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呼吁提供公平的听力保健服务:探索毛利成年人对怀普纳姆地区耳部及听力保健服务的看法和生活经历

Call for equitable hearing healthcare provision: an exploration of Māori adults' perspectives and lived experiences of ear and hearing healthcare services in Te Waipounamu.

作者信息

Lowe Tare, Smith Jennifer, Manuel Alehandrea Raiha, O'Beirne Greg A

机构信息

School of Psychology Speech and Hearing, Te Whare Wānanga o Waitaha|The University of Canterbury, Ōtautahi, New Zealand.

Child Well-being Research Institute, Te Whare Wānanga o Waitaha|The University of Canterbury, Ōtautahi, New Zealand.

出版信息

J R Soc N Z. 2024 Oct 23;55(3):671-686. doi: 10.1080/03036758.2024.2417665. eCollection 2025.

DOI:10.1080/03036758.2024.2417665
PMID:39989653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11841174/
Abstract

Māori adults are over-represented in self-reported hearing loss statistics in Aotearoa, yet they are currently underserved in hearing healthcare services that were designed using one-size-fits-all Eurocentric ideologies and models of health and disability. Unassisted hearing loss has been linked to increased rates of depression, social isolation, communication issues, early retirement, and cognitive decline, as well as a decreased ability to engage with cultural practices. An area that requires further research is the exploration of Māori adults' perspectives and experiences of hearing healthcare. This article uses a Kaupapa Māori lens to bring forward Māori narratives and expands on previous research of a te reo Māori hearing screening test. The article shares findings from interviews with Māori adults, exploring both their perspectives and lived experiences of ear and hearing healthcare and te reo hearing assessments. It highlights the barriers that exist for Māori when accessing hearing healthcare in Te Waipounamu (The South Island of Aotearoa) and the desire to see transformative change in the hearing healthcare landscape.

摘要

在新西兰,毛利成年人在自我报告的听力损失统计数据中占比过高,但目前在以一刀切的欧洲中心主义健康和残疾观念及模式设计的听力保健服务中,他们获得的服务不足。未得到辅助的听力损失与抑郁症发病率上升、社会孤立、沟通问题、提前退休、认知能力下降以及参与文化活动的能力降低有关。一个需要进一步研究的领域是探索毛利成年人对听力保健的看法和经历。本文运用毛利 kaupapa 视角来呈现毛利人的叙述,并扩展了之前对毛利语听力筛查测试的研究。文章分享了对毛利成年人访谈的结果,探讨了他们对耳部和听力保健以及毛利语听力评估的看法和生活经历。它强调了在新西兰南岛,毛利人在获得听力保健服务时存在的障碍,以及他们希望看到听力保健领域发生变革性变化的愿望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4613/11841174/4fd9d7a2b409/TNZR_A_2417665_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4613/11841174/8710f365aac1/TNZR_A_2417665_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4613/11841174/4fd9d7a2b409/TNZR_A_2417665_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4613/11841174/8710f365aac1/TNZR_A_2417665_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4613/11841174/4fd9d7a2b409/TNZR_A_2417665_F0002_OC.jpg

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本文引用的文献

1
Mā te Whakarongo-a qualitative study exploring the impact of middle ear disease on New Zealand Māori.麦特·沃卡朗戈——一项探索新西兰毛利人中耳疾病影响的定性研究。
N Z Med J. 2024 Jan 19;137(1588):57-66. doi: 10.26635/6965.6300.
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Int J Speech Lang Pathol. 2023 Feb;25(1):152-156. doi: 10.1080/17549507.2022.2143565. Epub 2022 Nov 22.
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Ear and hearing health in Aboriginal and Torres Strait Islander people aged 15 years and older: A scoping review.
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Experiences of Māori of Aotearoa New Zealand's public health system: a systematic review of two decades of published qualitative research.新西兰毛利人对公共卫生系统的体验:对二十年来发表的定性研究的系统评价。
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Reported Māori consumer experiences of health systems and programs in qualitative research: a systematic review with meta-synthesis.定性研究中报告的毛利人对卫生系统和项目的体验:系统评价与元综合。
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