Language

English

Publication Date

9-1-2026

Journal

American Journal of Public Health

DOI

10.2105/AJPH.2026.308470

PMID

42314094

PMCID

PMC13372021

PubMedCentral® Posted Date

7-16-2026

PubMedCentral® Full Text Version

Author MSS

Abstract

Objectives. To compare 7-day readmission among patients with a non-English primary language in language-serving versus non-language-serving hospitals.

Methods. We conducted a retrospective cohort study using the New Jersey State Inpatient Database (2010-2022). We identified 578 030 inpatient discharges home among patients with a non-English primary language. We used generalized linear mixed models to compare 7-day readmission between language-serving hospitals-defined as those with a higher proportion of patients with a non-English primary language-and non-language-serving hospitals.

Results. Patients with a non-English primary language were less likely to be readmitted within 7 days at language-serving versus non-language-serving hospitals (4.8% vs 9.8%; adjusted odds ratio = 0.49; 95% confidence interval = 0.25, 0.96). This trend persisted when stratified into Spanish (5.5% vs 9.7%), common (4.0% vs 14.6%) and rare non-English primary languages (4.0% vs 8.8%).

Conclusions. Patients with a non-English primary language discharged from language-serving hospitals were less likely to be readmitted within 7 days. Public Health Implications. To improve care for patients with a non-English primary language, future research should identify the hospital- and state-level language access policies that underpin these findings.

Keywords

Patient Readmission, Language, Hospitals, Communication Barriers, Retrospective Studies, Humans, Male, Female, Adult

Published Open-Access

yes

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