The findings, which currently appear on-line in the Journal of General Internal Medicine, suggest that patient-provider language barriers play a role in health-care disparities, and that providers should promote the importance of CRC screening to non-English speaking patients.
The United States has tremendous ethnic and linguistic diversity. According to the 2005� American Community Survey, minorities comprise 26 percent of the population, and nearly 20 percent of Americans speak a language other than English at home. By 2050, it is projected that minorities will comprise about half of the US population, with a similar increase in individuals speaking a language other than English at home.
The researchers performed a retrospective study of individuals age 50 years and older who were categorized as English-concordant (spoke English at home); other Language-Concordant (did not speak English at home but someone at their provider's office spoke their language); or other Language-Discordant (did not speak English at home and no one at their provider's spoke their language). Compared to English speakers, non-English speakers had lower rates of CRC screening. Compared to the English-Concordant group, the Other Language-Discordant group had similar screening levels, while the Other Language-Concordant group had lower screening levels.
"Our initial findings are consistent with other reports. However, in our adjusted model, we found that those who did not speak English at home but who had someone at their provider's office who spoke their preferred language, had the lowest rate of CRC screening and this was unexpected," said lead author Amy Linsky, MD, a fellow in general internal medicine at BMC.
"Our results suggest that providers should especially promote the importance of CRC screenings to non-English speaking patients, but that patient-provider language barriers do not fully account for lower CRC screening in patients who do not speak English at home," added co-investigator Nathalie McIntosh, a doctoral student in health Policy and Management at BUSPH.
According to the researchers, these findings may be related to unmeasured differences between the two cohorts, including patient characteristics, provider cultural competence, patient acculturation, the quality of patient-provider communication, and the level of patient health literacy including obtaining colorectal cancer screening. "Professional interpreters and language-concordant providers may be necessary, but not sufficient to mitigate these disparities," added Linsky.
Gina DiGravio | EurekAlert!
Obstructing the ‘inner eye’
07.07.2017 | Friedrich-Schiller-Universität Jena
Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington
3-D shape acquisition using water displacement as the shape sensor for the reconstruction of complex objects
A global team of computer scientists and engineers have developed an innovative technique that more completely reconstructs challenging 3D objects. An ancient...
Physicists have developed a new technique that uses electrical voltages to control the electron spin on a chip. The newly-developed method provides protection from spin decay, meaning that the contained information can be maintained and transmitted over comparatively large distances, as has been demonstrated by a team from the University of Basel’s Department of Physics and the Swiss Nanoscience Institute. The results have been published in Physical Review X.
For several years, researchers have been trying to use the spin of an electron to store and transmit information. The spin of each electron is always coupled...
What is the mass of a proton? Scientists from Germany and Japan successfully did an important step towards the most exact knowledge of this fundamental constant. By means of precision measurements on a single proton, they could improve the precision by a factor of three and also correct the existing value.
To determine the mass of a single proton still more accurate – a group of physicists led by Klaus Blaum and Sven Sturm of the Max Planck Institute for Nuclear...
The research team of Prof. Dr. Oliver Einsle at the University of Freiburg's Institute of Biochemistry has long been exploring the functioning of nitrogenase....
A one trillion tonne iceberg - one of the biggest ever recorded -- has calved away from the Larsen C Ice Shelf in Antarctica, after a rift in the ice,...
21.07.2017 | Event News
19.07.2017 | Event News
12.07.2017 | Event News
24.07.2017 | Power and Electrical Engineering
24.07.2017 | Materials Sciences
24.07.2017 | Materials Sciences