Medical home disparities for Latino children by parental language of interview

Lisa Ross de Camp, Hwajung Choi, Matthew M. Davis

Research output: Contribution to journalArticle

Abstract

Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children's Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential confounders. Lack of a medical home was associated with disparities in the quality of care, more so than access disparities. Addressing health care disparities for Latino children requires particular attention to the unique needs of Latino children with parents who may experience language barriers during health care encounters.

Original languageEnglish (US)
Pages (from-to)1151-1166
Number of pages16
JournalJournal of health care for the poor and underserved
Volume22
Issue number4
DOIs
StatePublished - Nov 2011

Keywords

  • Health care disparities
  • Hispanic Americans
  • Patient-centered care
  • Pediatrics
  • Primary health care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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