Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA.
Department of Global Health, Boston University, Boston, MA, USA.
Cancer Control. 2024 Jan-Dec;31:10732748241291615. doi: 10.1177/10732748241291615.
The deaf and hard of hearing (DHH) community experiences lower cancer screening rates than the general population. Cancer worry and fatalism can influence cancer screening, along with race, and the interaction of intrinsic factors with DHH health behavior needs to be investigated.
The study examines the association of the intersection of race and hearing status with cancer worry and fatalism.
This study analyzed cross-sectional survey data from NCI HINTS-ASL (for DHH adults) and NCI HINTS (for hearing adults). Multivariable logistic regression models were used to assess (i) the association of race-hearing status intersection with cancer worry and fatalism, as well as (ii) the relationship between hearing status and outcomes within each race.
The study found that the overall interaction between race and hearing status was significantly associated with both high cancer worry and fatalism, with African American (AA)/Black and Asian/Other having higher odds of worry [1.17 (0.83, 1.64); 1.19 (0.85, 1.66), respectively] and other groups having lower worry than White hearing ( < 0.0001), and all deaf having less concern about cancer fatalism ( < 0.0001). Within each racial group, White DHH respondents had lower odds of cancer worry [aOR (95% CI): 0.72 (0.58, 0.91); < 0.01] and fatalism [0.55 (0.46, 0.67); < 0.0001] compared to White hearing respondents, while DHH AA/Black [1.89 (1.06, 3.37); = 0.03], Asian/Other [2.39 (1.06, 3.37); = 0.03], and Hispanic [1.95 (1.18, 3.22); < 0.01] respondents had significantly higher odds of cancer worry and lower odds of cancer fatalism [Black: 0.50 (0.23, 1.09); = 0.07; Asian/Other: [0.68 (0.42, 1.09); = 0.10]; Hispanic: [0.69 (0.40, 1.17)]; = 0.16] compared to their hearing counterparts.
DHH individuals have different odds of experiencing cancer worry and fatalism compared to their hearing counterparts. Inclusion of individuals with sensory disabilities in a larger cancer study sample enriches the diversity of perspectives, ensuring that the findings reflect a broader range of experiences and needs. More research into contributory factors in the signing DHH population is needed.
聋人和重听人士（DHH）的癌症筛查率低于一般人群。癌症担忧和宿命论会影响癌症筛查，同时还会受到种族的影响，需要研究内在因素与 DHH 健康行为之间的相互作用。
本研究旨在调查种族和听力状况的交叉点与癌症担忧和宿命论之间的关联。
本研究分析了 NCI HINTS-ASL（针对 DHH 成年人）和 NCI HINTS（针对听力成年人）的横断面调查数据。使用多变量逻辑回归模型评估（i）种族-听力状况交叉点与癌症担忧和宿命论的关联，以及（ii）在每个种族内听力状况与结果之间的关系。
研究发现，种族和听力状况之间的总体相互作用与高癌症担忧和宿命论显著相关，非裔美国人/黑人和亚裔/其他族裔的担忧程度更高[1.17（0.83，1.64）；1.19（0.85，1.66）]，而其他群体的担忧程度低于白人听力群体（<0.0001），所有聋人对癌症宿命论的担忧程度较低（<0.0001）。在每个种族群体中，白人 DHH 受访者的癌症担忧程度较低[比值比（95%CI）：0.72（0.58，0.91）；<0.01]和宿命论程度较低[0.55（0.46，0.67）；<0.0001]，而白人听力的 DHH 受访者[1.89（1.06，3.37）；=0.03]，亚裔/其他族裔[2.39（1.06，3.37）；=0.03]和西班牙裔[1.95（1.18，3.22）；<0.01]受访者的癌症担忧程度更高，而癌症宿命论程度更低[黑人：0.50（0.23，1.09）；=0.07；亚裔/其他族裔：[0.68（0.42，1.09）；=0.10]；西班牙裔：[0.69（0.40，1.17）]；=0.16]与听力正常的同龄人相比。
与听力正常的同龄人相比，DHH 个体经历癌症担忧和宿命论的可能性不同。在更大的癌症研究样本中纳入有感官障碍的个体，可以丰富观点的多样性，确保研究结果反映出更广泛的体验和需求。需要进一步研究在 DHH 人群中起作用的因素。
