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NCompass Live: Many Languages, Many Cultures: Responding to Diverse Health Information Needs


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NCompass Live
July 18, 2018

Nebraska’s minority population continues to grow rapidly. From 2000 to 2010 the number of minorities in the state increased by 50.7%. In the past 15 years, Nebraska has resettled over 11,000 refugees from 35 countries, and currently leads the nation in resettling the most refugees per capita. This increasing diversity in our communities leads to a greater need for culturally relevant and multilingual health information resources. This includes materials to improve cultural awareness and communication skills of health providers and librarians, and resources created in a way that those from diverse backgrounds can understand and identify with the information provided. In this presentation, the presenter will share where to find appropriate information resources and how you and your patrons can use them.

Presenter: Christian Minter, Community Engagement and Health Literacy Librarian, McGoogan Library of Medicine, University of Nebraska Medical Center.

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NCompass Live: Many Languages, Many Cultures: Responding to Diverse Health Information Needs

  1. 1. Many Languages, Many Cultures: Responding to Diverse Health Information Needs Christian I.J. Minter, MSLIS NCompass Live July 18, 2018
  2. 2. Objectives By the end of this session, you will be able to: • Explain the role of language and culture in health literacy. • Identify changing trends in the cultures and languages represented in Nebraska. • List 3 resources you can use to provide multilingual and multicultural health information.
  3. 3. Health Literacy, Language, and Culture
  4. 4. What is Health Literacy? “The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions.” Patient Protection and Affordable Care Act of 2010, Title V
  5. 5. Health Literacy is needed to…
  6. 6. “Cost” of Low Health Literacy URL for The Health Literacy of America’s Adults Report (2006) URL for Low Health Literacy: Implications for National Policy (2007)
  7. 7. Health Literacy and Language URL for Low Health Literacy, Limited English Proficiency, and Health Status in Asians, Latinos, and Other Racial/Ethnic Groups in California URL for Integrating Literacy, Culture, and Language to Improve Health Care Quality for Diverse Populations
  8. 8. CULTURE Language Ethnicity Religion Values/ Beliefs Traditions Social Customs Food Nationality Health Literacy and Culture URL for CDC: Culture & Health Literacy
  9. 9. What does this mean for librarians?  Effective communication incorporates literacy, language, and cultural diversity.  Never assume a patron uses a Western or American context for information.  There is no one-size-fits-all for multicultural health information.  Cultural awareness is a life long pursuit.
  10. 10. Population Trends in Nebraska
  11. 11. Nebraska Population Change 2000-2010 0 200,000 400,000 600,000 800,000 1,000,000 1,200,000 1,400,000 1,600,000 White Non- Hispanic Minority Population Hispanic (any race) Black or African American 2 or More Races Asian American Indian & Alaska Native 2000 Population 2010 Growth Sources: Nebraska DHHS Health Disparities Report and 2000 & 2010 Census Data
  12. 12. Source: Nebraska Department of Health and Human Services 2015 Nebraska Health Disparities Report
  13. 13. Nebraska Foreign-born Population Sources: Nebraska Department of Health and Human Services & American Immigration Council 128,390 112,178 74,638 28,198 0 50,000 100,000 150,000 1990 2000 2010 2015
  14. 14. How many of the top 15 non-English languages spoken in Nebraska can you list?
  15. 15. Top 15 Non-English Languages in NE Language NE Pop Regions of Origin Spanish 57,612 Mexico, Central & South Americas, Caribbean Vietnamese 4,973 Vietnam Chinese 2,504 China, Hong Kong, Taiwan Arabic 2,161 African and Middle Eastern countries Karen 1,465 Myanmar (Burma) French 1,244 France and African countries Cushite 1,110 Ethiopia, Eritrea, Djibouti, Somalia, & Kenya German 759 Germany Korean 728 Korea Nepali 715 Nepal Russian 651 Russia and former USSR countries Laotian 474 Laos Kurdish 410 Iraq & Kurdistan Persian 392 Iran & Afghanistan Japanese 388 Japan Centers for Medicare and Medicaid: Top 15 Non-English Languages by State (2017)
