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Semin Hear 2019; 40(01): 037-048
DOI: 10.1055/s-0038-1676782
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Translating Public Health Practices: Community-Based Approaches for Addressing Hearing Health Care Disparities

Jonathan J. Suen
1   Department of Otolaryngology – Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
2   Cochlear Center for Hearing and Public Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
,
Nicole Marrone
3   Department of Speech, Language, and Hearing Sciences, The University of Arizona, Tucson, Arizona
,
Hae-Ra Han
4   Department of Community-Public Health, Johns Hopkins University School of Nursing, Baltimore, Maryland
5   Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
,
Frank R. Lin
2   Cochlear Center for Hearing and Public Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
6   Department of Geriatric Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
7   Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
8   Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Carrie L. Nieman
2   Cochlear Center for Hearing and Public Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
8   Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
05 February 2019 (online)

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Abstract

Epidemiologic studies reveal disparities in hearing health care with lower prevalence of hearing aid use among older adults from racial/ethnic minority groups and lower socioeconomic positions. Recent national reports recommend exploring innovative delivery models to increase the accessibility and affordability of hearing health care, particularly for underserved and vulnerable populations. With an expected rise in the prevalence of age-related hearing loss over the next four decades due to a rapidly aging population, the condition is a growing public health imperative. This review describes key public health practices for developing and delivering community-based care that characterizes an emerging area of research in novel approaches of hearing loss management programs to reach underserved populations. With evolving technologies that enable care to extend beyond the clinic, adapting a long-utilized community health worker approach presents a strategy for the field of hearing health care to be actively involved in designing and leading initiatives for achieving hearing health equity. Principles from community-based participatory research offer a paradigm for the field to integrate into its research endeavors for addressing disparities. An interdisciplinary approach for engaging these challenges offers hearing health care researchers and providers an opportunity to advance the field and delivery of care.

Keywords

hearing health care disparities - age-related hearing loss - community health worker - community-based participatory research
 

