Back to all articles

Diabetes Care Disparities in Deaf/Hard of Hearing and Blind/Low Vision Populations

Diabetes Care Disparities in Deaf/Hard of Hearing and Blind/Low Vision Populations.
Read Full Paper
Allyson S Hughes, Karissa Mirus, Nazanin M Heydarian, Michelle L Litchman

A groundbreaking study has uncovered significant disparities in diabetes care among Deaf and hard of hearing (DHH) individuals and those who are blind or have low vision (BLV). This important research highlights the systemic barriers these communities face, underscoring the urgent need for healthcare reform to achieve health equity.

Key Findings

  • Higher Diabetes Prevalence: DHH individuals are diagnosed with diabetes at rates notably higher than their hearing peers, with systemic barriers worsening this situation.

  • Communication Challenges: Effective communication poses a significant obstacle for both DHH and BLV populations, resulting in misunderstandings and inadequate care from healthcare providers.

  • Inaccessible Technology: Diabetes management technologies are frequently not designed for accessibility, complicating care for these communities.

  • Insufficient Training: Healthcare professionals often lack adequate training on how to communicate with and care for DHH and BLV patients, perpetuating health disparities.

"Health disparities faced by DHH and BLV populations stem from barriers to diabetes standards of care. These inequities must be addressed to enhance and sustain high-quality care," said Dr. Allyson Hughes, lead author of the study.


Why It Matters

Health disparities in marginalized communities are a longstanding issue, and the DHH and BLV populations are no exception. With over 11 million DHH individuals and approximately 7.08 million people with low vision in the U.S., the implications of this research are significant. Limited access to quality healthcare not only impacts individual health outcomes but also places a strain on the healthcare system.

These disparities arise from a complex interplay of social determinants of health, including:

  • Access to healthcare services
  • Quality of education
  • Economic stability

The findings suggest that without targeted interventions, these barriers will continue to perpetuate a cycle of poor health outcomes in DHH and BLV communities.


Research Details

The study, conducted by researchers from Ohio University and the University of Utah, examines the challenges DHH and BLV individuals face in managing diabetes. Key aspects discussed include:

  • Bidirectional Relationship: The connection between diabetes and vision loss is particularly concerning, as individuals with diabetes face a heightened risk of vision complications, creating a cycle of deteriorating health.
  • Health Literacy Issues: Low health literacy is common among DHH individuals, even among those with a college education. This gap impedes effective diabetes management.
  • Technological Barriers: Modern diabetes management tools, such as continuous glucose monitors and insulin pumps, are often not designed with the needs of DHH and BLV individuals in mind, leading to increased health risks.

"Individuals with BLV frequently encounter substantial barriers to accessing quality healthcare, including communication challenges with providers and lack of transportation," said Dr. Karissa Mirus.


Looking Ahead

The research emphasizes the urgent need for actionable solutions to bridge the gaps in diabetes care. Here are some implications and recommendations for the future:

  • Enhanced Training for Healthcare Professionals: Training programs should be developed to equip healthcare providers with the skills necessary to communicate effectively with DHH and BLV patients.
  • Accessible Technology Development: The healthcare industry must prioritize the creation of accessible diabetes management technologies that address the unique needs of these populations.
  • Increased Community Outreach: Public health initiatives should focus on raising awareness about diabetes risk factors within DHH and BLV communities, promoting education and preventive care.

In conclusion, this vital research not only highlights the disparities faced by DHH and BLV populations in diabetes care but also calls for a concerted effort to rectify these inequities. By fostering a more inclusive healthcare environment, we can ensure that all individuals, regardless of their abilities, receive the care they deserve.

Diabetes