Spanish Speakers Research Articles

Exploring the Views of Spanish Pre-Service Teachers on Phonics From a Quantitative Research Perspective

English is especially demanding for Spanish speakers due to the greater number of sounds, the complex letter-sound relationship, and prosodic features. English phonics programmes may offer clearer, more comprehensive instruction. 84 pre-service teachers completed a questionnaire on the use of phonics in Spanish EFL preschool and primary classrooms. Results show that specific training is needed, not all participants favour this method, and a more eclectic approach to early literacy is advocated.

Biting into the Bitter Reality: A Metaphorical Exploration of Food Disorders

This study investigated the metaphorical representation of eating disorders in a bilingual corpus of blogs. The analysis yielded three common metaphors: ED IS A JOURNEY; ED IS A WAR and ED IS A CONTAINER. Two language-specific metaphors emerged: ED IS A LIVING ENTITY in the Spanish subcorpus and ED IS A BODY in the English subcorpus. The journey and war metaphors demonstrated subtle linguistic nuances, with the Spanish speakers emphasizing the disease’s challenges and the English speakers emphasizing the prospects for recovery. The specific metaphors ED IS A LIVING ENTITY and ED IS A BODY highlighted cultural variations in agency, with the Spanish speakers portraying themselves as passive sufferers and the English speakers viewing themselves as active agents in the recovery process. This cultural divergence aligns with the distinct value orientations of American and Spanish cultures. While the limited text corpus precludes definitive conclusions, the findings align with previous research on conceptual metaphors in ED discourse. Further investigation is warranted to establish the figurative potential of different languages and determine whether either language employs more metaphors in the ED communicative domain.

Patients with symptomatic cholelithiasis at a safety net hospital: Early surgeon involvement matters.

Gallstones are a common diagnosis in the United States; though many patients remain asymptomatic, others develop symptoms. Standard of care for symptomatic cholelithiasis is cholecystectomy, but many do not undergo surgery. The purpose of this study is to identify factors that influence receipt of cholecystectomy for symptomatic cholelithiasis at a safety net hospital. This is a retrospective study performed at a large, academic, tertiary care and safety net state hospital. Patients who presented with symptomatic cholelithiasis were included. Same admission cholecystectomy and elective outpatient cholecystectomy were considered success/standard of care, and readmission cholecystectomy or no cholecystectomy were considered failures/not standard of care. Of 376 patients, a substantial minority were Spanish speaking, and almost half had public insurance. 23.7% were successfully treated, and 76.3% had failure in management. A larger number of patients in the group that had successful treatment had surgery consultation, 67.4%. Only 28.5% of patients saw a surgeon as an outpatient within 30days of their visit. On multivariable analysis, patients who were provided a surgery consultation were more likely to receive standard of care. Age, sex, language, smoking status, lack of insurance, and alcohol use were not associated. Surgery consultation during presentation for symptomatic cholelithiasis was associated with receipt of same admission, or outpatient elective cholecystectomy, or successful management. There should be a low threshold to involve a surgeon for symptomatic cholelithiasis.

Evaluation of self-stigma in patients with epilepsy: Validation of the self-stigma scale to Spanish (ESSS-S).

The Epilepsy Self-Stigma Scale (ESSS) has been developed in Japan for patients with epilepsy (PWE). We aimed to validate the scale in Spanish and examine its validity and reliability. The transcultural adaptation of the ESSS was conducted using translation and back-translation, along with pilot testing and an expert panel review. An online questionnaire was used to assess construct validity, criterion validity, and internal consistency. A total of 260 out of 628 participants completed the questionnaires. We found a two-factor structure that explained 61.3% of the total variance: factor 1 "self-perceived discrimination" with a Cronbach's alpha of 0.80, and factor 2 "social isolation" with a Cronbach's alpha of 0.75. The reliability of overall ESSS-S 8-item scores was high (Cronbach's alpha = 0.74). Convergent validity was tested and demonstrated a significant correlation. P. Self-perceived discrimination scores were associated with higher anxiety and depression scores (r = 0.53/0.54; p < 0.001), lower self-esteem (-0.53; p < 0.001), and lower quality of life (r = -0.66; p < 0.001). Social isolation scores were associated with higher anxiety and depression scores (r = 0.41/0.33; p < 0.001), lower self-esteem (-0.34; p < 0.001), and lower quality of life (r = -0.35; p < 0.001). Temporal reliability was also tested, showing a test-retest ICC of 0.87. The mean self-stigma score in the Spanish population was 17.68 ± 5.45 out of 32 points. Invariance across gender and age groups indicated that there are no systematic response biases by gender or age, so stratified scores could be related to other constructs. The Spanish version of ESSS (ESSS-S) is a valid and reliable tool for the assessment of self-stigma in PWE among Spanish speakers. This study aimed to validate the Epilepsy Self-Stigma Scale (ESSS) for Spanish speakers (ESSS-S). We conducted transcultural adaptation of the scale. ESSS-S showed high reliability and strong validity, correlating with higher anxiety and depression, lower self-esteem, and quality of life. ESSS-S is a reliable and valid tool for assessing self-stigma in Spanish-speaking people with epilepsy.

Cross Cultural Validation of Oral Health Index Profile for Temporomandibular Disorders in Spanish Speaking Population.

Structured patient-centred assessment is critical for improving care. OHIP-TMDs are a validated English-language outcome measure for temporomandibular disorders (TMD) which evaluates the biopsychosocial impact of TMD. Due to language and cultural changes, the original instrument's phrasing of its items may change when translated to Spanish. This study cross-culturally adapted and validated OHIP-TMDs for Spanish-speaking individuals with TMD. OHIP-TMDs was forward-backward translated into Spanish (OHIP-TMDs-Sp) and cross-culturally adapted to a Hispanic population with TMD (Diagnostic Criteria for TMD n = 154) according to international norms. All patients completed the OHIP-TMDs-Sp, the Graded Chronic Pain Scale (GCPS), and Jaw Functional Limitation Scale (JFLS-20). A subsample (n = 30) recompleted the OHIP-TMDs-Sp after a 3-week washout to measure test-retest reliability using an intra-class correlation coefficient (ICC 2.1). OHIP-TMDs-Sp, JFLS-20, and GCPS were analysed for convergent validity and internal consistency. The sample with articular and muscular TMD diagnoses was 85.7% female with a mean age of 29.5. (SD 9.01). OHIP-TMDs-Sp had high internal reliability (Cronbach's Alpha = 0.95) and good test-retest reliability (ICC = 0.82; 95% CI = 0.57-0.93). In terms of convergent validity, the OHIP-TMDs-Sp demonstrated moderate to large positive correlations with the total JLFS-20 score (ρ = 0.72; p < 0.01), Mastication (ρ = 0.68; p < 0.01), Communication (ρ = 0.68; p < 0.001), as well to GCPS disability score (ρ = 0.59; p < 0.01), and characteristic pain intensity (ρ = 0.69; p < 0.01). The total score of OHIP-TMDs-Sp is reliable for assessing quality-of-life in Spanish-speaking TMD patients.

Effect of perceptual training without feedback on bilingual speech perception

This study examines the effect of perceptual training without feedback on the discrimination of the Spanish stop-approximant contrasts [b]–[B], [d]–[ð], and [g]–[y]. Of interest is if the aural repetition of target stimuli improves discrimination accuracy, how many repetitions are needed to observe a significant increase in perceptual discrimination accuracy, and if there is an effect of contrast type. Perception of the Spanish target phones was assessed in adult native (L1) Spanish speakers (n = 10) and L1 English bilingual learners of L2 Spanish (n = 23) via VCV nonwords over six blocks of 10 trials, featuring Spanish approximants and voiced stops in an AX discrimination task. Results indicate a significant effect of aural stimulus repetition on discrimination accuracy scores improvement. Significant improvements were observed for all three contrasts, with discrimination gradually improving across blocks. The data indicated that the [y]–[g] contrast was the most difficult contrast and exhibited the highest rate of discrimination accuracy improvement. Discrimination accuracy score improvements were also significantly larger for L1 English listeners in comparison with the L1 Spanish listeners for this contrast.

Assessing Unmet Social and Medical Needs among Latinx in Arizona throughout the COVID-19 Pandemic: Time-Varying Patterns by Social Determinants of Health.

