自觉理解语音的能力不会影响手语使用者对CRC查的坚持
Regina M Wang1, Erika Bergeron2, Sowmya R Rao3
1Department of Family Medicine, University of California, La Jolla, San Diego, CA, USA.
概括
自我感知听力能力并不能预测美国手语 (ASL) 用户对结肠直肠癌 (CRC) 查的坚持. 教育差异和种族影响查率,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 结肠直肠癌 (CRC) 查提高了生存率,但由于教育和沟通障碍,坚持是有限的.
- 使用美国手语 (ASL) 的聋,聋盲和听障 (DDBHH) 人口面临着独特的系统性障碍,无法获得医疗保健.
- 了解影响DDBHH社区CRC查的因素对于改善健康结果至关重要.
研究的目的:
- 检查ASL使用成年人自我感知功能性听力能力和CRC查遵守之间的关系.
- 调查包括年龄,教育和种族在内的人口因素对CRC查遵守率的影响.
主要方法:
- 在600名使用ASL的成年人中进行了一项调查,该调查使用了国家癌症研究所的健康信息国家趋势调查.
- 多变量逻辑回归分析了功能性听力能力 (理解口语能力的自我感知能力) 和CRC查遵守之间的关联.
- 对年龄,教育,种族和婚姻状况进行调整的分析,显著性设置为p ≤0.05.
主要成果:
- 功能性听力能力与CRC查依从性没有显著关联 (p=0.44).
- 观察到年龄和教育之间的显著相互作用 (p=0.04),大学毕业生显示出更高的查率,特别是年轻年龄组.
- 与白人参与者相比,西班牙裔和其他种族的查可能性较低 (p=0.02).
结论:
- 自我感知功能性听力能力本身并不能预测使用ASL的成年人CRC查的坚持.
- 教育差异和种族差异显著影响DDBHH社区内的CRC查率.
- 流利使用ASL的社区卫生工作者和患者导航员可以帮助解决差异,提高CRC查遵守率.
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