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A comparison of deaf/hard of hearing and hearing young adults' responses to a health risk behavior survey.

机译:聋/重听和年轻人对健康风险行为调查的反应的比较。

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摘要

Currently, few structured self-report instruments that may be used for collecting data from adolescents who are deaf exist for the purposes of public health surveillance or research. The development of structured self-report instruments that allow adolescents who are deaf to communicate health-related information in a manner that protects their identity or provides them with anonymity is critical to the success of conducting health-related research with this population. In order to conduct research that is essential to identifying and addressing the health needs and risks of persons deaf since childhood, investigative studies to address this critical barrier to progress in the field of Public Health Research are necessary.;Quantitative health-related research (HRR) can be used to systematically identify and measure the health-related issues of early-deafened persons (EDPs) that are deemed to exist based on qualitative health research and anecdotal clinician reports. However, conducting quantitative HRR with EDPs is challenging because there are issues related to communication and language that threaten the rigor and control required of sound systematic research. To conduct sound quantitative investigations with EDPs, researchers must use measurement instruments that are determined to be valid and reliable when used with this population, and few of these instruments exist. Therefore, a first step to addressing the health-related issues of EDPs, through systematic HRR, is identifying valid and reliable instruments for use with them in quantitative health research.;The purpose of this descriptive study was to examine the reliability and validity of a health risk behavior survey (HBS) designed to make health surveillance accessible to deaf young adults. Using a secondary analysis approach, the responses and response patterns of 732 deaf/hard of hearing (HOH) and hearing college students who took the HBS were examined and compared. The students' survey responses were compared to: (a) identify any differences between students' response patterns, and (b) explore what factors, such as hearing status or language proficiency and use, are associated with those differences. This study was an investigation of whether or not the students' responses might have reflected differences between, the deaf/HOH and hearing young adults' self-reported health risk behaviors or might have been attributable to other factors related taking the health survey; such as, differences in literacy skills or differences in language proficiency and use.;Specifically, this study examined and compared the dispersion of students' responses among each survey item (comparisons by hearing status and language proficiency), the consistency of students' responses to related survey items (comparisons by hearing status and language proficiency), and the number and pattern of students "don't know" and skipped responses (comparisons by hearing status and language proficiency). In addition, the readability of the instrument's survey items was also examined using the Flesch Reading Ease and Flesch-Kincaid Grade Level tests.;Analysis of the students' responses and response patterns revealed that statistically significant differences in responses and response patterns existed between the deaf/HOH and hearing young adults in this sample. Findings from this study suggest that some of these differences might reflect true differences in self-reported health risk behaviors while other differences were related to language proficiency (reading skills), health knowledge and experiences, or the readability of the HBS.
机译:当前,很少有结构化的自我报告工具可用于收集来自聋哑青少年的数据,以进行公共卫生监测或研究。制定结构化的自我报告工具,以使聋哑青少年能够以保护自己的身份或为他们提供匿名的方式交流与健康相关的信息,这对于对该人群进行与健康相关的研究取得成功至关重要。为了开展对于识别和解决儿童期以来聋人的健康需求和风险至关重要的研究,有必要进行调查研究以解决公共卫生研究领域的这一重大障碍。;与健康有关的定量研究(HRR) )可用于系统地识别和衡量根据定性健康研究和轶事临床医生报告被认为存在的早期失聪者(EDP)的健康相关问题。但是,使用EDP进行定量HRR颇具挑战性,因为存在与沟通和语言相关的问题,这些问题威胁着可靠的系统研究的严格性和控制性。为了对EDP进行合理的定量研究,研究人员必须使用被确定为与该人群一起使用时有效且可靠的测量仪器,并且这些仪器很少。因此,通过系统的HRR解决EDP与健康相关的问题的第一步是确定有效和可靠的工具,以用于EDP定量健康研究中;该描述性研究的目的是检验EDP的可靠性和有效性。健康风险行为调查(HBS)旨在使聋哑年轻人能够进行健康监测。使用二级分析方法,检查并比较了732聋/重听(HOH)和参加HBS的听力大学生的反应和反应方式。将学生的调查回答与以下各项进行比较:(a)识别学生的回答模式之间的任何差异,以及(b)探索哪些因素(例如听力状态或语言熟练程度和使用方式)与这些差异相关。这项研究旨在调查学生的回答是否反映了聋人/ HOH和听力青年自我报告的健康风险行为之间的差异,或者是否归因于健康调查的其他相关因素;具体来说,本研究检查并比较了每个调查项目中学生的回答差异(通过听觉状态和语言能力进行的比较),学生对回答的一致性相关的调查项目(按听觉状态和语言能力进行的比较)以及“不知道”和跳过回答的学生的数量和方式(按听觉状态和语言能力进行的比较)。此外,还使用Flesch Reading Ease和Flesch-Kincaid等级水平测试检查了仪器调查项目的可读性;对学生的反应和反应方式的分析表明,聋人之间的反应和反应方式存在统计学上的显着差异/ HOH,并听取本样本中的年轻人。这项研究的发现表明,其中一些差异可能反映出自我报告的健康风险行为的真正差异,而其他差异则与语言能力(阅读技能),健康知识和经验或HBS的可读性有关。

著录项

  • 作者

    David, Tamala Miyako.;

  • 作者单位

    University of Rochester School of Nursing.;

  • 授予单位 University of Rochester School of Nursing.;
  • 学科 Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 281 p.
  • 总页数 281
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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