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Web End = J Immigrant Minority Health (2015) 17:14511457 DOI 10.1007/s10903-014-0065-0
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Web End = Health Care Access Among Asian American Subgroups: The Role of Residential Segregation
Daisy C. Carreon Sebastian E. Baumeister
Published online: 22 March 2015 Springer Science+Business Media New York 2015
Abstract Few studies have examined differences in health care access across Asian American ethnicities and none have considered the effects of residential segregation. The segregation of Asians by neighborhood has been steadily increasing over the past few decades due in part to the settlement patterns of immigrants. Data from the 2009 National Longitudinal Study of Adolescent Health (n = 746) were used. We examined differences in yearly medical checkups between Asian subgroups as well as among foreign-born and US-born Asians. Results showed that immigrant Filipinos and Vietnamese were less likely to get a checkup compared with foreign-born Chinese. The effect of Asian subgroup was modied by the percentage of Asians in a census tract (p \ 0.01). Koreans and other Asians had a higher probability of getting a checkup when living in a predominately Asian neighborhood. For Chinese and Vietnamese residential concentration of Asians had a stronger inverse association with having a yearly checkup.
Keywords Asian American Health care access
Residential segregation
Introduction
Racial and ethnic residential segregation is increasingly linked to health care outcomes [16]. Studies have shown
that segregation affects a broad spectrum of care including diagnostic, screening, and preventive services, prompting some scholars to call it a fundamental cause of health care disparities [7]. Most of the research on segregation and health to date has focused on African Americans [8] and there is growing interest in the isolation of Hispanics [9 12]. Neighborhoods that are predominately Asian, however, remain understudied. In a literature search, only one study on Chinese segregation and health-related behaviors was found and it revealed that for Chinese Americans, residing in an area with a high percent of foreign-born Chinese was associated with low consumption of fatty foods, but was unrelated to levels of physical activity [13]. Census data...