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Title

The Importance of Health Insurance in Addressing Asian American Disparities in Utilization of Clinical Preventive Services: 12-Year Pooled Data from California (Healthy Equity)

Publication Topics

Asian; Use of Health Services; 2001 CA Health Interview Survey (CHIS 2001); 2003 California Health Interview Survey (CHIS 2003); 2005 California Health Interview Survey (CHIS 2005); 2007 California Health Interview Survey (CHIS 2007); 2009 California Health Interview Survey (CHIS 2009); 2011 California Health Interview Survey (CHIS 2011); Health Promotion/Disease Prevention Issues

Publication Type

CHIS Journal Article

Publication Date

2020-07-02T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=630\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=630&amp;RootFolder=*">Sara McMenamin</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=94\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=94&amp;RootFolder=*">Nadereh Pourat, PhD</a>

Author 3

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1208\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1208&amp;RootFolder=*">Richard Lee</a>

Author 4

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=213\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=213&amp;RootFolder=*">Nancy Breen</a>

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Abstract

Summary: Previous research has shown that Asian Americans are less likely to receive recommended clinical preventive services especially for cancer compared with non-Hispanic whites. Health insurance expansion has been recommended as a way to increase use of these preventive services. This study examines the extent to which utilization of preventive services by Asians overall and by ethnicity compared with non-Hispanic whites is moderated by health insurance. Data from the California Health Interview Survey (CHIS) was used to examine preventive service utilization among non-Hispanic whites, Asians, and Asian subgroups 50–64 years of age by insurance status. 


Findings: Privately insured Asians reported significantly lower adjusted rates of mammography and CRC screening, and higher rates of influenza vaccination than privately insured non-Hispanic whites. Adjusted rates of cancer screening were lower among Koreans and Chinese for mammography, and lower among Filipinos for CRC screening. This study highlights the limitations of providing insurance coverage as a strategy to eliminate disparities for cancer screening among Asians without addressing cultural factors.

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Article 1

CHIS Journal Article: The Importance of Health Insurance in Addressing Asian American Disparities in Utilization of Clinical Preventive Services: 12-Year Pooled Data from California

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Created at 7/29/2020 11:03 AM by i:0#.f|uclachissqlmembershipprovider|bijalluhar
Last modified at 7/29/2020 2:02 PM by i:0#.f|uclachissqlmembershipprovider|venetia