Health Literacy and Hearing Healthcare Use.
Adult
Aged
Aged, 80 and over
Audiometry
/ statistics & numerical data
Cross-Sectional Studies
Educational Status
Female
Health Literacy
/ statistics & numerical data
Hearing Aids
/ economics
Hearing Loss
/ diagnosis
Humans
Insurance Coverage
/ economics
Insurance, Health
/ economics
Male
Middle Aged
Patient Acceptance of Health Care
/ statistics & numerical data
Self Report
/ statistics & numerical data
Severity of Illness Index
Young Adult
Health literacy
healthcare access
hearing aid
hearing healthcare
hearing loss
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
revised:
24
10
2020
received:
29
06
2020
accepted:
23
11
2020
pubmed:
12
12
2020
medline:
8
5
2021
entrez:
11
12
2020
Statut:
ppublish
Résumé
To assess whether health literacy is associated with: 1) degree of hearing loss at initial presentation for audiogram and 2) hearing aid adoption for hearing aid candidates. We identified 1376 patients who underwent audiometric testing and completed a brief health literacy questionnaire at our institution. The association between health literacy and degree of hearing loss at initial presentation was examined using linear regression, adjusted for age, gender, marital status, education level, race, language, employment status, and insurance coverage. The association between health literacy and hearing aid adoption was examined in the subset of patients identified as hearing aid candidates using logistic regression, adjusted for demographic factors and insurance coverage. Patients with inadequate health literacy were more likely to present with more severe hearing loss (adjusted mean pure-tone average [PTA] difference, 5.38 dB, 95% confidence interval [CI] 2.75 to 8.01). For hearing aid candidates (n = 472 [41.6%]), health literacy was not associated with hearing aid adoption rate (odds ratio [OR] 0.85, 95% CI 0.40 to 1.76). Hearing aid coverage through Medicaid (OR 2.22, 95% CI 1.13 to 4.37), and moderate (OR 2.70, 95% CI 1.58 to 4.69) or moderate-severe (OR 2.23, 95% CI 1.19 to 4.16) hearing loss were associated with hearing aid adoption. In our population, patients with low health literacy are more likely to present with higher degrees of hearing loss, but no less likely to obtain hearing aids compared with patients with adequate health literacy. Hearing loss severity and hearing aid coverage by insurance appear to be the main drivers of hearing aid adoption. 3 Laryngoscope, 131:E1688-E1694, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E1688-E1694Informations de copyright
© 2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).
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