Regular Physician Access and Obesity Status Among Underserved Asian and Pacific Islander American Immigrants in Los Angeles.
Hong-Ho YangSuraj A DhanjaniWon Jong ChwaChristine R WellsJeffrey Do HuynhLinh N VoHeather N ChouBurton CowgillPublished in: Asia-Pacific journal of public health (2024)
According to prior research, Asian and Pacific Islander American (APIA) immigrants often refrain from seeking health care unless necessitated by medical conditions. Utilizing data from health screenings conducted in APIA immigrant enclaves in Los Angeles, we hypothesize that poorer obesity status would predict higher rates of regular physician access. Analyses involved objectively measured percent body fat (%BF) and survey responses collected between 2011 and 2019. We assessed the association between obesity status and regular physician access, adjusting for insurance status, demographic, and socioeconomic factors. The study population (n = 4102) primarily consisted low-income, low English proficiency APIAs. Participants with a regular physician were significantly more likely to be obese compared to participants without (adjusted odds ratio [aOR] = 1.28, 95% confidence interval [CI] = [1.03, 1.58], P = .02). This association may suggest that care was sought reactively rather than proactively within this community. Interventions with emphasis on cultural competency and language services may encourage preventative care utilization among this understudied community.
Keyphrases
- healthcare
- primary care
- weight loss
- metabolic syndrome
- mental health
- emergency department
- insulin resistance
- type diabetes
- affordable care act
- weight gain
- high fat diet induced
- physical activity
- adipose tissue
- public health
- health information
- autism spectrum disorder
- electronic health record
- big data
- pain management
- body mass index
- social media
- health promotion
- medical education