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Impacts of the COVID-19 Pandemic on Communication and Healthcare Access for Adults With Hearing Loss.
Wilson, Harper L; Crouch, Jacob; Schuh, Marissa; Shinn, Jennifer; Bush, Matthew L.
  • Wilson HL; Department of Surgery, University of Kentucky Medical Center.
  • Crouch J; University of Kentucky College of Medicine.
  • Schuh M; Department of Otolaryngology-Head and Neck Surgery, Lexington, Kentucky.
  • Shinn J; Department of Otolaryngology-Head and Neck Surgery, Lexington, Kentucky.
  • Bush ML; Department of Otolaryngology-Head and Neck Surgery, Lexington, Kentucky.
Otol Neurotol ; 42(8): 1156-1164, 2021 09 01.
Article in English | MEDLINE | ID: covidwho-1246806
ABSTRACT

OBJECTIVE:

Adults with hearing loss are at risk of negative impacts of the pandemic. Specific factors, such as hearing loss severity and location of residence, may disproportionately impact patients during the pandemic. The objective of this study was to assess the relative impact of the COVID-19 pandemic on hearing loss patients, based on hearing device type and location of residence. STUDY

DESIGN:

Prospective cross-sectional questionnaire study.

SETTING:

Tertiary referral center. PATIENTS Adults with hearing loss. MAIN OUTCOME

MEASURES:

Data included sociodemographic data, communication challenges, pandemic preparedness, access to healthcare, and mental and emotional health.

RESULTS:

A total of 614 patients responded (27.8% response rate). Compared with hearing aid users, cochlear implant users reported more difficulty communicating with family/friends (53% versus 41%, p = 0.017), obtaining pandemic information (10% versus 3%, p = 0.002), and understanding live broadcasts (47% versus 17%, p = 0.001) during the pandemic. CI users were less likely than hearing aid users to seek general (52% versus 69%, p = 0.001) and hearing healthcare services (20% versus 34%, p = 0.002). Rural residents reported greater difficulty than urban residents communicating with friends/family (53% versus 39%, p = 0.001), obtaining food/supplies (41% versus 20%, p = 0.004), understanding live broadcasts (31% versus 20%, p = 0.001) during the pandemic. Compared with urban residents, rural residents reported greater difficulty accessing general (57% versus 42%, p = 0.004) and hearing healthcare (49% versus 34%, p = 0.043). Rural residents reported poorer mental/emotional health than urban residents.

CONCLUSIONS:

Among adults with hearing loss, cochlear implant users and rural residents experience greater challenges in communication, pandemic preparedness, and access to healthcare during the COVID-19 pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hearing Loss Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hearing Loss Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans Language: English Journal: Otol Neurotol Journal subject: Neurology / Otolaryngology Year: 2021 Document Type: Article