common reason noted by Asians versus non-Hispanic white adults. 

Authors concluded that health care indicators varied by race and across Asian ethnicities even after controlling for sociodemographic factors, insurance coverage, and health status.