Abstract
Objectives. Several studies have confirmed that people with hearing-disabilities have worse health outcomes in general, however there are only few studies in ob/gyn-setting. We
aimed to discover the quality and main problems of gynaecological-care for deaf and hardof-hearing (D/HH) women in Latvia and to find out whether D/HH-women have a higher
prevalence of various gynecological diseases and unfavourable perinatal results, as well as what improvements should be proposed to promote health-care accessibility and quality for
D/HH-patients.
Materials and methods. This was a case-control study conducted May-November 2021, based on an online-questionnaire about socioeconomic situation, communication experience in gynaecology-departments (GD) and obstetrical-departments (OD), as well as prevalence of different ob/gyn health conditions. The study-group consisted of 103 D/HH-women and the control-group - 314 women with no-hearing-disabilities (NHD). The study was approved by the Ethics Committee of Rīga Stradiņš University. The data was processed using IBM SPSS Statistics-27, comparing case-control cases in different age-groups: 1) ≤30; 2) 31-40; 3) ≥41.
Results. The mean value of quality-of-communication in GD was 7.53+/- 1.1 among NHD-patients and as 6.2+/-1.9 among D/HH-patients, whereas communication in OD - 7.03
+/-1.6 (NHD-patients) and 6.4 +/- 1.4 (D/HH-patients). 42.3% of D/HH-patients in the agegroup-Nr.1 and 41.9% in the age-group-Nr.2 vs 4.2% and 1.7% of NHD-patients, respectively,
weren’t informed about the cervical-cancer-screening. 7.7% in age-group Nr.1 and 9.7% in age-group Nr.2 of D/HH-patients vs 0% and 0,9% of NHD-patients, respectively, in the last-3-years haven’t visited gynaecologist. In age-group-Nr.2 the prevalence of premature labour was higher among D/HH-patients (16.1%) vs NHD-patients (4.3%). All p-values ≤0,05.
Conclusions. In this study D/HH-patients were less informed about the available prophylactic measures and less willing to participate in them, particularly due to communication struggles. The prevalence of premature labour was significantly higher among D/HH-patients aged 30-41. Clearer written therapy-plan-instructions and sign-language-interpreter should be established in the ob/gyn-healthcare.
aimed to discover the quality and main problems of gynaecological-care for deaf and hardof-hearing (D/HH) women in Latvia and to find out whether D/HH-women have a higher
prevalence of various gynecological diseases and unfavourable perinatal results, as well as what improvements should be proposed to promote health-care accessibility and quality for
D/HH-patients.
Materials and methods. This was a case-control study conducted May-November 2021, based on an online-questionnaire about socioeconomic situation, communication experience in gynaecology-departments (GD) and obstetrical-departments (OD), as well as prevalence of different ob/gyn health conditions. The study-group consisted of 103 D/HH-women and the control-group - 314 women with no-hearing-disabilities (NHD). The study was approved by the Ethics Committee of Rīga Stradiņš University. The data was processed using IBM SPSS Statistics-27, comparing case-control cases in different age-groups: 1) ≤30; 2) 31-40; 3) ≥41.
Results. The mean value of quality-of-communication in GD was 7.53+/- 1.1 among NHD-patients and as 6.2+/-1.9 among D/HH-patients, whereas communication in OD - 7.03
+/-1.6 (NHD-patients) and 6.4 +/- 1.4 (D/HH-patients). 42.3% of D/HH-patients in the agegroup-Nr.1 and 41.9% in the age-group-Nr.2 vs 4.2% and 1.7% of NHD-patients, respectively,
weren’t informed about the cervical-cancer-screening. 7.7% in age-group Nr.1 and 9.7% in age-group Nr.2 of D/HH-patients vs 0% and 0,9% of NHD-patients, respectively, in the last-3-years haven’t visited gynaecologist. In age-group-Nr.2 the prevalence of premature labour was higher among D/HH-patients (16.1%) vs NHD-patients (4.3%). All p-values ≤0,05.
Conclusions. In this study D/HH-patients were less informed about the available prophylactic measures and less willing to participate in them, particularly due to communication struggles. The prevalence of premature labour was significantly higher among D/HH-patients aged 30-41. Clearer written therapy-plan-instructions and sign-language-interpreter should be established in the ob/gyn-healthcare.
| Original language | English |
|---|---|
| Pages | 78 |
| Publication status | Published - 2022 |
| Externally published | Yes |
| Event | 8th RSU International Student Conference 2022: Health and Social Sciences - online, Riga, Latvia Duration: 24 Mar 2022 → 25 Mar 2022 Conference number: 8 https://www.rsu.lv/en/news/rsu-international-student-conference-brings-together-young-scientists-17-countries https://www.rsu.lv/aktualitates/rsu-starptautiskaja-studentu-konference-satiksies-jaunie-zinatnieki-no-17-valstim https://www.rsu.lv/en/events/rsu-international-student-conference-2022 https://isc.rsu.lv/wp-content/uploads/2022/05/RSU-ISC-2022-Abstract-book-Health-Sciences.pdf https://isc.rsu.lv/ |
Conference
| Conference | 8th RSU International Student Conference 2022 |
|---|---|
| Abbreviated title | ISC 2022 |
| Country/Territory | Latvia |
| City | Riga |
| Period | 24/03/22 → 25/03/22 |
| Internet address |
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Keywords*
- Deaf-awareness
- Ob/gyn
- healtcare
- communication
Field of Science*
- 3.3 Health sciences
Publication Type*
- 3.4. Other publications in conference proceedings (including local)
