Dimensions of Deaf/Hard-of-Hearing and Hearing Adolescents' Health Literacy and Health Knowledge.
Dimensions of Deaf/Hard-of-Hearing and Hearing Adolescents' Health Literacy and Health Knowledge.
复制标题
DOI：
10.1080/10810730.2016.1179368
复制
发表时间：
2016
影响因子：
4.4
通讯作者：
Samar VJ
中科院分区：
文献类型：
--
作者：
Smith SR;Samar VJ
与听力正常的成年人相比，失聪和听力困难 (D/HH) 成年人的健康素养较低，但尚不清楚这种差异是否也发生在青春期。我们使用健康素养技能简表（HLSI-SF）、功能健康素养简表（S-TOFHLA）、心脏病综合知识问卷（CHDKQ）以及新构建的互动和关键健康素养调查项目来量化D/HH和听力青少年的健康素养。我们将调查材料改编并翻译成手语和英语口语，以减少由于英语语言技能不同而导致的测试偏差。参与者包括 187 名 D/HH 学生和 94 名听力正常的即将上大学的高中生。调整年龄、性别、种族/族裔、学校成绩和 SES 后，D/HH 青少年在 HLSI、S-TOFHLA 和 CHDKQ 上表现出比听力正常的青少年更弱的一般和功能健康素养和心血管健康知识（所有 p <.0001）。标准健康素养或知识分数与多种互动和关键健康素养技能相关（所有 p<0.05）。报告称具有较高听力文化认同、佩戴助听器、使用辅助设备获得更好听力、与家长沟通质量良好以及至少有一半时间参加听力学校的 D/HH 青少年具有较高的功能健康素养（所有 p<0.025）。那些自称英语为最佳语言且至少有一半时间就读听力学校的人心血管健康知识得分较高（所有 p<0.03）。结果表明，提高 D/HH 青少年健康素养的干预措施应针对他们与家人的健康相关对话、获取印刷版健康信息以及从其他人（尤其是医疗保健提供者和教育工作者）获取健康信息。
Deaf and hard-of-hearing (D/HH) adults have lower health literacy compared to hearing adults but it is unclear if this disparity also occurs in adolescence. We used the Health Literacy Skills Instrument-Short Form (HLSI-SF), Short Form of the Test of Functional Health Literacy (S-TOFHLA), Comprehensive Heart Disease Knowledge Questionnaire (CHDKQ) and newly constructed interactive and critical health literacy survey items to quantify D/HH and hearing adolescents’ health literacy. We adapted and translated survey materials into sign language and spoken English to reduce testing bias due to variable English language skills. Participants were 187 D/HH and 94 hearing college-bound high school students. Adjusting for age, gender, race/ethnicity, school grade, and SES, D/HH adolescents demonstrated weaker general and functional health literacy and cardiovascular health knowledge than hearing adolescents on the HLSI, S-TOFHLA, and CHDKQ (all p’s<.0001). Standard health literacy or knowledge scores were associated with several interactive and critical health literacy skills (all p’s<.05). D/HH adolescents who reported greater hearing-culture identity, having hearing aids, experiencing better hearing with assistive devices, having good quality of communication with parents, and attending hearing schools at least half of the time had higher functional health literacy (all p’s<.025). Those who reported English as their best language and attending hearing schools at least half the time had higher cardiovascular health knowledge scores (all p’s< .03). Results suggest that interventions to improve D/HH adolescents’ health literacy should target their health-related conversations with their families, access to printed health information, and access to health information from other people, especially health care providers and educators.