Padilla Mabel, Beer Linda, Luna-Gierke Ruth E, Tie Tracy, Lu Jen-Feng, Weiser John
Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
DLH Corporation, Atlanta, GA, United States.
Curr HIV Res. 2025 Jun 4. doi: 10.2174/011570162X362664250527051957.
People with limited English proficiency (LEP) experience barriers to healthcare access and optimal outcomes. Language interpretation services can facilitate clear communication-which is key to effective HIV care and treatment.
We analyzed weighted data from the 2019 cycle of the Medical Monitoring Project (MMP), a cross-sectional, complex sample survey of U.S. adults with diagnosed HIV, and data from the 2021 MMP Facility Survey, a survey of facilities providing care to 2019 MMP respond-ents. We estimated the percentage of people with HIV (PWH) with LEP who received care at facilities offering language interpretation services and facilities providing language interpretation services, overall and by selected characteristics.
Overall, 89.9% of PWH with LEP received care at a facility with language interpretation services, and 83.6% of facilities provided language interpretation services. PWH with LEP who were unemployed were less likely than those who were employed to receive care at a facility with language interpretation services. Facilities that were Federally Qualified Health Centers, were not private practices, received Ryan White HIV/AIDS Program funding, and accepted public health care coverage were more likely to provide language interpretation services than facilities without these characteristics.
Our findings demonstrate that most HIV care facilities are providing access to lan-guage services to PWH with LEP in the United States.
英语水平有限（LEP）的人群在获得医疗服务和取得最佳治疗效果方面面临障碍。语言口译服务有助于实现清晰沟通，而清晰沟通是有效开展艾滋病毒护理和治疗的关键。
我们分析了医疗监测项目（MMP）2019年周期的加权数据，这是一项针对美国已确诊感染艾滋病毒成年人的横断面复杂样本调查，还分析了2021年MMP机构调查的数据，该调查对象是为2019年MMP受访者提供护理的机构。我们估算了有英语水平有限的艾滋病毒感染者（PWH）在提供语言口译服务的机构接受护理的比例，以及提供语言口译服务的机构的比例，整体情况以及按选定特征分类的情况。
总体而言，89.9%有英语水平有限的艾滋病毒感染者在设有语言口译服务的机构接受护理，83.6%的机构提供语言口译服务。失业的有英语水平有限的艾滋病毒感染者比就业者在设有语言口译服务的机构接受护理的可能性更低。与没有这些特征的机构相比，获得联邦资格认定的健康中心、非私人执业机构、获得瑞安·怀特艾滋病毒/艾滋病项目资金且接受公共医疗保健覆盖的机构更有可能提供语言口译服务。
我们的研究结果表明，在美国，大多数艾滋病毒护理机构为有英语水平有限的艾滋病毒感染者提供语言服务。