The pandemic exacerbated unmet social and medical needs, disproportionately impacting Latinx communities. This article examines how unmet needs varied from February 2021 to April 2023 among 428 Latinx individuals. Multiple-to-multiple path analysis models of cross-sectional surveys showed significant increases in unmet social (β = 0.17, p = .001) and medical (β = 0.12, p = .001) needs over time, with variations by age, language, and health insurance. Initially, older adults reported more unmet medical needs, but later, younger adults reported higher needs (β=-0.16, p = .001). Among Spanish speakers, both social (β = 0.24, p = .001) and medical (β = 0.20, p = .003) needs increased significantly. Uninsured individuals had significant increases in unmet social (β = 0.20, p = .001) and medical (β = 0.16, p = .013) needs, while those with public insurance experienced decreased social needs (β=-0.12, p = .017) compared to privately insured. These findings highlight growing disparities within the Latinx community, underscoring the need to prioritize vulnerable populations in public health responses and monitor program impacts for equitable access to essential services.

Mobile-enhanced virtual exchanges through asynchronous video interaction: Learners as ethnographers in the L2 classroom to promote intercultural communicative competence

This practice report focuses on the integration of virtual exchange (VE) with mobileassisted language learning (MALL), where learners act as ethnographers within the context of language education. This VE model harnesses mobile technology capabilities to exchange personal and immersive cultural insights through asynchronous video content using Flip.com. The model consists of three integrated sections: Preparation, Intercultural Exchange, and Reflection. This report covers a pilot implementation of the mobile-enhanced VE model to evaluate the outcomes on Intercultural Communicative Competence (ICC). The project lasted eight weeks, covering various topics, such as greetings, food, and education. Participants were L2 learners of Spanish in the United States and L1 Spanish speakers in Spain. Outcomes were evaluated through a survey where students in the United States self-assessed their perceived ICC gains. This survey, grounded in Byram’s (2009) ICC model, measured changes in students’ attitudes, knowledge, skills of interpreting and relating, skills of interaction, and critical cultural awareness. Students reported substantial improvements in all areas of ICC, highlighting enhanced engagement and understanding of the target culture facilitated by the mobileenhanced VE model. This report provides insights for the incorporation of mobile technology for VE projects in L2 settings, emphasizing its role in expanding global interconnectedness and deepening intercultural learning among learners by offering a more dynamic, authentic, and immersive learning experience.

Color–emotion associations by speakers of Spanish and Mandarin in verbal and visual tasks: a comparison

Abstract This study aims to determine if there are differences in color–emotion association between monolingual speakers of Spanish and Mandarin, depending on how colors are presented (verbally or visually). We tested two groups of 25 speakers of these two languages in two different tasks using the Geneva Emotion Wheel, which encompasses 20 types of emotions. In Task 1, 13 colors were presented to participants as color terms in their native language, whereas in Task 2 the same colors were presented as color patches from the Munsell chart. Participants were then asked to associate color terms or color patches to the set of emotion concepts (and intensities of emotion) in the Geneva Emotion Wheel. Overall, differences between languages were not significant, regarding either the type of emotion or individual dimensions of emotion (valence, arousal or power), although significant differences were observed for specific colors. Also, Spanish speakers tended to attribute higher intensity values and higher numbers of emotion values to colors. At the same time, speakers of both languages reacted similarly to color presentation, with color terms being associated with the same emotions as color patches, but eliciting stronger reactions with respect to intensity and the number of emotion values. Finally, we found less variability in color–emotion associations within the Spanish-speaking group. Overall, our study points to a mixed pattern of universality and culture-specificity regarding how colors are used for conveying emotions by people.

