4262.1: Tuesday, November 14, 2000 - 4:40 PM

Abstract #11411

Health Status and English Proficiency among Older Latinos

Jan E. Mutchler, PhD and Laney A. Bruner-Canhoto, MSW, MPH. Gerontology Institute, University of Massachusetts Boston, 100 Morrissey Blvd, Boston, MA 02125-3393, 617 287 7321, jan.mutchler@umb.edu

This study examines the association between health status and the ability to communicate in English among older Latinos in the United States. By the year 2050 Hispanics are projected to constitute 17% of the elderly population of the U.S., outstripping the Black population in size. Older Hispanics experience some longevity advantages in comparison to their non-Hispanic counterparts, but appear to be disadvantaged in terms of health and disability. A large share of older Hispanics, especially those who have immigrated recently and those with little formal education, speak English poorly or not at all. Although research has not clearly established an association between English language proficiency and health or disability, language barriers are often thought to be problematic in conveying health information and providing adequate medical care. In this study, the association between several indicators of health and disability status and English language proficiency are examined for Hispanics aged 65 and over, based on data from the National Survey of Hispanic Elderly People (1988). This national study includes a sample of 2,299 older Hispanics. Health information obtained in the study includes a self-rating of health status, reported number of ADLs, and reported number of IADLs. Our results suggest that both English language proficiency and literacy are important correlates of health and disability status in this population. Additional analysis suggests that some of this effect is modified by immigration history, levels of formal education, and demographic characteristics. The implications of our results for future research, policy, and planning are discussed.

Learning Objectives: At the conclusion of this presentation, the listener will be able to discuss the ways in which spoken English proficiency and literacy are associated with self-reported health and disability among older Latinos

Keywords: Ethnicity, Hispanic

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA