Unmet Dental Needs Among Mid-to-Older Deaf and Hard of Hearing Women in the U.S.

IF 3.3 4区管理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Tourist Studies Pub Date : 2022-05-20 eCollection Date: 2022-01-01 DOI:10.3389/froh.2022.866537

Andrew Donald, Sowmya R Rao, Katja Jacobs, Nthabeleng MacDonald, Poorna Kushalnagar

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Abstract

Introduction: Despite the significant number of deaf and hard of hearing (DHH) people living in the U.S., oral health research on DHH people who use American Sign Language (ASL) is virtually nonexistent. This study aims to investigate dental needs among mid-to-older DHH women and identify social determinants of health that may place them at higher risk for unmet dental health needs as the primary outcome.

Methods: This cross-sectional study uses data drawn from Communication Health domain in the PROMIS-DHH Profile and oral health data from the National Health and Nutrition Examination Survey. Both measures were administered in ASL and English between November 2019 and March 2020. Univariate and bivariate analysis included only complete data, and multivariable logistic regression analyses were conducted on multiply imputed data.

Results: Out of 197 DHH women (41 to 71+ years old) who answered the dental visit question, 48 had unmet dental needs and 149 had met dental needs. Adjusting for sociodemographic variables, disparity in dental needs was observed across education [OR (95% CI): 0.45(0.15, 1.370)] and communication health [0.95 (0.90, 1.01)].

Discussion: Our study is the first to describe DHH mid-to-older women's access to oral health care. DHH women who do not have a college degree may be impacted. Further research is needed to elucidate the particular risk factors, including cultural, to which DHH individuals from marginalized racial groups are susceptible to unmet oral health needs.

Conclusions: Evidence shows that DHH ASL users who have less years of education or are single experience barriers in accessing dental care.

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美国中老年聋人和重听妇女未得到满足的牙科需求

简介：尽管生活在美国的聋人和听力障碍者（DHH）人数众多，但针对使用美国手语（ASL）的 DHH 的口腔健康研究却几乎不存在。本研究旨在调查中老年 DHH 妇女的牙科需求，并以未满足牙科健康需求为主要结果，确定可能使她们面临更高风险的健康社会决定因素：这项横断面研究使用的数据来自 PROMIS-DHH Profile 中的沟通健康领域和全国健康与营养调查中的口腔健康数据。这两项测量均在 2019 年 11 月至 2020 年 3 月期间以 ASL 和英语进行。单变量和双变量分析仅包括完整数据，多变量逻辑回归分析则针对多重归因数据进行：在回答牙科就诊问题的 197 名 DHH 女性（41 至 71 岁以上）中，48 人的牙科需求未得到满足，149 人的牙科需求得到满足。在对社会人口变量进行调整后，发现不同教育程度[OR (95% CI)：0.45(0.15, 1.370)]和沟通健康[0.95(0.90, 1.01)]的人群在牙科需求方面存在差异：我们的研究首次描述了 DHH 中老年妇女获得口腔保健的情况。没有大学学历的 DHH 女性可能会受到影响。还需要进一步研究，以阐明边缘化种族群体中的 DHH 个人容易出现口腔健康需求得不到满足的特殊风险因素，包括文化因素：有证据表明，受教育年限较低或单身的 DHH ASL 使用者在获得牙科保健方面会遇到障碍。

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来源期刊

Tourist Studies HOSPITALITY, LEISURE, SPORT & TOURISM-

CiteScore

6.90

自引率

4.20%

发文量

期刊介绍： Tourist Studies is a multi-disciplinary journal providing a platform for the development of critical perspectives on the nature of tourism as a social phenomenon through a qualitative lens. Theoretical and multi-disciplinary. Tourist Studies provides a critical social science approach to the study of the tourist and the structures which influence tourist behaviour and the production and reproduction of tourism. The journal examines the relationship between tourism and related fields of social inquiry. Tourism and tourist styles consumption are not only emblematic of many features of contemporary social change, such as mobility, restlessness, the search for authenticity and escape, but they are increasingly central to economic restructuring, globalization, the sociology of consumption and the aestheticization of everyday life. Tourist Studies analyzes these features of tourism from a multi-disciplinary perspective and seeks to evaluate, compare and integrate approaches to tourism from sociology, socio-psychology, leisure studies, cultural studies, geography and anthropology. Global Perspective. Tourist Studies takes a global perspective of tourism, widening and challenging the established views of tourism presented in current periodical literature. Tourist Studies includes: Theoretical analysis with a firm grounding in contemporary problems and issues in tourism studies, qualitative analyses of tourism and the tourist experience, reviews linking theory and policy, interviews with scholars at the forefront of their fields, review essays on particular fields or issues in the study of tourism, review of key texts, publications and visual media relating to tourism studies, and notes on conferences and other events of topical interest to the field of tourism studies.