Authors
Alicia Fernandez, Dean Schillinger, E Margaret Warton, Nancy Adler, Howard H Moffet, Yael Schenker, M Victoria Salgado, Ameena Ahmed, Andrew J Karter
Publication date
2011/2
Journal
Journal of general internal medicine
Volume
26
Pages
170-176
Publisher
Springer-Verlag
Description
BACKGROUND
A significant proportion of US Latinos with diabetes have limited English proficiency (LEP). Whether language barriers in health care contribute to poor glycemic control is unknown.
OBJECTIVE
To assess the association between limited English proficiency (LEP) and glycemic control and whether this association is modified by having a language-concordant physician.
DESIGN
Cross-sectional, observational study using data from the 2005–2006 Diabetes Study of Northern California (DISTANCE). Patients received care in a managed care setting with interpreter services and self-reported their English language ability and the Spanish language ability of their physician. Outcome was poor glycemic control (glycosylated hemoglobin A1c > 9%).
KEY RESULTS
The …
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