Healthcare Access Among Individuals of Asian Descent in the U.S.

Authors

  • Mahmoud Al Rifai, M.D., MPH Baylor College of Medicine
  • Sina Kianoush, M.D., MPH
  • Vardhmaan Jain, M.D.
  • Abdul Mannan Khan Minhas, M.D.
  • Aliza Hussain, M.D.
  • Chayakrit Krittanawong, M.D.
  • Jaideep Patel, M.D.
  • Anandita Agarwala, M.D.
  • Bashir Hanif, M.D.
  • Zainab Samad, MBBS
  • Eugene Yang, M.D.
  • Salim S. Virani, M.D., Ph.D.

DOI:

https://doi.org/10.17161/kjm.vol15.17942

Abstract

Introduction. Some groups of Asian Americans, especially Asian Indians, experience higher rates of atherosclerotic cardiovascular disease (ASCVD) compared with other groups in the U.S. Barriers in accessing medical care partly may explain this higher risk as a result of delayed screening for cardiovascular risk factors and timely initiation of preventive treatment.

Methods. Cross-sectional data were utilized from the 2006 to 2015 National Health Interview Survey (NHIS). Barriers to accessing medical care included no place to seek medical care when needed, no healthcare coverage, no care due to cost, delayed care due to cost, inability to afford medication, or not seeing a doctor in the past 12 months.

Results. The study sample consisted of 18,150 Asian individuals, of whom 20.5% were Asian Indian, 20.5% were Chinese, 23.4% were Filipino, and 35.6% were classified as “Other Asians”. The mean (standard error) age was 43.8 (0.21) years and 53% were women. Among participants with history of hypertension, diabetes mellitus, or ASCVD (prevalence = 25%), Asian Indians were more likely to report delayed care due to cost (2.58 (1.14,5.85)), while Other Asians were more likely to report no care due to cost (2.43 (1.09,5.44)) or delayed care due to cost (2.35 (1.14,4.86)), compared with Chinese. Results among Filipinos were not statistically significant.

Conclusions. Among Asians living in the U.S. with cardiovascular risk factors or ASCVD, Asian Indians and Other Asians are more likely to report delayed care or no care due to cost compared with Chinese.

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Published

2022-09-21

How to Cite

Al Rifai, M., Kianoush, S., Jain, V., Khan Minhas, A. M. ., Hussain, A., Krittanawong, C., Patel, J., Agarwala, A., Hanif, B., Samad, Z., Yang, E., & Virani, S. (2022). Healthcare Access Among Individuals of Asian Descent in the U.S. Kansas Journal of Medicine, 15(3), 352–357. https://doi.org/10.17161/kjm.vol15.17942

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Section

Original Research