Evidence map›Paper›PMID 16808783›Full record

ArticleJournal of general internal medicine2006

Linguistic disparities in health care access and health status among older adults.

Ninez A Ponce, Ron D Hays, William E Cunningham

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

136 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Assessment of disparities in timely diagnosis and comprehensive workup of cognitive impairment between English and Spanish speakers.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
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76 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ninez A PonceUCLA Department of Health Services, Center for the Health Sciences, Los Angeles, CA 90095-1772, USA. nponce@ucla.edu
Ron D Hays
William E Cunningham

Funding

DREW/UCLA Project Export CenterP20MD000148 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHAPIRO, MARTIN F · 2002 to 2006
$3.6M
NIA NIH HHS AG-02-004NIMHD NIH HHS P20 MD000148NIMHD NIH HHS P20-MD00148-01
6 · The paper itself

Abstract

backgroundEnglish proficiency may be important in explaining disparities in health and health care access among older adults. SUBJECTS: Population-based representative sample (N=18,659) of adults age 55 and older from the 2001 California Health Interview Survey.

methodsWe examined whether health care access and health status vary among older adults who have limited English proficiency (LEP), who are proficient in English but also speak another language at home (EP), and who speak English only (EO). Weighted bivariate and multivariate survey logit analyses were conducted to examine the role of language ability on 2 aspects of access to care (not having a usual source of care, delays in getting care) and 2 indicators of health status (self-rated general health and emotional health).

resultsLimited-English proficient adults were significantly worse off (1.68 to 2.49 times higher risk) than EO older adults in 3 of our 4 measures of access to care and health status. Limited-English proficient older adults had significantly worse access to care and health status than EP older adults except delays in care. English proficient adults had 52% increased risk of reporting poorer emotional health compared with EO speakers.

conclusionsProvision of language assistance services to patients and training of providers in cultural competence are 2 means by which health care systems could reduce linguistic barriers, improve access to care, and ultimately improve health status for these vulnerable populations.

Indexed as

Health StatusLanguageLinguisticsAgedCaliforniaDelivery of Health CareEthnicityFemaleHealth Services AccessibilityHealth SurveysHumansMaleMiddle Aged

Identifiers

PMID16808783
PMCPMC1924691

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.