Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id eA914Z922805; Wed, 8 Nov 2000 20:04:35 -0500 (EST) Date: Wed, 8 Nov 2000 20:04:35 -0500 (EST) Message-Id: <NDBBKNOLGLDNLBPDOLFCGEIKCLAA.sandras@u.washington.edu> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: "Sandra Smith" <sandras@u.washington.edu> To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:2714] Health Literacy in J of Public Health X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2911.0) Content-Type: multipart/mixed; Status: OR This is a multi-part message in MIME format. ------=_NextPart_000_0049_01C049A5.86BDEFC0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit This from Maternal-Child Health Alert PARENTS' ENGLISH ABILITY AFFECTS CHILDREN'S ACCESS TO HEALTH CARE, CLAIMS STUDY The fact that some Hispanic children have inadequate access to health care could be related to their parents' English-speaking ability, according to a study published in the November issue of the American Journal of Public Health. The study looks at how racial and ethnic differences affect children's access to health care and at these differences' possible association with health insurance status, socioeconomic status, and language ability. The authors' sample included nearly 6,900 children under the age of 18 who completed the 1996 Medical Expenditure Panel Survey (MEPS). The authors found that * 6.2 million American children did not have a usual source of care they used if they were sick or needed health advice; * When differences in health insurance status and socioeconomic status were accounted for, 17.2% of Hispanic children and 12.5% of black children lacked a usual source of care, compared to 6.0% of white children; * Children from low-income families were less likely than those from higher-income families to have a usual source of care; and * Children whose MEPS interviews were conducted in English were 2.6 times more likely to have a usual source of care than children whose interviews were conducted in Spanish. According to the study, the fact that Hispanic children were less likely than white or black children to have a usual source of care is probably due to the fact that their parents had difficulty discussing health care concerns in English and because of other characteristics associated with being a non-English speaker, such as differing knowledge and beliefs about the health care system and primary care. The authors recommend that "programs aimed at reducing racial and ethnic disparities may most profitably target other characteristics in addition to family income