Latino children's ability to interpret in health settings: A parent-child dyadic perspective on child health literacy

To determine children's ability to interpret in medical settings, 100 dyads of low-income, Spanish-speaking parents and their bilingual children who interpret for the parents were surveyed. Seventy-four children demonstrated adequate health literacy in English. Three theoretical perspectives (social cognitive theory, role-reversal theory, and the team-effort model) guided hypotheses about how parent and child characteristics influenced child health literacy. Structural equation model results supported the team-effort model. Children were more health literate when they were older, had better English abilities, had higher self-efficacy, and had parents with lower self-efficacy and better English language abilities. Children and parents may work as a team in medical interpreting settings, with children simultaneously compensating for and learning from parents.