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Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis

Hearing loss is a major health challenge that can have severe physical, social, cognitive, economic, and emotional consequences on people’s quality of life. Currently, the modifiable factors linked to socioeconomic inequalities in hearing health are poorly understood. Therefore, an online database s...

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Autores principales: Tsimpida, Dialechti, Kontopantelis, Evangelos, Ashcroft, Darren M., Panagioti, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165532/
https://www.ncbi.nlm.nih.gov/pubmed/34049470
http://dx.doi.org/10.1177/23312165211002963
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author Tsimpida, Dialechti
Kontopantelis, Evangelos
Ashcroft, Darren M.
Panagioti, Maria
author_facet Tsimpida, Dialechti
Kontopantelis, Evangelos
Ashcroft, Darren M.
Panagioti, Maria
author_sort Tsimpida, Dialechti
collection PubMed
description Hearing loss is a major health challenge that can have severe physical, social, cognitive, economic, and emotional consequences on people’s quality of life. Currently, the modifiable factors linked to socioeconomic inequalities in hearing health are poorly understood. Therefore, an online database search (PubMed, Scopus, and Psych) was conducted to identify literature that relates hearing loss to health inequalities as a determinant or health outcome. A total of 53 studies were selected to thematically summarize the existing literature, using a critical interpretive synthesis method, where the subjectivity of the researcher is intimately involved in providing new insights with explanatory power. The evidence provided by the literature can be summarized under four key themes: (a) There might be a vicious cycle between hearing loss and socioeconomic inequalities and lifestyle factors, (b) socioeconomic position may interact with less healthy lifestyles, which are harmful to hearing ability, (c) increasing health literacy could improve the diagnosis and prognosis of hearing loss and prevent the adverse consequences of hearing loss on people’s health, and (d) people with hearing loss might be vulnerable to receiving low-quality and less safe health care. This study uses elements from theoretical models of health inequalities to formulate a highly interpretive conceptual model for examining hearing health inequalities. This model depicts the specific mechanisms of hearing health and their evolution over time. There are many modifiable determinants of hearing loss, in several stages across an individual’s life span; tackling socioeconomic inequalities throughout the life-course could improve the population’s health, maximizing the opportunity for healthy aging.
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spelling pubmed-81655322021-06-07 Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis Tsimpida, Dialechti Kontopantelis, Evangelos Ashcroft, Darren M. Panagioti, Maria Trends Hear Review Article Hearing loss is a major health challenge that can have severe physical, social, cognitive, economic, and emotional consequences on people’s quality of life. Currently, the modifiable factors linked to socioeconomic inequalities in hearing health are poorly understood. Therefore, an online database search (PubMed, Scopus, and Psych) was conducted to identify literature that relates hearing loss to health inequalities as a determinant or health outcome. A total of 53 studies were selected to thematically summarize the existing literature, using a critical interpretive synthesis method, where the subjectivity of the researcher is intimately involved in providing new insights with explanatory power. The evidence provided by the literature can be summarized under four key themes: (a) There might be a vicious cycle between hearing loss and socioeconomic inequalities and lifestyle factors, (b) socioeconomic position may interact with less healthy lifestyles, which are harmful to hearing ability, (c) increasing health literacy could improve the diagnosis and prognosis of hearing loss and prevent the adverse consequences of hearing loss on people’s health, and (d) people with hearing loss might be vulnerable to receiving low-quality and less safe health care. This study uses elements from theoretical models of health inequalities to formulate a highly interpretive conceptual model for examining hearing health inequalities. This model depicts the specific mechanisms of hearing health and their evolution over time. There are many modifiable determinants of hearing loss, in several stages across an individual’s life span; tackling socioeconomic inequalities throughout the life-course could improve the population’s health, maximizing the opportunity for healthy aging. SAGE Publications 2021-05-28 /pmc/articles/PMC8165532/ /pubmed/34049470 http://dx.doi.org/10.1177/23312165211002963 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Creative Commons CC BY: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Article
Tsimpida, Dialechti
Kontopantelis, Evangelos
Ashcroft, Darren M.
Panagioti, Maria
Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title_full Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title_fullStr Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title_full_unstemmed Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title_short Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis
title_sort conceptual model of hearing health inequalities (hhi model): a critical interpretive synthesis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165532/
https://www.ncbi.nlm.nih.gov/pubmed/34049470
http://dx.doi.org/10.1177/23312165211002963
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