Protocol - English Proficiency
- Air Contaminants in the Home Environment
- Birthplace
- Birthplace of Parents
- Ethnicity and Race
- Exposure at Work and in Daily Life
- Multigroup Ethnic Identity
- Race/Ethnic Residential Segregation - American Community Survey
- Race/Ethnic Residential Segregation - Separation (S) Index, Unbiased
- Race/Ethnic Residential Segregation - U.S. Census
- Years Living in the U.S.
Description
The respondent completes a question from the California Health Interview Survey (CHIS) asking for the respondent’s own opinion of how well he or she speaks English.
Specific Instructions
The Working Group recommends that the interviewer ascertain what language is spoken in the home, such as “Does this person speak a language other than English at home?” and “What is this language?”. This protocol is only asked of a participant who speaks a language other than English at home. For languages other than English, this protocol may need to be asked by a translator. See http://healthpolicy.ucla.edu/chis/design/Pages/Questionnaires%20(Translated).aspx for translated protocols in languages other than English.
Availability
Protocol
Since you speak a language other than English at home, we are interested in your own opinion of how well you speak English. Would you say you speak English…
[ ] 1 Very well,
[ ] 2 Well,
[ ] 3 Not well, or
[ ] 4 Not at all?
-7[ ]REFUSED
-8[ ]DON'T KNOW
Personnel and Training Required
None
Equipment Needs
None
Requirements
| Requirement Category | Required |
|---|---|
| Major equipment | No |
| Specialized training | No |
| Specialized requirements for biospecimen collection | No |
| Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self-administered questionnaire
Lifestage
Adult
Participants
Aged 18 years or older
Selection Rationale
The question provides a standard, accepted measure of limited English proficiency(LEP) status.
Language
Chinese, English, Spanish, Other languages available at source
Standards
| Standard | Name | ID | Source |
|---|
Derived Variables
None
Process and Review
Not applicable
Protocol Name from Source
California Health Interview Survey (CHIS), Adult questionnaire, 2018
Source
Regents of the University of California. (2019). CHIS 2018 Adult Questionnaire, question number “QA18_G8” is represented in this protocol as question 1. Retrieved from http://healthpolicy.ucla.edu/chis/design/Pages/questionnairesEnglish.aspx
General References
U.S. Census Bureau. (2020). American Community Survey (ACS), 2020. Washington, DC: Author. Question number: Person 1, #14a and #14b.
Berdahl, T. A., & Kirby, J. B. (2018). Patient-provider communication disparities by limited English proficiency (LEP): Trends from the US Medical Expenditure Panel Survey, 2006-2015. Journal of General Internal Medicine, 1–7.
Chan, K. S., Keeler, E., Schonlau, M., Rosen, M., & Mangione-Smith, R. (2005). How do ethnicity and primary language spoken at home affect management practices and outcomes in children and adolescents with asthma? Archives of Pediatrics and Adolescent Medicine, 159(3), 283–289.
Fernandez, A., Warton, E. M., Schillinger, D., Moffet, H. H., Kruger, J., Adler, N., & Karter, A. J. (2018). Language barriers and LDL-C/SBP control among Latinos with diabetes. American Journal of Managed Care, 24(9), 405–410.
Kim, E. J., Kim, T., Paasche-Orlow, M. K., Rose, A. J., & Hanchate, A. D. (2017). Disparities in hypertension associated with limited English proficiency. Journal of General Internal Medicine, 32(6), 632–639.
Njeru, J. W., Boehm, D. H., Jacobson, D. J., Guzman-Corrales, L. M., Fan, C.,
Shimotsu, S., & Wieland, M. L. (2017). Diabetes outcome and process measures among patients who require language interpreter services in Minnesota primary care practices. Journal of Community Health, 42(4), 819–825.
Taira, B. R., Kim, K., & Mody, N. (2019). Hospital and health system-level interventions to improve care for limited English proficiency patients: A systematic review. Joint Commission Journal on Quality and Patient Safety, 45(6), 446–458.
U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. (2016). American Community Survey (ACS): Why we ask questions about… Language spoken at home. Retrieved from https://www.census.gov/acs/www/about/why-we-ask-each-question/language/
U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. (2020). Get help responding to the ACS. Retrieved from https://www.census.gov/programs-surveys/acs/respond/get-help.html
Protocol ID
270201
Variables
Export Variables| Variable Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX270201_English_Proficiency_Speak_English | ||||
| PX270201010000 | Since you speak a language other than more | N/A | ||
Measure Name
English Proficiency
Release Date
May 11, 2020
Definition
English proficiency is an individual-level measurement of spoken English language proficiency.
Purpose
Limited English proficiency (LEP) status is associated with multiple health care disparities and places patients at risk for decreased quality of care and in disaster/safety events. It is associated with lower educational attainment and limited employment opportunities. These questions help understand how well an individual speaks English and analyze and plan programs for adults and children with limited proficiency.
Keywords
ACS, American Community Survey, California Health Interview Survey, CHIS, Limited English Proficiency (LEP), Social Determinants of Health, U.S. Census, immigrant health
Measure Protocols
| Protocol ID | Protocol Name |
|---|---|
| 270201 | English Proficiency |
Publications
Levites Strekalova, Y. A., et al. (2024) Application of the Delphi method to the development of common data elements for social drivers of health: A systematic scoping review. Translational Behavioral Medicine. 2024 June; 14(7): 426-433. doi: 10.1093/tbm/ibae020
Burnett-Bowie, S. A. M., et al. (2024) The American Society for Bone and Mineral Research Task Force on clinical algorithms for fracture risk report. Journal of Bone and Mineral Research. 2024 May; 39(5): 517-530. doi: 10.1093/jbmr/zjae048
Bartholomew, T. S., et al. (2024) Project CHARIOT: study protocol for a hybrid type 1 effectiveness-implementation study of comprehensive tele-harm reduction for engagement of people who inject drugs in HIV prevention services Addiction Science & Clinical Practice. 2024 March; 19(1). doi: 10.1186/s13722-024-00447-9
Crusan, A., et al. (2023) Using Community-Based Participatory Research Methods to Inform the Development of Medically Tailored Food Kits for Hispanic/Latine Adults with Hypertension: A Qualitative Study. Nutrients. 2023 August; 15(16): 3600. doi: https://doi.org/10.3390/nu15163600
Chan, N. W., et al. (2022) Social determinants of health data in solid organ transplantation: National data sources and future directions. Am J Transplant. 2022 October; 22(10): 2293-2301. doi: 10.1111/ajt.17096
Pomeroy, A., et al. (2022) Protocol for a Longitudinal Study of the Determinants of Metabolic Syndrome Risk in Young Adults. Translational Journal of the American College of Sports Medicine. 2022 April; 7(2): 8. doi: 10.1249/tjx.0000000000000197
Brown, L. D., et al. (2022) Addressing Hispanic Obesity Disparities Using a Community Health Worker Model Grounded in Motivational Interviewing. American Journal of Health Promotion. 2022 February; 36(2): 259-268. doi: 10.1177/08901171211049679
Young Hye, K., et al. (2021) Predicting multilingual effects on executive function and individual connectomes in children: An ABCD study. Proceedings of the National Academy of Sciences of the United States of America. 2021 December; 118(49): 1-11. doi: 10.1073/pnas.2110811118