Addressing the Social Needs of Spanish- and English-Speaking Families in Pediatric Primary Care |
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| Institution: | 1. Department of Pediatrics, Johns Hopkins School of Medicine (S Polk, R Thornton, and BS Solomon), Baltimore, Md;2. Centro SOL, Johns Hopkins School of Medicine (S Polk), Baltimore, Md;3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (KM Leifheit), Baltimore, Md;4. Department of Pediatrics, University of Colorado School of Medicine and Children''s Hospital Colorado (LR DeCamp), Aurora, Colo;1. Division of General Pediatrics, Department of Pediatrics, Johns Hopkins School of Medicine (M Jindal), Baltimore, Md;2. Division of Academic General Pediatrics, Department of Pediatrics, Ann & Robert H. Lurie Children''s Hospital of Chicago and Northwestern University Feinberg School of Medicine (N Heard-Garris), Chicago, Ill;3. Mary Ann & J. Milburn Smith Child Health Outreach, Research, and Advocacy Center, Stanley Manne Children''s Research Institute, Ann and Robert H. Lurie Children''s Hospital of Chicago (N Heard-Garris), Chicago, Ill;4. Division of General Pediatrics, Department of Pediatrics, Oregon Health & Science University (A Empey and KE Zuckerman), Portland, Ore;5. Division of Developmental-Behavioral Pediatrics, Floating Hospital for Children, Tufts Medical Center (EC Perrin), Boston, Mass;6. Department of Emergency Medicine, University of California, Davis (TJ Johnson), Sacramento, Calif;1. Department of Academic General Pediatrics and Primary Care (AG Brewer and MM Davis), Northwestern University Feinberg School of Medicine, Chicago, Ill;2. Department of Preventive Medicine (MM Davis, K Sheehan, and J Feinglass), Northwestern University Feinberg School of Medicine, Chicago, Ill;3. Department of General Internal Medicine and Geriatrics (MM Davis), Northwestern University Feinberg School of Medicine, Chicago, Ill;4. Department of Pediatric Emergency Medicine (K Sheehan), Northwestern University Feinberg School of Medicine, Chicago, Ill;1. Division of General Pediatrics, Department of Pediatrics, David Geffen School of Medicine and UCLA Mattel Children''s Hospital (University of California, Los Angeles) (MD Shah, PJ Chung, R Valderrama, and PG Szilagyi), Los Angeles, Calif;2. UCLA Kaiser Permanente Center for Health Equity (BA Glenn and LC Chang), Los Angeles, Calif;3. Jonsson Comprehensive Cancer Center at UCLA (BA Glenn and LC Chang), Los Angeles, Calif;4. Department of Health Policy and Management, UCLA Fielding School of Public Health (BA Glenn), Los Angeles, Calif;5. Los Angeles Unified School District (K Uyeda), Los Angeles, Calif. Dr Shah is now with the Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology, Los Angeles, Calif. Dr Chung is now with the Department of Health Systems Science, Kaiser Permanente School of Medicine, Pasadena, Calif. Dr Uyeda is now with the California School-Based Health Alliance, Oakland, Calif.;1. Department of Pediatrics, Stanford School of Medicine (R Blankenburg), Palo Alto, Calif;2. Department of Pediatrics, Hasbro Children''s Hospital, Brown University (P Poitevien), Providence, RI;3. Department of Pediatrics, Cincinnati Children''s Hospital Medical Center, University of Cincinnati College of Medicine (J Gonzalez del Rey), Cincinnati, Ohio;4. Department of Pediatrics, Oregon Health & Science University (M Aylor), Portland, Ore;5. Department of Pediatrics, University of Wisconsin (J Frohna), Madison, Wis;6. Department of Pediatrics, Seattle Children''s Hospital, University of Washington (H McPhillips), Seattle, Wash;7. Department of Pediatrics, University of Virginia (L Waggoner-Fountain), Charlottesville, Va;8. Association of Pediatric Program Directors (L Degnon), McLean, Va;1. Department of Pediatrics, University of Colorado School of Medicine (DA Thompson), Aurora, Colo;2. Department of Psychiatry, University of California at San Francisco (JM Tschann);1. Center for Child Health Policy and Advocacy, Baylor College of Medicine (JL Raphael), Houston, Tex;2. Section of Academic General Pediatrics, Baylor College of Medicine (JL Raphael), Houston, Tex;3. SRB Consulting (SR Bloom), Newton, Mass;4. Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine (PJ Chung), Pasadena, Calif;5. Division of General Pediatrics, Children''s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania (JP Guevara), Philadelphia, Pa;6. Department of Pediatric and Adolescent Medicine, Mayo Clinic (RM Jacobson), Rochester, Minn;7. Department of Health Sciences Research, Mayo Clinic (RM Jacobson), Rochester, Minn;8. Department of Pediatrics, George Washington University School of Medicine and Health Sciences (T Kind), Washington, DC;9. Division of General and Community Pediatrics, Department of Pediatrics, Cincinnati Children''s Hospital, University of Cincinnati College of Medicine (M Klein), Cincinnati, Ohio;10. Division of Pediatric Hospital Medicine, Department of Pediatrics, University of California Davis (S-TT Li), Sacramento, Calif;11. Department of Society, Human Development and Health, Harvard School of Public Health (MC McCormick), Boston, Mass;12. Department of Pediatrics, University of Minnesota (MB Pitt), Minneapolis, Minn;13. Departments of Pediatrics and Epidemiology and Prevention, Wake Forest School of Medicine (KA Poehling), Winston-Salem, NC;14. Department of Pediatrics, Children''s Hospital Los Angeles, Keck School of Medicine of USC (M Trost), Los Angeles, Calif;15. Department of Health Law, Policy and Management, School of Public Health, Boston University (RC Sheldrick), Boston, Mass;16. Department of Pediatrics, University of Utah (PC Young), Salt Lake City, Utah;17. Department of Pediatrics, UCLA Mattel Children''s Hospital, University of California at Los Angeles (PG Szilagyi) |
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| Abstract: | ObjectiveTo describe the social needs of families working with Health Leads (HL) at 18 pediatric practices in 9 US cities and how reported social needs and success addressing them varied according to parents’ preferred health care language.MethodsWe evaluated the social needs of English and Spanish speakers who received assistance from HL from September 2013 to August 2015. The study sample included 11,661 households in the 4 regions where HL provided support within pediatric primary care practices. We used multivariable regression stratified by region to assess the association between language and successful resource connections.ResultsReported social needs differed by language. Spanish speakers most frequently reported needs related to food (eg, food stamps, Special Supplemental Nutrition Program for Women, Infants, and Children, and food pantries). English speakers most frequently reported child-related needs (eg, childcare vouchers, Head Start, and school enrollment). The association between household language and the odds of a successful resource connection varied by region.ConclusionsOur findings highlight the importance of considering language barriers and community context when addressing unmet social needs as part of primary care. |
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