Evaluating Equity Through the Social Determinants of Hearing Health.
Evaluating Equity Through the Social Determinants of Hearing Health.
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通过听力健康的社会决定因素评估公平性。
DOI：
10.1097/aud.0000000000001188
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发表时间：
2022-07-01
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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成人听力损失是全球一个重大的公共卫生问题。未被诊断和治疗的听力损失对受影响者的健康以及社会、职业和情感福祉产生了显著影响。尽管有大量的医疗资源用于识别和管理听力损失，但在治疗效果以及听力医疗服务的获取和利用方面存在巨大差异。不同人群的听力康复效果可能差异很大，从更广泛的意义上迫切需要了解影响公平治疗效果、获取和利用的因素。这些因素可根据被广泛接受的健康社会决定因素框架进行分类，世界卫生组织将其定义为“人们出生、成长、工作、生活和衰老的条件”。根据《健康人民2030》，这些决定因素可分为以下几个领域：医疗服务的获取和质量、教育的获取和质量、社会和社区环境、经济稳定性以及邻里和建筑环境。本文对这些领域进行了定义，并研究了已发表的相关研究以及每个领域研究中的空白，因为这些都与听力健康和医疗服务有关。在此，我们回顾了关于健康社会决定因素的基础资料以及专注于该主题的听力相关研究。进一步考虑了如何系统地评估这些因素，并将其纳入转化研究和听力医疗服务中。
Hearing loss in adults is a significant public health problem throughout the world. Undiagnosed and untreated hearing loss causes a measurable impact on health and social, occupational, and emotional well-being of those affected. In spite of a wide array of health care resources to identify and manage hearing loss, there exist vast disparities in outcomes, as well as access to and utilization of hearing healthcare. Hearing rehabilitation outcomes may vary widely among different populations and there is a pressing need to understand, in a broader sense, the factors, that influence equitable outcomes, access, and utilization. These factors can be categorized according to the widely accepted framework of social determinants of health, which is defined by the World Health Organization as “the conditions in which people are born, grow, work, live, and age.” According to HealthyPeople2030, these determinants can be broken into the following domains: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. This article defines these domains and examines the published research and the gaps in research of each of these domains, as it pertains to hearing health and healthcare. Herein, we review foundational sources on the social determinants of health and hearing-related research focused on the topic. Further consideration is given to how these factors can be evaluated in a systematic fashion and be incorporated into translational research and hearing health care.