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Healthcare Access and Utilization among Korean Americans: The Mediating Role of English Use and Proficiency

Author

Listed:
  • Jiang Li
  • Annette E. Maxwell
  • Beth A. Glenn
  • Alison K. Herrmann
  • L Cindy Chang
  • Catherine M. Crespi
  • Roshan Bastani

Abstract

The literature suggests that Korean Americans underutilize health services. Cultural factors and language barriers appear to influence this pattern of low utilization but studies on the relationships among length of stay in the US, English use and proficiency, and utilization of health services among Korean Americans have yielded inconsistent results. This study examines whether English language use and proficiency plays a mediating role in the relationships between length of stay in the US and health insurance coverage, access to and use of care. Structural equation modeling was used for mediation analysis with multiple dependent variables among Korean Americans (N= 555) using baseline data from a large trial designed to increase Hepatitis B testing. The results show 36% of the total effect of proportion of lifetime in the US on having health insurance was significantly mediated by English use and proficiency (indirect effect =0.166, SE= 0.07, p

Suggested Citation

  • Jiang Li & Annette E. Maxwell & Beth A. Glenn & Alison K. Herrmann & L Cindy Chang & Catherine M. Crespi & Roshan Bastani, 2016. "Healthcare Access and Utilization among Korean Americans: The Mediating Role of English Use and Proficiency," International Journal of Social Science Research, Macrothink Institute, vol. 4(1), pages 83-97, March.
    • Handle: RePEc:mth:ijssr8:v:4:y:2016:i:1:p:83-97
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    References listed on IDEAS

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    2. Nam, Y., 2008. "Welfare reform and older immigrants' health insurance coverage," American Journal of Public Health, American Public Health Association, vol. 98(11), pages 2029-2034.
    3. Stanley Sclove, 1987. "Application of model-selection criteria to some problems in multivariate analysis," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 333-343, September.
    4. Lopez-Class, Maria & Castro, Felipe González & Ramirez, Amelie G., 2011. "Conceptions of acculturation: A review and statement of critical issues," Social Science & Medicine, Elsevier, vol. 72(9), pages 1555-1562, May.
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