Availability of Spanish prescription labels: a multi-state pharmacy survey.
BACKGROUND
Patient misunderstanding of prescription drug label instructions is a leading cause of medication errors. Among Latino patients, limited English proficiency is a major barrier to comprehension of medication instructions.


OBJECTIVE
To determine the availability of Spanish prescription drug label instructions.


METHODS
A telephone survey was conducted in 4 states selected due to either a rapid growth in their Latino population (GA, NC) or a large, existing Latino population (CO, TX).


METHODS
A list of retail pharmacies was obtained from each state board of pharmacy. A simple random sample of 10 percent of pharmacies within each state was generated (N = 764).


METHODS
The ability of pharmacies to print prescription instructions in Spanish and the process for translating instructions.


RESULTS
Two hundred sixty-seven (34.9%) pharmacies reported no translation services, 166 (21.7%) reported limited translation services, and 331 (43.3%) stated they were able to perform translations. In bivariate analyses, significant differences between pharmacy characteristics and the availability of Spanish labels were noted. In multivariate analysis including pharmacy type, location, percentage Latino population, and state, only metropolitan location was found to be a significant independent predictor of pharmacies offering full Spanish translation services (adjusted odds ratio: 1.72, 95% confidence interval: 1.04-2.84).


CONCLUSIONS
The majority of pharmacies surveyed offered limited or no translation services. Lack of translation services is not isolated to rural areas or locations with a marginal Latino population. Spanish-speaking patients encounter barriers to acquiring instructions that support the safe and effective use of medications.
Health Literacy and Learning Program, Northwestern University, Chicago, Illinois, USA. stacy-bailey@northwestern.edu
Stacy Cooper
SC
Bailey
Anjali U
AU
Pandit
Laura
L
Curtis
Michael S
MS
Wolf
D003157:Community Pharmacy Services / Q000706:statistics & numerical data*; D004348:Drug Labeling / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D014175:Translating; D014481:United States