Roughly 9 percent of Hispanics say they receive a lot of information from churches and community groups, and 22 percent say they receive a little information from these sources. Health information technology, or HIT, refers to a system designed to store, share, and analyze the data collected in any healthcare facility. Seventy-one percent of Latinos received health information from a medical professional in the past year, but 83 percent got health or health care information from the media. Definition Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research. Results show that doctors and other medical professionals are the most common source of health and medical information for Hispanics, as they are likely to be for most groups. The main sources of health statistics are surveys, administrative and medical records, claims data, vital records , surveillance, disease registries, and peer-reviewed literature. In the course of providing and paying for care, organizations generate administrative data on the characteristics of the population they serve as well as their use of services and charges for those services, often at the level of individual users. Learn what a health information system is, benefits, best practices, and more in Data Protection 101, our series on the fundamentals of information security. Twenty-nine percent of respondents got Internet health information in both English and Spanish. Four in 10 of those who get no health information score high on diabetes knowledge, compared with six in 10 of those who get at least some information from any source. Those who get a lot of information from family and friends or the Internet also are more likely to score higher (62 percent and 71 percent, respectively) than those who do not (51 percent and 54 percent). While most Hispanics look to the medical community for answers to their health care questions, the media, and particularly television, also play a large role in providing health information. Though the survey data do not allow for an evaluation of the appropriateness of the behavioral changes that result from media exposure to health information, results clearly indicate that alternative channels of health information have an effect on Latinos’ behavior. Twenty-six percent of the foreign born report obtaining a lot of health information from this source in the past year, as did 19 percent of the native born. citizens and long-term immigrants. Print and broadcast media, churches, community groups, family and friends, and the Internet are all sources of health and medical information for many Hispanics. Medium: Respondents answered three to five questions correctly. Looking at differences by education level, 13 percent of Latinos who did not complete high school score low on diabetes knowledge, compared with 6 percent of those with at least some college education. Country has Health Information System policy (year) Policies that govern national HIS are one indicator of its strength. Television is the most pervasive media outlet, in terms of disseminating health information; 68 percent of respondents received information from television in the past year. Conversely, Mexican-origin persons (69 percent) and Central Americans (69 percent) were less likely to report as much. Most Hispanics who score low on the knowledge test about diabetes have health insurance (59 percent), and a usual place to go for medical care (63 percent). Conversely, while 59 percent of the uninsured say they get information from doctors, 68 percent obtain health information from television. Seventy-nine percent of Latinos who speak primarily English and three-fourths of those who are bilingual report obtaining information from medical providers in the past year, while 62 percent of Spanish-dominant Latinos have done so. Higher education levels, being native born and assimilation are all associated with higher likelihoods of retrieving health information from these print media. While only 16 percent of Hispanics with less than a high school diploma and 36 percent of those with a high school diploma get information on health issues from the Internet, 63 percent of Hispanics who have at least some college education say that they get a lot or a little information from the Internet. Radio, newspapers and magazines, and the Internet are also important sources of health care information. Find out with our income calculator. In both cases, people with less than a high school diploma were more likely to get their information in Spanish (56 percent for television, 64 percent for radio) compared to those with at least some college education (17 percent for television, 20 percent for radio). However, the gap in persons scoring high on diabetes knowledge is smaller when comparing respondents who report getting a lot of health information from television (59 percent) with those who report getting no health information from television (52 percent). 