scholarly journals Translating Public Health Practices: Community-Based Approaches for Addressing Hearing Health Care Disparities

2019 ◽  
Vol 40 (01) ◽  
pp. 037-048 ◽  
Author(s):  
Nicole Marrone ◽  
Hae-Ra Han ◽  
Frank Lin ◽  
Carrie Nieman ◽  
Jonathan Suen
Keyword(s):  
Public Health ◽  
Health Care ◽  
Hearing Loss ◽  
Health Care Disparities ◽  
Underserved Populations ◽  
Interdisciplinary Approach ◽  
Health Practices ◽  
Community Based ◽  
Age Related ◽  
Hearing Health

AbstractEpidemiologic studies reveal disparities in hearing health care with lower prevalence of hearing aid use among older adults from racial/ethnic minority groups and lower socioeconomic positions. Recent national reports recommend exploring innovative delivery models to increase the accessibility and affordability of hearing health care, particularly for underserved and vulnerable populations. With an expected rise in the prevalence of age-related hearing loss over the next four decades due to a rapidly aging population, the condition is a growing public health imperative. This review describes key public health practices for developing and delivering community-based care that characterizes an emerging area of research in novel approaches of hearing loss management programs to reach underserved populations. With evolving technologies that enable care to extend beyond the clinic, adapting a long-utilized community health worker approach presents a strategy for the field of hearing health care to be actively involved in designing and leading initiatives for achieving hearing health equity. Principles from community-based participatory research offer a paradigm for the field to integrate into its research endeavors for addressing disparities. An interdisciplinary approach for engaging these challenges offers hearing health care researchers and providers an opportunity to advance the field and delivery of care.

scholarly journals Promoting healthy hearing over the lifespan

2021 ◽  
Author(s):  
James W. Hall III
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Test Battery ◽  
Patient Specific ◽  
Comorbid Conditions ◽  
Specific Test ◽  
Age Related ◽  
Central Auditory Function ◽  
Hearing Health ◽  
Age Related Hearing Loss

Background and Aim: Comorbid conditions and unhealthy lifestyles are risk factors for auditory dysfunction, including age-related hearing loss. With a focus on adults, this paper describes a new approach to hearing health care that aims to prevent or mitigate hearing loss and related disorders, like tinnitus. Accurate diagnosis and effective management of hearing loss is best achieved with a patient-specific test battery that includes sensitive measures of peripheral and central auditory function. Background and Aim: Comorbid conditions and unhealthy lifestyles are risk factors for auditory dysfunction, including age-related hearing loss. With a focus on adults, this paper describes a new approach to hearing health care that aims to prevent or mitigate hearing loss and related disorders, like tinnitus. Accurate diagnosis and effective management of hearing loss is best achieved with a patient-specific test battery that includes sensitive measures of peripheral and central auditory function. Conclusion: The traditional model for hearing health care service delivery relies on a rather outdated and simplistic protocol for evaluating and describing hearing loss, and a technologyfocused approach for management. This paper offers an evidence-based rationale for expanding the test battery for diagnosing hearing loss, and a multidisciplinary intervention approach.   Keywords: Comorbid conditions; smoking; diet; value-added tests

“Now, I am Empowered. Now, I am a Woman With Spirit”: Evaluating CARE’s Public Health Work Through a Community-Organizing Framework in Sri Lanka and Bangladesh

2020 ◽  
pp. 0272684X2091662
Author(s):  
Andrew Saxon ◽  
Jessie V. Ford
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
International Development ◽  
Community Organizing ◽  
Health Care Disparities ◽  
Underserved Populations ◽  
Community Change ◽  
Coalition Building ◽  
Community Members ◽  
Community Based

Community-based interventions are crucial to reducing health-care disparities throughout the world. CARE, an international development nongovernmental organization (NGO), is a global leader in using a community-based approach in public health. This qualitative study sought to understand the processes through which community organizing functions to effectively facilitate change and improve health among underserved populations in three programs in Sri Lanka and Bangladesh. Sixteen in-depth interviews and two focus groups were conducted with NGO staff, partner organization staff, and community change agents. Programs are assessed through Ganz’s community-organizing model, which includes (a) leadership development, (b) storytelling strategies, and (c) team building. Our findings confirm existing literature showing that public health approaches can be augmented by using community organizing to develop local engagement. Results show that program success relates to developing community members’ understanding of social inequality and its impact on society. Other important strategies include systems strengthening, political engagement, coalition building, and government outreach. Empowered communities were created through recruiting, activating, and investing in community members, their stories, and their collaborative potential, at least in the sites studied here. Collectively, these programs have begun to create empowered communities among some of the most marginalized people in Sri Lanka and Bangladesh.

