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Community Perspectives on Hearing Loss in Rural Alaska
Meade Inglis-Jenson1,2,3,4, Samantha Kleindienst Robler2,3,4, Joseph J Gallo5,6,7
1Center for Health Policy and Inequalities Research, Duke University, Durham, North Carolina, USA.
Ear and Hearing
|March 20, 2023
Summary
This study models hearing loss in Alaska
Area of Science:
- Community health
- Public health
- Qualitative research
Background:
- Hearing loss is a significant health concern in remote regions.
- Understanding local contexts is crucial for effective health interventions.
- Previous research has not fully captured the lived experiences of hearing loss in the Bering Strait region.
Purpose of the Study:
- To develop an explanatory model of hearing loss in Alaska's Bering Strait region.
- To contextualize findings from a cluster randomized trial on hearing health.
- To inform regional hearing-related healthcare strategies.
Main Methods:
- Qualitative methods, including focus groups and interviews, were employed.
- Data were collected from 116 participants in focus groups and 101 in interviews.
- The constant comparative method and thematic analysis were used to analyze data.
Main Results:
- Participants highlighted noise-induced and infection-related hearing loss.
- The impact of hearing loss on subsistence, social, academic, and economic aspects was described.
- Treatment pathways were perceived as burdensome, with communication breakdowns noted, though telemedicine and field clinics showed promise.
Conclusions:
- Explanatory models of hearing loss are vital for patient-centered care.
- Addressing repetitive treatments, infection-related hearing loss, mistrust, and communication is essential for improving hearing healthcare in rural Alaska.
- Qualitative methods can generate contextually grounded findings for community-based health research.
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