ArticleAmerican journal of preventive medicine2023
Asian American Enclaves and Healthcare Accessibility: An Ecologic Study Across Five States.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Health Atlas: Tutorial of a Visualization Tool and Data Resource for Place-Based Social and Structural Determinants of Health.Journal of medical Internet research · 2026Article
- Ethnic Enclave Residence and Breast, Cervical, and Colorectal Cancer Incidence among Asian American Adults, 2006 to 2017.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Breast Cancer Survival in Asian American Patients.JAMA network open · 2026Article
- Racial/ethnic disparities in neighborhood physical activity environments: Comparing Native Hawaiian and Other Pacific Islander and Asian Americans in the United States.SSM - population health · 2026Article
- Associations between neighborhood socioeconomic status and cardiometabolic health among Asian American residents of New York city.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study.American journal of preventive medicine · 2025Article
- Latino Enclaves and Healthcare Accessibility: An Ecologic Study Across Five States.Journal of general internal medicine · 2025Article
- The role of ethnic enclaves and neighborhood socioeconomic status in invasive breast cancer incidence rates among Asian American, Native Hawaiian, and Pacific Islander females in California.Cancer causes & control : CCC · 2025Article
- Sex/gender differences in lifetime dementia risk among Asian American and White older adults.NPJ dementia · 2025Article
- Article
- A validation study for measuring Asian- and Hispanic-serving sociocultural institutions in neighborhoods using business listing data and potential implications for health.Social science & medicine (1982) · 2024Article
- Novel concept for the healthy population influencing factors.Frontiers in public health · 2024Article
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Authors and funding
16 authors.
Funding
Abstract
introductionAccess to primary care has been a long-standing priority for improving population health. Asian Americans, who often settle in ethnic enclaves, have been found to underutilize health care. Understanding geographic primary care accessibility within Asian American enclaves can help to ensure the long-term health of this fast-growing population.
methodsU.S. Census data from five states (California, Florida, New Jersey, New York, and Texas) were used to develop and describe census-tract level measures of Asian American enclaves and social and built environment characteristics for years 2000 and 2010. The 2-step floating catchment area method was applied to National Provider Identifier data to develop a tract-level measure of geographic primary care accessibility. Analyses were conducted in 2022-2023, and associations between enclaves (versus nonenclaves) and geographic primary care accessibility were evaluated using multivariable Poisson regression with robust variance estimation, adjusting for potential area-level confounders.
resultsOf 24,482 census tracts, 26.1% were classified as Asian American enclaves. Asian American enclaves were more likely to be metropolitan and have less poverty, lower crime, and lower proportions of uninsured individuals than nonenclaves. Asian American enclaves had higher primary care accessibility than nonenclaves (adjusted prevalence ratio=1.23, 95% CI=1.17, 1.29).
conclusionsAsian American enclaves in five of the most diverse and populous states in the U.S. had fewer markers of disadvantage and greater geographic primary care accessibility. This study contributes to the growing body of research elucidating the constellation of social and built environment features within Asian American enclaves and provides evidence of health-promoting characteristics of these neighborhoods.
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