scholarly journals The GoAudio Quantitative Mobile Audiology Test Enhances Access to Clinical Hearing Assessments

2020 ◽  
Vol 29 (4) ◽  
pp. 887-897
Author(s):  
Alaa Koleilat ◽  
David P. Argue ◽  
Lisa A. Schimmenti ◽  
Stephen C. Ekker ◽  
Gayla L. Poling
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Assessment Tool ◽  
Primary Study ◽  
Age Related ◽  
Hearing Thresholds ◽  
Study Results ◽  
Hearing Assessment ◽  
Hearing Health ◽  
Age Related Hearing Loss

Purpose Hearing loss is a common impairment of the human senses with an estimated 48 million American adults reporting some trouble hearing; however, access to hearing health care is limited. Detection of hearing loss through a mobile, handheld tool can provide an important access point and potentially expedited access to the continuum of hearing health care. Here, we determined that GoAudio, a portable, automated hearing assessment tool, can be used to identify individuals who require additional hearing evaluation in a clinical workflow. Method This initial study included 24 adults, ages 18–65 years ( M = 50, SD = 12), tested with GoAudio versus “gold-standard” clinical audiometry for eight frequencies to evaluate “real-world” applications. Participants utilized noise-canceling headphones combined with a tablet-based application for the GoAudio assessment. Results The primary study outcome measurements were the comparison of hearing thresholds (dB HL) from clinical audiometry and GoAudio. Results suggest that GoAudio is comparable to clinical audiometry for the identification of hearing loss at most frequencies (except 1 kHz for both ears and 2 kHz in the right ear). Upon stratifying data based on age, we identified that GoAudio is capable of identifying suspected age-related hearing loss or hearing thresholds greater than 30 dB HL at higher frequencies in both ears. Conclusion The study results support that GoAudio can be used effectively in clinical practice workflows as a reliable hearing assessment tool for the identification of hearing loss at the majority of frequencies outside a sound-treated booth and can detect characteristics of age-related hearing loss. Supplemental Material https://doi.org/10.23641/asha.13087682

scholarly journals The need for translation and cultural adaptation of audiology questionnaires to enable the development of hearing healthcare policies in the Pacific Islands: a Samoan perspective

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Annette Kaspar ◽  
Sione Pifeleti ◽  
Carlie Driscoll
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Hearing Loss ◽  
Health Policy ◽  
Cultural Adaptation ◽  
Pacific Islands ◽  
Health Resources ◽  
The Pacific ◽  
Hearing Health ◽  
Translation And Cultural Adaptation

Abstract Background Translation and cultural adaptation of health resources is an integral part of good health-policy development and health program implementation. As part of our efforts to address ear disease and hearing loss in the Pacific Islands, we promote the translation an cultural adaptation of hearing-related questionnaires into local languages and cultural contexts. The Pacific Islands have among the highest rates of ear and hearing disorders in the world and, given the scarcity of ear/hearing health professionals in the region, a public health approach that uses appropriately translated ear/hearing health resources is highly recommended to tackle this health issue. Although formal translation and culturally adaption of hearing-related questionnaires may seem a cumbersome process, the aim of this commentary is to illustrate the potential benefits of translating two audiology questionnaires for our use in Samoa. We have carefully selected questionnaires that will serve multiple purposes (i.e., clinical, epidemiology, monitoring and evaluation, evidence-based health policy formulation and implementation), thus making the process ultimately beneficial and worthwhile. Main body The leading cause of preventable hearing loss among Samoan adolescents and young people is excessive noise exposure to recreational and environmental noise. The Youth Attitude to Noise Scale is a validated tool that assess knowledge and attitudes of adolescents towards recreational and environmental noise, and a Samoan version should provide preliminary data to guide health promotion activities for adolescents on noise-induced hearing loss. The leading cause of hearing disability among older adult Samoans is age-related hearing loss. The Revised Hearing Handicap Inventory is a tool that assess the emotional and social/situational impact of hearing difficulty among older adults, and a Samoan version should provide preliminary data to guide the development of auditory rehabilitation services. Conclusion Investment in quality translations and cultural adaptations of hearing-related questionnaires is essential for the development of audiology services that are relevant to their Pacific Island context. The use of formally translated audiology questionnaires in research studies will optimise data quality, leading to improved hearing health promotion activities, as well as provision of evidence for advocacy for public health noise policy legislation.

scholarly journals An Overview of Cancer Health Disparities: New Approaches and Insights and Why They Matter

2020 ◽  
Author(s):  
Tsion Zewdu Minas ◽  
Maeve Kiely ◽  
Anuoluwapo Ajao ◽  
Stefan Ambs
Keyword(s):  
Health Care ◽  
Health Disparities ◽  
Social Stress ◽  
Access To Health Care ◽  
Health Care Disparities ◽  
Underserved Populations ◽  
Tumor Biology ◽  
Cultural Barriers ◽  
Cancer Therapies ◽  
Cancer Health Disparities

