The Use of Preventive Health Care in Asian Americans: The Cross-level Interactions between Individual and Neighborhood Factors in the United States

Hyunwoo Yoon, Seoyoun Kim, Min Kyung Rhee, Yuri Jang, Siryung Lee

Research output: Contribution to journalArticlepeer-review

Abstract

The present study explored how individual-and neighborhood-level factors contribute to predicting the use of preventive health care in a sample of Asian Americans. The cross-level interaction between individual-and neighborhood-level factors was also examined. We found a significant interaction between individual-level health insurance coverage and neighborhood health care providers’ availability. Those who were uninsured and living in areas with limited health care provider availability (bottom 20%) were the most disadvantaged. This study adds to the growing literature on the effect of neighborhood-level factors on health care as sources of disparities. For health care policy, identifying individuals without health insurance coverage and living in a neighborhood with limited health care providers should be a priority to diminish disparities in access to care.

Original languageEnglish
Pages (from-to)598-612
Number of pages15
JournalJournal of health care for the poor and underserved
Volume34
Issue number2
DOIs
StatePublished - May 2023

Bibliographical note

Publisher Copyright:
© Meharry Medical College.

Keywords

  • Asian Americans
  • Preventive health care
  • cross-level interaction
  • multilevel modeling
  • neighborhood factors

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