{"id":22322,"date":"2025-08-28T10:24:22","date_gmt":"2025-08-28T14:24:22","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=22322"},"modified":"2025-08-29T11:24:42","modified_gmt":"2025-08-29T15:24:42","slug":"linguistic-factors-and-covid-19-outcomes-among-long-term-care-residents-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/linguistic-factors-and-covid-19-outcomes-among-long-term-care-residents-in-ontario-canada\/","title":{"rendered":"Linguistic factors and COVID-19 outcomes among long-term care residents in Ontario, Canada"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. This study examined the role of linguistic factors on COVID-19 related outcomes in LTC homes.<\/p>\n<p><strong>Methods<\/strong> \u2014 We performed a population-based, retrospective cohort study of residents living in LTC homes in Ontario, Canada who were diagnosed with COVID-19 between March 31, 2020 and March 31, 2021. Resident language, obtained from LTC assessments, was used to classify residents into one of the three linguistic groups: Anglophone (English), Francophone (French), and allophone (other language). Language of the LTC home was determined using a person-time representation of the languages spoken by residents within each LTC home. We defined LTC facilities as French homes when Francophone residents contributed more than 25% of the person-days, and allophone homes when allophone residents contributed more than 50% of the person-days. Residents whose language corresponded to the language of the LTC home in which they were living were said to have received language-concordant care, while all other residents were said to have received language-discordant care. The outcomes of this study were ED visits, hospitalizations, and mortality within 90 days.<\/p>\n<p><strong>Results<\/strong> \u2014 We included a total of 26,829 LTC residents (20,315 Anglophones, 1,032 Francophones, and 5,482 allophones) living in 572 LTC homes (502 English, 28 French, 42 allophone) who were diagnosed with COVID-19. LTC residents who lived in language-discordant homes were more likely to have ED visits (adjusted HR 1.12, 95% CI 1.01\u20131.25) and hospitalizations (adjusted HR 1.15, 95% CI 1.02\u20131.29) when compared to LTC residents who lived in language-concordant homes. Residents-facility language discordance was not associated with overall mortality (adjusted HR 1.00, 95% CI 0.91\u20131.10) or in hospital mortality (adjusted HR 1.04, 95% CI 0.88\u20131.23).<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Residents living in language-discordant LTC facilities experienced more ED visits and hospitalizations following diagnosis of COVID-19. The findings of this study highlight the importance of providing frail, vulnerable individuals with linguistically concordant care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. This study examined the role of linguistic factors on COVID-19 related outcomes in LTC homes. Methods \u2014 We performed a population-based, retrospective cohort study of residents living in LTC homes in Ontario, Canada who were diagnosed with COVID-19 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,39,32,35],"migration-helper-qa-sample-set":[],"class_list":["post-22322","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-infectious-diseases","topic-long-term-care-and-continuing-care","topic-public-health"],"acf":{"citation":"Reaume M, Batista R, Imsirovic H, Bjerre LM, Kendall CE, Bouchard L, Gauthier AP, Landry JR, Chomienne MH, Muray M, Hsu A, Prud'homme D, Manuel DG, Tanuseputro P. <em>BMC Geriatr<\/em>. 2025; 25(1):667.","source_url":"https:\/\/doi.org\/10.1186\/s12877-025-06301-0","ices_scientist":[1163,1157,1323],"site":[6734],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Linguistic factors and COVID-19 outcomes among long-term care residents in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Background \u2014 The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. This study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/linguistic-factors-and-covid-19-outcomes-among-long-term-care-residents-in-ontario-canada\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Linguistic factors and COVID-19 outcomes among long-term care residents in Ontario, Canada\" \/>\n<meta property=\"og:description\" content=\"Background \u2014 The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. 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