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Collecting Data in Multiple Languages: Evidence of the Need for Non-English Interviews in a Survey on Children’s Health |
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Abstract:
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Evidence of disparities in health status and health care access among certain racial/ethnic communities have led, in part, to increased efforts to identify such disparities in health surveys. Yet, potential language barriers separating the interviewer and the respondent limit the ability of surveys to reach certain racial/ethnic communities. This presentation will use data from the recently completed National Survey of Children with Special Health Care Needs (CSHCN) to demonstrate how language barriers in surveys can change the observed disparities in children’s health status.
The National Survey of CSHCN was conducted as a module of the State and Local Area Integrated Telephone Survey, which is sponsored by the National Center for Health Statistics. A random-digit-dial sample of households with children less than 18 years of age was selected from each of the 50 states and DC. All children in each identified household were screened for special needs (N = 373,055). Detailed interviews were conducted for one randomly selected child with special needs from each household with CSHCN (n = 38,866). Interviews were completed in 11 non-English languages.
Based on weighted data, 47.7 percent- of Hispanic children were screened by a Spanish-speaking interviewer and 26.7 percent- of Asian children were screened by an Asian-language interviewer. Prevalence rates of CSHCN within these racial/ethnic groups were substantially lower when interviews were conducted in a non-English language (56 percent- lower for Hispanics, 82 percent- lower for Asians). However, compared to the Hispanic CSHCN identified in English interviews, Hispanic CSHCN identified during Spanish interviews were 44 percent- more likely to have conditions that usually or always result in activity limitations or that limit activities a great deal. Though differences in health literacy and health beliefs may contribute to these and other disparities, the results presented will demonstrate that language barriers in surveys may exclude important and unique communities. |
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Association:
Name: American Association for Public Opinion Research URL: http://www.aapor.org
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Citation:
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MLA Citation:
| Blumberg, Stephen., Cynamon, Marcie., Brady, Seth., Osborn, Larry. and Olson, Lorayn. "Collecting Data in Multiple Languages: Evidence of the Need for Non-English Interviews in a Survey on Children’s Health" Paper presented at the annual meeting of the American Association for Public Opinion Research, Sheraton Music City, Nashville, TN, Aug 16, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p116377_index.html> |
APA Citation:
| Blumberg, S. J., Cynamon, M. , Brady, S. , Osborn, L. and Olson, L. E. , 2003-08-16 "Collecting Data in Multiple Languages: Evidence of the Need for Non-English Interviews in a Survey on Children’s Health" Paper presented at the annual meeting of the American Association for Public Opinion Research, Sheraton Music City, Nashville, TN <Not Available>. 2009-05-26 from http://www.allacademic.com/meta/p116377_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Review Method: Peer Reviewed Abstract: Evidence of disparities in health status and health care access among certain racial/ethnic communities have led, in part, to increased efforts to identify such disparities in health surveys. Yet, potential language barriers separating the interviewer and the respondent limit the ability of surveys to reach certain racial/ethnic communities. This presentation will use data from the recently completed National Survey of Children with Special Health Care Needs (CSHCN) to demonstrate how language barriers in surveys can change the observed disparities in children’s health status.
The National Survey of CSHCN was conducted as a module of the State and Local Area Integrated Telephone Survey, which is sponsored by the National Center for Health Statistics. A random-digit-dial sample of households with children less than 18 years of age was selected from each of the 50 states and DC. All children in each identified household were screened for special needs (N = 373,055). Detailed interviews were conducted for one randomly selected child with special needs from each household with CSHCN (n = 38,866). Interviews were completed in 11 non-English languages.
Based on weighted data, 47.7 percent- of Hispanic children were screened by a Spanish-speaking interviewer and 26.7 percent- of Asian children were screened by an Asian-language interviewer. Prevalence rates of CSHCN within these racial/ethnic groups were substantially lower when interviews were conducted in a non-English language (56 percent- lower for Hispanics, 82 percent- lower for Asians). However, compared to the Hispanic CSHCN identified in English interviews, Hispanic CSHCN identified during Spanish interviews were 44 percent- more likely to have conditions that usually or always result in activity limitations or that limit activities a great deal. Though differences in health literacy and health beliefs may contribute to these and other disparities, the results presented will demonstrate that language barriers in surveys may exclude important and unique communities. |
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