and lack of health insurance. . . . If one of our national goals is to eliminate racial and ethnic disparities in health care and health status, further study is needed to explore additional societal and health care system factors that may explain these differentials and prove amenable to intervention." Weinick RM, Krauss NA. 2000. Racial/ethnic differences in children's access to care. American Journal of Public Health 90(11):1771-1774. Sandra Smith, MPH, CHES Health Education Specialist University of Washington Center for Health Education & Research Clinical Instructor, Health Services Dept Editor, Beginnings: A Practical Guide through Pregnancy Editor, http://www.PrenatalEd.com Mailing Address: 2821 2nd Ave #1601 Seattle WA 98121 206-441-7046 sandras@u.washington.edu ------=_NextPart_000_0049_01C049A5.86BDEFC0 Content-Type: application/ms-tnef; name="winmail.dat" Content-Transfer-Encoding: base64 Content-Disposition: attachment; filename="winmail.dat" eJ8+IhgBAQaQCAAEAAAAAAABAAEAAQeQBgAIAAAA5AQAAAAAAADoAAEIgAcAGAAAAElQTS5NaWNy b3NvZnQgTWFpbC5Ob3RlADEIAQ2ABAACAAAAAgACAAEGgAMADgAAANAHCwAIABEAAQAAAAMA/wAB A5AGAGALAAAiAAAACwACAAEAAAALACMAAAAAAAMAJgAAAAAACwApAAAAAAADADYAAAAAAB4AcAAB AAAAJgAAAEhlYWx0aCBMaXRlcmFjeSBpbiBKIG9mIFB1YmxpYyBIZWFsdGgAAAACAXEAAQAAABYA AAABwEnokwNrbPKttVAR1K3sAFDa2LepAAACAR0MAQAAAB4AAABTTVRQOlNBTkRSQVNAVS5XQVNI SU5HVE9OLkVEVQAAAAsAAQ4AAAAAQAAGDgCuQIboScABAgEKDgEAAAAYAAAAAAAAAGttaytc+9MR resAUNrYt6nCgAAACwAfDgEAAAACAQkQAQAAAGoHAABmBwAAdQwAAExaRnU+lT0gAwAKAHJjcGcx MjUWMgD4C2BuDhAwMzNPAfcCpARkAgBjaArAc/BldDAgCFUHsgKDAFADBOUQ2Ux1Y2lkYaQgSABw ZHcFEHQLgB5nAoMOUANUENlCb28iawOCT2xkBgB0eTRsZQKAfQqACMggO1sJbw4gOAKACoF2CJB3 0msLgGQ0DGBjAFALA6ELtDQgVGgEACADUpkF0GF0BJEHQC1DG9AJFvFIZQdAdGggQR8XUAAgCqIK hAqAIFBBgFJFTlRTJyAfECBHTElTSB2wQkkJH6BUWR2wRkZFQ6sfMBFwSCAQRB8BJwXwIEFDQ0VT BfBUT6EUIEVBTFQf0EMe8SIsEXBMQUkF4lRV7kQgUB4UG8BlHAAA0AVAsx2QHHAgcwNwJGBIBADz CrADAGMgEPAdEQlwA6AtEQB2JGALgGEBAHF1NRxxIADQYweQBCB0b7smgB1kYwrAJGAFoHUW8f5i JGAJcAtgHIAXACgBHZCcZWkFwAqxCfB0cx9R5Q8gbAQAaC0lkB1gGlHaZyeAYgMQFJB5IvAnkR0F sGQr8igBFBBzdHX0ZHkqgHUCYCthKdELgPsqIgewbyawBtAR0QQBClDoIG9mLtNBB4AFECig3QOg SghhHLEwAlAuIiXg+R1ULiAbsSRgLbQJABaA0wQgJPFobwfgcgDQBzHrJ4AUUCARQGglwi0QASB/ BJAJ8CexJ4A1cSShJgYn/zOhJ68osjSiJPEqMREwNUrpH1BwbwQQaQJgJ3EEEO5vNFEUoAIgIAPw HZEoNT8LgC/QNDA1wS2hHHB1c+si8DribwWRbgNwJdE85nc0og8CJ0BnJ3EsRDKVYY51HZAFsCrx c2FtC1BdJsJjCkABABcAbh1gcsJsLfA2LDkwEWAmBz51FFAR0S7iP1IwETE4PztwM/Ao4UEiKcMk UTE5PDk2BdAJgDDBAyBFeN8rsBRQFJAIcCRgUABwKZAPBgAIcCawLfAoTUVQ+FMpLh4aQDkcAAhg NLGLJNMeGipCYC4yID4AfmwrUDtRMIcmBy0QQeFv/zPRJqIUED0gJ0ADICUgCHD/PLEwESijKjEt 