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Self-perceived Ability to Understand Speech does not Influence CRC Screening Adherence Among Sign Language Users.

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This summary is machine-generated.

Self-perceived hearing ability does not predict colorectal cancer (CRC) screening adherence in American Sign Language (ASL) users. Educational disparities and race impact screening rates, highlighting the need for targeted interventions.

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Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Screening

Background:

  • Colorectal cancer (CRC) screening improves survival, but adherence is limited by education and communication barriers.
  • The deaf, deafblind, and hard of hearing (DDBHH) population using American Sign Language (ASL) face unique systemic barriers to healthcare access.
  • Understanding factors influencing CRC screening in the DDBHH community is crucial for improving health outcomes.

Purpose of the Study:

  • To examine the relationship between self-perceived functional hearing ability and CRC screening adherence among ASL-using adults.
  • To investigate the influence of demographic factors, including age, education, and race, on CRC screening adherence within this population.

Main Methods:

  • A survey of 600 ASL-using adults was conducted using the National Cancer Institute's Health Information National Trends Survey in ASL.
  • Multivariable logistic regression analyzed the association between functional hearing ability (self-perceived ability to understand spoken language) and CRC screening adherence.
  • Analyses adjusted for age, education, race, and marital status, with significance set at p ≤ 0.05.

Main Results:

  • Functional hearing ability was not significantly associated with CRC screening adherence (p=0.44).
  • A significant interaction between age and education was observed (p=0.04), with college graduates showing higher screening rates, particularly younger age groups.
  • Hispanic and Other races were less likely to be screened compared to White participants (p=0.02).

Conclusions:

  • Self-perceived functional hearing ability alone does not predict CRC screening adherence in ASL-using adults.
  • Educational disparities and racial differences significantly impact CRC screening rates within the DDBHH community.
  • ASL-fluent community health workers and patient navigators may help address disparities and improve CRC screening adherence.