  16. 16. Limited English Proficiency (LEP) Population Total County Population (5 & over) # Who Speak English “Less Than Very Well” Percentage of Population Colfax County 9,298 2,224 23.90% Dakota County 18,949 4,222 22.30% Dawson County 22,268 4,178 18.80% Hall County 52,127 5,689 10.90% Saline County 13,148 1,305 9.90% Madison County 32,114 2,236 7.00% Douglas County 466,259 27,598 6.00% Platte County 29,376 1,653 5.60% Cuming County 8,719 479 5.50% Dodge County 34,199 1,783 5.20% Lancaster County 259,508 11,574 4.50% Adams County 28,981 1,177 4.00% Sarpy County 139,271 4,452 3.20% Scotts Bluff County 33,957 1,127 3.30% Buffalo County 42,190 1,098 2.60% Source: U.S. Census Bureau, 2006-2010 American Community Survey
  17. 17. Where to Find Population and Language Numbers  School Districts  State and Local Public Health Departments  Community Health Needs Assessments  United States Census Bureau
  18. 18. Multilingual & Multicultural Health Information
  19. 19. URL for Libraries Transform
  20. 20. MedlinePlus URL for MedlinePlus
  21. 21. MedlinePlus Espanol
  22. 22. MedlinePlus
  23. 23. MedlinePlus: Easy-to-Read Materials
  24. 24. MedlinePlus: Health Information in Multiple Languages
  25. 25. MedlinePlus – Health Information in Multiple Languages – All Health Topics
  26. 26. HealthReach URL for HealthReach
  27. 27. National Institute on Minority Health and Health Disparities Health Information in Multiple Languages URL for NIMHD Health Information in Multiple Languages
  28. 28. Health Topics Languages Included: Spanish, Hindi, Korean, Chinese, Tagalog, Vietnamese, Japanese
  29. 29. Ethnomed URL for Ethnomed
  30. 30. Selected Patient Information Resources in Asian Languages (SPIRAL) URL for SPIRAL
  31. 31. American Indian and Alaska Native Health URL for American Indian and Alaska Native Health Portal
  32. 32. Centers for Disease Control and Prevention (CDC) Resources and handouts created for specific populations: National Diabetes Education Program - Working in Communities High Blood Pressure Educational Resources for Patients Tips from Former Smokers for Specific Groups Tobacco-Related Disparities
  33. 33. Multi-Cultural Resources for Health Information URL for Multi-Cultural Resources for Health Information
  34. 34. • Available to all Nebraska residents, or patients & families at Nebraska Medicine. • Medical librarian will research health information. • Send information packet by email or mail. Consumer Health Information Resource Service (CHIRS) URL for CHIRS
  35. 35. Partners & Programs
  36. 36. URL for Increasing Relevance, Relationships and Results
  37. 37. URL for January 2016 webinar recording & materials available online.
  38. 38. Who are your current or potential community partners?
  39. 39. Community Partners  Community Action of Nebraska  Nebraska Minority Resource Center  Heartland Alliance Refugee Health Programs  Local public health districts/departments  Area Health Education Center (AHEC)  Tribal health officials & services, e.g. Indian Center Inc.  Community Health Centers  Community and senior centers  Community care councils  Schools  Faith-based groups  English for Speakers of Other Languages (ESOL) programs
  40. 40. Healthy Eating Around the World Feature healthy foods from the cultures represented in your community:  Cooking demonstrations  Meal planning  Snack prep Heart Healthy Cookbooks from the National Heart, Lung, and Blood Institute. Features healthy recipes from African American, Asian American, Native American, and Latino cultures. National Nutrition Month (March) - American Academy of Dietetics
  41. 41. Multilingual Storytime • URL for Bilingual Storytimes: Reaching Through the Language Barrier • URL for Spanish Language Children’s Books Focusing on Health Literacy: An Annotated Bibliography • URL for Literacy Strategies for Librarians in Diverse Communities Image: New Jersey Library Association
  42. 42. Community Exhibits & Activities  Health fairs  Blood drives  Health screenings  Pow wows  Street and cultural festivals  Town celebrations  County & state fairs
  43. 43. What other activities could you do in your community?
  44. 44. Data Sources American Immigration Council - Nebraska Department of Health and Human Services Data Reports - Nebraska Health Disparities - 2015 Minority Disparities Fact Chart Book - 2016 Minority Population by County - 2010 Census (Released 2016) Minority Population Growth - 2014 Profile of the Minority Population – 2015 United States Census Bureau Voices for Children in Nebraska,
  45. 45. Thank You! Christian I.J. Minter Community Engagement & Health Literacy Librarian University of Nebraska Medical Center This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Grant Number UG4LM012344 with the University of Utah Spencer S. Eccles Health Sciences Library.