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 language | English |
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Pages (from-to) | 598-612 |
Number of pages | 15 |
Journal | Journal of health care for the poor and underserved |
Volume | 34 |
Issue number | 2 |
DOIs | |
State | Published - May 2023 |
Bibliographical note
Publisher Copyright:© Meharry Medical College.
Keywords
- Asian Americans
- Preventive health care
- cross-level interaction
- multilevel modeling
- neighborhood factors