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Spanish language content on reproductive endocrinology and infertility practice websites

      Objective

      To analyze the use of Spanish language translation on the websites of reproductive endocrinology and infertility (REI) practices in the context of evidence of underuse of infertility services by minority populations.

      Design

      Cross-sectional survey of websites from REI practices.

      Setting

      Not applicable.

      Patient(s)

      None.

      Intervention(s)

      None.

      Main Outcome Measure(s)

      Assessment of the relationship between having a Spanish-translated website and REI practice characteristics. Variables included concurrent use of social media, size of the practice, Spanish-speaking practitioner in the practice, being a private or a university-based practice, being in a mandated insurance state, and being in an area with different levels of percentage of Hispanic population, adjusted for annual income levels of the population.

      Result(s)

      Of the 376 REI practice websites analyzed, 101 (27%) offered at least some information in Spanish. We identified 97 Spanish-speaking practitioners at 71 REI practices. Having a Spanish-translated website was significantly associated with the practice's use of social media, having an international/out-of-town web page, and having a Spanish-speaking physician in the practice. The size of the practice, as measured in number of cycles reported per year, was not associated with having a translated website. In practices located in the top 60 metropolitan areas by Hispanic population, the odds of having a Spanish-translated website were only related to the percentage of Hispanic population after adjusting for state-mandated insurance and average annual income level of the Hispanic population. Sixty-six of the websites with Spanish-translated content had been automatically translated. An additional eight websites were partially translated automatically.

      Conclusion(s)

      REI practices in metropolitan areas with a higher percentage of Hispanics were more likely to reach out to this minority population by translating their website content into Spanish. These practices were also more likely to use social media. Future studies are needed to determine whether the availability of Spanish language content on REI websites is associated with increased use of reproductive services by this minority population.

      Key Words

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      References

      1. United States Census Bureau. The Hispanic population 2010. Available from: http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf. Accessed March 25, 2014.

      2. Reddy S. Latinos fuel growth in the decade. Wall Street Journal, March 25, 2011. Available from: http://online.wsj.com/article/SB10001424052748704604704576220603247344790.html. Accessed March 25, 2014.

      3. Waldman M. Terry College of Business, University of Georgia. Hispanic consumer market in the US is larger than the entire economies of all but 13 countries in the world. (Press Release). May 1, 2012. Available from: http://www.terry.uga.edu/news/releases/hispanic-consumer-market-in-the-u.s.-is-larger-than-the-entire-economies-of. Accessed March 25, 2014.

      4. eMarketer. Among Hispanics, who's leading digital adoption trends? Available from: http://www.emarketer.com/Article/Among-Hispanics-Whos-Leading-Digital-Adoption-Trends/1009755#R0MGji8PsLZAlyDl.99. Accessed March 25, 2014.

        • Feinberg E.C.
        • Larsen F.W.
        • Wah R.M.
        • Alvero R.J.
        • Armstrong A.Y.
        Economics may not explain Hispanic underutilization of assisted reproductive technology services.
        Fertil Steril. 2007; 88: 1439-1441
        • McCarthy-Keith D.M.
        • Schisterman E.F.
        • Robinson R.D.
        • O'Leary K.
        • Lucidi R.S.
        • Armstrong A.Y.
        Will decreasing assisted reproduction technology costs improve utilization and outcomes among minority women?.
        Fertil Steril. 2010; 94: 2587-2589
        • Nachtigall R.D.
        • Castrillo M.
        • Shah N.
        • Turner D.
        • Harrington J.
        • Jackson R.
        The challenge of providing infertility services to a low-income immigrant Latino population.
        Fertil Steril. 2009; 92: 116-123
      5. Centers for Disease Control and Prevention. 2011 Assisted Reproductive Technology National Summary Report. Available from: http://www.cdc.gov/art/ART2011/NationalSummary_index.htm. Accessed March 25, 2014.

      6. Motel S, Patten E. Pew Research Hispanic Trends Project. Characteristics of the 60 largest metropolitan areas by Hispanic population. September 19, 2012. Available from: http://www.pewhispanic.org/2012/09/19/characteristics-of-the-60-largest-metropolitan-areas-by-hispanic-population/. Accessed March 25, 2014.

      7. Schiebinger L, Klinge I, Sánchez de Madariaga I, Schraudner M, Stefanick M, eds. Gendered innovations in science, health and medicine, engineering, and environment. 2011–2013. Available from: http://genderedinnovations.stanford.edu. Accessed March 25, 2014.

        • Sharif I.
        • Tse J.
        Accuracy of computer-generated, Spanish-language medicine labels.
        Pediatrics. 2010; 125: 960-965
      8. Livingston G, Minushkin S, Cohn D. Hispanics and health care in the United States: access, information and knowledge, August 2008. Available from: http://pewhispanic.org/files/reports/91.pdf. Accessed March 25, 2014.

        • Homberger J.C.
        • Gibson C.D.
        • Wood W.
        • Dequeldre C.
        • Corso I.
        • Palla B.
        • et al.
        Eliminating language barriers for non-English speaking patients.
        Med Care. 1996; 34: 845-856
        • Lee L.J.
        • Batal H.A.
        • Maselli J.H.
        • Kutner J.S.
        Effect of Spanish interpretation method on patient satisfaction in an urban walk-in clinic.
        J Gen Intern Med. 2002; 17: 641-645
        • Omurtag K.
        • Turek P.
        Incorporating social media into practice: a blueprint for reproductive health providers.
        Clin Obstet Gynecol. 2013; 56: 463-470
      9. Brenner J, Smith A. 72% of Online adults are social networking site users. Available from: http://pewinternet.org/Reports/2013/social-networking-sites.aspx. Accessed March 25, 2014.

      10. The Nielsen Company. The state of Hispanic consumer: Hispanic market imperative report, 2012. Available from: http://www.nielsen.com/content/dam/corporate/us/en/reports-downloads/2012-Reports/State-of-the-Hispanic-Consumer.pdf. Accessed March 25, 2014.