IDEAS home Printed from https://ideas.repec.org/a/mth/ijssr8/v4y2016i1p83-97.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: http://www.macrothink.org/journal/index.php/ijssr/article/view/8678/7250
    Download Restriction: no
    File URL: http://www.macrothink.org/journal/index.php/ijssr/article/view/8678
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ilana Akresh, 2009. "Health Service Utilization Among Immigrants to the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(6), pages 795-815, December.
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jing Li & Robert Hummer, 2015. "The Relationship Between Duration of U.S. Residence, Educational Attainment, and Adult Health Among Asian Immigrants," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(1), pages 49-76, February.
    2. Jiwon Lee & Midam An & Yongku Kim & Jung-In Seo, 2021. "Optimal Allocation for Electric Vehicle Charging Stations," Energies, MDPI, vol. 14(18), pages 1-10, September.
    3. Palma, Marco A. & Ness, Meghan L. & Anderson, David P., 2015. "Buying More than Taste? A Latent Class Analysis of Health and Prestige Determinants of Healthy Food," 2015 Conference (59th), February 10-13, 2015, Rotorua, New Zealand 202566, Australian Agricultural and Resource Economics Society.
    4. Alan Crane & Kevin Crotty, 2020. "How Skilled Are Security Analysts?," Journal of Finance, American Finance Association, vol. 75(3), pages 1629-1675, June.
    5. Aline Riboli Marasca & Maurício Scopel Hoffmann & Anelise Reis Gaya & Denise Ruschel Bandeira, 2021. "Subjective Well-Being and Psychopathology Symptoms: Mental Health Profiles and their Relations with Academic Achievement in Brazilian Children," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(3), pages 1121-1137, June.
    6. Kai Wei & Daniel Jacobson López & Shiyou Wu, 2019. "The Role of Language in Anti-Immigrant Prejudice: What Can We Learn from Immigrants’ Historical Experiences?," Social Sciences, MDPI, vol. 8(3), pages 1-18, March.
    7. Marcus Heise & Astrid Fink & Jens Baumert & Christin Heidemann & Yong Du & Thomas Frese & Solveig Carmienke, 2021. "Patterns and associated factors of diabetes self-management: Results of a latent class analysis in a German population-based study," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-23, March.
    8. Urška Smrke & Nejc Plohl & Izidor Mlakar, 2022. "Aging Adults’ Motivation to Use Embodied Conversational Agents in Instrumental Activities of Daily Living: Results of Latent Profile Analysis," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    9. Hamparsum Bozdogan, 1987. "Model selection and Akaike's Information Criterion (AIC): The general theory and its analytical extensions," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 345-370, September.
    10. Schreier, Alayna & Stenersen, Madeline R. & Strambler, Michael J. & Marshall, Tim & Bracey, Jeana & Kaufman, Joy S., 2023. "Needs of caregivers of youth enrolled in a statewide system of care: A latent class analysis," Children and Youth Services Review, Elsevier, vol. 147(C).
    11. Francesco BARTOLUCCI & Silvia BACCI & Claudia PIGINI, 2015. "A Misspecification Test for Finite-Mixture Logistic Models for Clustered Binary and Ordered Responses," Working Papers 410, Universita' Politecnica delle Marche (I), Dipartimento di Scienze Economiche e Sociali.
    12. Mengya Xia & Caitlin M. Hudac, 2023. "Social Connection Constellations and Individual Well-Being Typologies: Using the Loglinear Modeling Approach with Latent Variables," Journal of Happiness Studies, Springer, vol. 24(6), pages 1991-2012, August.
    13. Peña, Guillermo & Puente-Ajovín, Miguel & Ramos, Arturo & Sanz-Gracia, Fernando, 2022. "Log-growth rates of CO2: An empirical analysis," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 588(C).
    14. Xia Fan & Xiaowan Yang & Liming Chen, 2015. "Diversified resources and academic influence: patterns of university–industry collaboration in Chinese research-oriented universities," Scientometrics, Springer;Akadémiai Kiadó, vol. 104(2), pages 489-509, August.
    15. Wenjie Duan & Bo Qi & Junrong Sheng & Yuhang Wang, 2020. "Latent Character Strength Profile and Grouping Effects," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 147(1), pages 345-359, January.
    16. Laura Dal Corso & Alessandro De Carlo & Francesca Carluccio & Daiana Colledani & Alessandra Falco, 2020. "Employee burnout and positive dimensions of well-being: A latent workplace spirituality profile analysis," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-17, November.
    17. Isabelle Archambault & Véronique Dupéré, 2017. "Joint trajectories of behavioral, affective, and cognitive engagement in elementary school," The Journal of Educational Research, Taylor & Francis Journals, vol. 110(2), pages 188-198, March.
    18. Meng Li & Sijia Xiang & Weixin Yao, 2016. "Robust estimation of the number of components for mixtures of linear regression models," Computational Statistics, Springer, vol. 31(4), pages 1539-1555, December.
    19. T. Paul de Cock & Mark Shevlin, 2014. "Parental Bonding," SAGE Open, , vol. 4(3), pages 21582440145, August.
    20. Guangchao Feng, 2014. "Estimating intercoder reliability: a structural equation modeling approach," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(4), pages 2355-2369, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:mth:ijssr8:v:4:y:2016:i:1:p:83-97. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Technical Support Office (email available below). General contact details of provider: http://www.macrothink.org/journal/index.php/ijssr .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.