  • References

  • 1 Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci 2011; 66 (05) 582-590
    PubMedGoogle Scholar
  • 2 Pronk M, Deeg DJH, Smits C. , et al. Prospective effects of hearing status on loneliness and depression in older persons: identification of subgroups. Int J Audiol 2011; 50 (12) 887-896
    CrossrefPubMedGoogle Scholar
  • 3 Pronk M, Deeg DJH, Smits C. , et al. Hearing loss in older persons: does the rate of decline affect psychosocial health?. J Aging Health 2014; 26 (05) 703-723
    CrossrefPubMedGoogle Scholar
  • 4 Cacciatore F, Napoli C, Abete P, Marciano E, Triassi M, Rengo F. Quality of life determinants and hearing function in an elderly population: Osservatorio Geriatrico Campano Study Group. Gerontology 1999; 45 (06) 323-328
    CrossrefPubMedGoogle Scholar
  • 5 Jones DA, Victor CR, Vetter NJ. Hearing difficulty and its psychological implications for the elderly. J Epidemiol Community Health 1984; 38 (01) 75-78
    CrossrefPubMedGoogle Scholar
  • 6 Mulrow CD, Aguilar C, Endicott JE. , et al. Quality-of-life changes and hearing impairment. A randomized trial. Ann Intern Med 1990; 113 (03) 188-194
    PubMedGoogle Scholar
  • 7 Lin FR, Yaffe K, Xia J. , et al; Health ABC Study Group. Hearing loss and cognitive decline in older adults. JAMA Intern Med 2013; 173 (04) 293-299
    CrossrefPubMedGoogle Scholar
  • 8 Lin FR, Metter EJ, O'Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol 2011; 68 (02) 214-220
    PubMedGoogle Scholar
  • 9 Livingston G, Sommerlad A, Orgeta V. , et al. Dementia prevention, intervention, and care. Lancet 2017; 390 (10113): 2673-2734
    CrossrefPubMedGoogle Scholar
  • 10 Institute of Medicine (IOM). Committee on Monitoring Access to Personal Health Care Services. Access to health care in America. (Millman M, ed.). Washington, DC: The National Academies Press; 1993. . Available at: http://www.ncbi.nlm.nih.gov/books/NBK235882/ . Accessed February 9, 2018
    Google Scholar
  • 11 Gulliford M, Figueroa-Munoz J, Morgan M. , et al. What does ‘access to health care’ mean?. J Health Serv Res Policy 2002; 7 (03) 186-188
    CrossrefPubMedGoogle Scholar
  • 12 Wallhagen MI. The stigma of hearing loss. Gerontologist 2010; 50 (01) 66-75
    CrossrefPubMedGoogle Scholar
  • 13 Chien W, Lin FR. Prevalence of hearing aid use among older adults in the United States. Arch Intern Med 2012; 172 (03) 292-293
    CrossrefPubMedGoogle Scholar
  • 14 Popelka MM, Cruickshanks KJ, Wiley TL, Tweed TS, Klein BE, Klein R. Low prevalence of hearing aid use among older adults with hearing loss: the Epidemiology of Hearing Loss Study. J Am Geriatr Soc 1998; 46 (09) 1075-1078
    CrossrefPubMedGoogle Scholar
  • 15 Bainbridge KE, Ramachandran V. Hearing aid use among older U.S. adults; the national health and nutrition examination survey, 2005-2006 and 2009-2010. Ear Hear 2014; 35 (03) 289-294
    CrossrefPubMedGoogle Scholar
  • 16 Nieman CL, Marrone N, Szanton SL, Thorpe Jr RJ, Lin FR. Racial/Ethnic and socioeconomic disparities in hearing health care among older Americans. J Aging Health 2016; 28 (01) 68-94
    CrossrefPubMedGoogle Scholar
  • 17 Mamo SK, Nieman CL, Lin FR. Prevalence of untreated hearing loss by income among older adults in the United States. J Health Care Poor Underserved 2016; 27 (04) 1812-1818
    CrossrefPubMedGoogle Scholar
  • 18 President's Council of Advisors on Science and Technology (PCAST). Aging America & Hearing Loss: Imperative of Improved Hearing Technologies. 2015. Available at: https://obamawhitehouse.archives.gov/sites/default/files/microsites/ostp/PCAST/pcast_hearing_tech_letterreport_final.pdf . Accessed October 4, 2016
    PubMedGoogle Scholar
  • 19 National Academies of Sciences, Engineering, and Medicine (NASEM). Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press; 2016. Available at: http://nationalacademies.org/hmd/Reports/2016/Hearing-Health-Care-for-Adults.aspx . Accessed July 1, 2016
    PubMedGoogle Scholar
  • 20 Agency for Healthcare Research and Quality. National Healthcare Quality and Disparities Report. Rockville, MD; 2016. Available at: http://www.ahrq.gov/research/findings/nhqrdr/nhqdr16/index.html . Accessed October 15, 2017
    PubMedGoogle Scholar
