Weight misperception among deaf and hard-of-hearing adults in the United States: Results from NHANES, 1999-2018.

IF 3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Disability and Health Journal Pub Date : 2026-07-08 DOI:10.1016/j.dhjo.2026.102124

Blessed P Mbogo, Deborah Schooler, Julia R Varnes, Tyler G James

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引用次数: 0

Abstract

Background: Weight misperception is a critical indicator of body dissatisfaction and cardiovascular risk, yet remains understudied in deaf and hard-of-hearing (DHH) populations who face unique barriers to health literacy and visual normalization.

Objective: This study aimed to examine differences in weight misperception among people who are DHH , segmented by self-reported level of hearing loss.

Methods: We used data from the National Health and Nutrition Examination Survey (1999-2018) to capture a nationally representative sample to the U.S. (unweighted n = 47,326). We used binary and multinomial logistic regression to assess odds of discordance in self-perceived weight and two objective metrics (i.e., Body Mass Index [BMI] and Waist-to-Height Ratio [WtHR]), by DHH status, adjusting for sex and age.

Results: In binary models, DHH individuals had higher odds of inaccurate weight perception using BMI (aORs: deaf = 1.19, HH = 1.24), but not WtHR. In multinomial models, DHH had significantly higher odds of underestimating their weight with respect to both BMI (deaf = 1.21; HH = 1.27) and WtHR (deaf = 1.52; HH = 1.26). Lower odds of overestimation were observed for WtHR (deaf = 0.70; HH = 0.78).

Conclusions: Findings suggest DHH individuals may struggle with visual assessments of adiposity, supporting the visual normalization hypothesis. Future research should identify mechanisms between DHH status and weight misperception (e.g., limited health literacy).

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美国聋人和听力障碍成年人的体重误解：NHANES的结果，1999-2018。

背景：体重误解是身体不满意和心血管风险的关键指标，但在耳聋和听力障碍（DHH）人群中仍未得到充分研究，他们面临着健康素养和视力正常化的独特障碍。目的：本研究旨在通过自我报告的听力损失水平来研究DHH患者体重误解的差异。方法：我们使用国家健康和营养检查调查（1999-2018）的数据来获取具有全国代表性的美国样本（未加权n = 47,326）。我们使用二元和多项逻辑回归评估自我感知体重和两个客观指标（即身体质量指数[BMI]和腰高比[WtHR]）不一致的几率，通过DHH状态，调整性别和年龄。结果：在二元模型中，DHH个体使用BMI （aORs: deaf = 1.19,HH = 1.24）有更高的不准确体重感知的几率，而WtHR没有。在多项模型中，相对于BMI（聋人 = 1.21;HH = 1.27）和WtHR（聋人 = 1.52;HH = 1.26），DHH低估体重的几率明显更高。WtHR的高估率较低（聋人 = 0.70;HH = 0.78）。结论：研究结果表明，DHH个体可能难以对肥胖进行视觉评估，这支持了视觉正常化假说。未来的研究应该确定DHH状态和体重误解之间的机制（例如，有限的健康素养）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.