Assessment of Spanish Translation of Websites at Top-Ranked US Hospitals

Abstract
Coronavirus disease 2019 (COVID-19) has disproportionately affected Latinx communities across the United States. Latinx and African American individuals have 3 times the infection rate and twice the mortality rate from COVID-19 compared with White individuals.1 Latinx individuals are overrepresented as essential workers, which has contributed to their increased risk of contracting COVID-19 and experiencing related complications.2 Additional factors likely contribute to poor Latinx health outcomes, including institutional racism, discrimination, health care access, and socioeconomic and documentation status.3 As of 2019, the US population is 16.9% Latinx, of which 16.1% speak Spanish and do not speak English well.4 Many hospitals have implemented programs to improve accessibility of services to diverse populations. However, translation continues to be inadequate in addressing language barriers preventing Latinx communities from seeking appropriate care.5 Particularly, patients are deprived of important information about hospitals due to a paucity of Spanish translation of hospital websites. Our cross-sectional study aims to elucidate this issue by investigating potential variables associated with Spanish translation of hospital websites.