Language Barriers Among the Foreign-Born in Canada: Agreement of Self-Reported Measures and Persistence Over Time

Overview

Journal J Immigr Minor Health

Publisher Springer

Specialties Public Health
Social Sciences

Date 2015 Sep 24

PMID 26395900

Citations 4

Authors

Karen Okrainec

Gillian L Booth

Simon Hollands

Chaim M Bell

Affiliations

Soon will be listed here.

Abstract

Persistent language barriers are associated with poor health outcomes. The agreement between reporting a language barrier at time of immigration and in the 2007-2008 Canadian Community Health Survey (CCHS) was calculated using kappa scores among foreign-born individuals who arrived to Ontario, Canada between 1985 and 2005. A total of 2323 immigrants were included, with a mean (± SD) time of 10.2 ± 6.4 years between immigration and completing the CCHS. Only 6 % of immigrants reported a persistent language barrier, resulting in a low agreement between the two sources (kappa = 0.06, 95 % CI 0.042-0.086). Though immigrants were less likely to report a persistent language barrier the longer they had been in Canada, only 13 % of immigrants who had arrived <2 years ago reported one. Self-reported language barriers at time of immigration are poor indicators of persistent language barriers. There is a need for a better measure of language barriers among Canadian immigrants.

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References

Okrainec K, Miller M, Holcroft C, Boivin J, Greenaway C . Assessing the need for a medical interpreter: are all questions created equal?. J Immigr Minor Health. 2013; 16(4):756-60. DOI: 10.1007/s10903-013-9821-9. View

Jacobs E, Chen A, Karliner L, Agger-Gupta N, Mutha S . The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006; 84(1):111-33. PMC: 2690153. DOI: 10.1111/j.1468-0009.2006.00440.x. View

Abdulrahim S, Baker W . Differences in self-rated health by immigrant status and language preference among Arab Americans in the Detroit Metropolitan Area. Soc Sci Med. 2009; 68(12):2097-103. DOI: 10.1016/j.socscimed.2009.04.017. View

John-Baptiste A, Naglie G, Tomlinson G, Alibhai S, Etchells E, Cheung A . The effect of English language proficiency on length of stay and in-hospital mortality. J Gen Intern Med. 2004; 19(3):221-8. PMC: 1492154. DOI: 10.1111/j.1525-1497.2004.21205.x. View

Fuller-Thomson E, Noack A, George U . Health decline among recent immigrants to Canada: findings from a nationally-representative longitudinal survey. Can J Public Health. 2011; 102(4):273-80. PMC: 6974249. View

Ng E, Pottie K, Spitzer D . Official language proficiency and self-reported health among immigrants to Canada. Health Rep. 2012; 22(4):15-23. View

Manson A . Language concordance as a determinant of patient compliance and emergency room use in patients with asthma. Med Care. 1988; 26(12):1119-28. DOI: 10.1097/00005650-198812000-00003. View

Karliner L, Kim S, Meltzer D, Auerbach A . Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010; 5(5):276-82. DOI: 10.1002/jhm.658. View

Perez-Stable E, Miramontes J . The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Med Care. 1997; 35(12):1212-9. DOI: 10.1097/00005650-199712000-00005. View

10.

Karliner L, Napoles-Springer A, Schillinger D, Bibbins-Domingo K, Perez-Stable E . Identification of limited English proficient patients in clinical care. J Gen Intern Med. 2008; 23(10):1555-60. PMC: 2533382. DOI: 10.1007/s11606-008-0693-y. View

11.

Flores G, Abreu M, Tomany-Korman S . Limited english proficiency, primary language at home, and disparities in children's health care: how language barriers are measured matters. Public Health Rep. 2005; 120(4):418-30. PMC: 1497749. DOI: 10.1177/003335490512000409. View

12.

Wang F, Stewart M, McDermott S, Kazanjian A, Vissandjee B, DesMeules M . Migration and diabetes in British Columbia and Quebec: prevalence and health service utilization. Can J Public Health. 2012; 103(1):59-64. PMC: 6974000. View

13.

Gee G, Walsemann K, Takeuchi D . English proficiency and language preference: testing the equivalence of two measures. Am J Public Health. 2009; 100(3):563-9. PMC: 2820064. DOI: 10.2105/AJPH.2008.156976. View

14.

Lebrun L . Effects of length of stay and language proficiency on health care experiences among immigrants in Canada and the United States. Soc Sci Med. 2012; 74(7):1062-72. DOI: 10.1016/j.socscimed.2011.11.031. View

15.

Ng E . The healthy immigrant effect and mortality rates. Health Rep. 2012; 22(4):25-9. View

16.

Pottie K, Ng E, Spitzer D, Mohammed A, Glazier R . Language proficiency, gender and self-reported health: an analysis of the first two waves of the longitudinal survey of immigrants to Canada. Can J Public Health. 2009; 99(6):505-10. PMC: 6975753. View

17.

Okrainec K, Booth G, Hollands S, Bell C . Impact of language barriers on complications and mortality among immigrants with diabetes: a population-based cohort study. Diabetes Care. 2014; 38(2):189-96. DOI: 10.2337/dc14-0801. View