Non-English Language Availability of Community Health Center Websites
Non-English Language Availability of Community Health Center Websites
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DOI：
10.1097/mlr.0000000000001027
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发表时间：
2019-06-01
期刊：
影响因子：
3
通讯作者：
Percac-Lima, Sanja
中科院分区：
文献类型：
--
作者：
Rodriguez, Jorge A.;Davis, Roger B.;Percac-Lima, Sanja
背景：对于英语能力有限的（LEP）患者来说，数字鸿沟已经缩小，创造了一个新的互联网用户群体。然而，很难找到适合语言的健康信息。社区卫生中心网站是卫生信息资源，其主页是患者获取信息的重要途径。由卫生资源和服务管理局（HRSA）支持的CHCs为许多LEP患者提供护理。目的：我们试图确定HRSA支持的CHC网站提供翻译的主页内容的数量。研究设计：2017年2月，我们对CHC主页的语言可用性进行了横断面分析。测量：主要结果是CHC主页上翻译内容的可用性。次要结果是翻译方法和主页翻译与CHC人口统计学之间的关联，包括LEP人口百分比和社会经济及互联网接入特征。结果：在1400个CHC主页中，480个（34.3%）提供翻译信息，其中一半使用谷歌翻译。我们发现，随着各县LEP人口的增加，拥有翻译主页的几率更高[比值比（OR）：1.26，置信区间（CI）：1.07-1.49，P=0.005]，州一级的互联网订阅量增加（OR：1.19，CI：1.02-1.38，P=0.026），如果卫生院位于大城市地区（OR：1.81，CI：1.31-2.51，P< 0.001）。在西班牙语LEP人群较高的县，主页翻译为西班牙语的可能性也较高（OR：1.39，CI：1.19-1.63，P< 0.001），但这并没有扩展到非西班牙语（OR：0.85，CI：0.71-1.04，P=0.131）。结论：尽管LEP患者和CHC人群的语言多样性增加了互联网的使用，但CHC网站主页上缺乏语言适当的内容。
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.