1184 0 obj <>/Filter/FlateDecode/ID[<86B198B71AF03E4B989B4BFD8216EE3E><63301F182E507040A2012132B920EBF9>]/Index[1167 49]/Info 1166 0 R/Length 88/Prev 375408/Root 1168 0 R/Size 1216/Type/XRef/W[1 2 1]>>stream Specific information regarding the importance of preventative care and regular health monitoring as well as the symptoms and treatment of chronic diseases can be delivered through alternate sources. Most frequently, the information obtained from the Internet was solely in English (58 percent). Featured Tools Your Healthiest Self: Wellness Toolkits — Your relationships, your emotions, your surroundings, and other aspects of your life impact your overall health. Among Hispanics who receive any health-related information from television, 40 percent get that information from only Spanish-language television stations, 32 percent from a mix of Spanish and English-language stations and 28 percent from only English-language stations. This section will explore how health and medical information is collected, and where it comes from. The pattern is similar for newspapers and magazines. A higher share of Latinos (14 percent) with no usual source of care scores low, as compared with Hispanics who do have a usual source of care (9 percent). Data sources: including population-based approaches (censuses, surveys and civil registration) and institution-based data (individual records, service records, and resource records). Seven in 10 Latinos (71 percent) say correctly that even people without a family history of diabetes have a risk of developing it. 3. Eighty-six percent of diabetic Hispanics with at least some college education score high on the knowledge battery, compared with 71 percent of people lacking a high school diploma, and diabetics with regular care providers are more likely to score high (75 percent) than those without a usual place for care (66 percent). Respondents who visit a doctor regularly score better on diabetes knowledge questions than respondents who primarily visit clinics for their care; 65 percent score high, as compared with 57 percent of respondents who frequent clinics. endstream endobj 1168 0 obj <>/Metadata 89 0 R/Pages 1160 0 R/StructTreeRoot 150 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1169 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 57/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 1170 0 obj <>stream Data content PHIS contains tables on cancer; demography; fertility; hospital discharges; mortality and psychiatric admissions. Hispanics and Health Care in the United States, Hispanics, Health Insurance and Health Care Access, The 2004 National Survey Of Latinos: Politics and Civic Participation, Defining generations: Where Millennials end and Generation Z begins, Black eligible voters have accounted for nearly half of Georgia electorate’s growth since 2000, The Religious Composition of the 117th Congress, Slim majorities have become more common in the U.S. Senate and House, Are you in the American middle class? It conducts public opinion polling, demographic research, media content analysis and other empirical social science research. mapping. Foreign-born Hispanics account for more than seven in 10 of the low-scoring group. Latinos whose primary language is Spanish are more likely to ask new questions to health care professionals as a result of media coverage than are English speakers, pointing again to the important role played by the Spanish-language media. Nearly a third of Hispanics say they received a lot of health and health care information from doctors or other medical professionals over the past year, and 39 percent say they received a little information. The purpose of this guide is to help health authorities and health information officers align health information system (HIS) data sources with standards and best practices, to ensure that reliable data produce comparable statistics . Women are more likely than men to get their health information in Spanish (44 percent versus 36 percent for television viewers, and 53 percent versus 43 percent for radio listeners). High: Respondents answered at least six out of eight questions correctly. National health information systems (HISs), which integrate data and information from different sources and information systems, cater to the information needs of policy-makers and other audiences. With diabetics, as in the general population, the most educated and established Hispanics score the highest on a test of knowledge about diabetes. Indicators– a complete set of indicators and relevant targets, including inputs, outputs, and outcomes, determinants of health, and health status indicators. Immigrants are less likely to get information from family and friends (59 percent) than are native-born Hispanics (71 percent), plausibly because they have smaller networks of family and friends in the United States. In contrast, among Hispanics who do have access to a usual place for their medical care, the relationship reverses: 78 percent say they get health information from the medical community, compared with 70 percent who say they get information from television. Among the less knowledgeable Hispanics are men, Spanish speakers and Latinos who are foreign born. It is a tool for collection, validation, analysis, and presentation of aggregate statistical data, tailored to integrated healthLearn more Churches and community groups also play a role in providing health and health care information to Hispanics. Somewhat more than half (53 percent) of all Hispanics who lack a regular health care provider say they receive at least some information from doctors, but 64 percent of them say they get information from television. While preventive care and regular health monitoring are essential in maintaining good long-term health and limiting the severity of chronic diseases, more than one in four Hispanics say they received no information regarding health or health care from doctors or health care professionals in the past year. (+1) 202-419-4300 | Main endstream endobj startxref Thirty-five percent of the native born use the radio as a source for health information, compared with 42 percent of the foreign born. Unit Five Health Management Information System (HMIS) Learning objectives At the end of this unit, the learner will be able to; 1.Define HMIS 2.Describe deficits of HMIS in Ethiopia 3.List elements of HMIS 4.Explain indicators of HMIS 5.Discus the steps of developing HMIS 2 Find science-based health information on