7525 Impact of Medicaid Policy Change on CGM Uptake in a Federally Qualified Health Center

Abstract Disclosure: W. Solorzano: None. L. Scarlett: None. K.P. Santiago Mangual: None. J. Borrell: None. B. Brumley: None. M. Tavares: None. C. Santana: None. T. Moin: None. E.M. Everett: None. Background: Despite the numerous benefits of CGMs in diabetes management, studies have consistently reported inequities in CGM use in racial-ethnic minorities, lower socioeconomic status, and with public insurance. In January 2022, a new California Medicaid policy switched coverage of CGMs from a Durable Medical Equipment benefit to a pharmacy benefit, creating less stringent insurance related criteria for CGM approval. We aim to evaluate the utilization of CGM use after the aforementioned policy change in an urban, multi-centered, federally qualified health center. Methods: We performed a retrospective study of patients with diabetes seen by diabetes NPs in three different clinics from January 1, 2022, through June 30, 2023. We excluded patients not managed on insulin. Patients were stratified by CGM status (current user, former user, never user). We used descriptive statistics to report patient demographics and clinical characteristics. Chi-squared test was used to evaluate differences between groups. We performed multivariate logistic regression to evaluate predictors of never using CGM. Results: We identified 239 patients who met inclusion criteria. They were primarily between the ages of 45-64 (60%), female (57%), Hispanic (84%), Spanish speaking (70%), and on Medicaid insurance (63%). Majority had a diagnosis of type 2 diabetes (93%) and managed on basal insulin plus other antidiabetic medication(s) (48%) with a mean HbA1c ≥ 10% (31%). At the end of the study period, 37% were current CGM users, 13% were former users and 51% were never users. Almost all (98%) of those who used CGMs started after January 2022.There was a statistically significant difference between CGM groups and treatment regimen (p = 0.000), insurance type (p = 0.000), type of diabetes (p = 0.000), and clinic site (p = 0.029). There was no statistically significant association between age, birth sex, race, primary language, or mean Hba1c. Most current and former users were/are on Freestyle Libre 2 (61% and 93%, respectively). Among never users, 55% had no discussion about CGM use documented in their charts. In an adjusted analysis, insurance type was the strongest predictor of never using CGM. Those without insurance on a county program, My Health LA (OR 15.5, 95% CI 3.7-65.6) or self-pay (OR 10.0, 95% CI 1.77-56.3) were more likely to be a never user. Conclusion: In an underserved population with diabetes, insurance status was the primary barrier to CGM use as demonstrated by the large uptake of CGM use after the policy change and that insurance status was the largest predictor of use. Additional studies are needed to evaluate other barriers impacting CGM uptake and adherence, clinical impact of CGM use, and patient experience. This will improve the utilization and adherence of this diabetes technology in this patient population who historically experiences more challenges with diabetes and obtaining optimal glycemic control. Presentation: 6/1/2024

Mujeres Unidas: A Pilot Study to Educate Latina Women.

In the United States, it is estimated that 15% of Latinos will experience a depressive or anxiety disorder during their lifetime. Education, prevention programming, and health interventions around topics such as stress, nutrition, mental health, and health maintenance for Latino immigrants are lacking, inadequate, or nonexistent. This type of programming may be protective against depression and anxiety. A total of 19 Latina women completed a five-week, group-based intervention to learn about stress, stress management, nutrition, mental health, and healthy behaviors in a culturally sensitive environment taught by native Spanish speakers. Program evaluation occurred through in-depth interviews and changes in anxiety and depression scores via the Generalized Anxiety Scale and the Patient Health Questionnaire, respectively. The team saw statistically significant decreases in the GAD-7 scores pre- and post-intervention (8.00 versus 5.08, p<0.05), but no differences in the PSS or the PHQ-2 scores. Group-based intervention and education taught by native Spanish speakers may be an acceptable and feasible approach to addressing anxiety in Latina immigrants.

Spanish Speakers in the United States Report Differing Levels of Weather Salience Based on Their Ethnocultural Background

