Language Barriers Surrounding Medication Use among Older Latinos
Tóm tắt
Limited English language proficiency forms a significant challenge for many Latinos in clinical settings. Although medications are commonly used by older individuals as a means of maintaining good health and managing health problems, the extent to which English proficiency is related to medication use among older Latinos is not known. Focus groups were conducted with Latino, community-residing individuals aged 50 and over in eastern Massachusetts. Qualitative evaluation of the group interviews suggests that language is a barrier in dealing with medication for these individuals. Limited English proficiency appears to be related to feelings of being discriminated against in clinical and pharmacy settings. As well, communicating directly with health professionals in a common language is associated with level of trust and confidence in medical settings. Use of formal and informal interpreters, as well as seeking Spanish-speaking physicians and pharmacies with Spanish-speaking staff, are identified as strategies for overcoming health-related obstacles surrounding language.
Tài liệu tham khảo
Bacigalupe, G., & Gorlier, J. C. (2000). Latino Medicaid consumers’ experiences: Obtaining health care and caring for their families’ health. Paper presented at the annual meetings of the American Public Health Association, November, Boston, MA.
Bagley, S., Angel, R., Dilworth-Anderson, P., Liu, W., & Schinke, S. (1995). Panel V: Adaptive health behaviors among ethnic minorities. Health Psychology, 14, 632–640.
Becker, G., Beyene, Y., Newsom, E., & Rodgers, D. (1998). Knowledge and care of chronic illness in three ethnic minority groups. Family Medicine, 30, 173–178.
Carrasquillo, O., Orva, E. J., Brennan, T. A., & Burstin, H. R. (1999). Impact of language barriers on patient satisfaction in an emergency department. Journal of General Internal Medicine, 14, 82–87.
Clark, T., Sleath, B., & Rubin, R. H. (2004). Influence of ethnicity and language concordance on physician–patient agreement about recommended changes in patient health behavior. Patient Education and Counseling, 53, 87–93.
David, R. A., & Rhee, M. (1998). The impact of language as a barrier to effective health care in an underserved urban Hispanic community. Mount Sinai Journal of Medicine, 65, 393–397.
Derose, K. P., & Baker, D. W. (2000). Limited English proficiency and Latinos’ use of physician services. Medical Care Research and Review, 57, 76–91.
Dill, A., Brown, P., Ciambrone, D., & Rakowski, W. (1995). The meaning and practice of self-care by older adults: A qualitative assessment. Research on Aging, 17, 8–41.
Espino, D. V., Lichternstein, M. J., Hazuda, H. P., Fabrizio, D., Wood, R. C., Goodwin, J., et al. (1998). Correlates of prescription and over-the-counter medication usage among older Mexican Americans: The Hispanic EPESE study. Journal of the American Geriatrics Society, 46, 1228–1234.
Ferguson, W. J., & Candib, L. M. (2002). Culture, language, and the doctor–patient relationship. Family Medicine, 34, 353–361.
Fillenbaum, G. G., Hanlon, J. T., Corder, E. H., Ziqubu-Page, T., Wall, Jr., W. E., & Brock, D. (1993). Prescription and nonprescription drug use among Black and White community-residing elderly. American Journal of Public Health, 83, 1577–1582.
Fiscella, K., Franks, P., Doescher, M. P., & Saver, B. G. (2002). Disparities in health care by race, ethnicity, and language among the insured: Findings from a national sample. Medical Care, 40, 52–59.
Flack, J., Amaro, H., Jenkins, W., Kunitz, S., Levy, J., Mixon, M., et al. (1995). Panel I: Epidemiology of minority health. Health Psychology, 14, 592–600.
Flores, G. (2000). Culture and the patient–physician relationship: Achieving cultural competency in health care. Journal of Pediatrics, 136, 14–23.
Flores, G., Abreau, M., Olivar, M., & Kastner, B. (1998). Access barriers to health care for Latino children. Archives of Pediatrics and Adolescent Medicine, 152, 1119–1125.
Flores, G., Laws, M. B., Mayo, S. J., Zuckerman, B., Abreau, M., Medina, L., & Hardt, E. J. (2003). Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics, 111, 6–14.
Haug, M. R., & Ory, M. G. (1987). Issues in elderly patient–provider interactions. Research on Aging, 9, 3–44.
John-Baptiste, A., Naglie, G., Tomlinson, G., Alibhai, S. M. H., Eetchells, E., Cheung, A., et al. (2004). The effect of English language proficiency on length of stay and in-hospital mortality. Journal of General Internal Medicine, 19, 221–228.
Johnson, K., Anderson, N., Bastida, E., Kramer, B., Williams, D., & Wong, J. (1995). Panel II: Macrosocial and environmental influences on minority health. Health Psychology, 14, 601–612.
Krauss, N.A., Machlin, S., & Kass, B.L. (1999). Use of health care services, 1996. Agency for Health Care Policy and Research, Research Finding no. 7, pub no. 99-0018. INTERNET: www.meps.ahcpr.gov/publicat.htm.
Lee, L. J., Batal, H. A., Maselli, J. H., & Kutner, J. S. (2002). Effect of Spanish interpretation method on patient satisfaction in an urban walk-in clinic. Journal of General Internal Medicine, 17, 641–645.
Markides, K. S., Rudkin, L., Angel, R. J., & Espino, D. V. (1997). Health status of Hispanic elderly. In L. Martin & B. Soldo (Eds.), Racial and ethnic differences in the health of older americans (pp. 285–300). Washington DC: National Academy.
Mutchler, J. E., & Brallier, S. (1999). English language proficiency among older Hispanics in the United States. The Gerontologist, 39, 310–319.
Mutchler, J. E., & Bruner-Canhoto, L. (2000). Health status and English proficiency among older Latinos. Paper presented at the annual meetings of the American Public Health Association, Boston, November.
Ortiz, F., & Fitten, L. J. (2000). Barriers to healthcare access for cognitively impaired older Hispanics. Alzheimer Disease and Associated Disorders, 14, 141–150.
Ponce, N. A., Hayes, R. D., & Cunningham, W. E. (2005). Linguistic disparities in health care access and health status among older adults. Journal of General Internal Medicine, 21, 786–791.
Prohaska, T. (1998). The research basis for the design and implementation of self-care programs. In M. G. Ory & G. H. DeFriese (Eds.), Self-care in later life: Research, program, and policy issues (pp. 62–84) Berlin Heidelberg New York: Springer.
Smedley, B. D., Stith, A. Y., & Nelson, A. R. (Eds.) (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington DC: National Academy.
Stoller, E. P. (1998). Dynamics and processes of self-care in old age. In M. G. Ory & G. H. DeFriese (Eds.), Self-care in later life: Research, program, and policy issues (pp. 24–61). Berlin Heidelberg New York: Springer.
Stoller, E. P., Forster, L. E., & Portugal, S. (1993). Self-care responses to symptoms by older people. Medical Care, 31, 24–40.
Stump, T. E., Clark, D. O., Johnson, R. J., & Wolinsky, F. D. (1997). The structure of health status among Hispanic, African American, and White older adults, The Journals of Gerontology, 52B (Special Issues), 49–60.
US Bureau of the Census (2004). Projection of the total resident population by age, race, and Hispanic origin: 2000 to 2050. Population Projections Branch, Population Division. Washington, D.C.: US Census Bureau. Available online: www.census.gov/ipc/www/usinterimproj.
Weitzman, P. F., Chang, G., & Reynoso, H. (2004). Middle-aged and older Latino American women in the patient–doctor interaction. Journal of Cross-Cultural Gerontology, 19, 221–239.