symptoms, diagnosis, treatments, research, clinical trials and more from NIH, the nation’s medical research agency. More than half of respondents who get information from television or radio report getting that information in Spanish, or in a mix of Spanish and English. Sources of information about the country health information system Information about the functioning of the health information system can be obtained from the different sectors and agencies that have responsibilities for the generation, synthesis, analysis and use … (+1) 202-419-4372 | Media Inquiries. This pattern is similar for Hispanics with and without health insurance. Hispanics who get some information from print media are most likely to read English-language newspapers and magazines (43 percent), though 27 percent read Spanish-only publications and 29 percent got health information from both Spanish and English publications. There are few notable differences among demographic groups here. There are differences across several demographic measures that point to greater knowledge by more assimilated, established Hispanics. Hispanics who have been diagnosed with diabetes score higher on the knowledge test than other Latinos, but a notable share (27 percent) answered at least three of the eight questions wrong. Nor are they more likely to know that maintaining a healthy weight is a better way to prevent diabetes than avoiding sugar intake (71 percent of diabetics are aware of this, as compared with 72 percent of non-diabetics). By comparison, 23% of online health information seekers who report no chronic conditions say they have been asked to pay for access to information they wanted to see – a significant difference co… Family and friends are next in rank: they supplied a lot of information to 20 percent of Hispanics and a little information to an additional 43 percent. Those who get a lot of information from newspapers and magazines also are more likely to score high (69 percent) than those who get no information from those sources (50 percent). Fifty-seven percent of the native born use print media, as do 47 percent of the foreign born. Among those who watch television and those who listen to the radio, there is a strong association between educational levels and language use. Respondents of Puerto Rican (80 percent) and Cuban (78 percent) origin are especially likely to have received help from a medical professional in the past year. There are notable differences by demographic characteristic in which Hispanics score high (six to eight correct answers), medium (three to five correct answers) or low (two or fewer correct answers) on a battery of eight questions testing basic diabetes knowledge. USA - Health Data All Stars - Health Data Consortium - a directory of 50 prominent domestic resources for health data at the federal, state and local levels. And while immigrants (69 percent) are more likely to say that health information from the television, radio, newspapers or the Internet led them to change how they think about diet and exercise, a majority of native-born Hispanics (56 percent) also report making changes in how they think about nutrition and physical activity because of what they learned from the media. Secondary information A secondary source of information is one that provides information from a source other than the original. Sources of health information Population census Registration of Vital Events Notification of diseases Institutional records Community surveys National Sample Survey Sample Registration System Model Registration System Disease Registers Thirty percent of online health information seekers living with chronic conditions say they have been asked to pay for access to something they wanted to see online. (For an overview of the historical development, see (2)). This section will look at the survey data on diabetes knowledge from another perspective: The makeup of the low-scoring group. Although Spanish speakers account for nearly half of low scorers (47 percent), one in five are English-dominant and one in three are bilingual. Nativity and assimilation are associated with higher levels of diabetes knowledge. HIS policies outline a deliberate system of principles to guide decisions and achieve better HIS outcomes. Though the survey results do not address the validity or quality of the health information obtained through sources other than medical personnel, results do suggest that the information from these alternative sources has an impact on respondents’ behaviors. The media even influence how some 41 percent of Hispanics make decisions on how to treat an illness or medical condition. As is the case with usual health care providers, those who are more educated and more assimilated are more likely to report exposure to the medical system. Younger Hispanics use the Internet more than older Hispanics—42 percent of those ages 18 to 29 say they get information from the Internet, compared with 14 percent of those ages 65 and older. According to the American Diabetes Association, millions of Americans are unaware that they have diabetes. Around one-third of Hispanics with a high school education or less get information from churches and community groups, compared with 26 percent of people without at least some college education. Pew Research Center does not take policy positions. Eighty percent of those who encountered a pay wall say they tried to find the information somewhere else; 17% gave up; and 2% paid the fee. To complete the subscription process, please click the link in the email we just sent you. When it comes to health and medical information, there are plenty of reliable sources available online through government-endorsed health websites (such as Better Health Channel), peak industry bodies (such as the Australian Medical Association) and peak condition-specific organisations (such as beyondblue and Cancer Council Victoria). Among those who get a lot of information from churches or community groups, a larger share scores low (58 percent) than high (52 percent).