title: Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.
abstract: To conduct a parallel analysis of disparities in diabetes care quality among Latino and Asian community health center (CHC) patients by English language preference.
  
  
  
  Clinical outcomes (2011) and patient survey data (2012) for Type 2 diabetes adults from 14 CHCs (n = 1,053).
  
  
  
  We estimated separate regression models for Latino and Asian patients by English language preference for Clinician & Group-Consumer Assessment of Healthcare Providers and System, Patient Assessment of Chronic Illness Care, hemoglobin A1c, and self-reported hypoglycemic events. We used the Blinder-Oaxaca decomposition method to parse out observed and unobserved differences in outcomes between English versus non-English language groups.
  
  
  
  After adjusting for socioeconomic and health characteristics, disparities in patient experiences by English language preference were found only among Asian patients. Unobserved factors largely accounted for linguistic disparities for most patient experience measures. There were no significant differences in glycemic control by language for either Latino or Asian patients.
  
  
  
  Given the importance of patient retention in CHCs, our findings indicate opportunities to improve CHC patients' experiences of care and to reduce disparities in patient experience by English preference for Asian diabetes patients.
authors: VA Quality Scholars Program, Greater Los Angeles VA, Los Angeles, CA.|Division of General Internal Medicine and Health Services Research, UCLA, Los Angeles, CA.
authors: Lucinda B
authors: LB
authors: Leung
authors: Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA.
authors: Arturo
authors: A
authors: Vargas-Bustamante
authors: Center for Health Policy Research, UCLA, Los Angeles, CA.
authors: Ana E
authors: AE
authors: Martinez
authors: Center for Health Policy Research, UCLA, Los Angeles, CA.
authors: Xiao
authors: X
authors: Chen
authors: Division of Health Policy and Management, UC Berkeley School of Public Health, Berkeley, CA.
authors: Hector P
authors: HP
authors: Rodriguez
mesh_terms: D000367:Age Factors; D001213:Asian / Q000523:psychology; D003151:Community Health Centers / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin; D006304:Health Status; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D007802:Language; D008297:Male; D017060:Patient Satisfaction / Q000208:ethnology; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors
chemical_list: D006442:Glycated Hemoglobin
keywords: Diabetes; community health centers; limited English proficiency; racial-ethnic disparities