Greetings—


Growing interest in addressing health equity is fueling efforts to better understand the unique challenges faced by Asian American and Native Hawaiian/Pacific Islander (AANHPI) communities. A lack of language accessibility for AANHPI people who are not proficient in English could restrict their access to health insurance and health care, especially for those who may have to navigate complicated systems to enroll in coverage.


New research from Urban Institute experts
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explores the extent of limited English proficiency (LEP) among AANHPI nonelderly adults and variation in LEP across AANHPI subgroups. They found:
- In 2019, about 3 in 10 Asian American adults and 1 in 8 Native Hawaiian/Pacific Islander (NHPI) adults had LEP, compared with 32.9 percent of Hispanic adults, 3.1 percent of Black adults, and 1.4 percent of white adults.
- AANHPI adults with LEP were more likely than those proficient in English to be noncitizens and to have economic disadvantages such as lower incomes, lower levels of education, and higher uninsurance rates.
- Estimated LEP rates varied widely across subgroups of AANHPI adults. LEP rates were around 12 percent for NHPI adults, whereas more than 40 percent of Chinese, Bangladeshi, Vietnamese, Nepalese, and Burmese adults had LEP. Overall, AANHPI adults have LEP at rates nearly as high as Hispanic adults. But while Spanish is frequently offered in health system settings and materials, the diverse languages spoken by AANHPI adults are rarely available,
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demonstrating the need for greater language accessibility for AANHPI adults with LEP in health care and other settings.


If you have questions or would like to connect with lead researcher
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Jennifer Haley , please email me at
mailto:[email protected]?subject=
[email protected] .


Sincerely,


Amy Elsbree
Associate VP for Strategic Communications and Outreach
202-261-5513

mailto:[email protected]
[email protected]

U R B A N I N S T I T U T E

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www.urban.org




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