Examining the Relationship between English Proficiency and Health Care Experiences in the United States

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dc.contributor.advisorWatt, Toni T.
dc.contributor.authorLemus, Alejandra G.
dc.contributor.committeeMemberMartinez, Gloria P.
dc.contributor.committeeMemberResendiz, Maria
dc.date.accessioned2020-07-30T18:41:47Z
dc.date.available2020-07-30T18:41:47Z
dc.date.issued2020-08
dc.description.abstractPeople with limited English proficiency (LEP) tend to be underserved and vulnerable in the United States health care system. Research has shown that LEP patients are more likely to have lower levels of education, be uninsured, have lower levels of income, and are more likely to experience discrimination during their health care encounters. This study seeks to find whether LEP patients face less favorable health care experiences than their non-LEP counterparts. Specifically, the study aims to examine the differences in health care utilization, access to health information, and satisfaction of health care services between LEP and non-LEP individuals. Based on previous use of LEP in health care literature, the limited English proficiency group in this study represents those whose primary household language is not English. The dataset used for this study was the 2007 National Survey of Children’s Health. Linear and logistic regression results found that LEP patients are less likely to feel that their children’s doctors and providers listen to them carefully and they are also less likely to report that they feel their providers respect their customs and values compared to non-LEP patients. Additionally, LEP patients are less likely to receive the specific health information they need and they utilize health care services less often than their non-LEP counterparts. These findings lead to the conclusion that the need for culturally diverse and culturally competent care remains in order to improve the health care utilization and encounters for LEP populations.
dc.description.departmentSociology
dc.formatText
dc.format.extent56 pages
dc.format.medium1 file (.pdf)
dc.identifier.citationLemus, A. G. (2020). <i>Examining the relationship between English proficiency and health care experiences in the United States</i> (Unpublished thesis). Texas State University, San Marcos, Texas.
dc.identifier.urihttps://hdl.handle.net/10877/12249
dc.language.isoen
dc.subjectLimited English proficiency
dc.subjectImmigrants
dc.subjectHealth literacy
dc.subjectHealth care satisfaction
dc.subjectHealth care utilization
dc.subjectPower dynamics
dc.subject.lcshDiscrimination in medical care--United States
dc.titleExamining the Relationship between English Proficiency and Health Care Experiences in the United States
dc.typeThesis
thesis.degree.departmentSociology
thesis.degree.disciplineSociology
thesis.degree.grantorTexas State University
thesis.degree.levelMasters
thesis.degree.nameMaster of Arts

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