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听力损失的持续挑战:耻辱感、社会文化差异和无障碍障碍。

The Ongoing Challenges of Hearing Loss: Stigma, Socio-Cultural Differences, and Accessibility Barriers.

作者信息

Aldè Mirko, Ambrosetti Umberto, Barozzi Stefania, Aldè Samantha

机构信息

Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.

Audiology Unit, Department of Specialist Surgical Sciences, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

出版信息

Audiol Res. 2025 Apr 24;15(3):46. doi: 10.3390/audiolres15030046.

Abstract

: Hearing loss (HL) is a prevalent condition that can lead to social exclusion. This review explores the epidemiological, cultural, and social dimensions of HL and examines the barriers to accessibility that individuals with HL encounter. : This research employs a narrative review approach to provide a comprehensive overview of HL, focusing on stigma, gender disparities, cultural and social differences, and accessibility challenges. : The review highlights pervasive prejudices surrounding HL and hearing devices. Gender disparities are evident, with Deaf women facing compounded challenges. Cultural perspectives on HL differ widely, ranging from the medical model, which emphasizes treatment using hearing devices, to the Deaf community's social model, which views deafness as a cultural identity. Socioeconomic disparities further restrict access to modern technologies, particularly in low-income settings, while intersectional discrimination affects marginalized groups within the Deaf community. Public spaces also present significant barriers related to communication, architecture, and technology, which hinder accessibility for individuals with HL. : A cultural shift is essential to dismantle societal stereotypes and reduce discrimination associated with HL. Moreover, improving accessibility for individuals with HL necessitates a multifaceted approach, including accessible design, staff training, and the integration of assistive technologies.

摘要

听力损失(HL)是一种普遍存在的状况,可能导致社会排斥。本综述探讨了HL的流行病学、文化和社会层面,并审视了HL患者所面临的无障碍获取障碍。

本研究采用叙述性综述方法,以全面概述HL,重点关注耻辱感、性别差异、文化和社会差异以及无障碍获取挑战。

该综述强调了围绕HL和听力设备的普遍偏见。性别差异明显,失聪女性面临着更为复杂的挑战。关于HL的文化观点差异很大,从强调使用听力设备进行治疗的医学模式,到将失聪视为一种文化身份的聋人社区社会模式。社会经济差异进一步限制了对现代技术的获取,尤其是在低收入环境中,而交叉性歧视影响着聋人社区中的边缘化群体。公共场所也存在与沟通、建筑和技术相关的重大障碍,这阻碍了HL患者的无障碍获取。

文化转变对于消除社会刻板印象和减少与HL相关的歧视至关重要。此外,提高HL患者的无障碍获取需要采取多方面的方法,包括无障碍设计、员工培训以及辅助技术的整合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aed/12101339/632c4c7cf498/audiolres-15-00046-g001.jpg

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