Delayed and Forgone Health Care Among Adults With Limited English Proficiency During the Early Covid-19 Pandemic
Bibliographic Data
| ID | 9101776 |
|---|---|
| Authors | Eva Chang (0000-0003-2547-7780, Advocate Aurora Research Institute, Advocate Health, Milwaukee, WI, corresponding author), Teaniese L Davis (0000-0001-7408-0291, Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA), Nancy D Berkman (0000-0003-3617-1082, RTI International, Research Triangle Park, NC) |
| Year | 2024 |
| Volume | 62 |
| Issue | 6 |
| Pages | 367-375 |
| Publication date | 2024-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001963 |
| PMID | 38054852 |
| OpenAlex | W4389379235 |
| Language | EN |
| Citations received | 2 |
| References cited | 26 |
BACKGROUND: Individuals with limited English proficiency (LEP) have long faced barriers in navigating the health care system. More information is needed to understand whether their care was limited further during the early period of the COVID-19 pandemic. OBJECTIVE: To assess the impact of English proficiency on delayed and forgone health care during the early COVID-19 pandemic. RESEARCH DESIGN: Multivariate logistic regression analysis of National Health Interview Survey data (July-December 2020; n=16,941). Outcomes were self-reported delayed and forgone health care because of cost or the COVID-19 pandemic. Delayed health care included medical, dental, mental health, and pharmacy care. Forgone health care also included care at home from a health professional. RESULTS: A greater percentage of LEP adults reported delayed (49%) and forgone (41%) health care than English-proficient adults (40% and 30%, respectively). However, English proficiency was not significantly associated with delayed or forgone health care, after adjusting for demographic, socioeconomic, and health factors. Among LEP adults, multivariate models showed that being uninsured, having a disability, and having chronic conditions increased the risk of delaying and forgoing health care. LEP adults of Asian race and Hispanic ethnicity were also more likely to forgo health care while those with 65+ years were less likely to forgo health care. CONCLUSIONS: Adults with LEP were more likely to experience challenges accessing health care early in the pandemic. Delayed and forgone health care were explained by low socioeconomic status and poor health. These findings highlight how during a period of limited health resources, deficiencies in the health care system resulted in an already disadvantaged group being at greater risk of inequitable access to care
2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Disease · Health care · MEDLINE · Outbreak · Pandemic · Political science · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Emergency Medicine · Internal Medicine · Interpreting and Communication in Healthcare · Medicine · Migration, Health and Trauma · Multilingual Education and Policy · Virology
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| Unique citing works | 2 |
|---|---|
| Citations per year | 1 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |