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Conducting telephone interviews with community-dwelling older adults in a state Medicaid program: differences by ethnicity and language preference
Journal article   Open access   Peer reviewed

Conducting telephone interviews with community-dwelling older adults in a state Medicaid program: differences by ethnicity and language preference

Melissa A Clark, Michelle L Rogers and Susan M Allen
Journal of health care for the poor and underserved, v 21(4), pp 1304-1317
01 Nov 2010
DOI: https://doi.org/10.1353/hpu.2010.0924
PMID: 21099081
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631379View
Accepted (AM) Open Open Access (License Unspecified)

Abstract

African Continental Ancestry Group - statistics & numerical data Aged Bias Cultural Diversity Ethnic Groups - statistics & numerical data European Continental Ancestry Group - statistics & numerical data Female Health Surveys - methods Hispanic Americans - statistics & numerical data Humans Interviews as Topic Language Male Medicaid Preventive Health Services - utilization Residence Characteristics Rhode Island Time Factors United States
We document the methodological challenges of conducting a health survey of an ethnically diverse elderly community-dwelling Medicaid population by telephone. Individuals (N=5,382) 65 years and older were randomly selected from a state Medicaid Management Information System and 618 eligible participants were interviewed. Participants were classified as non-Hispanic White, English-speaking (NHW-E; 69.2%), non-Hispanic Black, English-speaking (NHB-E; 6.2%), Hispanic, Spanish-speaking (H-S; 9.2%), and Hispanic, English-speaking (H-E; 4.2%). Almost half (44.2%) of the individuals sampled were unreachable, most often because of no valid telephone number. More interviewer time was required to reach and interview Hispanic participants. On average, interviews with H-S and H-E were 11 and 8 minutes longer, respectively, than with NHW-E. Spanish-speaking Hispanic respondents reported very high rates of receipt of preventive services relative to the other groups. These high rates by Spanish-speakers may be due to actual greater utilization or biases in self-reported data due to response style differences.

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Web of Science research areas
Health Policy & Services
Public, Environmental & Occupational Health
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