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Does being an immigrant make a difference in seeking physician services?

Ke Tom Xu1, Tyrone F Borders

  • 1Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430-8161, USA. tom.xu@ttuhsc.edu

Journal of Health Care for the Poor and Underserved
|May 13, 2008
PubMed
Summary

U.S.-born adults utilize more healthcare visits than immigrants. Factors like education and insurance access influence immigrant preventive care, while health beliefs impact U.S.-born individuals more significantly.

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Area of Science:

  • Health Services Research
  • Sociology of Health
  • Public Health Policy

Background:

  • Healthcare access and utilization disparities persist between U.S.-born and foreign-born populations.
  • Understanding the influence of immigration status, acculturation, and health beliefs is crucial for equitable healthcare delivery.
  • Previous research indicates varied healthcare-seeking behaviors among immigrant groups.

Purpose of the Study:

  • To investigate how immigration status, acculturation, and health beliefs affect preventive and non-preventive healthcare visit utilization.
  • To compare healthcare utilization patterns between U.S.-born adults and immigrant adults.
  • To identify factors influencing healthcare visit frequency within these demographic groups.

Main Methods:

  • Utilized a nationally representative sample of U.S.-born and foreign-born adults.
  • Employed statistical analyses to examine the relationships between immigration status, acculturation, health beliefs, and healthcare visit frequency.
  • Differentiated between preventive and non-preventive healthcare visits.

Main Results:

  • U.S.-born adults reported significantly higher utilization of both preventive and non-preventive healthcare visits compared to immigrants.
  • Education, usual source of care, and public insurance access more strongly predicted preventive visits for immigrants than for U.S.-born individuals.
  • Health confidence and perceived need for insurance predicted visit numbers for U.S.-born adults but showed minimal correlation for immigrants.
  • Acculturation was associated only with the number of preventive visits among immigrant adults.

Conclusions:

  • Immigrants exhibit lower utilization of both preventive and non-preventive healthcare services.
  • This disparity may stem from a combination of perceived better health status and limited enabling resources among immigrants.
  • Tailored interventions addressing acculturation and resource accessibility are needed to improve immigrant healthcare utilization.