Health Literacy and Difficulty Accessing Information About the COVID-19 Pandemic Among Parents Who Are Deaf and Hard-of-Hearing.
Health Literacy and Difficulty Accessing Information About the COVID-19 Pandemic Among Parents Who Are Deaf and Hard-of-Hearing.
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健康素养和难以访问有关聋哑和听力障碍的父母中有关Covid-19的大流行的信息。
DOI：
10.3928/24748307-20221116-01
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发表时间：
2022-10
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聋人和重听人(DHH)与信息边缘化和有限的健康素养作斗争，挑战他们获取预防冠状病毒疾病2019年信息的能力(新冠肺炎)。这项研究评估了语言偏好、健康素养和新冠肺炎信息障碍之间的关系。数据来自一项更大的研究，重点是过去10年内生过孩子的DHH患者。受访者在2020年3月至2021年7月期间完成了一项基于网络的调查。我们根据语言偏好[即美国手语、英语或美国手语/英语双语]对受访者进行分组，并使用Logistic回归模型检验语言偏好和健康素养都与新冠肺炎信息边缘化有关的假设。在总样本(N=417)中，约17%的人健康素养有限，22%的人报告在获取新冠肺炎信息方面遇到困难。在调整后的分析中，健康素养有限([调整后的优势比]AOR=2.245)和西班牙裔种族(AOR=2.149)的受访者报告信息获取障碍的风险更高。语言偏好与报告新冠肺炎信息障碍之间没有关联。然而，健康素养有限的DHH患者在持续的新冠肺炎大流行期间经历信息边缘化的风险更高，这突显了根据获取需求定制信息的必要性。[HLRP：健康素养研究与实践。2022；6(4)：E310-E315。]
People who are deaf and hard-of-hearing (DHH) struggle with information marginalization and limited health literacy, challenging their ability to access information on preventing coronavirus disease 2019 (COVID-19). This study assessed the relationship between language preference, health literacy, and COVID-19 information barriers among parents who are DHH in the United States. Data were drawn from a larger study focused on individuals who are DHH who had given birth in the past 10 years. Respondents completed a web-based survey between March 2020 and July 2021. We segmented respondents by language preference [i.e., American Sign Language (ASL), English, or bilingual ASL/English] and used logistic regression models to test the hypothesis that language preference and health literacy were both associated with COVID-19 information marginalization. Of the total sample (N = 417), approximately 17% had limited health literacy, and 22% reported experiencing difficulty accessing information about COVID-19. In adjusted analyses, respondents with limited health literacy ([adjusted odds ratio] aOR = 2.245) and Hispanic ethnicity (aOR = 2.149) had higher risk of reporting information access barriers. There was no association between language preference and reporting COVID-19 information barriers. However, individuals who are DHH with limited health literacy were at higher risk of experiencing information marginalization during the ongoing COVID-19 pandemic, highlighting the need for tailored information based on access needs. [HLRP: Health Literacy Research and Practice. 2022;6(4):e310–e315.]