TABLE 5.

Adjusted ORs and Mean Differences for Disparities in Health, Health Care, and Interactions With Health Care Providers for Children 4 to 35 Months of Age With Spanish-Speaking Parents (N = 399) in the United States in 2000

MeasureCompleted Surveys in Spanish, OR or Mean Difference (95% CI)
Insurance coverage and health status
    Uninsured*2.12 (1.31–3.42)
    Child's health not excellent or very good2.91 (1.72–4.93)
Provider never or only sometimes understands child's specific needs1.77 (1.05–2.99)
Topics discussed with parent by child's health care provider
    Violence in community2.34 (1.39–3.95)
    Use of alcohol or drugs in household2.94 (1.84–4.69)
    Parent told developmental assessment performed by provider2.29 (1.45–3.61)
Mean no. of calls to doctor's office in past year§−1.65 (−2.39 to −0.90)
Child not referred to specialist by health care provider2.72 (1.40–5.25)
  • Data are from the 2000 NSECH. Of the 399 children whose parents completed surveys in Spanish, 395 were Latino, 2 were white, and 2 were black. Differences are expressed as the adjusted OR or mean difference for each outcome for children with parents who completed surveys in Spanish, compared with children with parents who completed surveys in English. All ORs and mean differences are adjusted for health insurance (except when health insurance is the dependent variable), race/ethnicity, health status (by parental report), poverty, age, mother's educational attainment and age, number of children in the household, and usual place for medical care. Because the independent variable of interest in this table (parental survey language) differed from the independent variable of interest in Table 4 (race/ethnicity), outcomes with significant ORs or means are not identical in Tables 4 and 5.

  • * At any time in the past 12 months.

  • By parental report.

  • Within the past 12 months, or since birth for children <12 months of age.

  • § Expressed as mean difference in the number of calls made in the past year (or since birth for children <12 months of age), compared with parents who completed surveys in Spanish.