title: Nativity and occupational class disparities in uninsurance and routine preventive care use among Asian Americans.
abstract: Using data from 1,530 Asian respondents of the 2002-2003 National Latino and Asian American Study, we examined how nativity and occupational class are associated with uninsurance, no routine physical check-up in the past year and no dental/eye exam use in the past year using weighted multivariate logistic regression models. Recent immigrants had increased odds of uninsurance and no dental/eye exam use than US-born Asians which became nonsignificant after controlling for occupational class and covariates. Unemployed and service workers had increased odds of uninsurance than white-collar workers even after controlling for income and limited English proficiency (LEP). Approximately 35-40 % of blue-collar and service workers reported neither type of preventive care use. Even after controlling for LEP, income, uninsurance, having a regular doctor or place of care, service workers had significantly increased odds of no physical check-up and no dental/eye exam use and blue-collar workers had marginally significant increased odds of no dental/eye exam use. Significant occupational disparities exist in access and preventive care use with workers in service occupations being particularly underserved.
authors.affiliation: Department of Social and Behavioral Sciences, Harvard School of Public Health, Landmark Center, 4th Floor, 401 Park Dr., Boston, MA, 02215, USA, djohn@hsph.harvard.edu.
authors.forename: Dolly A
authors.initials: DA
authors.lastname: John
authors.forename: A B
authors.initials: AB
authors.lastname: de Castro
authors.forename: Bonnie
authors.initials: B
authors.lastname: Duran
authors.forename: Diane P
authors.initials: DP
authors.lastname: Martin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D009790:Occupations / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D014478:Unemployment / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D055815:Young Adult