Abstract
Introduction: Hearing disability is a condition that affects normal ear function, as much in adulthood as in the first years of life. According to the 2005 Census, 6.3% of the Colombian population has some type of disability, of which 17.4% have hearing limitations, including those with hearing devices. Elucidating the conditions of this population and identifying the factors related to hearing disability will permit the management of strategies from different sectors to mitigate the consequences associated with this limitation. Objective: To estimate the self-perception of hearing disability in Colombia and to determine the factors associated with this limitation. Materials and Methods: The present study is cross-sectional, based on the analysis of secondary information obtained from the Registry for Localization and Characterization of Persons with Disability (RLCPD) during the 2002-2008 period. Socio-demographic and healthcare variables were analyzed. Results: 13.6% (102,648/750,377) of the population reported hearing limitations even with the use of special hearing devices. 43.52% (44,041) of people over 3 years of age could neither read nor write. 29.39% (30,145) of people who reported this limitation are not affiliated to any sort of health insurance system. Factors found to be associated with hearing limitations were: socioeconomic stratus (OR: 1.33; CI 95% 1.25; 1.42), illiteracy (OR: 1.44; CI 95% 1.42; 1.46) and lack of affiliation to a health insurance system (OR: 1.03; CI 95% 1.01; 1.04). Conclusion: People registered with hearing disability live under vulnerable conditions; among them, most/the majority pertained to a segment of the population with low economic resources and had difficulty obtaining/accessing work, education and healthcare services.
Highlights
Hearing disability is a condition that affects normal ear function, as much in adulthood as in the first years of life
The objective of our study is to estimate the self-perception of hearing disability in Colombia according to the information in the Register for the Localization and Characterization of Persons with Disability (RLCPD), and to identify the factors associated with this limitation, in order to highlight social, educational, and health services which could lead to the re-integration, control, and recovery of persons with auditory disability
Local governors and mayors are in charge of leading the process of registration in their territory in such a way that after informative campaigns in their corresponding territories, persons that perceive themselves as disabled sign up to be registered, and those who are already included in the disability register are subsequently interviewed [8]
Summary
Hearing disability is a condition that affects normal ear function, as much in adulthood as in the first years of life. Profound neurosensory hypoacusia, or profound deafness, is a condition that affects inner ear function, as much in adulthood as in the first years of life. It can be acquired from, and the principal causes are, infections such as Rubella, Toxoplasmosis, or Meningitis (it can present at birth due to genetic disorders); close to 30% of registered cases are from unknown causes [1]. When there are high risk factors, the incidence of hypoacusia grows between 20 to 40 in 1000 [4]
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