Evidence map›Paper›PMID 23030563›Full record

ArticleJournal of health communication2012

Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California.

Tetine Sentell, Kathryn L Braun

Registry-linked trialAbstract read
In one paragraph

Article in Journal of health communication, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03149276 (Limited English Proficiency Occupational Therapy Patients Receiving Interpreter Services Perception of Quality of Care), which is not on this map. Cited by 253 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
253citing papers in PubMed, 7 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.

NCT03149276 completednot on this mapstarted 2015, after this paper: background citation

Limited English Proficiency Occupational Therapy Patients Receiving Interpreter Services Perception of Quality of Care

TypeobservationalSponsorRush University Medical CenterRan2015 to 2015Enrolled8ConditionsCommunication Barriers, Occupational TherapyArmsInterpreter services
3 · Its place in the literature

Who cites it

253 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Inclusion of Participants With Limited English Proficiency in Autism Research.Autism research : official journal of the International Society for Autism Research · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Audio-Recorded Discharge Instructions for Limited English Proficient Parents: A Pilot Study.Joint Commission journal on quality and patient safety · 2019
    Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Knowledge of Interpreter Rights and Medication Delays in Diabetes Care.Journal of immigrant and minority health · 2026
    Article
  17. Article
  18. eHealth literacy in emergency care: a scoping review.BMC health services research · 2026
    Article
  19. Article
  20. Article

193 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

2 authors.

Tetine SentellOffice of Public Health Studies, John A. Burns School of Medicine, University of Hawai‘i, 1960 East-West Road, Biomed, D-104, Honolulu, HI 96822, USA. tsentell@hawaii.edu
Kathryn L Braun

Funding

RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MOKUAU, NOREEN, SHIRAMIZU, BRUCE T · 2012 to 2018
$21.1M
RESEARCH DESIGN, BIOSTATISTICS AND RESEARCH ETHICS COREG12MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI BERRY, MARLA J · 2012 to 2016
$13.0M
Training ProgramU54CA153459 · NCI · PAPA OLA LOKAHI · PI BRAUN, KATHRYN LENZNER · 2010 to 2015
$4.5M
Health Literacy and Cancer Screening Disparities in Asian American PopulationsR03CA158419 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI SENTELL, TETINE L. · 2012 to 2013
$133k
NCI NIH HHS R03 CA158419NCI NIH HHS R03CA158419NCI NIH HHS U54 CA153459NCI NIH HHS U54CA153459NIMHD NIH HHS U54 MD007584
6 · The paper itself

Abstract

This study estimated health status by low health literacy and limited English proficiency alone and in combination for Latino, Chinese, Korean, Vietnamese, and White respondents in a population-based sample: 48,427 adults from the 2007 California Health Interview Survey, including 3,715 with limited English proficiency. Multivariate logistic models examined self-reported health by health literacy and English proficiency in the full sample and in racial/ethnic subgroups. Overall, 44.9% with limited English proficiency reported low health literacy, versus 13.8% of English speakers. Among the limited English proficient, Chinese respondents had the highest prevalence of low health literacy (68.3%), followed by Latinos (45.3%), Koreans (35.6%), Vietnamese (29.7%), and Whites (18.8%). In the full sample, respondents with both limited English proficiency/low health literacy reported the highest prevalence of poor health (45.1%), followed by limited English proficiency-only (41.1%), low health literacy-only (22.2%), and neither (13.8%), a hierarchy that remained significant in multivariate models. However, subanalyses revealed that limited English proficient Latinos, Vietnamese, and Whites had equal or greater odds of poor health compared with low health literate/limited English proficient respondents. Individuals with both limited English proficiency and low health literacy are at high risk for poor health. Limited English proficiency may carry greater health risk than low health literacy, though important racial/ethnic variations exist.

Indexed as

Communication BarriersHealth Status DisparitiesMultilingualismAdolescentAdultAgedAged, 80 and overAsianCaliforniaChinaFemaleHealth LiteracyHealth SurveysHispanic or LatinoHumansKorea

Identifiers

PMID23030563
PMCPMC3552496

What OpenQuestion holds

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Registered trials

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.