Barriers to Equity in Pediatric Hearing Health Care: A Review of the Evidence.
Barriers to Equity in Pediatric Hearing Health Care: A Review of the Evidence.
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DOI：
10.1044/2021_persp-21-00188
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发表时间：
2022-08
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我们回顾了有关聋哑或听力障碍儿童听力保健障碍的证据。有大量数据表明，听力保健差异是导致接受早期听力检测和干预过程的儿童失去随访或记录的一个主要因素。家庭受到这些差异背后的多种因素的影响，导致耳聋或听力障碍儿童的护理延迟和发育结果不佳。为了解决儿童听力损失诊断和管理中出现的社会经济、文化和语言不平等问题，儿科听力学家和言语病理学家有责任为其个人客户及其家庭提供文化响应型实践，并倡导在影响客户日常生活的政策层面进行实质性变革。
We review the evidence regarding barriers to hearing health care for children who are deaf or hard of hearing. There are considerable data to suggest that hearing health care disparities constitute a major factor in loss to follow-up or documentation for children going through the Early Hearing Detection and Intervention process. Families are affected by a combination of factors underlying these disparities, resulting in delayed care and suboptimal developmental outcomes for children who are deaf or hard of hearing. To address the socioeconomic, cultural, and linguistic inequities seen in the diagnosis and management of childhood hearing loss, pediatric audiologists and speech-language pathologists have a responsibility to provide culturally responsive practice to their individual clients and their families, as well as advocate for substantive changes at the policy level that impact their clients’ daily lives.