Nativity and Occupational Class Disparities in Uninsurance and Routine Preventive Care Use Among Asian Americans

Details

• Personal Author:
  de Castro AB ; Duran B ; John DA ; Martin DP
• Description:
  Using data from 1,530 Asian respondents of the 2002-2003 National Latino and Asian American Study, we examined how nativity and occupational class are associated with uninsurance, no routine physical check-up in the past year and no dental/eye exam use in the past year using weighted multivariate logistic regression models. Recent immigrants had increased odds of uninsurance and no dental/eye exam use than US-born Asians which became nonsignificant after controlling for occupational class and covariates. Unemployed and service workers had increased odds of uninsurance than white-collar workers even after controlling for income and limited English proficiency (LEP). Approximately 35-40 % of blue-collar and service workers reported neither type of preventive care use. Even after controlling for LEP, income, uninsurance, having a regular doctor or place of care, service workers had significantly increased odds of no physical check-up and no dental/eye exam use and blue-collar workers had marginally significant increased odds of no dental/eye exam use. Significant occupational disparities exist in access and preventive care use with workers in service occupations being particularly underserved. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Healthcare Disparities Occupational Health Preventive Medicine Race Factors Safety
• Keywords:
  Author Keywords: Asian Americans Health Care Health Disparities Health Insurance Medical Care Nativity Occupational Disparities Preventive Medicine Racial Factors Routine Preventive Care
• ISSN:
  1557-1912
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1 ; OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  15
• Issue:
  6
• NIOSHTIC Number:
  nn:20054835
• Citation:
  J Immigr Minor Health 2013 Dec; 15(6):1011-1022
• Contact Point Address:
  D. A. John, Department of Social and Behavioral Sciences, Harvard School of Public Health, Landmark Center, 4th Floor, 401 Park Dr., Boston, MA 02215, USA
• Email:
  djohn@hsph.harvard.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Immigrant and Minority Health
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f2d929560af361670fca522643767ba9ebc0525bbaa91286366e9c3845ee4bc974ca5c9a152ccade3de44305a01e1ae177bbb7ee75094280e2548c6cfaa9ed42
• Download URL:
  https://stacks.cdc.gov/view/cdc/217255/cdc_217255_DS1.pdf
• File Type:
  [PDF - 104.49 KB ]