Abstract:
BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access points for patients. CHCs supported by Health Resources and Services Administration (HRSA) care for many LEP patients. OBJECTIVE:We sought to determine the number of HRSA-supported CHC websites providing translated homepage content. RESEARCH DESIGN:In February 2017, we performed a cross-sectional analysis of the language availability of CHC homepages. MEASURES:The primary outcome was availability of translated content on CHC homepages. Secondary outcomes were method of translation and associations between homepage translation and CHC demographics, including percent LEP population and socioeconomic and Internet access characteristics. RESULTS:Of the 1400 CHC homepages, 480 (34.3%) provided translated information with half using Google Translate. We found higher odds of having a translated homepage as the LEP population by county increased [odds ratio (OR): 1.26, confidence interval (CI): 1.07-1.49, P=0.005], Internet subscription at the state level increased (OR: 1.19, CI: 1.02-1.38, P=0.026), and if health centers were in metropolitan areas (OR: 1.81, CI: 1.31-2.51, P<0.001). There was also higher likelihood of having a homepage translated to Spanish in counties with higher Spanish LEP populations (OR: 1.39, CI: 1.19-1.63, P<0.001), but this did not extend to non-Spanish languages (OR: 0.85, CI: 0.71-1.04, P=0.131). CONCLUSIONS:Despite increased Internet use among LEP patients and linguistic diversity of the CHC populations, there is a lack of language-appropriate content on CHC website homepages.
journal_name
Med Carejournal_title
Medical careauthors
Rodriguez JA,Davis RB,Percac-Lima Sdoi
10.1097/MLR.0000000000001027subject
Has Abstractpub_date
2019-06-01 00:00:00pages
S121-S126eissn
0025-7079issn
1537-1948pii
00005650-201906001-00007journal_volume
57 Suppl 6 Suppl 2pub_type
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