Online Program

Addressing disparities in accessing hearing health care in a U.S. Mexico Border community

Wednesday, November 4, 2015

Nicole Marrone, PhD, CCC-A, Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
Maia Ingram, MPH, Deputy Director, Arizona Prevention Research Center, University of Arizona, Tucson, AZ

Jill de Zapien, BA, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Daisey Sanchez, BA, Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
Frances Harris, PhD, Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
Rosie Piper, Health Promotion-Disease Prevention, Mariposa Community Health Center, Nogales, AZ
Stephanie Adamovich, PhD, CCC-A, Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
Sonia Colina, PhD, Spanish and Portuguese, University of Arizona, Tucson, AZ
Scott Carvajal, PhD, MPH, Health Behavior Health Promotion, Division of Health Promotion Sciences, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ
Hearing loss has a major impact on the quality of life among older adults.  In population-based studies, 90-96% of Mexican-American adults with hearing loss do not have access to hearing healthcare. To begin to reduce this health disparity, we used a community-based participatory research approach to investigate unmet needs of families affected by hearing loss in a rural, predominately Mexican-American community on the U.S.-Mexico border.  We utilized the community health worker (CHW) model as a means to address cultural aspects that might impact access to hearing health care. CHWs are individuals from the community who serve as intermediaries between health professionals and patients.  Our academic-community partnership includes a rural federally-qualified health center serving low socio-economic status Mexican American adults. Partners engaged in a theory-based needs assessment of hearing loss among elder adults with hearing loss using the social-ecological and health belief models among the population in Nogales, Arizona. CHWs facilitated 20 interviews with elder adults with hearing loss and three focus groups with family members. The research team conducted interviews with medical providers and other clinic staff. The resulting multicomponent intervention, Oyendo Bien, aims to reduce disparities in access to hearing healthcare and improve outcomes identified as important to families experiencing hearing loss. The use of CBPR methods provided a way to identify barriers and facilitators in access to care and raise the profile of hearing loss as an important health issue in the community.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs

Learning Objectives:
Demonstrate factors related to hearing health disparities facing the elderly residents of the predominately Mexican-American Nogales, Arizona community. Describe a community-participatory based research approach as a strategy to develop a community-based intervention. Identify the main components of a community-based intervention to address hearing loss among elder Mexican American adults using the Community Health Worker model.

Keyword(s): Aging, Disabilities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a co-investigator on multiple federally funded grants focusing on the use of the Community Health Worker model to address disparities in health and health care. My expertise lies in use of community based participatory methods to engage communities in problem identification and research methods.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.