scholarly journals Inaccurate Capture of Primary Language Spoken at Home in the Pediatric Medical Record Is Independently Associated with Low Parent Activation in a Pediatric Surgical Population

2021 ◽  
Vol 233 (5) ◽  
pp. S178-S179
Author(s):  
Lauren L. Evans ◽  
Phillip Kim ◽  
Amy M. Shui ◽  
Ann A. Lazar ◽  
Dinora M. Murota ◽  
...  
2009 ◽  
Vol 69 (4) ◽  
pp. 276-283 ◽  
Author(s):  
Matthew Noyce ◽  
Aniko Szabo ◽  
Nicholas M. Pajewski ◽  
Scott Jackson ◽  
T. Gerard Bradley ◽  
...  

2005 ◽  
Vol 120 (4) ◽  
pp. 418-430 ◽  
Author(s):  
Glenn Flores ◽  
Milagros Abreu ◽  
Sandra C. Tomany-Korman

Background. Approximately 3.5 million U.S. schoolchildren are limited in English proficiency (LEP). Disparities in children's health and health care are associated with both LEP and speaking a language other than English at home, but prior research has not examined which of these two measures of language barriers is most useful in examining health care disparities. Objectives. Our objectives were to compare primary language spoken at home vs. parental LEP and their associations with health status, access to care, and use of health services in children. Methods. We surveyed parents at urban community sites in Boston, asking 74 questions on children's health status, access to health care, and use of health services. Results. Some 98% of the 1,100 participating children and families were of non-white race/ethnicity, 72% of parents were LEP, and 13 different primary languages were spoken at home. “Dose-response” relationships were observed between parental English proficiency and several child and parental sociodemographic features, including children's insurance coverage, parental educational attainment, citizenship and employment, and family income. Similar “dose-response” relationships were noted between the primary language spoken at home and many but not all of the same sociodemographic features. In multivariate analyses, LEP parents were associated with triple the odds of a child having fair/poor health status, double the odds of the child spending at least one day in bed for illness in the past year, and significantly greater odds of children not being brought in for needed medical care for six of nine access barriers to care. None of these findings were observed in analyses of the primary language spoken at home. Individual parental LEP categories were associated with different risks of adverse health status and outcomes. Conclusions. Parental LEP is superior to the primary language spoken at home as a measure of the impact of language barriers on children's health and health care. Individual parental LEP categories are associated with different risks of adverse outcomes in children's health and health care. Consistent data collection on parental English proficiency and referral of LEP parents to English classes by pediatric providers have the potential to contribute toward reduction and elimination of health care disparities for children of LEP parents.


2019 ◽  
Vol 12 ◽  
pp. 1179173X1986794
Author(s):  
Daniel E Toleran ◽  
Robynn S Battle ◽  
Phillip Gardiner

Background: Smoking among Asian men has been studied, but differences in tobacco and cigarette use among US- and non-US-born Asian subgroups, especially those at risk for substance use or sexually transmitted diseases, has not been well-studied. Aims: To learn about the smoking of cigarettes or blunts among Asian ethnic groups, and whether place of birth, age, or primary language spoken at home is associated with smoking. Methods: Study participants were 125 adult (age > 18 years) Chinese, Filipino, or Vietnamese men living in San Francisco, Daly City, or San Jose, California, who self-reported substance use in the past 30 days. Information collected included sexual orientation, past year contact with the criminal justice system, place of birth, and primary language spoken at home. Bivariate analyses were used to compare the differences in self-reported smoking of cigarettes or tobacco-marijuana blunts by ethnicity, age, place of birth, and primary language spoken at home. Results: Filipinos had significantly higher rate of cigarette use (51%; P = .02) and smoking blunts (28%; P = .02) compared with Chinese (23% and 5%, respectively) or Vietnamese (34% and 17%, respectively); US-born Filipinos also had more days of cigarette use in the past 30 days (16 days; P = .05) compared with Chinese (8 days) or Vietnamese (6 days) participants. Conclusions: This study found differences in self-reported rates of cigarette and blunt use among Asian ethnic groups which suggest opportunities for targeted interventions. Future studies of tobacco or blunts use for these largely immigrant groups should take into account country of birth and language spoken at home in developing tobacco prevention services for this population.


