Table 4.

Access to Services for Providers with Moderate/Low Spanish Language and Cultural Awareness Scores by Percentage of Diabetes Patients Seen who are Latino^נ

	For providers with moderate/low Spanish language score
	Have access to on-site professional interpreters a majority of the time‡			Have access to telephone-based interpreters a majority of the time‡			Never have access to either on-site or telephone-based interpreters
Percentage of diabetes patients seen who are Latino (n=435)	N	%	p-value	n	%	p-value	n	%	p-value*
1–25% (n=249)	144	58	ref	138	57	ref	27	11	-
26–50% (n=107)	82	77	0.001	56	53	0.58	10	10	-
51–75% (n=48)	44	92	0.0004	37	79	0.009	0	0	-
76–100% (n=31)	29	94	0.003	18	60	0.72	1	3	-
	For providers with moderate/low cultural awareness score
	Have received cultural competency training‡			Have access to cultural competency training‡			Have not received training and do not have access
Percentage of diabetes patients seen who are Latino (n=390)	n	%	p-value	n	%	p-value	n	%	p-value
1–25% (n=229)	144	63	ref	81	37	ref	74	34	ref
26–50% (n=93)	73	78	0.01	49	55	0.006	16	18	0.01
51–75% (n=36)	29	81	0.06	21	58	0.02	6	17	0.05
76–100% (n=32)	21	66	0.81	16	53	0.10	8	27	0.44

^◊P-values were calculated using a generalized linear mixed model to adjust for clustering by site

^†Only providers who reported seeing Latino patients were included in this analysis. The rest were excluded (n=108).

^‡Categories are not mutually exclusive. Separate questions were asked about access to on-site and telephone-based interpretation services, so respondents could report access to both. Separate questions were also asked about history of cultural competency training and respondent’s center’s access to cultural competency training.

^*p-value could not be calculated due to low cell counts