Reese Alyssa D, DiNardo Lauren A, Siddiqui Afreen, Powers Kristina, Gupta Soumya, Clausen Sean, Carr Michele M
Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Department of Internal Medicine, Montefiore Medical Center, Bronx, NY, USA.
Am J Otolaryngol. 2024 Jan-Feb;45(1):104079. doi: 10.1016/j.amjoto.2023.104079. Epub 2023 Oct 3.
The Americans with Disabilities Act (ADA) is a federal law that forbids discrimination against individuals with certain disabilities, including hearing impairment. This study aimed to determine the nature of ADA discrimination complaints in individuals with cochlear implants.
A search for court decisions containing the terms "cochlear implant" and ("Americans with Disabilities Act" or "ADA") from 1985 to 2021 was performed with the Westlaw Campus Research legal database. Cases were included and analyzed if at least one of the plaintiffs had a cochlear implant and was claiming discrimination related to their hearing impairment based on the ADA.
24 cases initiated between 2003 and 2021 in 19 US states were identified based on inclusion criteria. The highest number of cases occurred in California (N = 4, 16.7 %). The alleged discrimination most frequently took place at a K-12 school (N = 9, 37.5 %), workplace (N = 7, 29.2 %), or during an encounter with police/correctional officers (N = 4, 16.7 %). Fourteen (58.3 %) cases involved complaints under Title II (Public Services) of the ADA. Seven (29.2 %) involved Title I (Employment) and 4 (16.7 %) involved Title III (Public Accommodations). Summary judgment was given in favor of the defendant or the case was dismissed entirely in 16 (66.7 %) of the cases.
Patients with cochlear implants are still at risk of discrimination because of their disability. Cochlear implantees, school employees, workplace supervisors, and law enforcement personnel can benefit from ADA education.
《美国残疾人法案》(ADA)是一项联邦法律,禁止对包括听力障碍者在内的某些残疾人进行歧视。本研究旨在确定人工耳蜗植入者提出的ADA歧视投诉的性质。
使用Westlaw Campus Research法律数据库搜索1985年至2021年包含“人工耳蜗”和(“美国残疾人法案”或“ADA”)的法院判决。如果至少有一名原告植入了人工耳蜗,并声称基于ADA存在与他们听力障碍相关的歧视,则纳入并分析这些案件。
根据纳入标准,确定了2003年至2021年期间在美国19个州发起的24起案件。案件数量最多的是加利福尼亚州(N = 4,16.7%)。所称歧视最常发生在K-12学校(N = 9,37.5%)、工作场所(N = 7,29.2%)或与警察/惩教人员接触期间(N = 4,16.7%)。14起(58.3%)案件涉及根据ADA第二章(公共服务)提出的投诉。7起(29.2%)涉及第一章(就业),4起(16.7%)涉及第三章(公共住宿)。在16起(66.7%)案件中,作出了有利于被告的简易判决或案件被完全驳回。
人工耳蜗植入患者仍因残疾面临歧视风险。人工耳蜗植入者、学校员工、工作场所主管和执法人员可以从ADA教育中受益。