title: Korean Immigrant Women's Health Care Utilization in the United States: A Systematic Review of Literature.
abstract: A systematic literature review was performed to review empirical evidence, published between 1946 and 2015, regarding Korean immigrant women's health care utilization and factors affecting their health care utilization in the United States. Andersen's behavioral model of health services utilization was used as a framework and was expanded to analyze the pattern of health services utilization and to identify characteristics of access to health care. A total of 32 reports were included. Variables were categorized into 1 of 5 individual determinants: cultural, enabling, predisposing, need, and reinforcing factor. A total of 423 relationships were found between individual determinants and health care utilization. All reinforcing variables were effective in increasing Korean immigrant women's health care utilization in a positive way. Interventions targeting multiple factors were strongly effective in encouraging Korean immigrant women to utilize health services for cancer screening. However, these studies yielded inconsistent findings related to outcome measures due to the variability of measurement criteria.
authors.affiliation: Hunter-Bellevue School of Nursing, Hunter College, the City University of New York, NY, USA js3149@hunter.cuny.edu.
authors.forename: Jin Young
authors.initials: JY
authors.lastname: Seo
authors.affiliation: School of Nursing, The University of Texas at Austin, TX, USA.
authors.forename: Sung-Heui
authors.initials: SH
authors.lastname: Bae
authors.affiliation: School of Nursing, University at Buffalo, the State University of New York, Buffalo, NY, USA.
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Dickerson
mesh_terms: D001213:Asian / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007723:Korea / Q000208:ethnology; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D014481:United States
keywords: Asian people/cultures; health care utilization; immigrants/migrants; women’s health