Parent's Language of Interview and Access to Care for Children With Special Health Care Needs
| Autor: | Zhihuan J. Huang, Stella M. Yu, Renee H. Schwalberg, Michael D. Kogan, Rebecca M. Nyman |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Parents medicine.medical_specialty Multivariate analysis Adolescent media_common.quotation_subject First language Family support Child Health Services Immigration MEDLINE Vulnerable Populations Health Services Accessibility Interviews as Topic Health care Humans Medicine Child Minority Groups Language media_common Asian business.industry Communication Barriers Infant Newborn Infant Hispanic or Latino General Medicine Odds ratio Emigration and Immigration Disabled Children United States Disadvantaged Socioeconomic Factors Child Preschool Health Care Surveys Family medicine Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Ambulatory Pediatrics. 4:181-187 |
| ISSN: | 1530-1567 |
| DOI: | 10.1367/a03-094r.1 |
| Popis: | Objective.—To examine the association between the parent's language of interview and the access to care for children with special health care needs (CSHCN). Methods.—We used the 2001 National Survey of Children with Special Health Care Needs to compare socio-demographic characteristics and health care access variables among CSHCN with parents who interviewed in English and another language. Additional multivariate analyses explored the effect of language of interview on access to health care for the subgroup of Hispanic respondents. Results.—CSHCN with non–English-speaking parents were from less-educated and lower-income families and were more likely to lack insurance and have conditions that greatly affected their activities. These children were also more likely to have inadequate insurance (odds ratio [OR] = 11.29), have an unmet need for family support services (OR = 1.88), lack a personal doctor or nurse (OR = 1.98), lack a usual source of care (OR = 1.89), and lack family-centered care (OR = 1.74). Non–English-speaking parents were more likely to report having employment consequences (OR = 1.94) and spending over $500 out-of-pocket annually on the child's health care needs (OR = 1.49). The likelihood of Hispanic children experiencing health care access barriers compared with non-Hispanic children was reduced when language was controlled for and several disparities between Hispanic children and other children became insignificant. Conclusions.—CSHCN with non–English-speaking parents were more likely to be from disadvantaged families and to experience barriers to access than were CSHCN with English-speaking parents. Systems of care for CSHCN should consider the needs and challenges experienced by families whose primary language is not English. |
| Databáze: | OpenAIRE |
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