Chat Vipawee S, Hekmatjah Joshua, Sierro Tiffany J, Kassardjian Ari A, Read Charlotte, Armstrong April W
Medical College of Georgia, Augusta University, Augusta, GA, USA.
Homer Stryker M.D. Schoolof Medicine, Western Michigan University, Kalamazoo, MI, USA.
J Dermatolog Treat. 2022 May;33(3):1413-1417. doi: 10.1080/09546634.2020.1820936. Epub 2020 Sep 14.
Language proficiency plays an important role in healthcare choices and access. Differences in access to biologic medications exist, but it is unknown how much English proficiency influences access in US psoriasis patients.
To compare biologic medication use for psoriasis patients with differing English proficiency levels.
Population study of US psoriasis patients using the 2013-2017 Medical Expenditure Survey.
Among a total of 4,470,820 US psoriasis patients (weighted), 4,028,119 (90.1%) had perfect English proficiency, and 442,700 (9.9%) had less than perfect English proficiency. Among the total population, 422,523 (9.5%) had access to biologics. Among those who received biologics, 411,411 (97.4%) of those had perfect English proficiency, and 11,112 (2.6%) of those had less than perfect English proficiency. Multivariate logistic regression found that patients with less than perfect English proficiency were significantly less likely to have access to biologics [OR 0.015 (95% CI: 0.001-0.179); = .002], after adjusting for insurance status, income, education, healthcare utilization, and other sociodemographic and clinical factors.
Psoriasis disease severity not specified.
Psoriasis patients with low English proficiency are significantly less likely to receive biologics than those with high English proficiency. Those with higher English proficiency are 61 times more likely to access biologics.
语言能力在医疗保健选择和可及性方面起着重要作用。生物药物的可及性存在差异，但尚不清楚英语水平对美国银屑病患者获得药物治疗的影响程度。
比较不同英语水平的银屑病患者使用生物药物的情况。
利用2013 - 2017年医疗支出调查对美国银屑病患者进行人群研究。
在总计4470820名美国银屑病患者（加权）中，4028119名（90.1%）英语水平极佳，442700名（9.9%）英语水平欠佳。在总人群中，422523名（9.5%）能够使用生物制剂。在使用生物制剂的患者中，411411名（97.4%）英语水平极佳，11112名（2.6%）英语水平欠佳。多因素逻辑回归分析发现，在调整保险状况、收入、教育程度、医疗保健利用率以及其他社会人口统计学和临床因素后，英语水平欠佳的患者获得生物制剂治疗机会的可能性显著降低[比值比0.015（95%可信区间：0.001 - 0.179）；P = 0.002]。
未明确银屑病疾病严重程度。
英语水平低的银屑病患者比英语水平高的患者获得生物制剂治疗的可能性显著更低。英语水平较高的患者获得生物制剂治疗的可能性高出61倍。
