Deaf adults at higher risk for severe illness: COVID-19 information preference and perceived health consequences. Issue 11 (November 2021)

• Record Type: Journal Article
• Authors: Moreland, Christopher J.; Paludneviciene, Raylene; Park, Jung Hyun; McKee, Michael; Kushalnagar, Poorna
• Is Part Of: Patient education and counseling. Volume 104:Issue 11(2021)
• Page Start: 2830
• Page End: 2833
• Publication Date: 2021-11
• Subjects: Deafness -- COVID-19 -- Risk communication -- Health disparities -- Disabilities; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2021.03.020
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Deaf and hard of hearing people who described health as poor or who had certain co-morbidities were at higher risk for underestimating COVID-19's adverse consequences. Younger deaf and hard of hearing adults were more likely to underestimate the adverse consequences of COVID-19 infection. Deaf and hard of hearing people who identified as people of color were more likely (vs compared white people) to perceive a higher risk of COVID-19 adverse consequences. Deaf and hard of hearing people were more likely to get COVID-19 information from internet resources vs. healthcare providers. Abstract: Objectives: This study explores deaf and hard of hearing (DHH) individuals' preferred sources of information for COVID-19 and their perceptions of developing severe illness from COVID-19 given underlying medical conditions. Methods: A national online bilingual American Sign Language/English survey was conducted from April 17 to May 1, 2020. Weighted sample of 474 DHH adults living in the United States. Multivariate logistic regression analyses were conducted to examine independent associations of sociodemographic variables and health indicators with perceived COVID-19 health consequences. Results: About 44% of the medical condition sample used the Internet (English-based text) first for COVID-19 information, followed by TV (24%). Only 1% selected healthcare provider as the go-to source; the remainder got information from family or friends. Perceived health consequences increased with age (adjusted OR = 1.04; CI 95% = 1.02, 1.06). At-risk respondents who self-identified as persons of color were nearly three times more likely to believe that their health will be severely affected by COVID-19 compared to respondents who self-identified as white (adjusted OR = 2.94; CI 95% = 1.20, 7.18). Conclusions: Perception of COVID-19 health consequences vary among DHH adults at higher risk for severe illness. Practice implications: Information delivery methods must be flexible and comprehensive to meet the diverse community's needs, especially during the COVID-19 pandemic.