Section of Audiology, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1023, New Zealand; and Eisdell Moore Centre for Hearing and Balance Research, Section of Audiology, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1023, New Zealand.
The Hearing House, Greenlane, Auckland 1546, New Zealand.
J Prim Health Care. 2024 Sep;16(3):250-257. doi: 10.1071/HC23123.
Introduction Pacific peoples experience inequity in accessing hearing health care and are disproportionately exposed to the underlying determinants impacting ear and hearing health in Aotearoa New Zealand. Understanding community members' worldviews, including perspectives, beliefs and values, is essential in developing appropriate and responsive hearing healthcare services to meet the needs of Pacific peoples. Aim The purpose of this paper is to understand the worldviews, knowledge and beliefs held by Pacific peoples regarding hearing health in Aotearoa New Zealand. Methods A mixed-methods approach was used. Twelve semi-structured face-to-face interviews were conducted with Pacific community members. Twenty-five participants completed an online questionnaire. A simultaneous, integrated mixed-methods approach was used to analyse the qualitative and quantitative data. Results Five main themes were established, which were: The Meaning of Hearing; Causes of hearing loss; Consequences of hearing loss and Disability; and Improving health care for ear disease and hearing loss. Discussion Pacific peoples value hearing health to communicate and connect with their families and communities. Participants highlighted the importance of hearing health across the life course. Although the study findings revealed there is potentially less stigma and shame around hearing loss in New Zealand, denial and fatalistic attitudes towards hearing loss may delay some people from seeking healthcare services. Participants expressed key ways in which the health system can be more responsive to the hearing health needs of Pacific peoples in Aotearoa New Zealand.
引言
太平洋岛民在获得听力保健方面存在不平等现象，并且不成比例地受到影响新西兰奥克兰耳和听力健康的潜在决定因素的影响。了解社区成员的世界观，包括观点、信仰和价值观，对于开发适合和响应的听力保健服务以满足太平洋岛民的需求至关重要。
目的
本文旨在了解太平洋岛民对新西兰奥克兰听力健康的世界观、知识和信仰。
方法
采用混合方法。对 12 名太平洋社区成员进行了 12 次半结构化面对面访谈。25 名参与者完成了在线问卷。采用同时、综合的混合方法分析定性和定量数据。
结果
确定了五个主要主题，分别是：听力的意义；听力损失的原因；听力损失和残疾的后果；改善耳病和听力损失的医疗保健。
讨论
太平洋岛民重视听力健康，以便与家人和社区进行交流和联系。参与者强调了听力健康在整个生命周期中的重要性。尽管研究结果表明，新西兰对听力损失的耻辱感和羞耻感可能较少，但对听力损失的否认和宿命论态度可能会使一些人延迟寻求医疗服务。参与者表达了新西兰奥克兰的卫生系统可以更响应太平洋岛民听力健康需求的关键方式。
