Evidence map›Paper›PMID 37321656›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2023

Quality of Care for Latinx Children with Asthma: Associations with Language Concordance and Continuity of Care.

Tahlia Hodes, Miguel Marino, Jennifer A Lucas, Andrew Bazemore, Lars Peterson, Michelle K Trivedi, Sophia Giebultowicz, John Heintzman

Open access · diamondAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

8 authors at 4 institutions in 1 country.

Tahlia HodesFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Miguel MarinoFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Jennifer A LucasFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Andrew BazemoreFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Lars PetersonFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Michelle K TrivediFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Sophia GiebultowiczFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
John HeintzmanFrom the Department of Family Medicine, Oregon Health & Science University (THM, MM, JAL, JH); American Board of Family Medicine (AB, LP); Division of Pediatric Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School/UMass Memorial Children's Medical Center (MKT); OCHIN, Inc. (SG, JH).
Oregon Health & Science University · USChildren's Medical Center · USUMass Memorial Medical Center · USUniversity of Massachusetts Chan Medical School · US

Funding

BACKGROUND: Bettering Asthma Care in Kids - Geographic Social Determinants Data to Understand DisparitiesR01MD011404 · NIMHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2017 to 2021
$2.5M
Asthma Link: School Supervised Therapy to Improve Medication Adherence in Children with Poorly Controlled AsthmaK23HL150341 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TRIVEDI, MICHELLE · 2020 to 2024
$881k
NHLBI NIH HHS K23 HL150341NIMHD NIH HHS R01 MD011404
6 · The paper itself

Abstract

backgroundLanguage concordance between Latinx patients and their clinicians has been shown to affect health outcomes. In addition, there is evidence that consistent continuity of care (COC) can improve health care outcomes. The relationship between language concordance and COC and their association with health equity in chronic disease is less clear. Our aim was to study the moderating effect of clinician and patient language concordance on the association between COC and asthma care quality in Latinx children.

methodsWe utilized an electronic health record dataset from a multistate network of community health centers to compare influenza vaccinations and inhaled steroid prescriptions, by ethnicity and language concordance groups overall and stratified by COC.

resultsWe analyzed electronic health records for children with asthma (n = 38,442) age 3 to 17 years with ≥2 office visits between 2005 to 2017. Overall, 64% of children had low COC (defined as COC < 0.5) while 21% had high COC (defined as >0.75). All Latinx children had higher rates and odds of receiving influenza vaccination compared with non-Hispanic White children. In addition, Spanish-preferring Latinx children had higher rates and odds of being prescribed inhaled steroids while English-preferring Latinx children had lower odds (OR = 0.85 95%CI = 0.73,0.98) compared with non-Hispanic White children.

conclusionOverall, Latinx children regardless of COC category or language concordance were more likely to receive the influenza vaccine. English-preferring Latinx children with persistent asthma received fewer inhaled steroid prescriptions compared with non-Hispanic White children. Panel chart review and seeing a practice partner might be one way to combat these inequities.

Indexed as

AsthmaInfluenza, HumanAdolescentChildChild, PreschoolContinuity of Patient CareHispanic or LatinoHumansLanguageQuality of Health CareAsthmaChildHealth EquityLanguage ConcordanceLatinxOutcome AssessmentPrimary Health Care

Identifiers

PMID37321656
PMCPMC10578095
OpenAlexW4380871332

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.