Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders: evidence from the U.S. National Health Interview Survey

BMC Health Services Research
Marie-Rachelle NarcissePearl A McElfish

Abstract

Native Hawaiians and Pacific Islanders (NHPIs) are one of the fasting growing racial groups in the United States (US). NHPIs have a significantly higher disease burden than the US population as a whole, yet they remain underrepresented in research. The purpose of this study is to examine factors associated with health care utilization among NHPIs. Drawing from the 2014 NHPI-National Health Interview Survey, we used stereotype logistic regressions to examine utilization of emergency department (ED) and outpatient services among 2172 individuals aged 18 and older. NHPIs with chronic diseases were twice as likely to be multiple ED users and nearly four times as likely to be frequent-users of outpatient services. Social support played a protective role in preventing multiple use of ED. Having a usual source of care made it more than eight times as likely to be a frequent-user of outpatient services. Use of eHealth information increased the odds of using ED and outpatient services. Ability to afford health care increased the odds of using outpatient services. There was no association between health insurance coverage and use of ED and outpatient services among NHPIs. This research provides the first available national estimates of h...Continue Reading

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Citations

Jun 11, 2020·Journal of Clinical Gastroenterology·Ofer Z FassPeter S Liang
Mar 20, 2019·Current Diabetes Reports·Pearl A McElfishJoseph Keawe'aimoku Kaholokula
Mar 19, 2020·Journal of Nutrition Education and Behavior·Christopher R LongMarie-Rachelle Narcisse

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