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Enhancing H1N1 preparedness planning and implementation for limited English proficiency (LEP) populations in Northeast Philadelphia
Thesis

Enhancing H1N1 preparedness planning and implementation for limited English proficiency (LEP) populations in Northeast Philadelphia

Melanie Powell
Master of Public Health (M.P.H.), Drexel University
May 2010
DOI:
https://doi.org/10.17918/etd-3596
pdf
Powell_Melanie_20103.59 MB
PDF Access upon request, Email title, URL, or DOI to archives@drexel.edu

Abstract

H1N1 English Language Proficiency Disaster Preparedness Public Health
Background: Throughout the H1N1 pandemic flu outbreak, Health Center 10 (HC10) was the main provider of H1N1 novel influenza vaccine in Northeast Philadelphia, where 1 in 8 residents have limited English proficiency (LEP). Recommendations by the Drexel University Center for Health Equity, among other organizations, emphasize cultural and linguistic concordance to integrate LEP communities into public health preparedness campaigns. Objectives: Objectives of the study were to determine 1) the information-seeking behaviors and language needs of LEP populations in Northeast Philadelphia; and 2) whether those with LEP were more likely to rely on social networks than other channels of communication as their primary source of health information during a public health emergency. Methods: A cross-sectional survey was administered to 63 adult subjects presenting to HC10 for an H1N1 influenza vaccine between December 14th, 2009 and January 16th, 2010. Results: LEP individuals were 3.6 times more likely (P<0.10) to cite a social contact (e.g. friend/family member) than any other source of health information compared to their EP counterparts. Neither LEP nor EP subjects cited faith- or community-based organizations, public health agencies, or the PDPH as primary information sources. While groups did not differ significantly in most sociodemographic characteristics, LEP subjects had lower overall levels of educational attainment. Twenty-two primary languages were represented in the study, the most common of which were Chinese, Spanish and Vietnamese. Conclusions: Subjects relied almost exclusively on the media and social contacts for health information. Those with LEP were especially likely to rely on friends and family over traditional public health outlets. These findings emphasize the need for more appropriate methods of outreach towards LEP populations during public health preparedness campaigns and emergencies.

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