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Limited English Proficiency

Lilit Karapetyan, Om Dawani, Heather S Laird-Fick
The immigrant population in the United States has grown over the past years. Undocumented immigrants account for 14.6% of the uninsured population in the United States. Decisions about end-of-life treatment are often difficult to reach in the best of situations. We present a 43-year-old undocumented Mexican female immigrant with metastatic sarcomatoid squamous cell cervical cancer and discuss the barriers that she faced during her treatment. Limited English proficiency, living below the poverty line, low level of education, and lack access to Medicare, Medicaid, or other insurance coverage under the Affordable Care Act are major causes of decreased health-care access and service utilization by the immigrant population...
January 1, 2018: Journal of Palliative Care
Nadereh Pourat, Amy Gabriela Bonilla, Maria Elena Young, Michael A Rodriguez, Steven P Wallace
We examined the impact of Medicaid expansion on rates of the remaining uninsured at the federally qualified health center level by race/ethnicity, limited English proficiency, and poverty status of their patients. Results indicated a systematic disadvantage in nonexpansion states for federally qualified health centers with high concentrations of these populations and an advantage in expansion states for federally qualified health centers with fewer limited English proficiency patients. Our findings highlight the importance of maintaining the Affordable Care Act in reducing disparities in coverage and the importance of federal funding to continue services for the remaining uninsured and vulnerable populations in both expansion and nonexpansion states...
April 2018: Family & Community Health
Mansha Mirza, Elizabeth Adare Harrison
Nearly one in ten US residents have difficulty speaking and understanding English and are deemed to have limited English proficiency (LEP). Despite federal mandates for provision of interpreters and other language access services, individuals with LEP experience notable health disparities. Occupational therapists must be prepared to equitably serve this population, however there is a dearth of research evidence and practical recommendations about our profession's readiness to serve this growing population. This paper maps the current healthcare policy environment and existing language access research relevant to occupational therapy...
February 20, 2018: Occupational Therapy in Health Care
Simona C Kwon, Julie A Kranick, Nassira Bougrab, Janet Pan, Renee Williams, Guillermo Ignacio Perez-Perez, Chau Trinh-Shevrin
Chinese American immigrants are at increased risk for Helicobacter pylori infection and stomach cancer. Despite their increased risk, very few prevention strategies exist which target this vulnerable population. The purpose of this article is to present the stakeholder engaged development, review, assessment, refinement, and finalization of a H. pylori treatment adherence and stomach cancer prevention curriculum specifically designed to engage vulnerable, limited English proficient Chinese Americans in New York City...
February 19, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Kim S Griswold, Kevin Pottie, Isok Kim, Wooksoo Kim, Li Lin
Refugee populations have unequal access to primary care and may not receive appropriate health screening or preventive service recommendations. They encounter numerous health care disadvantages as a consequence of low-income status, race and ethnicity, lower educational achievement, varying degrees of health literacy, and limited English proficiency. Refugees may not initially embrace the concept of preventive care, as these services may have been unavailable in their countries of origin, or may not be congruent with their beliefs on health care...
2018: Public Health Reviews
Zoya Gubernskaya, Judith Treas
Objectives: To identify diverse pathways to linguistic isolation (LI) and explain the differences in LI for older immigrants from different countries. Method: A demographic decomposition of LI was applied to 18 largest origin subgroups of foreign-born, ages 65 and older, in the 2010-2014 American Community Survey data. Results: LI varied from 12% for older Indians to 68% for older Ukrainians. Decomposition analysis identified 3 components: (a) Limited English proficiency (LEP); (b) Solitary living; and (c) Limited English of co-resident others...
January 24, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Kyounghae Kim, Qian-Li Xue, Benita Walton-Moss, Marie T Nolan, Hae-Ra Han
PURPOSE: Health literacy has emerged as a potential determinant of cancer screening, yet limited literature has investigated the pathways which health literacy influences Pap tests among immigrant women who experience a higher incidence of cervical cancer. This study aimed to test a health literacy-focused sociocognitive model which proposes motivational (knowledge, decisional balance) and volitional (self-efficacy) factors mediating the association between health literacy and triennial Pap tests...
February 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Xiaocong Chen, Yanping Dong, Xiufen Yu
The predictive validity of various corpus-based frequency norms in first-language lexical processing has been intensively investigated in previous research, but less attention has been paid to this issue in second-language (L2) processing. To bridge the gap, in the present study we took English as a case in point and compared the predictive power of a large set of corpus-based frequency norms for the performance of an L2 English visual lexical decision task (LDT). Our results showed that, in general, the frequency norms from SUBTLEX-US and WorldLex-Blog tended to predict L2 performance better in reaction times, whereas the frequency norms from corpora with a mixture of written and spoken genres (CELEX, WorldLex-Blog, BNC, ANC, and COCA) tended to predict L2 accuracy better...
January 16, 2018: Behavior Research Methods
Barb Jacobs, Anne M Ryan, Katherine S Henrichs, Barry D Weiss
This article provides an overview of the federal requirements related to providing interpreter services for non-English-speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health programs or activities. Federal financial assistance includes grants, contracts, loans, tax credits and subsidies, as well as payments through Medicaid, the Children's Health Insurance Program, and most Medicare programs...
January 2018: Annals of Family Medicine
Michael Tassavor, Amy Y-Y Chen
No abstract text is available yet for this article.
