Cross-Sectional Analysis of Medical Conditions in the U.S. Deaf Transgender Community

Sanfacon, Keith; Leffers, Alex; Miller, Cara A.; Stabbe, Oliver; DeWindt, Lori; Wagner, Kathryn; Kushalnagar, Poorna

doi:10.1089/trgh.2020.0028

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…A small-scale study (n = 36) reported that the LGBTQ status were not significantly related to the depression score [ 33 ]. In a study involving transgender Deaf communities, it was found depression/anxiety was higher for those with nonbinary identities [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Perrodin-Njoku et al [17] also reported that Black Deaf people are more likely to experience higher blood pressure compared to the Black hearing population (OR = 1.73). However, a large-scale study (n = 532) by Simons et al [24] reported that the prevalence for [34] 05 Endocrine, nutritional, or metabolic diseases hypertension was significantly lower in the Deaf sample (33%) compared with 46% in the hearing sample. Cardiovascular disease.…”

Section: Plos Onementioning

confidence: 97%

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Health outcomes in Deaf signing populations: A systematic review

Rogers,

Rowlandson,

Harkness

et al. 2024

PLoS ONE

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Objectives (i) To identify peer reviewed publications reporting the mental and/or physical health outcomes of Deaf adults who are sign language users and to synthesise evidence; (ii) If data available, to analyse how the health of the adult Deaf population compares to that of the general population; (iii) to evaluate the quality of evidence in the identified publications; (iv) to identify limitations of the current evidence base and suggest directions for future research. Design Systematic review. Data sources Medline, Embase, PsychINFO, and Web of Science. Eligibility criteria for selecting studies The inclusion criteria were Deaf adult populations who used a signed language, all study types, including methods-focused papers which also contain results in relation to health outcomes of Deaf signing populations. Full-text articles, published in peer-review journals were searched up to 13th June 2023, published in English or a signed language such as ASL (American Sign Language). Data extraction Supported by the Rayyan systematic review software, two authors independently reviewed identified publications at each screening stage (primary and secondary). A third reviewer was consulted to settle any disagreements. Comprehensive data extraction included research design, study sample, methodology, findings, and a quality assessment. Results Of the 35 included studies, the majority (25 out of 35) concerned mental health outcomes. The findings from this review highlighted the inequalities in health and mental health outcomes for Deaf signing populations in comparison with the general population, gaps in the range of conditions studied in relation to Deaf people, and the poor quality of available data. Conclusions Population sample definition and consistency of standards of reporting of health outcomes for Deaf people who use sign language should be improved. Further research on health outcomes not previously reported is needed to gain better understanding of Deaf people’s state of health.

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Section: Resultsmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 97%

Health outcomes in Deaf signing populations: A systematic review

Rogers,

Rowlandson,

Harkness

et al. 2024

PLoS ONE

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“… Miller, Biskupiak, and Kushalnagar’s (2019) study of interactions with health care providers evidences that, after controlling for sociodemographic and patient-related variables, DHH cisgender women were significantly less likely to disclose their LGBTQ+ status compared with DHH cisgender men. Sanfacon et al. (2021) focusing on a sample of 74 transgender Deaf adults who use ASL, identified a lifetime prevalence of 48.6% for depression/anxiety disorder and further concluded that identification as non-binary increased a Deaf person's risk for being diagnosed with depression or anxiety disorder by 80% (95% confidence interval, 1.11–2.90) relative to Deaf people who self-identified as a binary gender.…”

Section: Discussionmentioning

confidence: 99%

Introducing the READY Study: DHH Young people’s Well-Being and Self-Determination

Young

Espinoza

Dodds

et al. 2023

Journal of Deaf Studies and Deaf Education

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READY is a self-report prospective longitudinal study of deaf and hard of hearing (DHH) young people aged 16 to 19 years on entry. Its overarching aim is to explore the risk and protective factors for successful transition to adulthood. This article introduces the cohort of 163 DHH young people, background characteristics and study design. Focusing on self-determination and subjective well-being only, those who completed the assessments in written English (n = 133) score significantly lower than general population comparators. Sociodemographic variables explain very little of the variance in well-being scores; higher levels of self-determination are a predictor of higher levels of well-being, outweighing the influence of any background characteristics. Although women and those who are LGBTQ+ have statistically significantly lower well-being scores, these aspects of their identity are not predictive risk factors. These results add to the case for self-determination interventions to support better well-being amongst DHH young people.

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“…The CDC's Behavioral Risk Factor Surveillance System (BRFSS) Caregiver Module items were translated to ASL and back translated to the original language prior to survey administration. The PROMIS Deaf Profile with Global Health and Communication Health domains is available in ASL and English (Kushalnagar et al, 2020). Following approval from the institution's human subjects review board, online data collection for these survey measures was gathered between October 2019 and March 2020.…”

Section: Methodsmentioning

confidence: 99%

Quality of Life and Needs of Deaf Informal Caregivers of Loved Ones with Alzheimer’s and Related Dementia

Ammons

Engelman

Kushalnagar

2020

Gerontology and Geriatric Medicine

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No studies have included the experiences and needs of informal caregivers who are deaf, use American Sign Language (ASL), and care for a loved one with Alzheimer’s disease or related dementias (ADRD). The CDC’s BRFSS Caregiver Module and PROMIS-Deaf Profile measures were administered via an online bilingual English/ASL platform between October 2019 and March 2020. Out of 194 deaf adult signers who completed an online survey, 42 respondents (mean age = 66; SD = 12; 74% White) endorsed informally caring for someone with a medical condition. In this survey subsample of informal caregivers, more years of education was significantly associated with higher generic quality of life and higher deaf-specific quality of life. A smaller subset of informal deaf informal caregivers who were currently taking care of loved ones with ADRD were then invited to participate in a semi-structured interview. Among the 22 informal caregivers who were interviewed, there was a strong agreement among the participants who felt that their quality of life as informal caregivers was worse than hearing informal caregivers who took care of loved ones with ADRD. Findings highlight the importance of a call to action to address the needs of deaf informal ADRD caregivers.

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Cross-Sectional Analysis of Medical Conditions in the U.S. Deaf Transgender Community

Cited by 7 publications

References 29 publications

Health outcomes in Deaf signing populations: A systematic review

Health outcomes in Deaf signing populations: A systematic review

Introducing the READY Study: DHH Young people’s Well-Being and Self-Determination

Quality of Life and Needs of Deaf Informal Caregivers of Loved Ones with Alzheimer’s and Related Dementia

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