Older adults with communication disabilities and their use of communication support at doctor's visits: a nationally representative study.
| Autor: | Oshita JY; Center for Bioethics and Humanities, University of Colorado, Aurora, CO, USA., Gell NM; Nursing and Health Sciences, University of VT, Burlington, VT, USA., Reed NS; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Stransky ML; Department of Pediatrics, Boston University Chobanian & Avedisian School of Medicine, Boson, MA, USA., MacLean CD; Department of Medicine, University of Vermont The Robert Larner MD College of Medicine, Burlington, VT, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2024 Jun 03, pp. 1-8. Date of Electronic Publication: 2024 Jun 03. |
| DOI: | 10.1080/09638288.2024.2351155 |
| Abstrakt: | Purpose: Older adults with communication disabilities (CDs) experience barriers to receiving care and face a paucity of accommodations for their disability. Utilizing someone that supports communication with healthcare providers (communication support persons) may be a way that this group self-supports their disability. We examined if this utilization was independently associated with CDs among older adults. We also sought to understand if socioeconomic factors were associated with utilization. Methods: We used the 2015 National Health and Aging Trends Survey (NHATS) to conduct a cross-sectional analysis of Medicare beneficiaries ( n = 5954) with functional hearing, expressive, or cognitive difficulties. We calculated a weighted, population prevalence and an adjusted prevalence ratio (APR) controlling for sociodemographic, health and other disability factors. Results: Among community dwelling older adults, having CDs was associated with higher utilization of a communication support person at medical visits (APR: 1.41 [CI: 1.27 - 1.57]). Among adults with CDs, Black adults and women had lower levels of utilization as compared to White adults and men, respectively. Conclusion: Communication support persons may be a way that older adults with CDs self-support their disability. However, not all older adults with CDs bring someone and variation by social factors could suggest that unmet support needs exist. |
| Databáze: | MEDLINE |
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