  • 21 US Department of Health and Human Services. HHS Action Plan to Reduce Racial and Ethnic Health Disparities. Minority Health; 2015. Available at: https://minorityhealth.hhs.gov/assets/pdf/hhs/HHS_Plan_complete.pdf . Accessed May 8, 2017
    PubMedGoogle Scholar
  • 22 Access to Health Services. Healthy People 2020. Available at: https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services . Accessed February 1, 2018
    PubMedGoogle Scholar
  • 23 Love MB, Gardner K, Legion V. Community health workers: who they are and what they do. Health Educ Behav 1997; 24 (04) 510-522
    CrossrefPubMedGoogle Scholar
  • 24 Centers for Disease Control and Prevention (CDC). Addressing Chronic Disease through Community Health Workers: A Policy and Systems-Level Approach, 2nd ed. 2015. Available at: https://www.cdc.gov/dhdsp/docs/chw_brief.pdf . Accessed December 3, 2017
    PubMedGoogle Scholar
  • 25 Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health 1998; 19: 173-202
    CrossrefPubMedGoogle Scholar
  • 26 Marrone N, Ingram M, Somoza M. , et al. Interventional audiology to address hearing health care disparities: Oyendo Bien pilot study. Semin Hear 2017; 38 (02) 198-211
    Article in Thieme ConnectPubMedGoogle Scholar
  • 27 Nieman CL, Marrone N, Mamo SK. , et al. The Baltimore HEARS pilot study: an affordable, accessible, community-delivered hearing care intervention. Gerontologist 2017; 57 (06) 1173-1186
    PubMedGoogle Scholar
  • 28 Goman AM, Reed NS, Lin FR. Addressing estimated hearing loss in adults in 2060. JAMA Otolaryngol Head Neck Surg 2017; 143 (07) 733-734
    CrossrefPubMedGoogle Scholar
  • 29 Lin FR. Time for a top-down approach to hearing aid affordability and accessibility. Am J Public Health 2018; 108 (02) 166-168
    CrossrefPubMedGoogle Scholar
  • 30 Mamo SK, Reed NS, Nieman CL, Oh ES, Lin FR. Personal sound amplifiers for adults with hearing loss. Am J Med 2016; 129 (03) 245-250
    CrossrefPubMedGoogle Scholar
  • 31 Convery E, Keidser G, Seeto M, McLelland M. Evaluation of the self-fitting process with a commercially available hearing aid. J Am Acad Audiol 2017; 28 (02) 109-118
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Rourke R, Kong DCC, Bromwich M. Tablet audiometry in Canada's north: a portable and efficient method for hearing screening. Otolaryngol Head Neck Surg 2016; 155 (03) 473-478
    CrossrefPubMedGoogle Scholar
  • 33 van Tonder J, Swanepoel W, Mahomed-Asmail F, Myburgh H, Eikelboom RH. Automated smartphone threshold audiometry: validity and time efficiency. J Am Acad Audiol 2017; 28 (03) 200-208
    Article in Thieme ConnectPubMedGoogle Scholar
  • 34 Sandström J, Swanepoel W, Carel Myburgh H, Laurent C. Smartphone threshold audiometry in underserved primary health-care contexts. Int J Audiol 2016; 55 (04) 232-238
    CrossrefPubMedGoogle Scholar
  • 35 Yousuf Hussein S, Wet Swanepoel D, Biagio de Jager L, Myburgh HC, Eikelboom RH, Hugo J. Smartphone hearing screening in mHealth assisted community-based primary care. J Telemed Telecare 2016; 22 (07) 405-412
    CrossrefPubMedGoogle Scholar
  • 36 Witmer A, Seifer SD, Finocchio L, Leslie J, O'Neil EH. Community health workers: integral members of the health care work force. Am J Public Health 1995; 85 (8, Pt 1): 1055-1058
    CrossrefPubMedGoogle Scholar
  • 37 Berner BJ. Provision of health care in a frontier setting: an Alaskan perspective. J Am Acad Nurse Pract 1992; 4 (03) 89-94
    CrossrefPubMedGoogle Scholar
  • 38 Richter RW, Bengen B, Alsup PA, Bruun B, Kilcoyne MM, Challenor BD. The community health worker. A resource for improved health care delivery. Am J Public Health 1974; 64 (11) 1056-1061
    CrossrefPubMedGoogle Scholar
  • 39 The University of Arizona. Summary of the National Community Health Advisor Study. 1998. Available at: http://crh.arizona.edu/sites/default/files/pdf/publications/CAHsummaryALL.pdf . Accessed September 27, 2017
    PubMedGoogle Scholar
  • 40 Kim K, Choi JS, Choi E. , et al. Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: a systematic review. Am J Public Health 2016; 106 (04) e3-e28
    PubMedGoogle Scholar
  • 41 Institute of Medicine (IOM). Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. (Smedley BD, Stith AY, Nelson AR, eds.). Washington, DC: The National Academies Press; 2003. Available at: http://www.ncbi.nlm.nih.gov/books/NBK220358/ . Accessed December 8, 2017
    PubMedGoogle Scholar
