Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders

Evidence from the U.S. National Health Interview Survey

Marie Rachelle Narcisse, Holly Felix, Christopher R. Long, Teresa Hudson, Nalin Payakachat, Zoran Bursac, Pearl A. McElfish

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Background: Native Hawaiians and Pacific Islanders (NHPIs) are one of the fasting growing racial groups in the United States (US). NHPIs have a significantly higher disease burden than the US population as a whole, yet they remain underrepresented in research. The purpose of this study is to examine factors associated with health care utilization among NHPIs. Methods: Drawing from the 2014 NHPI-National Health Interview Survey, we used stereotype logistic regressions to examine utilization of emergency department (ED) and outpatient services among 2172 individuals aged 18 and older. Results: NHPIs with chronic diseases were twice as likely to be multiple ED users and nearly four times as likely to be frequent-users of outpatient services. Social support played a protective role in preventing multiple use of ED. Having a usual source of care made it more than eight times as likely to be a frequent-user of outpatient services. Use of eHealth information increased the odds of using ED and outpatient services. Ability to afford health care increased the odds of using outpatient services. There was no association between health insurance coverage and use of ED and outpatient services among NHPIs. Conclusions: This research provides the first available national estimates of health services use by NHPIs. Efforts to improve appropriate use of health services should consider leveraging the protective factors of social support to reduce the odds of frequent ED use, and having a usual source of care to increase use of outpatient services.

Original languageEnglish (US)
Article number575
JournalBMC Health Services Research
Volume18
Issue number1
DOIs
StatePublished - Jul 21 2018

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Oceanic Ancestry Group
Ambulatory Care
Health Surveys
Health Services
Hospital Emergency Service
Interviews
Social Support
Patient Acceptance of Health Care
Aptitude
Insurance Coverage
Telemedicine
National Health Programs
Health Insurance
Research
Fasting
Chronic Disease
Logistic Models
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders : Evidence from the U.S. National Health Interview Survey. / Narcisse, Marie Rachelle; Felix, Holly; Long, Christopher R.; Hudson, Teresa; Payakachat, Nalin; Bursac, Zoran; McElfish, Pearl A.

In: BMC Health Services Research, Vol. 18, No. 1, 575, 21.07.2018.

Research output: Contribution to journalReview article

Narcisse, Marie Rachelle ; Felix, Holly ; Long, Christopher R. ; Hudson, Teresa ; Payakachat, Nalin ; Bursac, Zoran ; McElfish, Pearl A. / Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders : Evidence from the U.S. National Health Interview Survey. In: BMC Health Services Research. 2018 ; Vol. 18, No. 1.
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