Community Demographics and Access to Health Care among U.S. Hispanics

Gresenz, Carole Roan; Rogowski, Jeannette; Escarce, José J.

doi:10.1111/j.1475-6773.2009.00997.x

Cited by 61 publications

(67 citation statements)

References 41 publications

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“…Both language versions showed high levels of content validity and conceptual equivalency. The rigorous translation process and review of the Spanish version by experts found [27][28][29] Nevertheless, their range of education (6 to 22 years) suggests that the translated measure is relevant to a broad span of Spanish-speaking learners with a minimum of sixth grade education. These shortcomings will need to be addressed in future studies to determine the settings and populations in which use of the new instrument is most appropriate.…”

Section: Discussionmentioning

confidence: 99%

“…Translation issues and years of schooling have been posited as barriers to adequate health assessment of Spanishspeaking Hispanics in the United States. [27][28][29] Proportions of participants with the presence of sleep disorders by categories showed consistency in reporting between language versions. Percentages of participants who report sleep disorders provide a foundation for prevalence rates among Spanish-speaking Mexican Americans.…”

Section: English Version Intercorrelationsmentioning

confidence: 99%

Section: The Sleep Habits Questionnairementioning

confidence: 99%

“…[28][29][30] The 30-item Acculturation Rating Scale for Mexican Americans II (ARSMA-II; English and Spanish versions) identifies language familiarity, usage, preference, ethnic identity, generation, reading, writing, cultural exposure, and ethnic interaction. It has an internal reliability of 0.88 and test-retest reliability of 0.72.…”

Section: Acculturationmentioning

confidence: 99%

“…Hispanics experience the following: higher rates of unemployment and less earned income when employed; greater likelihood of living in poverty; less likelihood of graduating from high school; greater food insecurity; are under-or uninsured; reduced leisure-time physical activity; acculturation pressures, immigration bias, limited access to care, diverse cultural constructions of health and illness; and higher rates of chronic conditions, including obesity, type 2 diabetes, and hypertension. 27,28 These factors are associated with disordered or disrupted sleep in other cultural and racial/ethnic groups; thus studying sleep in Hispanics should enrich the overall understanding of their social, emotional, and physical well-being.A major issue in the adequate and appropriate assessment of sleep disorders of Hispanics is that of language.29 Spanish is the second most common language in the United States and is the primary language spoken at home by more than 34 million people aged 5 or older.26 Disparities in quality and access to care have reportedly been narrowing for all groups except Hispanics due, in part, to language barriers. 30 The aim of this paper is to report the psychometrics of a rigorously translated, backtranslated, and cross-language validated version of the Sleep Heart Health Study Sleep Habits Questionnaire.…”

mentioning

confidence: 99%

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Spanish Translation and Cross-Language Validation of a Sleep Habits Questionnaire for Use in Clinical and Research Settings

Baldwin

Choi

McClain

et al. 2012

Journal of Clinical Sleep Medicine

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Study Objectives: To translate, back-translate and crosslanguage validate (English/Spanish) the Sleep Heart Health Study Sleep Habits Questionnaire for use with Spanish-speakers in clinical and research settings. Methods: Following rigorous translation and back-translation, this cross-sectional cross-language validation study recruited bilingual participants from academic, clinic, and communitybased settings (N = 50; 52% women; mean age 38.8 ± 12 years; 90% of Mexican heritage). Participants completed English and Spanish versions of the Sleep Habits Questionnaire, the Epworth Sleepiness Scale, and the Acculturation Rating Scale for Mexican Americans II one week apart in randomized order. Psychometric properties were assessed, including internal consistency, convergent validity, scale equivalence, language version intercorrelations, and exploratory factor analysis using PASW (Version18) software. Grade level readability of the sleep measure was evaluated. Results: All sleep categories (duration, snoring, apnea, insomnia symptoms, other sleep symptoms, sleep disruptors, restless legs syndrome) showed Cronbach α, SpearmanBrown coeffi cients and intercorrelations ≥ 0.700, suggesting robust internal consistency, correlation, and agreement between language versions. The Epworth correlated signifi cantly with snoring, apnea, sleep symptoms, restless legs, and sleep disruptors) on both versions, supporting convergent validity. Items loaded on 4 factors accounted for 68% and 67% of the variance on the English and Spanish versions, respectively. Conclusions S C I E N T I F I C I N V E S T I g A T I O N SS leep research over the past two decades has shown associations between sleep disorders and chronic disease, 1-7 poorer health-related quality of life, 8,9 increased health and work-related costs, and travel and work-related accidents.10,11 Prevalence rates for insomnia, the most commonly reported sleep complaint, range from 20% to 40% of the population, depending on the defi ned severity and frequency, 12 and is suggested to have a bidirectional relationship with several chronic conditions including depression and cardiovascular disease.13,14 Prevalence rates for obstructive sleep apnea syndrome range from 2% to 4%, 7 and rates for restless legs syndrome range from 5% to 15% in the general population.15 Snoring (48%), feeling unrested (26.5%), and insuffi cient sleep (26%) are leading sleep problems identifi ed in a population-based study.5 These and other sleep disruptions can contribute to excessive daytime sleepiness, 16 making sleep disorders signifi cant contributors to disability, morbidity, and mortality. 1,5,7,11,17,18 Despite the growing clinical and public health concerns regarding sleep disorders, few studies have examined associations between sleep and race/ethnicity in the United States. A majority of extant racial/ethnic studies compared African Americans with and without sleep disorders, or comparing African and Caucasian Americans on sleep disordered breathing, snoring, sleep architecture, insomnia sympt...

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Section: Discussionmentioning

confidence: 99%

Section: English Version Intercorrelationsmentioning

confidence: 99%

Section: The Sleep Habits Questionnairementioning

confidence: 99%

Section: Acculturationmentioning

confidence: 99%

mentioning

confidence: 99%

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Spanish Translation and Cross-Language Validation of a Sleep Habits Questionnaire for Use in Clinical and Research Settings

Baldwin

Choi

McClain

et al. 2012

Journal of Clinical Sleep Medicine

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Comparison of outcomes for Hispanic and non‐Hispanic patients with advanced renal cell carcinoma in the International Metastatic Renal Cell Carcinoma Database

Guram,

Huang,

Mouchati

et al. 2024

Cancer

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BackgroundExisting data on the impact of Hispanic ethnicity on outcomes for patients with renal cell carcinoma (RCC) is mixed. The authors investigated outcomes of Hispanic and non‐Hispanic White (NHW) patients with advanced RCC receiving systemic therapy at large academic cancer centers using the International Metastatic Renal Cell Carcinoma Database (IMDC).MethodsEligible patients included non‐Black Hispanic and NHW patients with locally advanced or metastatic RCC initiating systemic therapy. Overall survival (OS) and time to first‐line treatment failure (TTF) were calculated using the Kaplan–Meier method. The effect of ethnicity on OS and TTF were estimated by Cox regression hazard ratios (HRs).ResultsA total of 1563 patients (181 Hispanic and 1382 NHW) (mostly males [73.8%] with clear cell RCC [81.5%] treated with tyrosine kinase inhibitor [TKI] monotherapy [69.9%]) were included. IMDC risk groups were similar between groups. Hispanic patients were younger at initial diagnosis (median 57 vs. 59 years, p = .015) and less likely to have greater than one metastatic site (60.8% vs. 76.8%, p < .001) or bone metastases (23.8% vs. 33.4%, p = .009). Median OS and TTF was 38.0 months (95% confidence interval [CI], 28.1–59.2) versus 35.7 months (95% CI, 31.9–39.2) and 7.8 months (95% CI, 6.2–9.0) versus 7.5 months (95% CI, 6.9–8.1), respectively, in Hispanic versus NHW patients. In multivariable Cox regression analysis, no statistically significant differences were observed in OS (adjusted hazard ratio [HR], 1.07; 95% CI, 0.86–1.31, p = .56) or TTF (adjusted HR, 1.06; 95% CI, 0.89–1.26, p = .50).ConclusionsThe authors did not observe statistically significant differences in OS or TTF between Hispanic and NHW patients with advanced RCC. Receiving treatment at tertiary cancer centers may mitigate observed disparities in cancer outcomes.

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Spillover Effects in Health Service Use: Evidence From Mental Health Care Using First‐Year College Housing Assignments

2014

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Spillover effects in health service use may represent an important externality of individual treatment decisions and are important for understanding the consequences of interventions to improve access to health care. This study is the first to our knowledge to examine causal spillover effects for mental health service use. We exploit the natural experiment of first-year student housing assignments at two universities using survey data that we collected. When the peer group is defined at the roommate level, we do not find any spillover effects on service use. When the peer group is defined at the hall level, we find positive spillover effects--peers' service use increases one's own service use--and this effect is driven by individuals with prior experience with mental health services. We also find some evidence that the mechanism behind this effect is improved beliefs about treatment effectiveness.

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Community Demographics and Access to Health Care among U.S. Hispanics

Cited by 61 publications

References 41 publications

Spanish Translation and Cross-Language Validation of a Sleep Habits Questionnaire for Use in Clinical and Research Settings

Spanish Translation and Cross-Language Validation of a Sleep Habits Questionnaire for Use in Clinical and Research Settings

Comparison of outcomes for Hispanic and non‐Hispanic patients with advanced renal cell carcinoma in the International Metastatic Renal Cell Carcinoma Database

Spillover Effects in Health Service Use: Evidence From Mental Health Care Using First‐Year College Housing Assignments

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