  • 42 Kim MT, Kim KB, Huh B. , et al. The effect of a community-based self-help intervention: Korean Americans with type 2 diabetes. Am J Prev Med 2015; 49 (05) 726-737
    CrossrefPubMedGoogle Scholar
  • 43 Saunders GH, Frederick MT, Silverman SC, Nielsen C, Laplante-Lévesque A. Health behavior theories as predictors of hearing-aid uptake and outcomes. Int J Audiol 2016; 55 (Suppl. 03) S59-S68
    PubMedGoogle Scholar
  • 44 Viswanathan M, Kraschnewski JL, Nishikawa B. , et al. Outcomes and costs of community health worker interventions: a systematic review. Med Care 2010; 48 (09) 792-808
    CrossrefPubMedGoogle Scholar
  • 45 Centers for Disease Control and Prevention (CDC). State Law Fact Sheet: A Summary of State Community Health Worker Law. 2016. Available at: https://www.cdc.gov/dhdsp/pubs/docs/SLFS-Summary-State-CHW-Laws.pdf . Accessed November 20, 2017
    PubMedGoogle Scholar
  • 46 Rosenthal EL, Brownstein JN, Rush CH. , et al. Community health workers: part of the solution. Health Aff (Millwood) 2010; 29 (07) 1338-1342
    CrossrefPubMedGoogle Scholar
  • 47 Sánchez D, Adamovich S, Ingram M. , et al. The potential in preparing community health workers to address hearing loss. J Am Acad Audiol 2017; 28 (06) 562-574
    Article in Thieme ConnectPubMedGoogle Scholar
  • 48 Bally SJ, Bakke MH. A peer mentor training program for aural rehabilitation. Trends Amplif 2007; 11 (02) 125-131
    CrossrefPubMedGoogle Scholar
  • 49 Hamill TA, Andrews JP. Audiology assistants in private practice. Semin Hear 2016; 37 (04) 348-358
    Article in Thieme ConnectPubMedGoogle Scholar
  • 50 Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract 2006; 7 (03) 312-323
    CrossrefPubMedGoogle Scholar
  • 51 Wallerstein N, Duran B. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am J Public Health 2010; 100 (Suppl. 01) S40-S46
    CrossrefPubMedGoogle Scholar
  • 52 Israel BA, Schulz AJ, Parker EA, Becker AB, Allen AJ, Guzman R. Critical issues in developing and following community based participatory research principles. In: Minkler M, Wallerstein N. , eds. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003: 53-76
    Google Scholar
  • 53 Buchanan DR, Miller FG, Wallerstein N. Ethical issues in community-based participatory research: balancing rigorous research with community participation in community intervention studies. Prog Community Health Partnersh 2007; 1 (02) 153-160
    CrossrefPubMedGoogle Scholar
  • 54 O'Mara-Eves A, Brunton G, McDaid D. , et al. Community Engagement to Reduce Inequalities in Health: A Systematic Review, Meta-Analysis and Economic Analysis. Southampton, UK: NIHR Journals Library; 2013. Available at: http://www.ncbi.nlm.nih.gov/books/NBK262817/ . Accessed February 1, 2018
    PubMedGoogle Scholar
  • 55 Levine DM, Bone LR, Hill MN. , et al. The effectiveness of a community/academic health center partnership in decreasing the level of blood pressure in an urban African-American population. Ethn Dis 2003; 13 (03) 354-361
    PubMedGoogle Scholar
  • 56 Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR. Race and trust in the health care system. Public Health Rep 2003; 118 (04) 358-365
    CrossrefPubMedGoogle Scholar
  • 57 Ingram M, Marrone N, Sanchez DT. , et al. Addressing hearing health care disparities among older adults in a US-Mexico border community. Front Public Health 2016; 4: 169
    PubMedGoogle Scholar
  • 58 Hicks S, Duran B, Wallerstein N. , et al. Evaluating community-based participatory research to improve community-partnered science and community health. Prog Community Health Partnersh 2012; 6 (03) 289-299
    CrossrefPubMedGoogle Scholar
  • 59 Jagosh J, Macaulay AC, Pluye P. , et al. Uncovering the benefits of participatory research: implications of a realist review for health research and practice. Milbank Q 2012; 90 (02) 311-346
    CrossrefPubMedGoogle Scholar
  • 60 Burke JG, Hess S, Hoffmann K. , et al. Translating community-based participatory research (CBPR) principles into practice: building a research agenda to reduce intimate partner violence. Prog Community Health Partnersh Res Educ Action 2013; 7 (02) 115-122
    PubMedGoogle Scholar
  • 61 Donahue A, Dubno JR, Beck L. Guest editorial: accessible and affordable hearing health care for adults with mild to moderate hearing loss. Ear Hear 2010; 31 (01) 2-6
    CrossrefPubMedGoogle Scholar