Cancer History and Healthcare Utilization among Asian Adults living in the United States: A Population-based Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study examined the relationship between cancer history and healthcare utilization among Asians residing in the United States. Methods: A cross-sectional analysis used 2011-2018 National Health and Nutrition Examination Survey data, focusing on the Asian demographic. Multiple logistic regression analyses evaluated the relationships between sociodemographic characteristics, cancer history, and healthcare utilization outcomes. These outcomes included self-rated health, healthcare usage during the previous year, overnight hospitalizations during the previous year, and the establishment of a routine healthcare facility. Results: A total of 2,956 Asian participants were included in our study. We found that cancer history significantly influences self-rated health, the frequency of healthcare visits, and the likelihood of overnight hospital stays. However, it did not significantly correlate with having a consistent healthcare provider. Among the various sociodemographic characteristics, both citizenship and health insurance emerged as influential factors in healthcare utilization among Asians. Conclusion: Our findings emphasize the importance of enhancing the well-being of individuals with a history of cancer, aiming to optimize their access to, and use of, healthcare services. Continued research in this area is essential for the formulation of targeted interventions and policies to bridge health disparities and improve health outcomes of Asian Americans.
Abstract
Purpose: This study examined the relationship between cancer history and healthcare utilization among Asians residing in the United States. Methods: A cross-sectional analysis used 2011-2018 National Health and Nutrition Examination Survey data, focusing on the Asian demographic. Multiple logistic regression analyses evaluated the relationships between sociodemographic characteristics, cancer history, and healthcare utilization outcomes. These outcomes included self-rated health, healthcare usage during the previous year, overnight hospitalizations during the previous year, and the establishment of a routine healthcare facility. Results: A total of 2,956 Asian participants were included in our study. We found that cancer history significantly influences self-rated health, the frequency of healthcare visits, and the likelihood of overnight hospital stays. However, it did not significantly correlate with having a consistent healthcare provider. Among the various sociodemographic characteristics, both citizenship and health insurance emerged as influential factors in healthcare utilization among Asians. Conclusion: Our findings emphasize the importance of enhancing the well-being of individuals with a history of cancer, aiming to optimize their access to, and use of, healthcare services. Continued research in this area is essential for the formulation of targeted interventions and policies to bridge health disparities and improve health outcomes of Asian Americans.
참고문헌 (27)
- Ahmmad Z, "Self-rated health disparities among Asian Americans : mediating roles of education level and household income", J Immigr Minor Health, 23, pp.583~590 (2021)
- Echeverria SE, "Social and clinically-relevant cardiovascular risk factors in Asian Americans adults : NHANES 2011-2014", Prev Med, 99, pp.222~227 (2017)
- Ye J, "Health care access and utilization among US-born and foreign-born Asian Americans", J Immigr Minor Health, 14, pp.731~737 (2012)
- Dibble KE, "Disparities in healthcare utilization and access by length of cancer survivorship among population-based female cancer survivors", J Cancer Surviv, 16, pp.1220~1235 (2022)
- Hathaway EC, "Socioeconomic disparities associated with healthcare utilization among adults with rheumatoid arthritis", Nurs Res, 72, pp.167~174 (2023)
- Kim EJ, "Racial and ethnic differences in healthcare utilization among medicare fee-for-service enrollees", J Gen Intern Med, 34, pp.2697~2699 (2019)
- Gonzalez N, "Healthcare utilization in cancer survivors : six-month longitudinal cohort data", Cancer Causes Control, 33, pp.1005~1012 (2022)
- Siegel RL, "Cancer statistics, 2019", CA Cancer J Clin, 69, pp.7~34 (2019)
- Seo JY, "Association of cancer history and health care utilization among female immigrants using NHANES 2007–2016 data", J Immigr Minor Health, 22, pp.1208~1216 (2020)
- Boland L, "Self-management interventions for cancer survivors : a systematic review", Support Care Cancer, 26, pp.1585~1595 (2018)
- Zheng Z, "Financial hardship, healthcare utilization, and health among U. S. cancer survivors", Am J Prev Med, 59, pp.68~78 (2020)
- Andersen RM, "National health surveys and the behavioral model of health services use", Med Care, 46, pp.647~653 (2008)
- "About the national health and nutrition examination survey"[URL]
- "National health and nutrition examination survey: analytic guidelines, 2011-2014 and 2015-2016"[URL]
- Schmidt ME, "Return to work after breast cancer : the role of treatment-related side effects and potential impact on quality of life", Eur J Cancer Care(Engl), 28, pp.e13051~ (2019)
- Bower JE, "Cancer-related fatigue--mechanisms, risk factors, and treatments", Nat Rev Clin Oncol, 11, pp.597~609 (2014)
- Schnittker J, "The increasing predictive validity of self-rated health", PLoS One, 9, pp.e84933~ (2014)
- Meyer OL, "Determinants of mental health and self-rated health : a model of socioeconomic status, neighborhood safety, and physical activity", Am J Public Health, 104, pp.1734~1741 (2014)
- Blackburn BE, "Preventive service utilization among low-income cancer survivors", J Cancer Surviv, 16, pp.1047~1054 (2022)
- Nekhlyudov L, "Developing a quality of cancer survivorship care framework : implications for clinical care, research, and policy", J Natl Cancer Inst, 111, pp.1120~1130 (2019)
- Wang W, "All around suboptimal health-a joint position paper of the Suboptimal Health Study Consortium and European Association for Predictive, Preventive and Personalised Medicine", EPMA J, 12, pp.403~433 (2021)
- "Health care access and quality"[URL]
- Dreisbach C, "Predictors of unrelieved symptoms in All of Us research program participants with chronic conditions", J Pain Symptom Manage, 64, pp.555~566 (2022)
- Frølich A, "Multimorbidity, healthcare utilization and socioeconomic status : a register-based study in Denmark", PLoS One, 14, pp.e0214183~ (2019)
- St Sauver JL, "Why patients visit their doctors: assessing the most prevalent conditions in a defined American population", Mayo Clin Proc, 88, pp.56~67 (2013)
- Guadamuz JS, "Citizenship status and the prevalence, treatment, and control of cardiovascular disease risk factors among adults in the United States, 2011–2016", Circ Cardiovasc Qual Outcomes, 13, pp.e006215~ (2020)
- Jang Y, "The risk typology of healthcare access and its association with unmet healthcare needs in Asian Americans", Health Soc Care Community, 26, pp.72~79 (2018)