Evidence map›Paper›PMID 41331202›Full record

ArticleJournal of general internal medicine2025

Utilization of Healthcare Among Asian Origin Groups and Citizenship Status.

Milkie Vu, Mary K Nielson, Lilian N Bui, Loretta Hsueh, Chi B Vu, Meng-Han Tsai

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Milkie VuDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Mary K NielsonDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Lilian N BuiDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Loretta HsuehDepartment of Psychology, University of Illinois Chicago, Chicago, IL, USA.
Chi B VuDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Meng-Han TsaiGeorgia Prevention Institute, Augusta University, Augusta, GA, USA. metsai@augusta.edu.ORCID http://orcid.org/0000-0001-6511-156X

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
The Impact of Obesity and Leptin on the Development of Immune System Dysfunction and Hypertension in Females with Systemic Lupus ErythematousU54HL169191 · NHLBI · AUGUSTA UNIVERSITY · PI Daria Ilatovskaya · 2023 to 2026
$7.4M
NUCATS CTSA K12 Program at Northwestern UniversityK12TR005104 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Leena Sharma, BETINA YANEZ · 2024 to 2026
$3.2M
Pathways to Prevention: Exploring Social Determinants of Health in Early Onset Colorectal CancerR21CA301113 · NCI · UNIVERSITY OF KENTUCKY · PI Justin Xavier Moore, Meng-Han Tsai · 2025 to 2026
$409k
Applying the Multiphase Optimization Strategy to Develop and Test a Digital Health Intervention Targeting HPV PreventionK01CA296781 · NCI · NORTHWESTERN UNIVERSITY · PI Ha Ngan Vu · 2025 to 2026
$383k
NCATS NIH HHS K12 TR005104NCATS NIH HHS KL2 TR001424NCI NIH HHS K01 CA296781NCI NIH HHS R21 CA301113NHLBI NIH HHS U54 HL169191
6 · The paper itself

Abstract

backgroundCitizenship status may be a barrier to engaging in preventive care, especially among Asian origin groups.

objectiveThis study examines differences in annual healthcare utilization among six different Asian-origin groups and whether these differences are influenced by citizenship status.

designWe conducted a cross-sectional analysis of data from the 2013-2022 California Health Interview Survey.

participantsRespondents aged 18 and older. MAIN MEASURES: The primary exposures were disaggregated Asian-origin groups (Chinese, Filipino, Japanese, Korean, South Asian, Vietnamese, and others) and citizenship status (U.S.-born, naturalized citizen, non-citizen). The outcome variable was annual healthcare utilization (yes or no). Weighted multivariable logistic regression was used to examine these associations. KEY

resultsAmong the 214,684 eligible participants, Korean respondents showed the lowest prevalence of annual healthcare utilization (76%) among Asian origin groups. U.S.-born (71.8%) and non-citizen Korean (65.5%) respondents also had the lowest rates of annual healthcare utilization. In adjusted analyses, non-citizens had a 14% lower odds of annual healthcare utilization than U.S.-born respondents. Chinese and Korean respondents had lower odds of annual healthcare utilization compared with Hispanic/Latino respondents, with lower odds ranging from 27 to 34% (p < 0.05 for all groups). Finally, naturalized citizens who were Chinese, Korean, or categorized as "other Asian," and non-citizens Chinese respondents, had 29-48% lower odds of annual healthcare utilization (p < 0.05 for all groups).

conclusionsA lower odds of annual healthcare utilization was observed among Chinese and Korean respondents, particularly among naturalized citizens and non-citizens. This study highlights the importance of disaggregating data by Asian origin group and considering citizenship status as a key factor associated with annual healthcare utilization.

Identifiers

PMID41331202
PMCPMC13490943

What OpenQuestion holds

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Registered trials

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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.