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.
BolliniPPampallonaSWannerPKupelnickB. Pregnancy outcome of migrant women and integration policy: a systematic review of the international literature. Soc Sci Med. 2009;68:452-461.
3.
DeroseKPEscarceJJLurieN. Immigrants and health care: sources of vulnerability. Health Aff (Millwood). 2007;26:1258-1268.
4.
DeroseKPBahneyBWLurieNEscarceJJ. Review: immigrants and health care access, quality, and cost. Med Care Res Rev. 2009;66:355-408.
5.
MarshallKJUrrutia-RojasXMasFSCogginC. Health status and access to health care of documented and undocumented immigrant Latino women. Health Care Women Int. 2005;26:916-936.
6.
CameronKASongJManheimLMDunlopDD. Gender disparities in health and healthcare use among older adults. J Womens Health (Larchmt). 2010;19:1643-1650.
7.
SohlerNLLiXCunninghamCO. Gender disparities in HIV health care utilization among the severely disadvantaged: can we determine the reasons?AIDS Patient Care STDS. 2009;23:775-783.
8.
WilliamsDRMohammedSA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009;32:20-47.
9.
AsaninJWilsonK. “I spent nine years looking for a doctor”: exploring access to health care among immigrants in Mississauga, Ontario, Canada. Soc Sci Med. 2008;66:1271-1283.
10.
KimWKeefeRH. Barriers to healthcare among Asian Americans. Soc Work Public Health. 2010;25:286-295.
11.
LeeSMartinezGMaGX. Barriers to health care access in 13 Asian American communities. Am J Health Behav. 2010;34:21-30.
12.
OuLChenJGarrettPHillmanK. Ethnic and Indigenous access to early childhood healthcare services in Australia: parents’ perceived unmet needs and related barriers. Aust N Z J Public Health. 2011;35:30-37.
13.
PottieKNgESpitzerDMohammedAGlazierR. Language proficiency, gender and self-reported health: an analysis of the first two waves of the longitudinal survey of immigrants to Canada. Can J Public Health. 2008;99:505-510.
14.
KandulaNRKerseyMLurieN. Assuring the health of immigrants: what the leading health indicators tell us. Annu Rev Public Health. 2004;25:357-376.
15.
SalantTLauderdaleDS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57:71-90.
HillLHofstetterCRHovellMLeeJIrvinVZakarianJ. Koreans’ use of medical services in Seoul, Korea and California. J Immigr Minor Health. 2006;8:273-280.
19.
AndersenR. Behavioral Model of Families’ Use of Health Services. Chicago, IL: Center for Health Administration Studies, University of Chicago; 1968.
20.
AndersenRNewmanJF. Societal and individual determinants of medical care utilization in the United States. Milbank Q. 2005;83(4):1-28.
21.
AndersenRM. Revisiting the behavioral model and access to medical care: does it matter?J Health Soc Behav. 1995;36:1-10.
22.
AdayLAAndersenR. A framework for the study of access to medical care. Health Serv Res. 1974;9:208-220.
23.
PhillipsKAMorrisonKRAndersenRAdayLA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res. 1998;33(3 pt 1):571-596.
24.
MoherDLiberatiATetzlaffJAltmanDG; The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.
25.
FangCYMaGXTanYChiN. A multifaceted intervention to increase cervical cancer screening among underserved Korean women. Cancer Epidemiol Biomarkers Prev. 2007;16:1298-1302.
26.
KimYHSarnaL. An intervention to increase mammography use by Korean American women. Oncol Nurs Forum. 2004;31:105-110.
27.
LeeEMenonUNandyK. The effect of a couples intervention to increase breast cancer screening among Korean Americans. Oncol Nurs Forum. 2014;41:E185-E193.
28.
MaxwellAEJoAMCrespiCMSudanMBastaniR. Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women: results of a randomized trial. Cancer Causes Control. 2010;21:1931-1940.
29.
MaxwellAEBastaniRWardaUS. Mammography utilization and related attitudes among Korean-American women. Women Health. 1998;27(3):89-107.
30.
SongHJHanHRLeeJE. Does access to care still affect health care utilization by immigrants? Testing of an empirical explanatory model of health care utilization by Korean American immigrants with high blood pressure. J Immigr Minor Health. 2010;12:513-519.
31.
JuonHSKimMShankarSHanW. Predictors of adherence to screening mammography among Korean American women. Prev Med. 2004;39:474-481.
32.
JuonHSSeung-LeeCKlassenAC. Predictors of regular Pap smears among Korean-American women. Prev Med. 2003;37(6pt 1):585-592.
33.
MaxwellAEBastaniRWardaUS. Demographic predictors of cancer screening among Filipino and Korean immigrants in the United States. Am J Prev Med. 2000;18:62-68.
34.
GelbergLAndersenRMLeakeBD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34:1273-1302.
35.
SteinJAAndersenRGelbergL. Applying the Gelberg-Andersen behavioral model for vulnerable populations to health services utilization in homeless women. J Health Psychol. 2007;12:791-804.
36.
MontanoDEKasprzykD. Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. In: GlanzKRimerBKViswanathK eds. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed.San Francisco, CA: Jossey-Bass; 2008.
