Disparities in Self-Management Outcomes by Limited English Proficiency Among Adults with Heart Disease (Preventive Medicine Reports)

Summary

Published Date: September 01, 2021

Summary: There are significant disparities in cardiovascular health outcomes by limited English proficiency (LEP). Self-management plans (SMPs) are associated with better patient outcomes, however little is known about the association of LEP with having an SMP among adults with heart disease. Among adults that received an SMP, authors also examined whether they had a hard copy SMP (print or electronic vs. none), and whether they reported confidence in their ability to manage their heart disease. The sample included a total of 9,102 adults, including 1,232 LEP and 7,870 English-proficient (EP) adults.

Findings: LEP was associated with significantly lower odds of SMP receipt. LEP and EP adults who received an SMP were similarly likely to have a hard copy SMP and report confidence in heart disease management. The finding that LEP adults were less likely than EP adults to receive an SMP may represent a missed opportunity to improve heart health outcomes for this group.

This study uses data from the 2013­–2016 California Health Interview Surveys (CHIS).

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