ABSTRACT

Objectives

To examine whether Andersen’s model explains health care utilization among Middle Eastern immigrants and to examine gender and ethnic differences in health care utilization of Middle Eastern, Hispanic/Latino, and Asian immigrants in the United States.

Method

Using data from the 2000–2017 National Health Interview Surveys (NHIS), this study compares patterns of health care utilization among Middle Eastern (ME) immigrants to those among Hispanic/Latino and Asian immigrants in the U.S. Specifically, we use Andersen's Behavioral Model of Health Care Utilization to model the likelihood of seeing a doctor in the past 12 months for these three immigrant groups. Additionally, the current study emphasizes the predisposing factor of gender and its differences across and within these groups.

Results

Andersen's behavioral framework is partially suited to predict the likelihood of seeing a doctor in the past 12 months among ME immigrants. Immigrant women, regardless of their ethnicity, are significantly more likely than men to report seeing a doctor in the past 12 months. Moreover, the effects of the predisposing, need, and enabling characteristics for Hispanics and Asians are significantly different from those for ME immigrants. Additionally, although Asians are significantly less likely to utilize the health care system than ME immigrants, there are no significant differences comparing Hispanics/Latinos to ME immigrants. Furthermore, Andersen's behavioral framework explains ethnicity and gender differences particularly when comparing Asian men to ME men and Asian women to ME women.

Conclusions

This study highlights the importance of considering ethnicity and gender differences when examining health outcomes of immigrants.

中文翻译：

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美国中东、西班牙裔/拉丁裔和亚洲移民的医疗保健利用：安徒生行为模型的应用

摘要

目标

检验 Andersen 的模型是否解释了中东移民的医疗保健利用情况，并检验美国中东、西班牙裔/拉丁裔和亚洲移民在医疗保健利用方面的性别和种族差异。

方法

本研究使用 2000-2017 年全国健康访谈调查 (NHIS) 的数据，比较了中东 (ME) 移民与美国西班牙裔/拉丁裔和亚洲移民的医疗保健利用模式。具体而言，我们使用安徒生的行为模型Health Care Utilization 模拟这三个移民群体在过去 12 个月内看医生的可能性。此外，目前的研究强调了性别的诱发因素及其在这些群体之间和内部的差异。

结果

Andersen 的行为框架部分适用于预测 ME 移民在过去 12 个月内看医生的可能性。移民女性，无论其种族如何，在过去 12 个月内报告看医生的可能性显着高于男性。此外，西班牙裔和亚裔的易感性、需要和使能特征的影响与 ME 移民的影响显着不同。此外，尽管亚洲人使用医疗保健系统的可能性明显低于 ME 移民，但将西班牙裔/拉丁裔与 ME 移民相比没有显着差异。此外，安徒生的行为框架解释了种族和性别差异，特别是在将亚洲男性与 ME 男性和亚洲女性与 ME 女性进行比较时。

结论

本研究强调了在检查移民的健康结果时考虑种族和性别差异的重要性。