AI Article Synopsis

  • The study focused on health care access barriers for Laotian Americans in Middle Tennessee, surveying 312 adults.
  • Chi-square analysis revealed that younger respondents (ages 18-34), those born in the U.S., and individuals without insurance or a primary care provider (PCP) were less likely to visit a PCP.
  • The findings highlight the importance of having Laotian-speaking practitioners, as the presence of one may have mitigated language barriers and emphasizes the need for training minority health care providers.

Article Abstract

We examined barriers to health care among Laotian Americans in a Middle Tennessee community that included a Laotian-speaking practitioner. A Laotian American primary care clinic nurse practitioner surveyed 312 adult Laotian Americans. The dependent variable was whether respondents visited (n = 214, 77.8%) or did not visit (n = 61,22.2%) primary care providers (PCP) in the last year. Chi-square analysis found visiting less likely if respondents were age 18-34 (p < .001), born in U.S. (p < .001), spent less time in U.S. (p = .010), never married (p = .001), lacked health insurance (p < .001), or lacked a PCP (p < .001). Chi-square analysis segmented by age found neither lack of English fluency nor preference for Laotian-speaking providers significantly reduced access, possibly because of the Laotian practitioner. Logistic regression found individuals with insurance five times more likely to visit and individuals with PCP 8.5 times more likely. Results support the value of training minority providers.

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Source
http://dx.doi.org/10.1353/hpu.2017.0132DOI Listing

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