Abstract Weather profoundly shapes our daily lives, yet its psychological impact varies distinctly among different cultural and ethnic groups. In a comprehensive analysis of 974 Spanish-speaking individuals in the United States, our research delves into three dimensions of weather salience—a measure of the psychological importance attributed to weather. Contrary to expectations, geographic location within the United States does not significantly influence weather salience dimensions among Spanish-speaking populations. Rather, differences in weather salience emerge based on the nativity and origin country of a Spanish speaker. Foreign-born Spanish speakers exhibit higher weather salience compared to their U.S.-born counterparts, with notable differences in daily attention to weather and severe weather events. Additionally, the degree of psychological attunement to weather distinctly varies among different Hispanic and Latino ethnic groups within Spanish-speaking communities. These findings help explain why weather salience may be lower among Spanish-speaking groups and highlight the variability across different cultural groups. Tailoring messages to the unique experiences and backgrounds of diverse Spanish-speaking communities is essential, moving beyond simple language translation to embrace the rich cultural tapestry of these groups. Significance Statement Our research explored how different Spanish-speaking groups in the United States conceptualize weather in their daily lives. Surprisingly, where they live in the United States does not change their views much. Instead, whether they were born in the United States or elsewhere, and their specific cultural background, really matters. People born outside the United States generally apply more significance to the weather and its changes. This shows us that when communicating about weather to these groups, it is important to understand and respect the diverse cultures of Spanish-speaking communities, going beyond just translating messages into Spanish.

Attention and processing speed tests: Normative data for Spanish-speaking adults in the United States.

Hispanics/Latinos are the largest racial/ethnic group among underrepresented populations in the U.S. and multiple sociodemographic, cultural, and linguistic factors have been found to impact their performances on cognitive testing. Despite this, few normative data are available for the heterogeneous Spanish-speaking population in the U.S. To generate normative data on the Trail-Making Test (TMT), Bells Test, Symbol-Digit Modalities Test (SDMT), and the Brief Test of Attention (BTA) for Spanish speakers residing in the U.S. The sample included 245 Spanish-speaking individuals aged 18- 80 from eight states across the U.S. (California, Connecticut, Florida, Indiana, New Jersey, Oregon, Virginia, and Wisconsin). Participants were administered attention and processing speed measures as part of a comprehensive neuropsychological battery. We used a Bayesian regression approach to estimate normative data, including covariates found to be important for predicting performances on measures of attention and processing speed. Sociodemographic factors including education, time in the U.S., acculturation, age, and/or sex had differential effects on the TMT-A, TMT-B, SDMT, and the BTA whereas the Bells Test was not influenced by any of these sociodemographic factors. Our findings indicate that while sex, age, and educational attainment are important factors to consider, language and acculturation can also influence attention and processing speed performances among Spanish speakers in the U.S.

The ACA Medicaid expansions and the supply of substance use disorder treatment services in Spanish

BackgroundGiven persistent disparities in substance use disorder (SUD) treatment for Spanish speakers, it is important to understand whether major health policy changes may improve access to linguistically competent services. We estimate changes in the supply of SUD treatment facilities that both accept Medicaid as payment and offer services in Spanish after the Medicaid expansions under the Affordable Care Act. MethodsWe use data from the Mental Health and Addiction Treatment Tracking Repository for years 2010–2020 to calculate the number of facilities per 100 that offered both services in Spanish and accepted Medicaid as payment, facilities per 100 that accepted Medicaid as a form of payment overall, and facilities per 100 that offered Spanish language services overall. We use a difference-in-differences strategy exploiting variation in the timing of the Medicaid expansions across states, and county-level variation in the share of Spanish speaking Latinos across and within states. ResultsWe find that treatment facilities that both accepted Medicaid as a form of payment and offered Spanish language services increased by roughly 2–3 per 100, on average, in counties with the highest shares of Spanish speakers compared to counties with low to medium shares. This increase may be explained by more facilities accepting Medicaid as a form of payment. ConclusionThe Medicaid expansions under the ACA produced a modest increase in the supply of SUD treatment facilities that both accepted Medicaid as payment and provided services in Spanish in areas with highest shares of Spanish speakers.

Conoce Tus Opciones: The Challenges of Communicating Rip Current Information in Spanish