Abstract Cancer health disparities remain stubbornly entrenched in the US health care system. The Affordable Care Act was legislation to target these disparities in health outcomes. Expanded access to health care, reduction in tobacco use, uptake of other preventive measures and cancer screening, and improved cancer therapies greatly reduced cancer mortality among women and men and underserved communities in this country. Yet, disparities in cancer outcomes remain. Underserved populations continue to experience an excessive cancer burden. This burden is largely explained by health care disparities, lifestyle factors, cultural barriers, and disparate exposures to carcinogens and pathogens, as exemplified by the COVID-19 epidemic. However, research also shows that comorbidities, social stress, ancestral and immunobiological factors, and the microbiome, may contribute to health disparities in cancer risk and survival. Recent studies revealed that comorbid conditions can induce an adverse tumor biology, leading to a more aggressive disease and decreased patient survival. In this review, we will discuss unanswered questions and new opportunities in cancer health disparity research related to comorbid chronic diseases, stress signaling, the immune response, and the microbiome, and what contribution these factors may have as causes of cancer health disparities.

Health Educators' Knowledge of Hearing, Hearing Loss, and Hearing Health Practices

1990 ◽  
Vol 21 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Norman J. Lass ◽  
Charles M. Woodford ◽  
Conrad Lundeen ◽  
Phylisa J. English ◽  
John F. Schmitt ◽  
...  
Keyword(s):  
Hearing Loss ◽  
West Virginia ◽  
Continuing Education ◽  
School Health ◽  
Health Practices ◽  
Health Educators ◽  
Education Programs ◽  
Hearing Health

A questionnaire on hearing, hearing loss, and hearing health practices was constructed by the authors and completed by 89 school health educators in West Virginia, Alabama, Louisiana, Mississippi, Pennsylvania, and Maryland. Results of their responses indicate some deficiencies in knowledge of hearing, hearing loss, and the effect of noise on hearing. Implications of these findings and suggestions for preservice and continuing education programs for school health educators are discussed.

Auditory Risk to Unprotected Bystanders Exposed to Firearm Noise

2011 ◽  
Vol 22 (02) ◽  
pp. 093-103 ◽  
Author(s):  
Gregory A. Flamme ◽  
Michael Stewart ◽  
Deanna Meinke ◽  
James Lankford ◽  
Per Rasmussen
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Data Collection ◽  
Descriptive Study ◽  
Poor Agreement ◽  
Acoustic Characteristics ◽  
Sound Levels ◽  
Data Collection And Analysis ◽  
Hearing Health ◽  
Damage Risk

Background: What is the risk of hearing loss for someone standing next to a shooter? Friends, spouses, children, and other shooters are often present during hunting and recreational shooting activities, and these bystanders seem likely to underestimate the hazard posed by noise from someone else's firearm. Hunters use hearing protection inconsistently, and there is little reason to expect higher use rates among bystanders. Acoustic characteristics and estimates of auditory risk from gunfire noise next to the shooter were assessed in this study. Research Design: This was a descriptive study of auditory risk at the position of a bystander near a recreational firearm shooter. Data Collection and Analysis: Recordings of impulses from 15 recreational firearms were obtained 1 m to the left of the shooter outdoors away from reflective surfaces. Recordings were made using a pressure-calibrated 1/4 inch measurement microphone and digitally sampled at 195 kHz (24 bit depth). The acoustic characteristics of these impulses were examined, and auditory risk estimates were obtained using three contemporary damage-risk criteria (DRCs) for unprotected listeners. Results: Instantaneous peak levels at the bystander location ranged between 149 and 167 dB SPL, and 8 hr equivalent continuous levels (LeqA8) ranged between 64 and 83 dB SPL. Poor agreement was obtained across the three DRCs, and the DRC that was most conservative varied with the firearm. The most conservative DRC for each firearm permitted no unprotected exposures to most rifle impulses and fewer than 10 exposures to impulses from most shotguns and the single handgun included in this study. More unprotected exposures were permitted for the guns with smaller cartridges and longer barrel length. Conclusions: None of the recreational firearms included in this study produced sound levels that would be considered safe for all unprotected listeners. The DRCs revealed that only a few of the small-caliber rifles and the smaller-gauge shotguns permitted more than a few shots for the average unprotected listener. This finding is important for professionals involved in hearing health care and the shooting sports because laypersons are likely to consider the bystander location to be inherently less risky because it is farther from the gun than the shooter.

Sign in / Sign up

Export Citation Format

Share Document