Abstract
Although dental care is an essential component of comprehensive health care, a substantial proportion of the U.S. population lacks access to it. Disparities in dental care are most pronounced in racial/ethnic minority communities. Given the rapid population growth of Asian Americans, as well as the growing attention of neighborhood-level effects on health care use, the present study examines how individual-level variables (i.e., age, gender, marital status, ethnicity, education, place of birth, length of stay in the U.S., dental insurance, and self-rated oral health) and neighborhood-level variables (i.e., poverty level, density of Asian population, dentist availability, and Asian-related resources and services) contribute to predicting the use of preventive dental care in a sample of Asian Americans in Austin, TX. This study adds to the growing literature on the effect of neighborhood-level factors on health care as sources of disparities. Those living in the Census area with higher level of available dentists were more likely to use preventive dental care services. Findings suggest the importance of the location (proximity or accessibility) to dental clinics. In a planning perspective for health care policy, identifying the neighborhood with limited healthcare services could be a priority to diminish the disparity of the access.
Original language | English |
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Article number | 2261 |
Journal | International Journal of Environmental Research and Public Health |
Volume | 15 |
Issue number | 10 |
DOIs | |
State | Published - 16 Oct 2018 |
Bibliographical note
Funding Information:Funding: This research was funded by the Research Enhancement Program Grant at the Texas State University (No. 1318190050, PI–Hyunwoo Yoon, Ph.D.) and the City of Austin’s Asian American Quality of Life initiative (Contract No. 26-8275-39, PI–Yuri Jang, Ph.D.).
Funding Information:
Acknowledgments: The support for manuscript development was partly provided by the National Research Foundation of Korea Grant (NRF-2016S1A3A2925399).
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
Keywords
- Asian americans
- Neighborhood characteristics
- Preventive dental care utilization