Douglas M Lawson
Applying structural equation modeling to Canadian Chiropractic Examining Board measures
The Journal of the Canadian Chiropractic Association
people english second language deaf population often unequal access health information low health literacy context wider study risk tickborne illness deaf communities explored barriers opportunities nuances accessible health information communication among deaf people semistructured qualitative individual group interviews conducted 40 deaf people upstate new york explore factors associated health literacy health information accessibility interviews conducted american sign language asl deaf researcher fluent asl data analysis included translation asl signs english words systematic coding generation themes total 21 interview events mean time per interview 41 minutes conducted two main themes multiple subthemes emerged data 1 layers obstacles faced deaf people confirms reinforces exclusion 2 preventive information unavailable inaccessible deaf people sub themes identified results perceptions deaf community deaf culture complex layers obstacles faced deaf individuals digital divide culture communication awareness tick tickborne disease tbd diseases importance using certified deaf interpreters cdi health information dissemination strategies collaborations education system physicalvirtual community engagement data suggested several challenges health literacy deaf population including healthcare education inequalities negative perceptions deaf people deaf hearing people improving health literacy deaf population requires interpreters deaf certified deaf interpreters provision health information asl greater engagement deaf population education healthcare systems