ArticleBMC global and public health2025
Social determinants of access to health care among deaf people in the Dominican Republic: a qualitative study.
Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026Article
- Communication Barriers and Health Literacy Gaps Undermine Equitable Healthcare for Deaf Sign Language Users: A Qualitative Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundHearing loss is comparatively frequent in the Latin America and Caribbean (LAC) region, where the prevalence of disabling hearing loss is higher than in many areas of the world. The current societal infrastructure in the Dominican Republic (DR) for Deaf people is insufficient: services such as sign language interpreters are lacking, as are accessible and widespread educational and health care services or access to emergency services. This project was formed through four partnerships, including United States- and Dominican Republic-based academic institutions and community organizations serving Deaf communities, to identify lived experience of Deaf Dominicans in accessing health care.
methodsWe recruited 102 people in the DR self-identifying as Deaf to participate in 51 qualitative interviews. All interviews were conducted in Dominican Sign language ("LSRD") by Deaf interviewers and were visually recorded. Interview transcripts were analyzed using thematic analysis informed by grounded theory to identify categories explaining participants' experiences.
resultsThree themes emerged in our grounded theory showing that Deaf Dominicans (1) rely heavily on hearing people as facilitators and navigators for the Deaf person to access health care; (2) often as a result of this dependence, Deaf Dominicans frequently experience lack of health care information in transactional health-related encounters and, more broadly, in general health knowledge; and (3) communicate frequently with the hearing world (including health care providers and workers) through gestures other than an established sign language. Further, Deaf Dominicans routinely experience structural audism, defined as systemic discrimination and prejudice against Deaf indivdiuals, when they are unable to fully access health care.
conclusionsUrgent attention is needed to address these systemic barriers. Deaf Dominicans are an underserved linguistic and cultural minority population who face barriers and challenges in accessing the health care system. Full communication and comprehension for the Deaf community is vital in ensuring equitable access to health care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.