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Soledad Jorge, Shatreen Masshoor, Heidi J. Gray, Elizabeth M. Swisher, and Kemi M. Doll

underrepresented in clinical trials is well documented. 11 – 13 However, the underlying mechanisms are not fully understood. Limited English proficiency (LEP) is a known barrier in healthcare 14 – 19 that may drive other disparities in trial enrollment

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Joseph M. Unger

wished to enroll. 5 With this as background, the findings from Jorge et al, 6 reported elsewhere in this issue, represent an important contribution to the literature. The authors investigated the role of limited English proficiency (LEP) as a reason

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Bethany L. Niell

income or education level, rural residence, limited English proficiency, and lack of health insurance or higher out-of-pocket copayments contribute to the current screening and surveillance disparities. 5 Because most states do not mandate insurance

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Katy E. Balazy, Cecil M. Benitez, Paulina M. Gutkin, Clare E. Jacobson, Rie von Eyben, and Kathleen C. Horst

patients—18.8% of California’s households have limited English proficiency versus 8.2% of households nationwide. 21 – 23 The most represented languages in California are Spanish (64.8%), Chinese (Cantonese or Mandarin, 7.7%), and Vietnamese (3.4%). Similar

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Daphne Y. Lichtensztajn, John T. Leppert, James D. Brooks, Sumit A. Shah, Weiva Sieh, Benjamin I. Chung, Scarlett L. Gomez, and Iona Cheng

cancer . Cancer 2006 ; 106 : 1865 – 1874 . 19. Cox J Amling CL . Current decision-making in prostate cancer therapy . Curr Opin Urol 2008 ; 18 : 275 – 278 . 20. Sentell T Braun KL . Low health literacy, limited English