Limited English proficiency and Latinos' use of physician services.
Many Latinos have limited English proficiency and this may negatively affect their use of health care services. To examine this, the authors interviewed 465 Spanish-speaking Latinos and 259 English speakers of various ethnicities who presented to a public hospital emergency department with non-urgent medical problems to assess previous physician visits, sociodemographic characteristics, and level of English proficiency. The proportion of patients who reported no physician visit during the 3 months before study enrollment was not related to English proficiency. However, among the 414 patients who saw a physician at least once, Latinos with fair and poor English proficiency reported approximately 22 percent fewer physician visits (p = 0.020 and p = 0.015, respectively) than non-Latinos whose native language was English, even after adjusting for other determinants of physician visits. The magnitude of the association between limited English proficiency and number of physician visits was similar to that for having poor health, no health insurance, or no regular source of care.
Derose
K P
KP
University of California, Los Angeles RAND Health, USA. kathryn_derose@rand.org
Baker
D W
DW
D000328:Adult; D003144:Communication Barriers; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006302:Health Services Research; D006630:Hispanic or Latino / Q000523:psychology*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D015141:Los Angeles; D008297:Male; D008960:Models, Psychological; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data*; D012044:Regression Analysis; D011795:Surveys and Questionnaires