Impact of Communication on Preventive Services Among Deaf American Sign Language Users

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  McKee, Michael M. ; Barnett, Steve L. ; Block, Robert C. ; Pearson, Thomas A.
• Description:
  Background
  
  Deaf American Sign Language (ASL) users face communication and language barriers that limit healthcare communication with their providers. Prior research has not examined preventive services with ASL-skilled clinicians.
  
  Purpose
  
  The goal of this study was to determine whether provider language concordance is associated with improved receipt of preventive services among deaf respondents.
  
  Methods
  
  This cross-sectional study included 89 deaf respondents aged 50–75 years from the Deaf Health Survey (2008), a BRFSS survey adapted for use with deaf ASL users. Association between the respondent's communication method with the provider (i.e., categorized as either concordant–doctor signs or discordant–other) and preventive services use was assessed using logistic regression adjusting for race, gender, income, health status, health insurance, and education. Analyses were conducted in 2010.
  
  Results
  
  Deaf respondents who reported having a concordant provider were more likely to report a greater number of preventive services (OR 3.42; 95% CI:1.31, 8.93; p=0.0122) when compared to deaf respondents who reported having a discordant provider even after adjusting for race, gender, income, health status, health insurance, and education. In unadjusted analyses, deaf respondents who reported having a concordant provider were more likely to receive an influenza vaccination in the past year (OR 4.55; p=0.016) when compared to respondents who had a discordant provider.
  
  Conclusions
  
  Language-concordant patient–provider communication is associated with higher appropriate use of preventive services by deaf ASL users.
  
  
• Subjects:
  Aged Article Behavioral Risk Factor Surveillance System Communication Cross-Sectional Studies Deafness Female Humans Influenza Vaccines Logistic Models Male Middle Aged Physician-Patient Relations Preventive Health Services Sign Language

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• Source:
  Am J Prev Med. 2011; 41(1):75-79
• Pubmed ID:
  21665066
• Pubmed Central ID:
  PMC3117257
• Document Type:
  Journal Article
• Funding:
  T32 HL007937-10/HL/NHLBI NIH HHS/United States ; K08 HS015700/HS/AHRQ HHS/United States ; U48 DP000031/DP/NCCDPHP CDC HHS/United States ; U48 DP001910/DP/NCCDPHP CDC HHS/United States ; K01 HL103140-01/HL/NHLBI NIH HHS/United States ; K08 HS15700/HS/AHRQ HHS/United States ; KL2 RR 024136/RR/NCRR NIH HHS/United States ; K01 HL103140/HL/NHLBI NIH HHS/United States ; KL2 RR024136/RR/NCRR NIH HHS/United States ; T32 HL007937/HL/NHLBI NIH HHS/United States
• Volume:
  41
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6f3d31b64b146eb346eca9554b18c9228fbb7f54b4651b9913811a9b76907719
• Download URL:
  https://stacks.cdc.gov/view/cdc/33211/cdc_33211_DS1.pdf
• File Type:
  [PDF - 64.32 KB ]