Low Income Parents’ Reports of Communication Problems with…低收入家长有关与沟通问题的报告.pdfVIP

Research Articles Low Income Parents’ Reports of Communication Problems with Health Care Providers: Effects of Language and Insurance a SYNOPSIS Lisa Clemans-Cope, PhD Genevieve Kenney, MA, PhDa Objectives. This study examines how parental reports of communication problems with health providers vary over a wider range of characteristics of low income children than considered in previous studies. Methods. Data were drawn from the 1999 and 2002 National Survey of America’s Families. Communication problems, insurance type, socioeconomic characteristics, health factors, and provider type were examined. Data were analyzed using bivariate and multivariate techniques. Results. Bivariate analysis identified that the parents of 24.4% of low income children and 36.4% of publicly covered low income children with a Spanish interview reported poor communication with health providers. Coefficients from regression analysis suggest that, controlling for covariates, foreign-born parents with a Spanish interview were 11.8 percentage points (p,0.01) more likely to report communication problems than U.S.-born parents with an English interview. Among low income publicly covered children with a Spanish inter- view, regression analysis suggests that parents of children who used clinics or hospital outpatient departments as