title: Spanish language content on reproductive endocrinology and infertility practice websites.
abstract: OBJECTIVE
  To analyze the use of Spanish language translation on the websites of reproductive endocrinology and infertility (REI) practices in the context of evidence of underuse of infertility services by minority populations.
  
  
  METHODS
  Cross-sectional survey of websites from REI practices.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  None.
  
  
  METHODS
  None.
  
  
  METHODS
  Assessment of the relationship between having a Spanish-translated website and REI practice characteristics. Variables included concurrent use of social media, size of the practice, Spanish-speaking practitioner in the practice, being a private or a university-based practice, being in a mandated insurance state, and being in an area with different levels of percentage of Hispanic population, adjusted for annual income levels of the population.
  
  
  RESULTS
  Of the 376 REI practice websites analyzed, 101 (27%) offered at least some information in Spanish. We identified 97 Spanish-speaking practitioners at 71 REI practices. Having a Spanish-translated website was significantly associated with the practice's use of social media, having an international/out-of-town web page, and having a Spanish-speaking physician in the practice. The size of the practice, as measured in number of cycles reported per year, was not associated with having a translated website. In practices located in the top 60 metropolitan areas by Hispanic population, the odds of having a Spanish-translated website were only related to the percentage of Hispanic population after adjusting for state-mandated insurance and average annual income level of the Hispanic population. Sixty-six of the websites with Spanish-translated content had been automatically translated. An additional eight websites were partially translated automatically.
  
  
  CONCLUSIONS
  REI practices in metropolitan areas with a higher percentage of Hispanics were more likely to reach out to this minority population by translating their website content into Spanish. These practices were also more likely to use social media. Future studies are needed to determine whether the availability of Spanish language content on REI websites is associated with increased use of reproductive services by this minority population.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Lutherville, Maryland. Electronic address: llondra1@jhmi.edu.
authors.forename: Laura C
authors.initials: LC
authors.lastname: Londra
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Lutherville, Maryland.
authors.forename: Kyle J
authors.initials: KJ
authors.lastname: Tobler
authors.affiliation: Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Kenan R
authors.initials: KR
authors.lastname: Omurtag
authors.affiliation: Freelance Enterprise Resource Planning (ERP) Software Consultant, Association of Reproductive Managers, Baltimore, Maryland.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Donohue
mesh_terms: D054626:Consumer Health Information / Q000706:statistics & numerical data*; D004704:Endocrinology / Q000193:education* / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000193:education* / Q000706:statistics & numerical data*; D020407:Internet / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D011331:Private Practice / Q000706:statistics & numerical data; D018456:Reproductive Medicine / Q000193:education* / Q000706:statistics & numerical data; D013030:Spain; D014175:Translating; D014600:Utilization Review
keywords: Hispanic Americans; Minority health; consumer health information; health communication; practice management; translating