ArticleInternational journal of social science research2016
Healthcare Access and Utilization among Korean Americans: The Mediating Role of English Use and Proficiency.
Article in International journal of social science research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Translation, Cultural Adaptation, and Field Testing of the Korean Version of the HEAR-COMMAND Tool: A Self-Rated ICF-Based Questionnaire for Assessing Hearing, Communication, and Conversation Disabilities in Korean-Speaking Populations.Journal of audiology & otology · 2025Article
- Correlates and Health Issues among Older Korean Immigrants Living Alone in the United States: A Scoping Review.Nursing reports (Pavia, Italy) · 2024Article
- Using community-based geographical information system (GIS) to recruit older Asian Americans in an Alzheimer's disease study.BMJ open · 2023Review
- Development and Modification of a Culturally Tailored Education Program to Prevent Breast Cancer in Korean Immigrant Women in New York City.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Variation in Usual Source of Care in Asian American, Native Hawaiian, and Other Pacific Islander Adult Medicaid Beneficiaries.Medical care · 2022Article
- Associations of Self-Reported Sleep Quality with Demographic and Other Characteristics in Older Korean Immigrants.Journal of immigrant and minority health · 2022Article
- A Qualitative Analysis of Barriers to Colorectal Cancer Screening among Korean Americans.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Integration Is Correlated With Mental Health Help-Seeking From the General Practitioner: Syrian Refugees' Preferences and Perceived Barriers.Frontiers in public health · 2021Article
- Home health care services to persons with dementia and language preference.Geriatric nursing (New York, N.Y.)Observational
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
The literature suggests that Korean Americans underutilize health services. Cultural factors and language barriers appear to influence this pattern of low utilization but studies on the relationships among length of stay in the US, English use and proficiency, and utilization of health services among Korean Americans have yielded inconsistent results. This study examines whether English language use and proficiency plays a mediating role in the relationships between length of stay in the US and health insurance coverage, access to and use of care. Structural equation modeling was used for mediation analysis with multiple dependent variables among Korean Americans (N = 555) using baseline data from a large trial designed to increase Hepatitis B testing. The results show 36% of the total effect of proportion of lifetime in the US on having health insurance was significantly mediated by English use and proficiency (indirect effect = 0.166, SE = 0.07, p<.05; direct effect = 0.296, SE = 0.13, p<.05). Proportion of lifetime in the US was not associated with usual source of care and health service utilization. Instead, health care utilization was primarily driven by having health insurance and a usual source of care, further underscoring the importance of these factors. A focus on increasing English use and proficiency and insurance coverage among older, female, less educated Korean Americans has the potential to mitigate health disparities associated with reduced access to health services in this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.