ArticleAmerican journal of preventive medicine2020
Adverse Childhood Communication Experiences Associated With an Increased Risk of Chronic Diseases in Adults Who Are Deaf.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Comparing the prevalence, incidence and severity of mental disorders between deaf and hard-of-hearing and hearing adults aged 18-60: a systematic review.Epidemiology and psychiatric sciences · 2026Pooled it
- Pooled it
- Article
- Avoiding unintended consequences: science of reading policies may harm deaf children.Journal of deaf studies and deaf education · 2026Article
- Assessment of the Quality of Life and Communication Needs of Deaf Ecuadorians.European journal of investigation in health, psychology and education · 2026Article
- Prevalence and correlates of current smoking among deaf, deafblind, and hard of hearing individuals.American journal of preventive medicine · 2026Article
- Guideline-concordant cancer screening among Deaf, DeafBlind, and Hard of Hearing (DDBHH) Puerto Ricans who use American Sign Language.Frontiers in oncology · 2026Article
- Assessing academic anxiety in d/Deaf, DeafBlind, and hard of hearing individuals.Frontiers in psychology · 2026Article
- DESIGNING STRATEGIC AND INTERACTIVE SIGNING INSTRUCTION TO SUPPORT SIGNED LITERACY FOR DEAF LEARNERS.International journal of designs for learning · 2025Article
- Adverse childhood experiences and hearing loss: the mediating role of sleep disorders in a Chinese cohort.BMC psychiatry · 2025Article
- Social determinants of access to health care among deaf people in the Dominican Republic: a qualitative study.BMC global and public health · 2025Article
- Delivering public health advice to sign language users: a qualitative study with key stakeholders.BMJ open · 2025Article
- Temporal Video Segmentation Approach for Peruvian Sign Language.Sensors (Basel, Switzerland) · 2025Article
- Deaf legal theory: challenging the law's hearing bias.Journal of deaf studies and deaf education · 2025Article
- Article
- Language anxiety: understanding past research and new directions with d/Deaf, DeafBlind, and hard of hearing communities.Frontiers in psychology · 2025Review
- Diabetes Care Disparities in Deaf/Hard of Hearing and Blind/Low Vision Populations.Current diabetes reports · 2024Review
- An approach designed to fail deaf children and their parents and how to change it.Harm reduction journal · 2024Review
- Exploring the Interplay of Diabetes, Deaf Patient Reported Outcomes, and Cancer Screening in Deaf and Hard of Hearing Women.International journal of women's health · 2024Article
- Exploring Signed Literacy in Elementary Deaf Students Through Evidence-Based Instructional Methods.Sign language studies · 2024Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
introductionThis study explores adverse childhood communication experiences and its RRs for acquiring specific chronic diseases and mental health disorders in adults who are deaf and hard of hearing.
methodsA cross-sectional design with snowball sampling was used to recruit adults who were deaf and hard of hearing and were born or became deaf in both ears before age 13 years. Patient-reported outcomes surveys in American Sign Language and English were disseminated to collect data about early life communication experiences with caregivers. Modified Poisson regression with robust SEs was used to calculate RR estimates and 95% CIs for all medical conditions with early life communication experiences as main predictors.
resultsData collection occurred from May 2016 to July 2016, October 2016 to April 2018, and October 2018 to May 2019. The U.S. sample consisted of 1,524 adults who were born or became deaf early. After adjusting for parental hearing status and known correlates of medical conditions, poorer direct child-caregiver communication was significantly associated with an increased risk of being diagnosed with diabetes (RRR=1.12, 95% CI=1.01, 1.24), hypertension (RRR=1.10, 95% CI=1.03, 1.17), and heart disease (RRR=1.61, 95% CI=1.39, 1.87). Poor indirect family communication/inclusion increased risks for lung diseases (RRR=1.19, 95% CI=1.07, 1.33) and depression/anxiety disorders (RRR=1.34, 95% CI=1.24, 1.44). The absolute risk increase and number needed to harm are also reported.
conclusionsOutcomes data reported by patients who were deaf and hard of hearing demonstrated that poorer direct child-caregiver communication and ongoing exclusion from incidental family communication were associated with increased risks for multiple chronic health outcomes. Practices should consider developing and utilizing an adverse childhood communication screening measure to prevent or remediate language deprivation and communication neglect in pediatric patients who were deaf and hard of hearing.
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