Healthcare Utilization and Health Outcomes: US-born and Foreign-born Elderly Asian Americans

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In order to better understand variations of health behaviors between US-born and foreign-born elderly Asian Americans (65+) in the United States, the research aims to explore relationships among health outcomes, healthcare utilization, and sociodemographic characteristics. Data from the National Health Interview Survey 1998-2012 is used to construct structural equation models for the US born group and for the foreign born group. The results found that there is a reciprocal relationship between health outcomes and healthcare utilization in both groups. Use of healthcare services can positively affect health outcomes, while better health outcomes reduce the need for healthcare utilization. In addition, … continued below

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vii, 84 pages : illustrations (some color)

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Huang, Jacob Chao-Lun August 2015.

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This dissertation is part of the collection entitled: UNT Theses and Dissertations and was provided by the UNT Libraries to the UNT Digital Library, a digital repository hosted by the UNT Libraries. It has been viewed 135 times. More information about this dissertation can be viewed below.

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  • Huang, Jacob Chao-Lun

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Description

In order to better understand variations of health behaviors between US-born and foreign-born elderly Asian Americans (65+) in the United States, the research aims to explore relationships among health outcomes, healthcare utilization, and sociodemographic characteristics. Data from the National Health Interview Survey 1998-2012 is used to construct structural equation models for the US born group and for the foreign born group. The results found that there is a reciprocal relationship between health outcomes and healthcare utilization in both groups. Use of healthcare services can positively affect health outcomes, while better health outcomes reduce the need for healthcare utilization. In addition, some sociodemographic characteristics, such as age, sex, and marital status have a direct effect on health outcomes, but some others, such as education, family size and combined family income, have an indirect effect on health outcomes via healthcare utilization. The region of residency has both direct and indirect effects on health outcomes. Regarding the effects of predictors on health outcomes, US-born elderly Asians usually receive more health advantages from using institutional health services than foreign-born elderly Asians. Practitioners, social gerontologists, and policy makers should be cautious about assuming that there is a positive impact of increased healthcare utilization on health outcomes in elderly Asian Americans.

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vii, 84 pages : illustrations (some color)

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  • August 2015

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  • March 4, 2016, 4:14 p.m.

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  • March 11, 2025, 4:39 p.m.

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Huang, Jacob Chao-Lun. Healthcare Utilization and Health Outcomes: US-born and Foreign-born Elderly Asian Americans, dissertation, August 2015; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc804863/: accessed June 23, 2025), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .

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