Lost in Translation: Impact of Language Barriers and Facilitators on the Health Care of Asian Americans Living with HIV.
Language barriers are major obstacles that Asian American immigrants face when accessing health care in the USA. This study was conducted to explore the impact of language barriers and facilitators on the health care of Asian Americans. Qualitative, in-depth interviews and quantitative surveys were...
| Publicado en: | Journal of Racial & Ethnic Health Disparities Vol. 11; no. 4; pp. 2064 - 2073 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178402534&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178402534 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21973792 GQHQ jtl: Journal of Racial & Ethnic Health Disparities issn: 21973792 maglogo: N pubinfo: dt: Aug2024 vid: 11 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178402534 164241632 178402534 178402534 10.1007/s40615-023-01674-7 178402534 ppf: 2064 ppct: 9 formats: tig: atl: Lost in Translation: Impact of Language Barriers and Facilitators on the Health Care of Asian Americans Living with HIV. aug: au: Chen, Wei-Ti Sun, Wenxiu Huang, Feifei Shiu, Cheng-Shi Kim, Boram Candelario, Jury Toma, Lance Wu, Gilbert Ah-Yune, Judy affil: https://ror.org/046rm7j60 School of Nursing, University of California Los Angeles, 90095, Los Angeles, CA, USA sug: subj: Language Communication Barriers Health Services Accessibility United States Asian Americans Psychosocial Factors HIV Infections Immigrants Psychosocial Factors Human Male Female Adult Middle Age Aged Funding Source United States Qualitative Studies Interviews Quantitative Studies Urban Areas Stigma Extended Family Case Managers Medical Interpreters Antiretroviral Therapy, Highly Active Medication Compliance Health Personnel Acculturation Multimethod Studies Content Analysis Data Analysis Software Multivariate Analysis Logistic Regression Health Services Needs and Demand Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Language barriers are major obstacles that Asian American immigrants face when accessing health care in the USA. This study was conducted to explore the impact of language barriers and facilitators on the health care of Asian Americans. Qualitative, in-depth interviews and quantitative surveys were conducted with 69 Asian Americans (Chinese, Filipino, Japanese, Malaysian, Indonesian, Vietnamese, and mixed Asian backgrounds) living with HIV (AALWH) in three urban areas (New York, San Francisco, and Los Angeles) in 2013 and from 2017 to 2020. The quantitative data indicate that language ability is negatively associated with stigma. Major themes emerged related to communication, including the impact of language barriers on HIV care and the positive impact of language facilitators—family members/friends, case managers, or interpreters—who can communicate with healthcare providers in the AALWH's native language. Language barriers negatively impact access to HIV-related services and thus result in decreased adherence to antiretroviral therapy, increased unmet healthcare needs, and increased HIV-related stigma. Language facilitators enhanced the connection between AALWH and the healthcare system by facilitating their engagement with health care providers. Language barriers experienced by AALWH not only impact their healthcare decisions and treatment choices but also increase levels of external stigma which may influence the process of acculturation to the host country. Language facilitators and barriers to health services for AALWH represent a target for future interventions in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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