title: Medical home disparities for Latino children by parental language of interview.
abstract: Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children's Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential confounders. Lack of a medical home was associated with disparities in the quality of care, more so than access disparities. Addressing health care disparities for Latino children requires particular attention to the unique needs of Latino children with parents who may experience language barriers during health care encounters.
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, MI, USA. ldecamp1@jhmi.edu
authors.forename: Lisa Ross
authors.initials: LR
authors.lastname: DeCamp
authors.forename: Hwajung
authors.initials: H
authors.lastname: Choi
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Davis
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002675:Child, Preschool; D003144:Communication Barriers; D005260:Female; D019538:Health Care Surveys; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007348:Insurance, Health; D007407:Interviews as Topic; D007802:Language; D008297:Male; D010290:Parents; D018802:Patient-Centered Care / Q000458:organization & administration / Q000592:standards*; D010372:Pediatrics; D012959:Socioeconomic Factors; D014481:United States
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