Access to healthcare for deaf people: a model from a middle-income country in Latin America

Authors

  • Eduardo Fuentes-López Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Ciencias de la Salud https://orcid.org/0000-0002-0141-0226
  • Adrian Fuente Université de Montréal. Faculté de médecine. École d’orthophonie et d’audiologie

DOI:

https://doi.org/10.11606/s1518-8787.2020054001864

Keywords:

Persons with Hearing Impairments, Effective Access to Health Services, Socioeconomic Factors, Health Status Disparities

Abstract

OBJECTIVE: To determine if there are existing healthcare access inequities among the deaf Chilean population when compared to the general Chilean population. METHODS: Data were obtained from a population-based national survey in Chile. In total, 745 prelingually deaf individuals were identified. The number of times the person used the healthcare system was dichotomized and analyzed using a multivariate logistic regression model. RESULTS: Prelingually deaf people had lower incomes, fewer years of education, and greater rates of unemployment and poverty when compared with the general population. Moreover, they visited more general practitioners, mental health specialists, and other medical specialists. On average, they attended more appointments for depression but had fewer general checkups and gynecological appointments than the general population. CONCLUSIONS: Deaf people in Chile have a lower socioeconomic status than the rest of the Chilean population. The results from this study are similar to the findings reported for high-income countries, despite differences in the magnitude of the associations between being deaf and healthcare access. Further studies should be conducted to determine the health status of deaf people in Chile and other Latin American countries and what factors are associated with a significantly lower prevalence of gynecological appointments among deaf women when compared with non-deaf women.

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Published

2020-01-27

Issue

Section

Original Articles

How to Cite

Access to healthcare for deaf people: a model from a middle-income country in Latin America. (2020). Revista De Saúde Pública, 54, 13. https://doi.org/10.11606/s1518-8787.2020054001864