8D0gLoIwI90t8Hc1kSUQDeBrMAAFwP9CAAmAKdEoNScAGhA3UBhw/Us1VyRQTWI1eC6xO9885P80 kz1vVgJQ4yzCQ2ApwgIQ0nIi8DE3S7AlMAIlf/M0kw4gLjVZUwJgANBRYP8mB1uiKdFOXyiTIvBE 4iix+ynjS6AwWVNEoBSQKNEmFZ9S9xzzJlIcEwkAdy1Bcf8lMiSAS+EIkFe1F1AEEStQ/1ywQkEk 0S7COkAkYRwiG9B6ZyRQcmI/KAJOH08nO/80kmCvRKE5MUgyJtEcgRoS+1e1PcFkE9Apwi6xKyVQ 1P9bEEXwFKAHggRgY2Jj9Wbf3079TMpqBGq/a8pTJaIrcP1Ii0Es2i7iLbMi8C7iJIj/Wa9jP2RE X7QFsVudbr9O7PUb4XADYGIBoEJBa+BPof91pCSIKjsmgRcANVIN4CkQ/xcwNUEE8D0gAJAsASg8 NcH/BKBUc2yGNKIpUCigUBEwAv9N0GWBJfEKwCSRBnEtsA3gfzOhOtUp0TuDKVAr802xbv4tbIYr owSQPUET0FJxBCCrNVQr8ms94HcXUGQ/Yn+D42LxA9AsIQhgOOMoK3P+eS2wL1A0k31wB3AKwC3w fyiiSI9JlglwROEHgEpGIv99cQnAQRAzoQdxOLMJcRPRvywBND+BEgqxFJFtwmEt8P8EYC2wfWKA oAGRZCIKwD9g/wVAhM+F0y6xJwBG4TtCKAH/YrMt8GJFPsRRUjAgVM4ykPmbBCBJhKFCAISDCHBB 8PM7IzFhZ28HQFRxN4OLAf8+AJxxKWGSn5OqVJg4Ryg1/TzmZghwliMttBvhUbWdkv9GoAkBJ3GX tXwjE+ARQDR1/4wfHEAkgknSJNOUYqQSC3H/OP0UoJ0ijUQvMTcgkCF9sU9+I3HkqZICIC4iHhpX 04cxUUJSTSLwS55ggWG9B7BBMpEB0EKgMpFSnnP+LzTvVHM2jyfyjgMyoDCPBTGeIEKQKDExKTrR WRA3MS21ITSOSwjQ3RJyMQYCJkAUEFM+AB2QsSLwTVBIIvEiQFMeFfcVIgvxHUZFa+E7JHOwBZD3 BzGFsR4UVQMAJrARICxx/TACVzrAG9APICgAC5EbgXu4drkiQyrBEdFYwblfIL4mB/A5IQrAEPAe FEMrUMslwbNxSQCAdHJr8VjSzx1VBmFSsgQgRGUS8R4jP7nQFJBY0gyDA9BEcUJlzmcLgAMADyBz Oh2wHtBzhVJGQ0d1E/BPogNgdV9lcMWhxOAcsDXAecNcaEECQHA6Ly93yRAu78cxnHEHQLnQLkTh vUkeFHccYCxRLAFBl7AJcAQQOqseFBmgMrbgMjSxQSax8CMxNjAa0wqABmAccMp0OpFXxZA5OA4g zbUhAdA2LTQ0tVA3MBw0Nh4UQQC3InNAdfQud7xnLpIBvUi9NraQFwLRytUXkQDUQAAACwABgAgg BgAAAAAAwAAAAAAAAEYAAAAAA4UAAAAAAAADAAOACCAGAAAAAADAAAAAAAAARgAAAAAQhQAAAAAA AAMAB4AIIAYAAAAAAMAAAAAAAABGAAAAAFKFAAB9bgEAHgAJgAggBgAAAAAAwAAAAAAAAEYAAAAA VIUAAAEAAAAEAAAAOS4wAAsADYAIIAYAAAAAAMAAAAAAAABGAAAAAIKFAAABAAAACwA6gAggBgAA AAAAwAAAAAAAAEYAAAAADoUAAAAAAAADADyACCAGAAAAAADAAAAAAAAARgAAAAARhQAAAAAAAAMA PYAIIAYAAAAAAMAAAAAAAABGAAAAABiFAAAAAAAAAwBYgAggBgAAAAAAwAAAAAAAAEYAAAAAAYUA AAAAAAALAH+ACCAGAAAAAADAAAAAAAAARgAAAAAGhQAAAAAAAAIB+A8BAAAAEAAAAGttaytc+9MR resAUNrYt6kCAfoPAQAAABAAAABrbWsrXPvTEa3rAFDa2LepAgH7DwEAAACCAAAAAAAAADihuxAF 5RAaobsIACsqVsIAAFBTVFBSWC5ETEwAAAAAAAAAAE5JVEH5v7gBAKoAN9luAAAAQzpcV0lORE9X U1xMb2NhbCBTZXR0aW5nc1xBcHBsaWNhdGlvbiBEYXRhXE1pY3Jvc29mdFxPdXRsb29rXG91dGxv b2sucHN0AAAAAwD+DwUAAAADAA00/TcAAAIBfwABAAAAOAAAADxOREJCS05PTEdMRE5MQlBET0xG Q0dFSUtDTEFBLnNhbmRyYXNAdS53YXNoaW5ndG9uLmVkdT4AAwAGEMvy8B8DAAcQ2wgAAAMAEBAA AAAAAwAREAAAAAAeAAgQAQAAAGUAAABUSElTRlJPTU1BVEVSTkFMLUNISUxESEVBTFRIQUxFUlRQ QVJFTlRTRU5HTElTSEFCSUxJVFlBRkZFQ1RTQ0hJTERSRU5TQUNDRVNTVE9IRUFMVEhDQVJFLENM QUlNU1NUVURZAAAAAAhe ------=_NextPart_000_0049_01C049A5.86BDEFC0--
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