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Racial disparities in access to health care and preventive services between Asian Americans/Pacific Islanders and Non-Hispanic Whites

TitleRacial disparities in access to health care and preventive services between Asian Americans/Pacific Islanders and Non-Hispanic Whites
Publication TypeJournal Article
Year of Publication2010
AuthorsWen, XJ, Balluz, L
JournalEthn DisEthn Dis
Volume20
Pagination290-5
Date PublishedSummer
ISBN Number1049-510X (Print)<br/>1049-510X (Linking)
Accession Number20828104
KeywordsAdolescent, Adult, Aged, Asian Americans, Behavioral Risk Factor Surveillance System, Cross-Sectional Studies, European Continental Ancestry Group, Female, Health Services Accessibility, Health Status Indicators, Healthcare Disparities, Humans, Male, Middle Aged, Oceanic Ancestry Group, Preventive Health Services/ utilization, Puerto Rico, United States, United States Virgin Islands
AbstractOBJECTIVE: Large-scale comparison and comprehensive estimate on the access to health care and preventive services between Asian Americans/Pacific Islanders (AAPIs) and Non-Hispanic Whites (NHWs) has not been available. This study examines the racial disparities in access to health care and preventive services between AAPIs and NHWs in the USA. METHODS: Cross-sectional study of access to health care and preventive services among AAPIs compared to NHWs, using data from Behavioral Risk Factor Surveillance System 2005 to 2007 among 908,154 respondents aged > or = 18 years. RESULTS: The percentages of AAPIs (aged > or = 18 years) who reported having a personal healthcare provider, a Pap test (women aged > or =18), a fecal occult blood test (aged > or = 50) a sigmoidoscopy/colonoscopy (aged > or = 50), a PSA test (men aged > or = 40), blood cholesterol checked (aged > or =18 yrs), and pneumococcal vaccination (aged > or = 65 yrs) were 76.7%, 83.1%, 27.5%, 47.5%, 35.5%, 74.2%, and 51.2%, respectively. Compared to NHWs, AAPIs were significantly less likely to have a personal health care provider (adjusted odds ratio: 0.69 [95% confidence interval: 0.63-0.75]), a Pap test (0.18 [0.13-0.28]), a fecal occult blood test (0.50 [0.39-0.631), a sigmoidoscopy/colonoscopy (0.64 [0.50-0.81]), a PSA test (0.35 [0.26-0.47]), blood cholesterol checked (0.71 [0.64-0.80]), and pneumococcal vaccination (0.52 [0.42-0.65]). CONCLUSION: This study suggests that disparities exist between AAPIs and NHWs in 1 of 4 selected health care access indicators and 6 of 8 selected preventive services.