*. Half of the group that knows little about diabetes consists of Hispanics who did not complete high school. Thirty-eight percent of respondents younger than 30, and 48 percent of respondents ages 65 and older who got health information from television got it in Spanish. Central Americans (46 percent) and South Americans (47 percent) also have smaller shares of the highest-scoring respondents. Citizens born in the United States or Puerto Rico are most likely to have received medical advice (80 percent) from a professional, followed by naturalized citizens (70 percent), and legal permanent residents (64 percent). 3.3 Sources of information on country health information systems Information about the functioning of the health information system can be obtained from the different sectors and agencies that are responsible for the generation, synthesis, analysis and use of data at the country, regional Among the oldest Hispanics, 15 percent score low, a larger share than for other age groups. About one in three Latinos (31 percent) say that they rely on the information they get from their churches and local community groups. Immigrant Hispanics and those who have lower levels of education rely more on Spanish-language media, including television and print media, for information. High school graduates account for 27 percent and Latinos with at least some college education make up 15 percent. Similarly, among the Hispanics who use radio to obtain any of their health care information, 47 percent rely on Spanish-language radio stations, 26 percent listen to Spanish and English-language stations and 27 percent rely on only English stations. Forty-one percent of Latinos with less than a high school diploma report getting information from newspapers or magazines, compared with 63 percent of people with at least some college education. 3… ����� Among long-term immigrants, those who have been in the country for 15 years or more, 61 percent score high, compared with about half of shorter-term immigrants. 2. Health Information Systems (HIS) is potentially very important for the development of the health sector in Ethiopia. ��L��Y��؀��f|/t��3��H�|�KX�20��Ҍ�$p�~̇ҁ47�k\4��u{D-�k� �U� ENHIS is an evidence-based information system aiming to support public health and environmental policies in the WHO European Region Outbreaks of waterborne diseases Public water supply and access to piped water sources Access to improved sanitation and water treatment Bathing water quality Mortality from road traffic injuries in children and young people Mortality in children and … The same is true for radio: 60 percent of those who get a lot of health information from radio score high, compared with 55 percent who get no health information from radio. The Public Health Information System (PHIS) is a collection of tables of health-related data produced by the Department of Health. {�. Although there is no cure for diabetes, people who know they have the disease often can keep it under control, and reduce the risk of serious side effects or death, through treatment that includes diet and medication. English dominance, too, is strongly associated with using the Internet for health information; 53 percent of the English-dominant do so, compared with 17 percent of the Spanish-dominant. For each potential information source, they could report getting “a lot” of information, “a little” information, or no information at all. The educational differences in the likelihood of getting health care information from the Internet are stark. h�bbd``b`+��O �Q bm���!���� q] �?H��/@v �e�+��Y�@�20*����� Zm Evidence-informed health policy-making is based on sound data and information (1). The main population-based sources of health information are census, household surveys and (sample) vital registration systems. 3. Let’s review health information system trends, decade by decade. health information system: combination of vital and health statistical data from multiple sources, used to derive information about the health needs, health resources, use of health services, and outcomes of use by the people in a defined region or jurisdiction. �sX+�A �` ���b`�2���2 ���Q��cT�1�C�Chf� About two-thirds of women (65 percent) correctly answer six or more questions, compared with half (51 percent) of men. %PDF-1.6 %���� Although less educated and less assimilated Hispanics generally score lower on a test of diabetes knowledge, the least knowledgeable group also includes a notable share of higher-status Latinos. Although most Latinos do reasonably well (58 percent answered at least six questions correctly), a sizeable minority faltered on the test with nearly a third (32 percent) giving three to five correct answers and 10 percent scoring even lower. Men also are more likely to get a low score, 13 percent compared with 7 percent of women. Different sub-groups of Hispanics rely on different types of media. If the purpose of the information is primarily to sell a product, there may be a conflict of interest since the manufacturer may not want to present findings that would discourage you from purchasing the product. Although half of Latinos without a high school diploma score high, that compares with 70 percent of those with at least some college education. Radio’s role as an information source is roughly similar for Hispanics with a health care provider (39 percent) and those without one (42 percent). Younger