Self-Reported Hearing Loss Is Associated With Poorer Health Care Access, Delays, and Communication With Providers During the COVID-19 Pandemic: Findings From the Survey of the Health of Wisconsin COVID-19 Community Impact Survey.
Self-Reported Hearing Loss Is Associated With Poorer Health Care Access, Delays, and Communication With Providers During the COVID-19 Pandemic: Findings From the Survey of the Health of Wisconsin COVID-19 Community Impact Survey.
复制标题
在 COVID-19 大流行期间，自我报告的听力损失与较差的医疗保健获取、延误以及与提供者的沟通有关：威斯康星州健康状况 COVID-19 社区影响调查的结果。
DOI：
10.1044/2023_aja-22-00223
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发表时间：
2023
影响因子：
1.8
通讯作者：
Schultz,Amy
中科院分区：
文献类型：
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作者：
Dillard,LaurenK;Nelson-Bakkum,ErinR;Ouayogodé,MariétouH;Schultz,Amy
本文旨在评估新冠肺炎事件期间自述听力损失与医疗服务可获得性以及与医疗服务提供者沟通延迟和困难的相关性。方法以2021年春季威斯康星州人群健康调查队列研究中的参与者为样本，在网上进行新冠肺炎社区影响调查。听力损失定义为自我报告的听力正常或较差。获得医疗保健的困难和延误分别被定义为自我报告有需要但没有得到医疗护理或自我报告因新冠肺炎而延误预约。与医护人员沟通不良的定义是，自我报告在新冠肺炎疫情期间因戴口罩与医护人员沟通困难。使用Logistic回归模型来评估听力损失与医疗保健结果之间的关系。结果以优势比(OR)的形式呈现，可信区间为95%(95%CI)。首先，模特们根据年龄和性别进行了调整。接下来，模型还根据教育、种族/民族、自我评估的健康状况和慢性病的数量进行了调整。结果这项研究包括1,582名参与者(62.3%的女性；11.9%的非白人；年龄范围：18-75岁以上)。听力损失人数为196人(12.4%)。经多因素调整后，新冠肺炎大流行期间，自述听力损失与较差的医疗服务可及性(OR=2.41，95%CI[1.62，3.59])、医疗服务延误(OR=1.93，95%CI[1.37，2.71])以及与戴口罩的医疗服务提供者沟通困难(OR=3.31，95%CI[2.15，5.08])相关。结论新冠肺炎疫情对听力损失患者获得和使用医疗服务困难的影响可能加剧。特别是在使用口罩和/或电信提供医疗服务的情况下，需要能够优化听力损失患者的医疗体验的干预措施。
PurposeThis article aimed to evaluate associations of self-reported hearing loss with health care access and delays and difficulties communicating with health care providers during the COVID-19 pandemic.MethodThe COVID-19 Community Impact Survey was administered online to a sample of participants from the population-based Survey of the Health of Wisconsin study cohort in Spring 2021. Hearing loss was defined as self-reported fair or poor hearing. Difficulty with health care access and delays were defined as self-reporting needing but not getting medical care or self-reporting delays in appointments due to COVID-19, respectively. Poor communication with health care providers was defined as self-reported difficulties communicating with health care providers due to wearing a mask during the COVID-19 pandemic. Logistic regression models were used to evaluate associations between hearing loss and the health care outcomes. Results are presented as odds ratios (ORs) with 95% confidence intervals (95% CIs). First, models were adjusted for age and sex. Next, models were additionally adjusted for education, race/ethnicity, self-rated health, and number of chronic conditions.ResultsThis study included 1,582 participants (62.3% women; 11.9% non-White; age range: 18–75+ years). The number of participants with hearing loss was 196 (12.4%). After multivariable adjustment, self-reported hearing loss was associated with poorer health care access (OR= 2.41, 95% CI [1.62, 3.59]), health care delays (OR= 1.93, 95% CI [1.37, 2.71]), and increased difficulty communicating with health care providers wearing face masks (OR= 3.31, 95% CI [2.15, 5.08]) during the COVID-19 pandemic.ConclusionsThe impacts of the COVID-19 pandemic on difficulties accessing and using health care are likely exacerbated for individuals with hearing loss. There is a need for interventions that will optimize health care experiences for individuals with hearing loss, particularly when face masks and/or telecommunications are used to provide health care services.