Considering parental hearing status as a social determinant of deaf population health: Insights from experiences of the "dinner table syndrome"
Considering parental hearing status as a social determinant of deaf population health: Insights from experiences of the "dinner table syndrome"
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DOI：
10.1371/journal.pone.0202169
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发表时间：
2018-09-05
期刊：
影响因子：
3.7
通讯作者：
Dye, Timothy D. V.
中科院分区：
文献类型：
--
作者：
Hall, Wyatte C.;Smith, Scott R.;Dye, Timothy D. V.
早期语言和交流经验对终身健康结果的影响正在受到越来越多的公共卫生关注。大多数失聪儿童的父母都没有手语，他们面临着无法体验完全无障碍语言环境的风险，这可能是造成已知失聪人口健康差异的一个因素。儿童期的间接家庭沟通，如自发的谈话和常规的家庭环境（如家庭聚餐，娱乐，乘车）中的倾听，是健康相关的情境学习机会的重要来源。本研究的目的是评估父母听力状况对聋人回忆童年间接家庭沟通的影响。我们分析了2013年罗切斯特聋人健康调查（n = 211名聋人）的数据，以了解社会人口因素（包括父母听力状况）之间的关联，并回顾了儿童间接家庭沟通的途径。父母听力状况预测成年聋人回忆童年间接家庭沟通的机会（chi（2）= 31.939，p < .001）。对于那些听力正常的父母，聋人成年人报告“有时到永远”回忆起对童年家庭间接沟通的理解的可能性增加了17.6倍。在这项研究中，没有其他社会人口统计学或特定的因素预测聋人成年人获得儿童间接家庭沟通。这项研究发现，有听力父母的聋人更有可能报告在童年时期获得有限的情境学习机会。因此，父母的听力状况和幼儿语言经验，需要进一步调查，作为可能的健康的社会决定因素，制定干预措施，改善终身健康和社会成果的服务不足的聋人人口。
The influence of early language and communication experiences on lifelong health outcomes is receiving increased public health attention. Most deaf children have non-signing hearing parents, and are at risk for not experiencing fully accessible language environments, a possible factor underlying known deaf population health disparities. Childhood indirect family communication-such as spontaneous conversations and listening in the routine family environment (e.g. family meals, recreation, car rides)-is an important source of health-related contextual learning opportunities. The goal of this study was to assess the influence of parental hearing status on deaf people's recalled access to childhood indirect family communication. We analyzed data from the Rochester Deaf Health Survey-2013 (n = 211 deaf adults) for associations between sociodemographic factors including parental hearing status, and recalled access to childhood indirect family communication. Parental hearing status predicted deaf adults' recalled access to childhood indirect family communication (chi(2) = 31.939, p < .001). The likelihood of deaf adults reporting "sometimes to never" for recalled comprehension of childhood family indirect communication increased by 17.6 times for those with hearing parents. No other sociodemographic or deaf-specific factors in this study predicted deaf adults' access to childhood indirect family communication. This study finds that deaf people who have hearing parents were more likely to report limited access to contextual learning opportunities during childhood. Parental hearing status and early childhood language experiences, therefore, require further investigation as possible social determinants of health to develop interventions that improve lifelong health and social outcomes of the underserved deaf population.