APA Health CARE: A Student-Led Initiative Addressing Health Care Barriers Faced by the Asian and Pacific Islander American Immigrant Population in Los Angeles

Yang, Hong-Ho; Chwa, Won Jong; Yuen, Sharon B; Huynh, Jeffrey D; Chan, Janine S; Kumar, Amit; Dhanjani, Suraj; Gee, Gilbert C.; Cowgill, Burton O.

doi:10.1007/s10900-020-00915-8

Cited by 8 publications

(14 citation statements)

References 14 publications

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“…Health fairs conducted by the UCLA student group APA Health CARE using this model have shown promise in increasing health insurance coverage and doctor access for people with LEP. 16 Local and state policy makers may consider increasing funding streams to support culturally competent community outreach activities to narrow the gap in health care access resulting from a lack of English proficiency in the APIA population.…”

Section: Discussionmentioning

confidence: 99%

“…Methods of data collection and handling are detailed elsewhere. 16 The health fairs provided basic health screenings and were mainly conducted at cultural festivals and places of worship within APIA ethnic enclaves. The UCLA Institutional Review Board deemed this retrospective analysis of data collected to be exempt from review.…”

Section: Methodsmentioning

confidence: 99%

“…We grouped participant self-reported English proficiency into either HEP or LEP based on responses to the survey question on English level according to criteria developed by Yang et al 16 We placed participants who responded “very well” or “well” in the HEP category and participants who responded “not well” or “not at all” in the LEP category.…”

Section: Methodsmentioning

confidence: 99%

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Trends in Health Care Access Disparities Among Asian and Pacific Islander Health Fair Participants in Los Angeles, 2011-2019

et al. 2022

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Objectives: Given several efforts to improve health care access in California and nationally, we studied whether linguistic and socioeconomic disparities in health care access changed from 2011 to 2019 among Asian and Pacific Islander American (APIA) people in Los Angeles, California. Methods: We analyzed survey responses from APIA health fair participants (n = 5032) in the Greater Los Angeles area from May 15, 2011, through October 20, 2019. To assess the effect of socioeconomic factors on and shifts in health care access (ie, health insurance status/regular doctor), we used a logistic regression model. Covariates included English proficiency, year, age, sex, ethnicity, income, employment, and education. We also ran an interaction analysis between English proficiency and year. Results: Health insurance access increased and doctor access remained stable throughout the study period; however, disparities in health insurance status widened by a factor of 1.08 per year between participants with high English proficiency (HEP) and participants with low English proficiency (LEP) ( P = .01). People with HEP were 2.02 times more likely to have a regular doctor than people with LEP ( P < .001), and this disparity persisted from 2011 to 2019 ( P = .58). Participants who were young ( P < .001) and male ( P = .005) were significantly less likely to have health insurance and a regular doctor ( P < .001) than participants who were older and female. Chinese participants were significantly more likely than Thai ( P = .002) and Korean ( P < .001) participants to be insured but not more likely to have a regular doctor, when controlling for health insurance. Conclusions: Policy changes targeting language and cultural barriers to care for APIA people with LEP may address the disparities observed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Trends in Health Care Access Disparities Among Asian and Pacific Islander Health Fair Participants in Los Angeles, 2011-2019

et al. 2022

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“…Deidentified data for this study were provided by a volunteer organization that conducts free health screenings in APIAdense ethnic enclaves in the Greater Los Angeles area [37]. Screenings were typically conducted at community centers, churches, and cultural festivals.…”

Section: Data Collectionmentioning

confidence: 99%

“…Participant demographic and SES information were selfreported on surveys. Details regarding survey questions were documented in Yang et al [37]. This included age, sex, education, income, employment status, doctor access, health insurance status, years living in the USA, year of screening visit, ethnicity, and employment status.…”

Section: Variables Of Interestmentioning

confidence: 99%

Disparity in Obesity and Hypertension Risks Observed Between Pacific Islander and Asian American Health Fair Attendees in Los Angeles, 2011–2019

Yang

Dhanjani

Chwa

et al. 2022

J. Racial and Ethnic Health Disparities

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Introduction The Pacific Islander American population is understudied due to being aggregated with Asian Americans. In this study, we conduct a comparative analysis of directly measured body mass index (BMI), body fat percentage (%BF), and blood pressure (BP) between Pacific Islander Americans and Asian Americans from health screenings in Los Angeles, California. We hope to reveal intra-APIA health disparities masked by this data aggregation. Methods We analyzed BMI, %BF, and BP that were objectively measured by trained personnel at health screenings in Los Angeles between January 2011 and December 2019. We performed multivariable multinomial logistic regression models with obesity and hypertensive categories as outcome variables and ethnicity as the primary independent variable of interest. Models controlled for year of visit, participant age, sex, income, education level, years living in the USA, employment status, English proficiency, regular doctor access, and health insurance status. Results A total of 4,832 individuals were included in the analysis. Multivariable analyses revealed that Pacific Islander participants were at significantly higher risks for being classified as obese compared with all Asian American subgroups studied, including Chinese, Korean, Thai, Vietnamese, Filipino, and Japanese. Pacific Islanders also exhibited significantly lower predicted probability of having a normal blood pressure compared with Chinese and Thai participants. Some variation between Asian subgroups were also observed. Conclusions Pacific Islander participants had higher risk of several sentinel health problems compared to Asian American participants. Disaggregation of PI Americans from the APIA umbrella category in future studies is necessary to unmask the critical needs of this important community.

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Community Health Fairs and Cancer Prevention in Low-Resource Settings: A Global Perspective

Branford,

Regis-Andrew,

Phillip

et al. 2024

Curr Epidemiol Rep

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APA Health CARE: A Student-Led Initiative Addressing Health Care Barriers Faced by the Asian and Pacific Islander American Immigrant Population in Los Angeles

Cited by 8 publications

References 14 publications

Trends in Health Care Access Disparities Among Asian and Pacific Islander Health Fair Participants in Los Angeles, 2011-2019

Trends in Health Care Access Disparities Among Asian and Pacific Islander Health Fair Participants in Los Angeles, 2011-2019

Disparity in Obesity and Hypertension Risks Observed Between Pacific Islander and Asian American Health Fair Attendees in Los Angeles, 2011–2019

Community Health Fairs and Cancer Prevention in Low-Resource Settings: A Global Perspective

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