Health Care Utilization

The degree of utilization is dependent upon acceptance by patient and family, and barriers such as

  • Mistrust
  • Money
  • Saving face
  • Family responsibilities

Additional barriers to the U.S. health system include:

  • Lack of language and culturally competent services
  • Geographic barriers
  • Economic barriers

For example, English ability, conservatism with regards to more traditional Eastern cultural values and lack of knowledge may be partially responsible for lower rates of mammograms in Chinese-American women (Wang JH 2009; Liang 2009). In general, the fact that Asians and Pacific Islander Americans are less likely to see a physician may impact on the success of prevention programs, such as smoking cessation and breast cancer screening (Chen 1994; Fu 2003; Wang JH 2009).