BACKGROUND AND OBJECTIVES Asthma is a leading cause of health care utilization in children and disproportionately affects historically marginalized populations. Yet, limited data exist on the role of caregiver language preference on asthma morbidity. The study aim was to determine whether caregiver non-English language preference (NELP) is associated with unscheduled asthma-related health care utilization in pediatric patients. METHODS This was a retrospective cohort study using data from a population-level, disease-specific registry of pediatric patients with asthma living in the District of Columbia (DC). Patients aged 2 to 17 years were included and the study period was 2019. The primary exposure variable was language preference: English preferred (EP) or NELP by self-identified language preference. The primary outcome was unscheduled asthma-related health care utilization including emergency department visits, hospitalizations (ICU and non-ICU), and ICU visits alone. Logistic regression was used to calculate adjusted odds ratios (aORs). RESULTS Of the 14 431 patients included, 8.1% had NELP (1172 patients). In analyses adjusted for age, sex, ethnicity, insurance status, diagnosis of persistent asthma, controller prescription, and encounter with a primary care provider, caregiver NELP was associated with an increased odds of having an asthma-related emergency department visit (aOR, 1.37; 95% CI, 1.08-1.74), hospitalization (aOR, 1.79; 95% CI, 1.18-2.72), and ICU visit (aOR, 4.37; 95% CI, 1.93-9.92). In the Hispanic subgroup (n = 1555), caregiver NELP was associated with an increased odds of having an asthma-related hospitalization (aOR, 1.73; 95% CI, 1.02-2.93). CONCLUSIONS In the population of children in the District of Columbia with asthma, caregiver NELP was associated with increased odds of asthma-related health care utilization, suggesting that caregiver language preference is a significant determinant of asthma outcomes.

中文翻译：

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哮喘儿童的看护者语言偏好和医疗保健利用。

背景和目标 哮喘是儿童使用医疗保健的主要原因，并且对历史上边缘化的人群影响尤为严重。然而，关于护理人员语言偏好对哮喘发病率的影响的数据有限。该研究的目的是确定护理人员的非英语语言偏好 (NELP) 是否与儿科患者计划外的哮喘相关医疗保健利用有关。方法 这是一项回顾性队列研究，使用的数据来自居住在哥伦比亚特区 (DC) 的儿童哮喘患者的人口水平、疾病特异性登记。纳入的患者年龄为 2 至 17 岁，研究期为 2019 年。主要暴露变量是语言偏好：英语偏好 (EP) 或根据自我确定的语言偏好选择 NELP。主要结局是计划外的哮喘相关医疗保健利用情况，包括急诊就诊、住院（ICU 和非 ICU）以及仅 ICU 就诊。使用逻辑回归来计算调整后的比值比 (aOR)。结果 在纳入的 14 431 名患者中，8.1% 患有 NELP（1172 名患者）。在根据年龄、性别、种族、保险状况、持续性哮喘诊断、控制器处方以及与初级保健提供者的接触进行调整的分析中，护理人员 NELP 与哮喘相关急诊就诊的几率增加相关（aOR，1.37） ；95% CI，1.08-1.74）、住院（aOR，1.79；95% CI，1.18-2.72）和 ICU 就诊（aOR，4.37；95% CI，1.93-9.92）。在西班牙裔亚组 (n = 1555) 中，看护者 NELP 与哮喘相关住院的几率增加相关 (aOR，1.73；95% CI，1.02-2.93)。结论 在哥伦比亚特区患有哮喘的儿童群体中，看护者 NELP 与哮喘相关医疗保健利用的几率增加相关，这表明看护者的语言偏好是哮喘结果的重要决定因素。