文摘
The objective of this study was to collect data on barriers to health care utilization and access among Vietnamese residents of southern California, and to assess the current influence of acculturation on acquisition of health care. A survey was administered anonymously in Vietnamese to 532 randomly selected respondents in their Orange County, California homes. Acculturation was assessed using a score and index. Eighty-five percent of respondents used a Western-trained physician and 70 % had a regular physician. On language facility, 78 % could speak with medical personnel and 86 % could complete medical forms in English. Seven percent were unable to obtain medical care in the prior 12 months, 40 % believed that they could not be admitted to hospital when needed, and 24 % had no health insurance. Women reported more difficulty on most items. Seventy-seven percent of all respondents reported that they were satisfied with their health care, and health-related behavior change to reduce individual risk of disease was identified as their most important health need. Low income was the most important health concern. Respondents were largely bicultural, and acculturation was not associated with use of and satisfaction with Western medicine or ability to access it, but was associated with perceived obstructions to health care. Traditional health care beliefs and practices were not obstructions to using Western medical care. While substantial barriers to improving health care utilization remain, acculturation to the US health care system appears to have occurred in this community. English language facility is a barrier largely for women, and strategies to improve access and utilization for both genders should focus on increasing regular access to a physician, and on reducing logistical and financial barriers.
