Journal of Immigrant and Minority Health
Volume 8, Issue 3, 2006, Pages 273-280

Koreans' use of medical services in Seoul, Korea and California (Article)

Hill L.* , Hofstetter C.R. , Hovell M. , Lee J. , Irvin V. , Zakarian J.
  • a Center for Behavioral Epidemiology and Community Health, C-BEACH, Graduate School of Public Health, San Diego State University, San Diego, CA, United States, 9245 Sky Park Court, San Diego, CA 92123, United States
  • b Center for Behavioral Epidemiology and Community Health, C-BEACH, Graduate School of Public Health, San Diego State University, San Diego, CA, United States, Department of Political Science, San Diego State University, San Diego, CA, United States
  • c Center for Behavioral Epidemiology and Community Health, C-BEACH, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
  • d School of Public Health, Harvard University, Cambridge, MA, United States
  • e Center for Behavioral Epidemiology and Community Health, C-BEACH, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
  • f Center for Behavioral Epidemiology and Community Health, C-BEACH, Graduate School of Public Health, San Diego State University, San Diego, CA, United States

Abstract

This study assessed the types of health care services used by Korean immigrants, and differences in use between different countries, genders, health insurance status, acculturation status, and cardiovascular risk. Participant selection used probability sampling to represent the adult populations of California, United States, and Seoul, Republic of Korea. A telephone survey was administered to 2830 adult Korean-Californians and 500 adult Koreans living in Seoul. Female gender was significantly associated with higher use of outpatient services, ER usage, and hospitalization. Californian residence was significantly associated with higher outpatient usage and lower hospitalization rates. Health insurance was associated with higher allopathic health care utilization, and lower traditional health care usage, and acculturation with lower traditional health care usage. Higher self-reported cardiac risk factors were associated with lower allopathic and higher traditional health care. This suggests barriers to allopathic health care, but not traditional health care, for Koreans living in California without health insurance. © Springer Science + Business Media, LLC 2006.

Author Keywords

Acculturation Health insurance immigrants Koreans

Index Keywords

lifestyle cardiovascular risk Health Care Surveys Cardiovascular Diseases health insurance human risk assessment Self Report immigration middle aged validation process controlled study obesity priority journal probability hypertension geographic distribution Insurance, Health United States Humans Cross-Cultural Comparison California Asian Americans male Asian American Acculturation female reliability risk factor population distribution Risk Factors cultural factor health services Article health care utilization adult human experiment health care access Emigration and Immigration Patient Acceptance of Health Care health care system smoking habit Health Services Accessibility Korea health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745420364&doi=10.1007%2fs10903-006-9332-4&partnerID=40&md5=0085279f064530cbd4d2667825843a13

DOI: 10.1007/s10903-006-9332-4
ISSN: 15571912
Cited by: 10
Original Language: English