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A6   U.S. NEWS
                        Friday 27 July 2018

            AP-NORC Poll: Latinos see health care communication barriers


            By  EMILY  SWANSON  and                                                                                             prepare  the  kind  of  food
            RUSSELL CONTRERAS                                                                                                   they  are  used  to.  Some
            WASHINGTON (AP) — Near-                                                                                             have concerns about find-
            ly  6  in  10  Hispanic  adults                                                                                     ing  nursing  homes  and
            have  had  a  difficult  time                                                                                       assisted-living  facilities  that
            communicating      with   a                                                                                         will  respect  their  religious
            health  care  provider  be-                                                                                         or  spiritual  beliefs,  though
            cause  of  a  language  or                                                                                          fewer have the same con-
            cultural  barrier,  and  when                                                                                       cern  about  home  health
            they  do  they  often  turn  to                                                                                     aides.
            outside  sources  for  help,                                                                                        Torres  said  he's  not  con-
            according  to  a  new  study                                                                                        fident  he'll  find  a  cultur-
            conducted  by  The  Associ-                                                                                         ally  sensitive  nursing  home
            ated  Press-NORC  Center                                                                                            when  he's  gets  older.  "I'd
            for Public Affairs Research.                                                                                        rather  just  live  alone  and
            The  survey  finds  that  half                                                                                      poison  myself  by  accident
            of  those  who  have  faced                                                                                         rather  than  stay  in  one  of
            those  barriers  turned  to  a                                                                                      those homes right now," he
            family  member  or  to  an-                                                                                         said.
            other health care provider                                                                                          Like other older Americans,
            for  assistance.  In  addition,                                                                                     many Hispanics age 40 and
            more than 1 in 4 looked to                                                                                          older expect to rely on gov-
            a translator, public resourc-                                                                                       ernment  programs  like  So-
            es in their community or on-                                                                                        cial Security, Medicare and
            line  sources  for  help  when                                                                                      Medicaid  to  pay  for  long-
            they faced those issues.                                                                                            term  care  services,  even
            Antonio Torres, 53, of Orlan-                                                                                       though Medicare does not
            do, Florida, who is bilingual   In this file photo taken Nov. 22, 2014, Blue Bridge Benefits LLC agent Patricia Sarabia, right, and   cover most nursing care or
                                         Adolfo Briceno, left, with Spanish Speaking LLC, help a potential customer with Blue Cross Blue
            and  legally  blind,  told  The   Shield at a kiosk promoting Obama Care at Compare Foods in Winston-Salem, N.C.    home health aides. But only
            AP  he  regularly  struggles                                                                       Associated Press  about  2  in  10  think  any  of
            to understand the medical                                                                                           these  programs  will  still  be
            terms used by doctors and  said Torres, who is Puerto Ri-  even  gets  medicine  with  Latinos  are  something  ad-  providing at least the same
            nurses.                      can and was raised in New  his name misspelled on the  vocates  have  been  point-     level  of  benefits  five  years
            "When I tell them I don't un-  York.  "We  didn't  grow  up  bottle. "And I don't know if  ing out for years.       from  now.  Just  15  percent
            derstand them, they'll bring  speaking that formal Span-  I'm  taking  my  medicine  or  In  2014,  for  example,  the  of older Hispanics are very
            someone over to speak to  ish, so I have no idea what  someone else's," he said.       Obama        administration  confident they will be able
            me  in  Spanish  and  I  don't  they are saying."         The language and cultural  faced  criticism  following  to pay for their own future
            understand  them,  either,"  At  times,  Torres  said  he  barriers  in  health  care  for  the  rollout  of  the  Span-  long-term care needs.
                                                                                                   ish  version  of  the  federal  The survey also finds that a
                                                                                                   health  care  website,  Cui-  large  majority  of  older  His-
                                                                                                   dadoDeSalud.gov.       The  panics  are  open  to  using
                                                                                                   translations were so clunky  at  least  one  type  of  tele-
                                                                                                   and  full  of  grammatical  medicine  to  receive  care,
                                                                                                   mistakes  that  critics  say  including  phone  consulta-
                                                                                                   they must have been com-     tions, text messages or vid-
                                                                                                   puter-generated. The web-    eo  services  like  Skype,  al-
                                                                                                   site  also  translated  "premi-  though older Hispanics are
                                                                                                   um" into "prima," the Span-  somewhat  less  likely  than
                                                                                                   ish  word  more  commonly  others in their age group to
                                                                                                   used  to  mean  a  female  say they'd be comfortable
                                                                                                   cousin  among  Mexican-      using  some  types  of  tele-
                                                                                                   Americans  and  Mexican  medicine.
                                                                                                   immigrants.                  Gabriel Vargas, 41, of Lan-
                                                                                                   Along with communication  caster, South Carolina, who
                                                                                                   challenges,  many  Hispan-   is  from  Veracruz,  Mexico,
                                                                                                   ics  are  concerned  about  said he felt these resources
                                                                                                   language  or  cultural  ac-  in  his  area  already  were
                                                                                                   commodations  for  people  helping  Latino  residents.
                                                                                                   in  their  community  who  The  growth  of  online  op-
                                                                                                   seek  long-term  care  ser-  tions,  he  said,  is  breaking
                                                                                                   vices.                       down  the  stigma  held  by
                                                                                                   Fewer than half say it would  Hispanics  around  regular
                                                                                                   be easy for older Latinos in  checkups  and  preventa-
                                                                                                   their area to find a nursing  tive care.
                                                                                                   home  or  assisted  living  fa-  "There's  a  nonprofit  group
                                                                                                   cility  with  staff  that  speaks  here  that  goes  out  of  its
                                                                                                   their  language,  or  to  find  way  to  help,"  said  Vargas,
                                                                                                   a  home  health  aide  who  whose  first  language  is
                                                                                                   does.  Even  fewer  —  less  Spanish.  "Maybe  10  years
                                                                                                   than 3 in 10 — say the same  ago,  it  was  tough.  But  to-
                                                                                                   about  finding  long-term  day  I  think  it's  become
                                                                                                   care  providers  who  can  easier."q
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