Understanding Hearing Loss and Barriers to Hearing Health Care Among Korean American Older Adults: A Focus Group Study

被引:18
作者
Choi, Janet S. [1 ]
Shim, Kyoo S. [2 ]
Kim, Kunhwa [2 ]
Nieman, Carrie L. [3 ,4 ,5 ,6 ]
Mamo, Sara K. [6 ]
Lin, Frank R. [3 ,4 ,5 ,6 ,7 ,8 ,9 ]
Han, Hae-Ra [10 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Dept Otolaryngol Head & Neck Surg, Los Angeles, CA USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[3] Johns Hopkins Univ, Dept Otolaryngol, Baltimore, MD USA
[4] Johns Hopkins Univ, Dept Head, Baltimore, MD USA
[5] Johns Hopkins Univ, Dept Neck Surg, Baltimore, MD USA
[6] Johns Hopkins Med Inst, Ctr Aging & Hlth, Baltimore, MD 21205 USA
[7] Johns Hopkins Univ, Dept Geriatr Med, Baltimore, MD USA
[8] Johns Hopkins Univ, Dept Mental Hlth, Baltimore, MD USA
[9] Johns Hopkins Univ, Dept Epidemiol, Baltimore, MD USA
[10] Johns Hopkins Univ, Sch Nursing, Dept Community Publ Hlth, Baltimore, MD USA
关键词
hearing loss; Korean American; hearing health care; hearing aids; immigrant health; NUTRITION EXAMINATION SURVEY; QUALITY-OF-LIFE; CULTURAL COMPETENCE; SIGNIFICANT OTHERS; NATIONAL-HEALTH; LOSS PREVALENCE; SOCIAL SUPPORT; HELP-SEEKING; AID USE; IMPAIRMENT;
D O I
10.1177/0733464816663554
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Hearing loss is associated with an accelerated decline in social, cognitive, and physical functioning among older adults. However, little is known about its impact and barriers to hearing health care in any ethnic minorities. The aim of this study was to explore experiences related to hearing loss and barriers to hearing health care among older Korean Americans (KAs). We conducted four focus groups with 19 older KAs with hearing loss and four communication partners. Qualitative content analysis revealed four themes: (a) impact of hearing loss, (b) self-perception of hearing loss, (c) coping strategies for hearing loss, and (d) barriers to hearing health care (price, language, lack of collaborative communications, perceptions about hearing aids, and lack of knowledge). Older KAs were significantly impacted by hearing loss but tended not to seek care due to multiple factors. Culturally tailored hearing interventions are urgently needed to promote hearing health in the KA community.
引用
收藏
页码:1344 / 1367
页数:24
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