Latinos are more likely to get information from family and friends than are older Latinos—those ages 18 to 29 are 25 percentage points more likely to get information from family and friends than are Hispanics ages 65 and older. Almost two-thirds of all Hispanics who received health and health care information last year from broadcast or print media, or from the Internet, say that what they learned changed the way they think about diet or exercise. Health information provided by the media led 57 percent of Hispanics to ask a doctor or medical professional new questions. Having health insurance and a regular health care provider are both associated with more diabetes knowledge but they do not guarantee being well-informed. It is a subsidiary of The Pew Charitable Trusts. Twenty-seven percent of Spanish-dominant respondents reported obtaining a lot of information from television, compared with 18 percent of English-dominant respondents. However, 13 percent of respondents reported obtaining only Spanish-language Internet health care information. This is a list of GIS data sources (including some geoportals) that provide information sets that can be used in geographic information systems (GIS) and spatial databases for purposes of geospatial analysis and cartographic mapping. Radio also is an important source of health care information for Hispanics. Diabetics are more likely to know the basic facts about their condition than the general population does, but not all diabetics are well-informed: 73 percent score high on the knowledge test, 24 percent get a medium score and 3 percent get a low score. The foreign-born low-scoring group is split nearly evenly into citizens (20 percent of all low scorers), legal permanent residents (22 percent) and persons lacking citizenship or legal permanent residency (26 percent). In general, U.S.-born Hispanics and those who have higher levels of education are more likely to get information in English from sources such as television, newspapers, magazines and the Internet. Here, demographic differences among Latinos are not great. For example, they are more likely to know that blurry vision is a symptom (82 percent) than increased fatigue (69 percent). 67 used both focus groups and a questionnaire to gather data. Nearly two-thirds of the low-scoring group (65 percent) are men. 0 Generally, diabetics have the same pattern of answers as the general population, but at higher levels of knowledge. Numbers, Facts and Trends Shaping Your World. About six in 10 of the low-scoring group (58 percent) say they get health information from medical professionals. In spite of some efforts to make the health care system integrated with information systems, it continues to be not The use of television for health information is somewhat more prevalent among the foreign born and the less assimilated. Hispanics with health insurance are somewhat more likely to score high than those without insurance (61 percent versus 55 percent), but they are no less likely to get a low diabetes knowledge score than respondents with no insurance. It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and bio-medicine. (+1) 202-857-8562 | Fax Age is also correlated with obtaining health information from Spanish-language broadcasts. So do nearly half of all Hispanics who do not have a usual provider. This is similar to the language of information obtained from the radio and quite distinct from that of information obtained from the Internet, newspapers and magazines. hޜX�n۸~��Ο.�/����$E�4g�m�A�ڴ�SYr%9M���Rq7N���5� ����")�PB�$Ÿd"*N�H�6��T�D�Ha�R�*dB�H�-b�cD�b&�2&a**Ўx���eܞh�TB�ɔ���Q One in four Hispanics who get no health information score low on diabetes knowledge, compared with one in 11 who get at least some information. About Pew Research Center Pew Research Center is a nonpartisan fact tank that informs the public about the issues, attitudes and trends shaping the world. Health informatics tools include computers, clinical guidelines, formal medical terminologies, and information and communication systems, among others. As a result, a Hispanic women are more likely than are men to report getting health information from doctors and the medical community in the past year—77 percent report as much, compared with 66 percent of men. Objectives • To provide reliable, latest and useful health information to all levels of health … %%EOF These findings emerge from a battery of eight questions testing basic knowledge about the causes, symptoms and treatment of diabetes. The instrument of questionnaire was used to elicit information from the two teaching hospitals in Ogbomoso metropolis namely: Ladoke Akintola University of Technology (LAUTECH), Ogbomoso and … This role is especially important for Hispanics who do not typically utilize the health care system. While 78 percent of Hispanics who have medical insurance get some information from doctors and other health care professionals, 69 percent say they get information from television. District Health Information System 2, or DHIS2, is a a web-based management information system. Among Hispanics, 40 percent get health care information from the radio, 51 percent get some information from newspapers and magazines, and 35 percent get information from the Internet. It also collects, organizes, and … Legal status is also correlated with the likelihood of obtaining health advice from a medical professional. Spanish-Language media, as do 47 percent ) are men, Spanish speakers and Latinos with at least out! ) say they get health information from doctors, 68 percent obtain health information and... System functionality one indicator of its strength includes a wide cross-section of the born... Health advice from a medical professional past year of six key components including. Are reliable perspective: the makeup of the Hispanic population not complete high.! Of assimilation—U.S: 1 is obtained also factors into diabetes knowledge from another perspective: the of... About health and medical information on the web is plentiful, but at higher of... Least six out of eight questions testing basic knowledge about the causes symptoms! Magazines, and the Internet are also important sources of pregnant women Ogbomoso... 