Abstract Rip currents are poorly understood by the public and thus a leading cause of weather-related fatalities in the United States. Individuals who speak languages other than English, such as Spanish-speaking communities, have been historically underserved by communication efforts for natural hazards and thus are at additional risk from rip currents. In response, the National Weather Service (NWS) has developed rip current outreach tools translated into Spanish in recent years, though their efficacy has not been systematically tested. We therefore surveyed members of the Spanish-speaking community in the New York City area to gain insights into how the NWS two-page rip current informational brochure is working and possible improvements to be made. The English version of the brochure was also tested, and the results from the two languages were compared. Quantitative survey results indicate that while both brochures are generally effective, several changes could be made to improve clarity, especially for Spanish speakers, who found more issues with the Spanish version. For example, the translation of the term rip current itself used by the NWS, “corrientes de resaca,” was determined to be confusing by some Spanish speakers, as were other pieces of text with complex scientific terms. Moreover, certain graphics contained in the brochure were difficult to understand for users in both languages. The results of this work can be used by the NWS and other agencies to improve their Spanish risk communication tools and can also be used as a guide when translating scientific information into other languages. Significance Statement Rip currents, narrow channels of fast-moving water that can pull swimmers away from the shore, are among the leading weather-related killers in the United States yet are poorly understood by the public. Recent efforts to reduce society’s vulnerability to rip currents include the translation of outreach materials from English to Spanish. This study evaluated a new National Weather Service Spanish rip current informational brochure and compared it to the English version. The results show that while both the English and Spanish brochures were generally effective at communicating risk, the Spanish version had more issues, primarily surrounding the translation of scientific terms and phrases. Findings from this research can help guide scientists in designing improved non-English severe weather outreach products.

A preliminary examination of the TOMM2 in a sample of Spanish speakers in the United States.

The Test of Memory Malingering (TOMM) is a widely used performance validity measure that is available in both English and Spanish. The Spanish version, however, has historically lacked normative data from samples that are representative of the U.S. Hispanic/Spanish speaking population. The aim of the current study was to collect normative data on the update TOMM 2 for Hispanic individuals residing in the U.S. Normative data on the TOMM 2 was collected across 9 sites from different regions of the U.S. The total sample consisted of n = 188 cognitively healthy adults aged 18 and over with no current or prior history of neurological or psychiatric disorder. Descriptive analyses were performed on total raw scores. Participants obtained a mean score of 48.15 (SD = 2.81) on trial 1 of the TOMM 2, 49.86 (SD = 0.487) on trial 2, and 49.84 (SD = 0.509) on the recognition trial. Scores are provided for traditional cutoff scores as well as some popular cutoffs reported in the literature. Item level analyses were conducted as well as evaluation of performance based on a variety of demographics. When compared to the English-speaking normative sample used for the original TOMM, this sample demonstrated better performance on the TOMM 2 indicating better cultural appropriateness of the items. This is the first study conducted that provides culturally appropriate descriptive norms for use with Spanish speakers living in the U.S.

Characterizing health-related social needs and their association with medication adherence in a diverse cohort of patients with breast cancer.

139 Background: Food insecurity, housing instability, and transportation challenges are modifiable health-related social needs (HRSN) that have been associated with worse health outcomes in patients with cancer. Nonadherence to medications is also associated with decreased survival and other poor outcomes. Less is known about the association between HRSN and medication adherence in this patient population. Methods: We implemented screening for HRSN among breast oncology patients at our urban academic medical center, primarily through the electronic patient portal. Patients were offered an 8-item HRSN survey with questions covering food insecurity, housing, transportation needs, and emergency department visits. Any level of food hardship, housing instability, or transportation challenges reported during the study period (11/2/22-4/20/24) constituted a positive screen for that HRSN. We also screened patients for nonadherence to medications (any medication) using the 3-item DOSE-Nonadherence questionnaire. Pearson's Chi-squared tests and univariate logistic regressions were used to compare differences between subsets. Results: During the 18-month study period, 2945 patients completed at least 1 item on the HRSN questionnaire, of which 765 (26.0%) screened positive for at least 1 HRSN. Among patients who responded to each HRSN domain, 555/2820 (19.7%) screened positive for food insecurity, 374/2650 (14.1%) for housing instability, and 255/2656 (9.6%) for transportation needs. Food-insecure patients also reported more housing (43.1% v 5.6%, p&lt;0.001) and transportation needs (27.7% v 4.0%, p&lt;0.001) compared to food-secure patients. When comparing the cohort of patients who screened positive for at least 1 HRSN vs those who screened negative, there was a higher proportion of Hispanics (55.3% vs 25.1%, p&lt;0.001), non-Hispanic Blacks (15.3% v 10.0%, p&lt;0.001), and Spanish speakers (41.2% v 17.2%, p&lt;0.001). Patients with any HRSN were more likely to self-report medication nonadherence compared to those with a negative HRSN screen (44.2% v 35.3%, OR 1.45, 95% CI 1.18-1.79). When looking at each individual HRSN domain, food-insecure patients were more likely to self-report medication nonadherence than food-secure patients (45.9% v 35.9%, OR 1.51, CI 1.19-1.92); this was also true for patients with housing instability (45.7% v 36.4%, OR 1.47, CI 1.12-1.92) and transportation needs (49.1% v 36.5%, OR 1.68, CI 1.23-2.31). Conclusions: More than a quarter of breast cancer patients self-reported at least 1 HRSN, with food insecurity being most frequently reported. Patients with at least 1 HRSN had 45% increased odds of medication nonadherence. Further research is warranted to understand the financial, social, psychological, and healthcare-related factors that may underlie this association, and to design interventions targeting at-risk cancer populations.

