Evidence map›Paper›PMID 30949965›Full record

ArticleJournal of community health2019

Rural Adult Perspectives on Impact of Hearing Loss and Barriers to Care.

Whitney Powell, Julie A Jacobs, Wayne Noble, Matthew L Bush, Claire Snell-Rood

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A qualitative systematic review of the impact of hearing on quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
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  15. Age-Related Hearing Loss: Evidence-Based Strategies for Early Detection and Management.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Whitney PowellUniversity of Kentucky College of Medicine, Lexington, KY, USA.
Julie A JacobsDepartment of Health, Behavior and Society, College of Public Health, University of Kentucky Medical Center, Lexington, KY, USA.
Wayne NobleUniversity of Kentucky Center for Excellence in Rural Health, Hazard, KY, USA.
Matthew L BushDepartment of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, 740 South Limestone, E300E, Lexington, KY, 40536-0284, USA. matthew.bush@uky.edu.ORCID 0000-0003-1460-5038
Claire Snell-RoodSchool of Public Health, University of California Berkeley, Berkeley, CA, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Promoting Early Diagnosis of Congenital Hearing Loss through Patient NavigationK23DC014074 · NIDCD · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE · 2015 to 2017
$685k
NCATS NIH HHS UL1 TR000117NIDCD NIH HHS K23 DC014074
6 · The paper itself

Abstract

Adult hearing loss has a significant impact on communication and quality of life. In spite of effective methods of diagnosis and treatment, many rural adults face significant barriers and delays in accessing care. The purpose of this study is to characterize the impact of hearing loss and the barriers for hearing healthcare in rural adults. Using stratified purposeful sampling, the study design involved semi-structured phone interviews with adults in the Appalachian region of Kentucky between 2016 and 2017 to describe perceived susceptibility to hearing loss; knowledge of hearing loss; cues leading to help-seeking; barriers limited access to care; benefits of seeking help; and self-rated confidence in seeking treatment. Thematic qualitative analysis was performed to identify recurring content themes. Forty adults participated in the study. Participants reported susceptibility to noise induced hearing loss with infrequent hearing protection use. Participants described concern with hearing loss-related communication barriers that could affect compliance with medical care, employment performance, personal safety, and relationship communication. Rural adult expressed willingness to seek hearing healthcare but reported a lack of providers in rural areas. The cost and the lack of insurance coverage for hearing aids were the most clearly articulated obstacles influencing access to care. Hearing loss has a significant impact on adults in rural areas. A lack of providers and the overwhelming cost of treatment are barriers to care. Further research is needed to identify novel methods to support rural adults seeking affordable hearing healthcare.

Indexed as

Health Knowledge, Attitudes, PracticeHealth Services AccessibilityHearing LossRural PopulationAdultAppalachian RegionHumansKentuckyAppalachiaBarriers to healthcare accessHearing lossRural healthcare

Identifiers

PMID30949965
PMCPMC13453058

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.