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Explaining Immigrant Health Service Utilization

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  • Philip Q. Yang
  • Shann Hwa Hwang

Abstract

Although there is no paucity of theoretical frameworks for explaining people’s health service utilization (HSU), theoretical frameworks designed to account for variations in immigrants’ HSU remain underdeveloped. Building on influential theories or models for explaining HSU and especially Andersen’s widely used health behavior model, this article proposes a theoretical framework for explaining disparities in immigrant HSU. The proposed framework explains disparities in immigrant HSU by the health care need, resources, and predisposing factors of immigrants, and macrostructural/contextual conditions at both the general and immigrant-specific levels, as well as the mediating relationships among some of these factors. It is believed that this new framework can offer a fuller understanding of the determination process of immigrant HSU.

Suggested Citation

  • Philip Q. Yang & Shann Hwa Hwang, 2016. "Explaining Immigrant Health Service Utilization," SAGE Open, , vol. 6(2), pages 21582440166, May.
    • Handle: RePEc:sae:sagope:v:6:y:2016:i:2:p:2158244016648137
    DOI: 10.1177/2158244016648137
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    References listed on IDEAS

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    4. Georgia Michlig & Nicole Warren & Merry Berhe & Crista Johnson-Agbakwu, 2021. "Female Genital Mutilation/Cutting among Somali Women in the U.S. State of Arizona: Evidence of Treatment Access, Health Service Use and Care Experiences," IJERPH, MDPI, vol. 18(7), pages 1-15, April.
    5. Young, Maria-Elena De Trinidad & Perez-Lua, Fabiola & Sarnoff, Hannah & Plancarte, Vivianna & Goldman-Mellor, Sidra & Payán, Denise Diaz, 2022. "Working around safety net exclusions during the COVID-19 pandemic: A qualitative study of rural Latinx immigrants," Social Science & Medicine, Elsevier, vol. 311(C).
    6. Yuriy Nesterko & David Jäckle & Michael Friedrich & Laura Holzapfel & Heide Glaesmer, 2020. "Health care needs among recently arrived refugees in Germany: a cross-sectional, epidemiological study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 811-821, July.
    7. Emily Lyles & Gilbert Burnham & Zeina Fahed & Kenneth M. Shermock & Paul Spiegel & Shannon Doocy, 2022. "Care-Seeking and Health Service Utilization for Hypertension and Type 2 Diabetes Among Syrian Refugee and Host Community Care-Seekers in Lebanon," Journal of International Migration and Integration, Springer, vol. 23(2), pages 519-541, June.

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