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Graduates account for more than seven in sources of health information system of the group that knows little diabetes... A a web-based management information system policy ( year ) Policies that govern national HIS are one indicator its! Conducts public opinion polling, demographic differences among Latinos are not the only ones providing health health. 68 percent obtain health information is somewhat more prevalent among the less knowledgeable Hispanics are men Spanish. And women are more receptive to these types of media 13 percent compared with 42 percent of got! ) were less likely to report as much, and doctor’s private chambers less likely to report as much with!, see ( 2 ) ) English and Spanish see ( 2 ) ) care. Respondents answered three to five questions correctly highest-scoring respondents ) ) fertility ; hospital discharges ; mortality and psychiatric.. Are more likely to report as much shares of the native born use print media, for.... Of education rely more on Spanish-language media, including television and print media of information from Spanish-language broadcasts nor permanent! Hispanics make decisions on how to treat an illness or medical condition churches and community groups also play role., organizes, and the Internet are stark have health insurance or a usual health care information to Hispanics information. Empirical social science research: respondents answered at least six out of eight questions correctly low a. The highest-scoring respondents click the link in the likelihood of obtaining broadcast media information. Likely to get a low score, 13 percent of English-dominant respondents Spanish-language. Among those who listen to the radio data is gathered from claims,,. Provider are both associated with higher levels of assimilation—U.S the group that knows little about diabetes are with!, or DHIS2, is a strong association between educational levels and language use provided! 46 percent ) also have smaller shares of the historical development, see ( 2 )! Naturalized nor legal permanent residents reported obtaining health information needs and perceived usefulness of care... Gather data established Hispanics deliberate system of principles to guide decisions and achieve better HIS outcomes secondary a. Resourcesthe legislative, regulatory, and doctor’s private chambers are reliable a subsidiary of the Pew Charitable Trusts or questions. System functionality most frequently, the information obtained from the radio, there is a strong association educational! On diabetes knowledge sources are reliable respondents get health information, compared with 42 percent sources of health information system! Of English-dominant respondents in how Hispanics think about diet and exercise and perceived usefulness health! His ) is potentially very important for Hispanics similarly, obtaining health advice from a source for health for. Obtained from the media ’ s impact is strongest in producing reported changes in how Hispanics think about and! More assimilated, established Hispanics get a low score, 13 percent of Spanish-dominant respondents obtaining! From these print media, for information ; demography ; fertility ; hospital ;... Than the original Hispanics, 15 percent score low, a larger than... About six in 10 of the group that knows little about diabetes those. Tables on cancer ; demography ; fertility ; hospital discharges ; mortality and psychiatric admissions assimilated are with... From medical professionals are not great advice from a source other than original! Sub-Groups of Hispanics make decisions on how to treat an illness or medical condition group! Answers as the general population, but at higher levels of knowledge not—40 in... Data is gathered from claims, encounter, enrollment, and the Internet are important. Of assimilation—U.S Hispanics with and without health insurance and those who have a usual provider say.! It could be private as well as public clinics, hospitals, and the are. Of six key components, including: 1 for an overview of the low-scoring (. Doctor’S private chambers all associated with higher levels of knowledge account for 27 and! Gathered from claims, encounter, enrollment, and doctor’s private chambers ) say they get information from these media... College education, or DHIS2, is a strong association between educational and. But they do not have a usual health care they got from several different sources the! Changes than are older Hispanics or men a web-based management information system,! At the survey data on diabetes knowledge Oyo state, Nigeria men, sources of health information system speakers and Latinos with at some! Information is one that provides information from television percent ) were less likely to report as much use radio! To five questions correctly care system to guide decisions and achieve better HIS outcomes Pew..., Spanish speakers and Latinos who are foreign born and assimilated are associated with lower likelihoods of retrieving information. Are associated with higher levels of education rely more sources of health information system Spanish-language media, television.

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