37.
BradleyEHMcGrawSACurryL. Expanding the Andersen model: the role of psychosocial factors in long-term care use. Health Serv Res. 2002;37:1221-1242.
38.
DongXChangEWongESimonM. Perception and negative effect of loneliness in a Chicago Chinese population of older adults. Arch Gerontol Geriatr. 2012;54:151-159.
39.
SueSChengJKYSaadCSChuJP. Asian American mental health: a call to action. Am Psychol. 2012;67:532-544.
40.
ChoiJY. Negotiating old and new ways: contextualizing adapted health care-seeking behaviors of Korean immigrants in Hawaii. Ethn Health. 2013;18:350-366.
41.
OhKJunJZhouQKrepsG. Korean American women’s perceptions about physical examinations and cancer screening services offered in Korea: the influences of medical tourism on Korean Americans. J Community Health. 2014;39:221-229.
42.
GomezSLTanSKeeganTHMClarkeCA. Disparities in mammographic screening for Asian women in California: a cross-sectional analysis to identify meaningful groups for targeted intervention. BMC Cancer. 2007;7:201.
43.
OhKKrepsGLJunJRamseyL. Cancer information seeking and awareness of cancer information sources among Korean Americans. J Cancer Educ. 2011;26:355-364.
44.
OhKZhouQKrepsGKimW. The influences of immigration on health information seeking behaviors among Korean Americans and native Koreans. Health Educ Behav. 2014;41:173-185.
45.
SeoJYKimWDickersonSS. Korean immigrant women’s lived experience of childbirth in the United States. J Obstet Gynecol Neonatal Nurs. 2014;43:305-317.
46.
ChawlaNBreenNLiuBLeeRKagawa-SingerM. Asian American women in California: a pooled analysis of predictors for breast and cervical cancer screening. Am J Public Health. 2015;105:e98-e109.
47.
JangYKimGChiribogaDA. Health, healthcare utilization, and satisfaction with service: barriers and facilitators for older Korean Americans. J Am Geriatr Soc. 2005;53:1613-1617.
48.
JoAMMaxwellAEWongWKBastaniR. Colorectal cancer screening among underserved Korean Americans in Los Angeles County. J Immigr Minor Health. 2008;10:119-126.
49.
JuonHSChoiYJKimMT. Cancer screening behaviors among Korean-American women. Cancer Detect Prev. 2000;24:589-601.
50.
Kagawa-SingerMPouratNBreenN. Breast and cervical cancer screening rates of subgroups of Asian American women in California. Med Care Res Rev. 2007;64:706-730.
51.
KimMHanHRKimKBDuongDN. The use of traditional and western medicine among Korean American elderly. J Community Health. 2002;27:109-120.
52.
LeeEEFoggLFSadlerGR. Factors of breast cancer screening among Korean immigrants in the United States. J Immigr Minor Health. 2006;8:223-233.
53.
LeeEEEunYLeeSYNandyK. Age-related differences in health beliefs regarding cervical cancer screening among Korean American women. J Transcult Nurs. 2012;23: 237-245.
54.
LeeHKimJHanH. Do cultural factors predict mammography behavior among Korean immigrants in the USA?J Adv Nurs. 2009;65:2574-2584.
55.
LeeHEImH. Colorectal cancer screening among Korean American immigrants: unraveling the influence of culture. J Health Care Poor Underserved. 2013;24:579-598.
56.
LeeHBHanHRHuhBYKimKBKimMT. Mental health service utilization among Korean elders in Korean churches: preliminary findings from the Memory and Aging Study of Koreans in Maryland (MASK-MD). Aging Ment Health. 2014;18:102-109.
57.
LewAAMoskowitzJMNgoL. Effect of provider status on preventive screening among Korean American women in Alameda County, California. Prev Med. 2003;36:141-149.
58.
PonceNAChawlaNBabeySH. Is there a language divide in Pap test use?Med Care. 2006;44:998-1004.
59.
PouratNKagawa-SingerMBreenNSripipatanaA. Access versus acculturation: identifying modifiable factors to promote cancer screening among Asian American women. Med Care. 2010;48:1088-1096.
60.
PouratNLubbenJYuHWallaceS. Perceptions of health and use of ambulatory care: differences between Korean and White elderly. J Aging Health. 2000;12:112-134.
61.
RyuHYoungWBParkC. Korean American health insurance and health services utilization. Res Nurs Health. 2001;24:494-505.
62.
SentellTBraunKLDavisJDavisT. Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California. Springerplus. 2015;4:432.
63.
ShinHSongHKimJProbstJC. Insurance, acculturation, and health service utilization among Korean-Americans. J Immigr Health. 2005;7(2):65-74.
64.
SohnLHaradaND. Time since immigration and health services utilization of Korean-American older adults living in Los Angeles County. J Am Geriatr Soc. 2004;52:1946-1950.
65.
YooGJKimBW. Korean immigrants and health care access: implications for the uninsured and underinsured. Res Sociol Health Care. 2008;25:77-94.
66.
YuMYHongOSSeetooAD. Uncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the United States. Ethn Dis. 2003;13:213-219.
