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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http://dx.doi.org/10.1353/hpu.2017.0132 | DOI Listing |
JAMA Netw Open
November 2024
Department of Radiation Oncology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Importance: Asian American individuals are not underrepresented in medicine; however, aggregation in prior workforce analyses may mask underlying disparities.
Objective: To assess representation by Asian race and disaggregated subgroups in the US allopathic medical school workforce.
Design, Setting, And Participants: This cross-sectional study used Association of American Medical Colleges (AAMC) special reports, generated using the AAMC Applicant-Matriculant Data File, Student Records System, Graduate Medical Education Track Survey, and faculty roster.
Laryngoscope
November 2024
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Introduction: Although nasopharynx cancer (NPC) is rare in the United States, global epidemiology varies greatly. Therefore, understanding NPC disparities in the diverse US setting is critical.
Methods And Materials: Data from the National Cancer Database (NCDB, 2004-2021) identified patients with NPC; NCDB allows disaggregation by Asian American (AA) subgroups.
Am J Obstet Gynecol
August 2024
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address:
Support Care Cancer
July 2024
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Purpose: Palliative care plays essential roles in cancer care. However, differences in receipt among individuals identifying as Asian American, Native Hawaiian, and Other Pacific Islanders (AA&NHPI) with cancer are not well-characterized, especially when these diverse groups are disaggregated. We characterized disparities in receipt of palliative care among AA&NHPI patients with AJCC Stage IV prostate, breast, or lung cancer.
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