2021 ◽  
pp. 842-848
Author(s):  
Stephanie Ossowski ◽  
Amy Kammerer ◽  
Douglas Stram ◽  
Lisa Piazza-DeLap ◽  
Ethan Basch ◽  
...  

PURPOSE Patient-reported outcome (PRO) tools lead to clinical benefits, including improved overall survival for patients with cancer. However, routine implementation of PROs in clinical practice within the electronic medical record (EMR) by integrated health care delivery systems remains limited. We studied the use of a PRO tool for patients with head and neck cancer (HNC) integrated in an EMR at Kaiser Permanente in Northern California. METHODS Between August 2017 and December 2019, patients with newly diagnosed HNC were surveyed at baseline, then every 3 months using the Functional Assessment of Cancer Therapy–General 7 and Functional Assessment of Cancer Therapy–Head and Neck (version 4). A medical assistant performed a baseline survey on diagnosis and then notified patients electronically per surveillance protocol. Patients who did not respond to online PRO surveys could complete them via telephone or in-person appointments with medical assistants. Abnormal findings on PRO surveys were referred to appropriate members of the care team or the treating Otolaryngology-Head and Neck Surgery physicians. RESULTS Two hundred ninety patients received baseline surveys. Patients received up to a maximum of eight subsequent surveys. Of a total of 597 electronic surveys, 585 (97.9%) were completed. The percentage of patients completing each interval survey ranged from 92% to 100%. Multivariate Poisson regression analysis showed patients with English as their primary language and an online secure account were the most likely to complete surveys compared with those patients with non-English as a primary language and without an online account. CONCLUSION PRO tools can be effectively used within the EMR for patients with HNC with a high response rate provided there is strong engagement from a dedicated member of the care team. This has important implications for designing clinical trials and symptom monitoring in clinical practices that incorporate EMRs.


2019 ◽  
Vol 41 (3) ◽  
pp. 412-426
Author(s):  
Reyna Rodriguez ◽  
Izbieta Rocha ◽  
Alinne Z. Barrera

Research on depression among Latinx populations is increasing; however, a focus on what triggers depression among this community is lacking. This study aims to identify perceived triggers for depression through a secondary analysis of 28 adolescent girls who self-identified as Latinx (mean age = 17.07 years, SD = 0.77). Sixty-one percent of the girls reported being first generation (born in Mexico), having lived in Mexico an average of 8.95 years and the primary language at home being Spanish (63%). Of these, the associated triggers of 20 major depression episodes (MDE) and eight minor depressive episodes (i.e., two to four MDE criteria endorsed) were examined. Seventy-five triggers were identified with a majority reflecting family/parent relationships, romance/friendship issues, and self and others’ expectations/pressures. These findings suggest that certain life events and stressors precede depressive symptoms among Latinx adolescent girls.


1999 ◽  
Vol 47 (3) ◽  
pp. 213-223 ◽  
Author(s):  
Dennis J. Siebenaler

In 1996, the Music Educators National Conference (now MENC—The National Association for Music Education) published a list of 42 songs that “every American should know” as part of a nationwide campaign to promote singing. The purpose of the present study was to determine student preferences for several songs on the list, as well as how familiarity with a song may be related to that preference. In addition, possible interactions of gender, grade level, language spoken at home, rehearsal, and self-evaluations of singing were also examined. Ten songs, all limited to a one-octave range, were selected from the MENC list of songs. Subjects ( N =160) were nine intact classes of third, fourth, and fifth graders (three classes at each grade level) in an urban school. During their regularly scheduled music class, subjects listened to the 10 recorded songs and rated each on a 5-point Likert-type scale for both preference and familiarity. In 10 subsequent classes, each song (one song per class) was rehearsed for 10 minutes, followed by another preference rating and a self-evaluation of performance quality. This investigation examined possible relationships between students' familiarity with a song and their subsequent preference for the song. Correlations for individual songs ranged from .40 to .64 with a mean correlation over all 10 songs at .57. A significant difference ( p < .01) between grade levels was found for both familiarity and preference. The youngest subjects responded most positively. Boys indicated a consistent decline in both song familiarity and preference from Grades 3 to 5. Grade level, gender, and language spoken at home (English or Spanish) interacted significantly ( p < .01) in their effect on song preference for these elementary students. Mean preference ratings were consistently higher after the 10-minute rehearsal with one exception (“De Colores”). The student subjects rated themselves consistently high in self-evaluations of singing.


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