Objective: To assess differences in health access and utilization among Middle Eastern American adults by White racial identity and citizenship.Methods: Data from the 2011 -2018 National Health Interview Surveys (N=1,013) and surveyweighted logistic regression analyses compare Middle Eastern immigrants by race and citizenship on access and utilization of healthcare in the United States (U.S.).Results: White respondents had 71% lower odds of delaying care (adjusted odds ratio (AOR)=0.34; 95% CI= 0.13, 0.71) and 84% lower odds of being rejected by a doctor as a new patient (AOR=0.16; 95% CI= 0.03, 0.88) compared to non-White respondents. U.S. citizens had higher odds of visiting the doctor in the past 12 months compared to non-citizens (AOR=1.76; 95% CI= 1.25, 2.76).
Conclusion:Middle Eastern immigrants who do not identify as White and who are not U.S. citizens are significantly less likely to access and utilize healthcare compared to those who identify as White and are U.S.-citizens.Policy Implications: This study shows that racial and citizenship disparities persist among Middle Eastern Americans at a national-level, playing a critical role in access to and use of healthcare.