Department of Public Health Nursing, Marmara University, Istanbul, Turkey.
Disabil Health J. 2020 Oct;13(4):100929. doi: 10.1016/j.dhjo.2020.100929. Epub 2020 Apr 8.
Adults who are deaf or hard of hearing (D/HoH) have lower levels of health literacy compared to their counterparts who can hear. It is unclear, however, whether or not this inequality manifests in adolescence.
This study aims to determine levels of health literacy among D/HoH adolescents and to identify barriers and misunderstandings they encounter as well as their expectations when applying for healthcare services.
This descriptive study was conducted with 88 D/HoH adolescents over the age of 15. The Health Sciences Faculty granted approval for the study.
Of the adolescents, 70.5% had inadequate, 19.3% had limited, 2.3% had adequate and 8% had excellent health literacy levels. Those who had difficulty in communicating with the doctor (25%), those who misused the prescribed medication (13.6%) and those who could not use the medication without help (43.2%) had low THLS scores (<0.05). Those who stated that they did not understand what the nurses said (43.2%) or the health education materials (56.8%) and had significantly low THLS scores (<0.05). Of these adolescents, 55.7% expected their prescriptions or care procedures to be given to them in writing, and 87.5% expected that these would be explained to them in sign language. A significant relationship was observed between hearing disability and health literacy (R = 0.659, R2 = 0.434) (p < 0.01).
Most D/HoH adolescents have a significantly lower level of health literacy, which is more likely linked with poor communication and misunderstandings concerning medication instructions.
与听力正常的成年人相比，聋人或听力障碍者（D/HoH）的健康素养水平较低。然而，目前尚不清楚这种不平等是否在青少年时期表现出来。
本研究旨在确定 D/HoH 青少年的健康素养水平，并确定他们在申请医疗保健服务时遇到的障碍和误解，以及他们的期望。
本描述性研究对 88 名 15 岁以上的 D/HoH 青少年进行了研究。健康科学学院批准了这项研究。
在这些青少年中，70.5%的人健康素养水平不足，19.3%的人健康素养水平有限，2.3%的人健康素养水平充足，8%的人健康素养水平优秀。那些在与医生沟通方面有困难的人（25%）、那些滥用处方药物的人（13.6%）和那些在没有帮助的情况下无法使用药物的人（43.2%）的 THLS 评分较低（<0.05）。那些表示不理解护士说的话（43.2%）或健康教育材料（56.8%）的人，THLS 评分明显较低（<0.05）。这些青少年中，55.7%希望他们的处方或护理程序以书面形式交给他们，87.5%希望这些程序以手语形式向他们解释。听力障碍与健康素养之间存在显著关系（R=0.659，R2=0.434）（p<0.01）。
大多数 D/HoH 青少年的健康素养水平显著较低，这更可能与沟通不畅和对药物使用说明的误解有关。
