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Abstract
Purpose: The objectives of this paper are as follows: (1) propose an explanatory model as to how hearing disability may impact on health and (2) examine the model’s utility. Methods: Data were collected on the psycho-social wellbeing, disability and physical health of farmers (n = 56) participating in an intervention to manage the social impacts of hearing disability. Two models were proposed and examined using multiple hierarchical linear regression. Model 1 used self-rated quality of life and model 2 used capacity to manage hearing and listening impairments, as dependent variables. Results: The analyses found that physical measures of hearing impairment (audiograms) were not correlated with physical or mental health outcomes. However, in model 1, self-confidence and self-rated ability to manage hearing impairment were most closely associated with reduced quality of life (anxiety and diastolic blood pressure were positively associated with quality of life). In model 2, higher anxiety and reduced self-confidence were associated with decreasing ability to successfully manage one’s hearing impairment. Conclusions: The findings support the explanatory model that stress is higher and wellbeing lower when the fit between the person’s coping capacity and environmental demands is poor.
This paper demonstrates that anxiety is associated with coping with the psycho-social aspects of hearing disability.
This finding has important implications for the many hearing services, which only provide assessment and devices.
To negate anxiety and its long-term impacts, rehabilitation providers need to ensure people with hearing disability have the capacity to manage the psycho-social aspects of communication breakdown.
Implications for Rehabilitation
Acknowledgements
The authors thank the farm men and women who participated in this project and research associates Tracey Hatherell and Corrina Lee.
Declaration of interest
This project was funded by the National Health and Medicine Research Council (NHRMRC) Project Grant GNT 1033151. Research partners include the National Centre for Farmer Health, Deakin University, University of Canberra and the National Acoustic Laboratories. The contents of this publication do not reflect the views of the NHMRC.