Who do you tell about your hearing loss? A stigma-induced identity-threat model for adults with hearing loss.

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Audiology Pub Date : 2025-05-14 DOI:10.1080/14992027.2025.2489569

Katie Ekberg, Mansoureh Nickbakht, Carly Meyer, Monique Waite, Barbra Timmer, Nerina Scarinci, Louise Hickson

{"title":"Who do you tell about your hearing loss? A stigma-induced identity-threat model for adults with hearing loss.","authors":"Katie Ekberg, Mansoureh Nickbakht, Carly Meyer, Monique Waite, Barbra Timmer, Nerina Scarinci, Louise Hickson","doi":"10.1080/14992027.2025.2489569","DOIUrl":null,"url":null,"abstract":"Objective: This paper collates findings from six studies in the special issue and maps them onto the Major and O'Brien (2005) model for a holistic representation of how adults with hearing loss (HL) experience stigma-induced identity threat, how they respond, and the association with hearing aid (HA) use.Design: Findings were obtained using a range of methods: qualitative interviews, Ecological Momentary Assessment, and Conversation Analysis in phase 1; and online self-report surveys in phase 2. Data from phase 1 informed the survey used in phase 2.Study sample: Phase 1 included 20 adults with HL and their significant others (SOs). Phase 2 included 331 adults with HL and 313 SOs.Results: Findings support the view of stigma being context and relationship specific as suggested by the Major and O'Brien (2005) model. 'Not telling' was found to be a key way that the stigma of HL is responded to in everyday life. HL disclosure, in addition to attitudes towards HAs, stereotypical beliefs, and personal characteristics, were associated with HA use.Conclusions: Clinical implications are discussed, including how hearing care professionals might support adults with HL and their SOs who experience stigma related to HL and/or HAs.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14992027.2025.2489569","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This paper collates findings from six studies in the special issue and maps them onto the Major and O'Brien (2005) model for a holistic representation of how adults with hearing loss (HL) experience stigma-induced identity threat, how they respond, and the association with hearing aid (HA) use.

Design: Findings were obtained using a range of methods: qualitative interviews, Ecological Momentary Assessment, and Conversation Analysis in phase 1; and online self-report surveys in phase 2. Data from phase 1 informed the survey used in phase 2.

Study sample: Phase 1 included 20 adults with HL and their significant others (SOs). Phase 2 included 331 adults with HL and 313 SOs.

Results: Findings support the view of stigma being context and relationship specific as suggested by the Major and O'Brien (2005) model. 'Not telling' was found to be a key way that the stigma of HL is responded to in everyday life. HL disclosure, in addition to attitudes towards HAs, stereotypical beliefs, and personal characteristics, were associated with HA use.

Conclusions: Clinical implications are discussed, including how hearing care professionals might support adults with HL and their SOs who experience stigma related to HL and/or HAs.

查看原文本刊更多论文

你会告诉谁你的听力损失？成人听力损失的耻辱感诱导的身份-威胁模型。

目的：本文整理了特刊中六项研究的结果，并将其映射到Major和O'Brien（2005）模型中，以整体呈现听力损失（HL）成人如何经历耻辱诱导的身份威胁，他们如何应对，以及与助听器（HA）使用的关系。设计：通过一系列方法获得研究结果：第一阶段的定性访谈、生态瞬时评估和对话分析；第二阶段是在线自我报告调查。第一阶段的数据为第二阶段使用的调查提供了依据。研究样本：第一阶段包括20名成人HL患者及其重要他人（so）。二期包括331例成人HL和313例so。结果：研究结果支持Major和O'Brien（2005）模型提出的病耻感与情境和关系相关的观点。“不告诉”被发现是在日常生活中对HL的耻辱做出反应的关键方式。HL的披露，以及对HA的态度、刻板印象和个人特征，与HA的使用有关。结论：本文讨论了临床意义，包括听力保健专业人员如何支持患有HL和/或ha的成人及其SOs。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Audiology 医学-耳鼻喉科学

CiteScore

4.90

自引率

14.80%

发文量

133

审稿时长

4-8 weeks

期刊介绍： International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.