S421 Lost in Translation: Deciphering the Barriers to Colorectal Cancer Screening Among Spanish Speaking Patients

S421 Lost in Translation: Deciphering the Barriers to Colorectal Cancer Screening Among Spanish Speaking Patients

Quantity implicature interpretations in bilingual population: the case of Imbabura Kichwa.

Most studies on the pragmatic interpretation of existential quantifiers have been conducted in major Indo-European languages like English, Spanish, French, and Greek, focusing mainly on monolingual participants. However, in indigenous linguistic research, especially experimental research, it is crucial to consider several linguistic and extra-linguistic factors for successful implementation. Our research centered on the experimental investigation of the pragmatic interpretation of the quantifier wakin, meaning some in Kichwa, with Kichwa-Spanish bilingual adults from the province of Imbabura Ecuador. We employed the Truth Value Judgement Task (TVJT) for our experiments and incorporated the explicit Question Under Discussion (QUD) paradigm to facilitate pragmatic interpretations among our participants. Our initial experiment revealed a 78% acceptance level for the pragmatic interpretation of "some, but not all" in Kichwa, significantly lower than the 95% acceptance range observed in other languages. We hypothesized that access to technology and formal education might influence these results, leading us to simplify our experiment by eliminating the technological components of the research. In our subsequent experiment, adult speakers of Imbabura Kichwa achieved a 97% accuracy level, comparable to speakers of other languages. To benchmark our results against speakers of other languages under similar conditions, we evaluated whether Spanish speakers from two varieties in Ecuador (Quito and Guayaquil) could generate the "some, but not all" scalar implicature with the Spanish quantifier algunos. Our findings indicated that speakers achieved 95.5 and 97.4% accuracy for both varieties, respectively. Therefore, this study infers that under optimal conditions, speakers of indigenous languages in rural communities demonstrate commendable performance in experimental linguistic studies. Nonetheless, it underscores the necessity for meticulous planning and distinct handling in experimental studies involving speakers of these languages residing in rural areas without access to technological elements. We propose that such research broadens our comprehension of language utilization in minority communities and positively influences language restoration efforts by expanding experimental linguistics studies to indigenous languages.

Emotion regulation elicits cross-linguistically shared and language-specific forms of linguistic distancing

Cognitively reappraising a stressful experience—reinterpreting the situation to blunt its emotional impact—is effective for regulating negative emotions. English speakers have been shown to engage in linguistic distancing when reappraising, spontaneously using words that are more abstract or impersonal. Across two preregistered studies (N = 299), we investigated whether such shifts in language use generalize to Spanish, a language proposed to offer unique tools for expressing psychological distance. Bilingual speakers of Spanish and English and a comparison group of English monolinguals transcribed their thoughts in each of their languages while responding naturally to negative images or reappraising them. Reappraisal shifted markers of psychological distance common to both languages (e.g., reduced use of “I”/“yo”), as well as Spanish-specific markers (e.g., greater use of “estar”: “to be” for temporary states). Whether these linguistic shifts reflected successful emotion regulation depended on language experience: in exploratory analyses, the common markers were more strongly linked to reduced negative affect for late than early Spanish learners, and one Spanish-specific marker (“estar”) also predicted reduced negative affect for early learners. Our findings suggest that people distance their language in both cross-linguistically shared and language-specific ways when regulating their emotions.