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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
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Self-perceived Ability to Understand Speech does not Influence CRC Screening Adherence Among Sign Language Users
Regina M Wang1, Erika Bergeron2, Sowmya R Rao3
1Department of Family Medicine, University of California, La Jolla, San Diego, CA, USA.
Summary
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.
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.
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