January 4, 2018: Journal of the American Academy of Dermatology
Linda S Garavalia, Ligaya Chan, Marvin Ortiz, Monica Muniz-Delgado, Jesse F Martinez
BACKGROUND AND PURPOSE: This paper describes a student-led co-curricular training program to increase pharmacy student proficiency with medical Spanish terminology. Western University of Health Sciences (WesternU) pharmacy students frequently can interact with Spanish-speaking patients in experiential rotations. Moreover, the clear majority of program graduates remain in California, a state with a high Spanish-speaking population. Developing foundational knowledge of medical Spanish terminology can enhance communication with Spanish-speaking patients, who may have limited English proficiency and experience a lack of language concordance when interacting with the healthcare system...
July 2017: Currents in Pharmacy Teaching & Learning
Tania Salvo, Amanda C de C Williams
Lack of proficiency in the language of the host country predicts distress among refugees, but many refugees and asylum seekers in the United Kingdom have less than functional English. This study examined how learning English affected refugees' and asylum seekers' lives, particularly their emotional wellbeing, to explore what factors, particularly psychological ones, facilitated or impeded their learning English. We recruited 16 refugees and asylum seekers from an inner-city National Health Service trauma service and from a charity providing one-to-one English classes...
October 2017: Transcultural Psychiatry
Helen C Tarp, Tammy Sanderson, M Elizabeth Fore, Mary A Nies
Informed consent is the process by which a patient agrees to or rejects a proposed plan of treatment after a discussion with the provider about the benefits, risks, and alternative treatments available. In the United States, a signed informed consent form is required before any treatment plan may be implemented. However, there is no literature addressing how students in health professions understand informed consent in the context of encounters with limited English proficient (LEP) patients. The purpose of this interprofessional, interdisciplinary pilot project was to explore and assess Idaho State University's dental hygiene students' knowledge, perceptions, and attitudes associated with the process of informed consent when working with LEP patients in a dental hygiene setting...
2017: Journal of Allied Health
Joanne Witko, Pauline Boyles, Kirsten Smiler, Rachel McKee
AIMS: The research described was undertaken as part of a Sub-Regional Disability Strategy 2017-2022 across the Wairarapa, Hutt Valley and Capital and Coast District Health Boards (DHBs). The aim was to investigate deaf New Zealand Sign Language (NZSL) users' quality of access to health services. Findings have formed the basis for developing a 'NZSL plan' for DHBs in the Wellington sub-region. METHODS: Qualitative data was collected from 56 deaf participants and family members about their experiences of healthcare services via focus group, individual interviews and online survey, which were thematically analysed...
December 1, 2017: New Zealand Medical Journal
J Marc Goodrich, Christopher J Lonigan
The purpose of this study was to examine automatic language processing among Spanish-speaking language-minority children. A sample of 73 children (mean age = 90.4 months) completed two measures of semantic priming: an auditory lexical decision task and a looking-while-listening task. It was hypothesized that within- and cross-language semantic priming effects would occur but that translation priming effects would not occur. Results from vocabulary assessments indicated that language-minority children in this study were more proficient in English than they were in Spanish...
March 2018: Journal of Experimental Child Psychology
Janice Ka Yan Cheng, Claudia Guerra, Rena J Pasick, Dean Schillinger, Judith Luce, Galen Joseph
As genetics and genomics become part of mainstream medicine, these advances have the potential to either reduce or exacerbate health disparities. Relatively, little research has explored the quality of genetic counseling communication experienced by limited English proficiency patients, especially Chinese Americans. We observed and audio recorded genetic counseling appointments (n = 40) of low-income, limited English-proficient Chinese patients (n = 25) and conducted post-visit interviews (n = 17) using stimulated recall to examine patient understanding of the communication...
December 1, 2017: Journal of Community Genetics
Parveen Azam Ali, Roger Watson
AIM: The aim of this study was to explore nurses' perspectives of language barriers and their impact on the provision of care to patients with limited English proficiency from diverse linguistic background. DESIGN AND METHODS: A qualitative descriptive approach was used. Using individual interviews and focus group discussions, data were collected from 59 nurses working in tertiary care hospitals in England. A thematic analysis was used to analyse the data. FINDINGS: Three themes: 'multi-ethnicities and language barriers'; 'the impact of language barriers'; and 'communicating via interpreters', were identified...
November 30, 2017: Journal of Clinical Nursing
Natalie Guerrero, Alissa L Small, Rebecca J Schwei, Elizabeth A Jacobs
OBJECTIVES: To describe physician perceptions of differences in limited English proficient (LEP) pediatric encounters and the behavioral adaptations they make to provide quality care to LEP pediatric patients. METHODS: We conducted 30min, semi-structured interviews with 6 family physicians and 5 pediatricians in one health system. Audiotapes from each interview were transcribed verbatim then coded using content analysis. RESULTS: Multiple aspects of the LEP pediatric encounter were perceived by physicians as different from other encounters: trust and relationship between physician and LEP child/child's family, continuity of care, encounter's structure and flow, patient assessment, and communication barriers...
November 15, 2017: Patient Education and Counseling
Jennifer Ryan, Samantha Abbato, Ristan Greer, Petra Vayne-Bossert, Phillip Good
The provision of professional interpreting services in the hospital setting decreases communication errors of clinical significance and improves clinical outcomes. A retrospective audit was conducted at a tertiary referral adult hospital in Brisbane, Australia. Of 20 563 admissions of patients presenting to the hospital emergency department (ED) and admitted to a ward during 2013-2014, 582 (2.8%) were identified as requiring interpreting services. In all, 19.8% of admissions were provided professional interpreting services in the ED, and 26...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Clayton Shuman, Mary Montie, Jose Galinato, Lance Patak, Marita Titler
In this article, the authors discuss implications for nurse administrators from a recent qualitative study regarding nursing personnel perceptions of limited English proficient (LEP) patient-clinician communication. Few studies have examined nursing personnel's use and perceptions of communication resources when caring for LEP patients.
December 2017: Journal of Nursing Administration
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