ArticleJournal of general internal medicine2020
Disparities in Health Insurance Coverage and Access to Care by English Language Proficiency in the USA, 2006-2016.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review.The Laryngoscope · 2025Pooled it
- Personalized Telephone Outreach Increased Health Insurance Take-Up For Hard-To-Reach Populations, But Challenges Remain.Health affairs (Project Hope) · 2022Trial
- Patient and Caregiver Perspectives on Language Access in Two St. Louis Emergency Departments.Journal of immigrant and minority health · 2026Article
- Digital health literacy as mediator between language preference and telehealth use among Latinos in the United States.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- "They connected me to my health": perceived benefits of an etiological cohort study led by community health workers in the Southwest Borderlands.Frontiers in public health · 2026Article
- Language Barriers and Healthcare Challenges for Immigrants with Limited English Proficiency After Health Reform in the United States.International journal of environmental research and public health · 2025Article
- Patient Follow-up After Endovascular Treatment of Cerebral Aneurysms: Identifiable Barriers and Implications for Treatment Decisions.Neurosurgery practice · 2025Article
- Implementing system-wide digital medical interpretation: a framework for healthcare organizations.JAMIA open · 2025Article
- Cancer care disparities among patients with limited English proficiency: challenges and strategies for equity.BJC reports · 2025Review
- Non-English Language Preference and Breast Cancer Outcomes.JAMA network open · 2025Article
- A framework for patient access management: consensus from a Delphi panel of US health system leaders.BMC health services research · 2025Article
- Impact of Race and Ethnicity on Clinical Outcomes of CollagenaseThe Permanente journal · 2025Article
- Global temporal trends and projections of gastroesophageal reflux disease prevalence: Age-period-cohort analysis 2021.PloS one · 2025Article
- Assessing mental health treatment receipt among Asian adults with limited English proficiency using an intersectional approach.American journal of epidemiology · 2024Article
- 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 · 2024Article
- Limited English proficiency and reported receipt of colorectal cancer screening among adults 45-75 in 2019 and 2021.Preventive medicine reports · 2024Article
- Interpreter and limited-English proficiency patient training helps develop medical and physician assistant students' cross-cultural communication skills.BMC medical education · 2024Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Mammogram perceptions, communication, and gaps in care among individuals with non-English language preference in Oregon and Washington states.Preventive medicine reports · 2023Article
- Disparities and inequalities in pain treatment among people with limited English proficiency.SSM - population health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the USA, people with limited English proficiency (LEP) disproportionately experience gaps in health insurance coverage and access to care. The Patient Protection and Affordable Care Act (ACA) of 2010 included reforms that could improve these outcomes.
objectiveTo describe changes in insurance coverage and access to health care by English language proficiency over 2006-2016.
designWe used regression models to estimate changes in coverage and access after 2010 for adults with high vs. limited English proficiency, adjusting for socio-economic status, demographic characteristics, and health care needs. We used difference-in-differences models to assess adjusted changes in disparities by English proficiency after 2010. Supplemental analyses used nearest-neighbor propensity score matching to balance the characteristics of respondents.
participantsRespondents aged 18-64 in the Medical Expenditure Panel Survey over 2006-2016, with high (n = 174,214) or limited (n = 16,484) English language proficiency. MAIN MEASURES: Insurance coverage was a binary variable indicating any health insurance coverage during the past 12 months. Access to care was measured using binary variables indicating whether the respondent had a usual source of care and received necessary medical, dental, and preventive care. KEY
resultsGains in health insurance coverage after 2010 were significant for adults with high English proficiency (1.7 percentage points, p < 0.001) and adults with limited English proficiency (4.6 percentage points, p = 0.007); gains did not significantly vary by English proficiency. Adults with LEP showed larger improvements than adults with high English proficiency in having a usual source of care (5 percentage points, p = 0.007) and receiving needed medical care and dental care (1.4 percentage points, p = 0.013, and 2.8 percentage points, p = 0.009, respectively). Findings remained similar when matching was used to balance the measured characteristics of respondents with high vs. limited English proficiency.
conclusionsDisparities in health care access by English proficiency narrowed after 2010, the year of passage of the ACA.
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Registered trials
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