ArticleBMJ global health2025
Health disparities among Deaf communities from Colombia: assessing communication, technology and healthcare access.
Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Video Remote Sign Language Interpreting and Health Communication for Deaf Patients: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Beyond accommodation: institutional and policy drivers of healthcare equity for signing deaf adults.BMC health services research · 2026Article
- A novel mobile application developed to improve dental care communication for Deaf and hard-of-hearing individuals.BMC public health · 2026Observational
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite efforts to improve health equity, there is still limited knowledge about the number and characteristics of people with disabilities, particularly the Deaf community. Our aim is to use linguistically and culturally adapted research instruments to measure key health indicators and priorities within the Deaf community from a low- and middle-income country-Colombia, contributing to a better understanding of health inequities.
methodsWe used data from the Health Survey for Deaf (HSD) and National Quality of Life Survey (NQLS) from Colombia. We included various communication and technology-related indicators-usage of smartphone, modes of interacting with healthcare personnel, along with health indicators-self-perception of health, healthcare quality, hospitalisation and functional difficulties in various domains. ORs were computed to depict the differences in two groups, adjusted for both age and gender, using logistic regressions.
resultsWe included 204 and 877 Deaf participants from HSD and NQLS, respectively. Owning a phone was significantly associated with a better self-perception of health (ORs=2.27, 95% CI 1.63 to 3.17 for NQLS-Deafs; 1.49, 1.43 to 1.54 for NQLS-general population) but also with more functional difficulties corresponding to most domains (all ORs >1). However, for HSD datasets, we found that phone ownership was associated with having significantly less functional difficulties in moving hands (0.34, 0.14 to 0.81) and cognition (0.36, 0.15 to 0.89). Access to professional interpreting services was correlated with increased communication-related functional difficulties (2.02, 1.00 to 4.08), for HSD participants. Better self-perception of health was linked to fewer functional difficulties (all ORs <1), while recent hospitalisation was associated with more functional difficulties (all ORs >1).
conclusionsWe found that Deaf individuals generally experience poorer health outcomes compared with hearing individuals. To address these disparities, we recommend (1) improving data quality that could lead to targeted responses and monitoring of it and (2) implementing personalised health surveys that account for the Deaf population's fluency in Spanish and Colombian Sign Language and their specific understanding of health issues.
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