Hughes Allyson S, Mirus Karissa, Heydarian Nazanin M, Litchman Michelle L
Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
Curr Diab Rep. 2024 Dec 30;25(1):14. doi: 10.1007/s11892-024-01565-z.
Describe the connection between Deaf/hard of hearing (DHH) and diabetes, explain the bidirectional relationship of blind/low vision (BLV) and diabetes, characterize challenges DHH and BLV populations face when seeking healthcare regarding their diabetes management. Highlight the inaccessibility of diabetes technology in these populations. Provide best practices when communicating with DHH and BLV people in the clinical setting.
Diabetes disparities exist in DHH and BLV populations due to systemic barriers to health equity related to access and communication. Structural barriers, risk factors, social determinants of health, and the U.S. healthcare system do not support the DHH and BLV communities. Importantly, healthcare professionals do not receive adequate training on communication and treatment of DHH and BLV populations. Together, social determinants of health, such as healthcare access and quality, education access and quality, and lack of adequate clinician training allow ableism to persist and drive health disparities in these communities. Health disparities faced by DHH and BLV populations are driven by barriers to diabetes standards of care. These inequities must be rectified to improve and maintain high quality care.
描述聋人/听力障碍者（DHH）与糖尿病之间的联系，解释视力障碍/低视力（BLV）与糖尿病的双向关系，阐述DHH和BLV人群在寻求糖尿病管理医疗服务时所面临的挑战。强调这些人群难以获取糖尿病相关技术。提供在临床环境中与DHH和BLV人群沟通的最佳实践方法。
由于与医疗服务可及性和沟通相关的健康公平系统性障碍，DHH和BLV人群中存在糖尿病差异。结构性障碍、风险因素、健康的社会决定因素以及美国医疗体系均不利于DHH和BLV群体。重要的是，医疗专业人员未接受关于DHH和BLV人群沟通与治疗的充分培训。健康的社会决定因素，如医疗服务可及性和质量、教育可及性和质量，以及缺乏足够的临床医生培训，共同导致了对残障者的歧视持续存在，并加剧了这些群体的健康差异。DHH和BLV人群所面临的健康差异是由糖尿病护理标准的障碍所驱动的。必须纠正这些不公平现象，以改善和维持高质量护理。
