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Physical and Psychological Health, Social Trust and Financial Situation for persons with Usher syndrome type 1
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-6965-6820
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-4455-7826
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0001-6557-6359
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0003-2690-6989
2016 (English)In: The British Journal of Visual Impairment, ISSN 0264-6196, E-ISSN 1744-5809, Vol. 34, no 1, p. 15-25Article in journal (Refereed) Published
Abstract [en]

The article describes physical health, psychological health, social trust, and financial situation in persons with deafblindness due to Usher syndrome type 1 (USH1) in comparison with a cross-section of the Swedish population. Persons with USH1 were recruited through the Swedish Usher database. Totally, 87 adults received the Health on Equal Terms (HET) questionnaire. The HET was adjusted, thus the questions were translated into Swedish sign language, and a large font size, better contrast, and a structure compatible with the Braille script reader were also provided. The questionnaire comprises a wide range of domains related to health and wellbeing. In all, 60 persons responded (60% women, mean age: 49 years, range: 21-79 years). The persons with USH1 were compared to a cross section of the Swedish population that included 5738 individuals (56% women, mean age: 49 years, range: 16-84 years). Significant differences in physical health, psychological health, social trust, and financial situation as well as the odds ratio adjusted for sex and age, and its 95% confidence interval are reported. The psychological health, social trust, and financial situation of persons with USH1 were significantly poorer compared to the reference group although this was not the case for physical health. Persons with USH1 only expressed significantly more problems with headache compared to the cross section of the Swedish population. The respondents revealed major problems with fatigue, loss of confidence, and suicide thoughts and attempts. Major social trust and financial problems were reported in terms of refraining going out alone, not receiving help, having no one with whom to share thoughts, and confide in and being unable to obtain 15.000 SEK (approximately US$1.724 or (sic)1.544) in the case of an unforeseen situation. To identify factors associated with physical health, psychological health, social trust, and financial situation is important in the design of future rehabilitation strategies for persons with USH1. The high level of psychological distress and lack of social trust reported could be related to ontological insecurity, as well as lack of recognition from others. Special attention must be devoted to suicide behavior.

Place, publisher, year, edition, pages
London, United Kingdom: Sage Publications, 2016. Vol. 34, no 1, p. 15-25
Keywords [en]
Deafblindness, health, physical health, psychological health, social trust, Usher syndrome, Usher syndrome type 1
National Category
Otorhinolaryngology Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:oru:diva-46189DOI: 10.1177/0264619615610158ISI: 000433687500003Scopus ID: 2-s2.0-84961251983OAI: oai:DiVA.org:oru-46189DiVA, id: diva2:861890
Available from: 2015-10-20 Created: 2015-10-19 Last updated: 2025-02-20Bibliographically approved
In thesis
1. Health and People with Usher syndrome
Open this publication in new window or tab >>Health and People with Usher syndrome
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present thesis concerns people with Usher syndrome (USH) and their health. People with USH have a congenital hearing loss of various degrees and an eye disease with a progressive course; for some, the balance is also affected. Three clinical groups have been identified 1, 2 and 3, and 13 genes have currently been identified. USH is the most common cause of deafblindness. Clinical knowledge and the limited research that exists have shown that people with deafblindness can experience difficulties in everyday life. Depression, anxiety and social withdrawal have been described.

The general aim of the present thesis was to describe the health of people with USH. The empirical material employed was based on an extensive survey in which people with USH answered two questionnaires concerning health, anxiety, depression, social trust, work, health-care, financial situation, and alcohol and drug use. The focus of the present thesis is on general health, physical health and psychological health, social trust and finance. Three studies in the present theses focus on USH1, 2 and 3, respectively; finally, the fourth study provides an in-group comparison of people with USH. The results of studies I and III are compared with a crosssection of the Swedish population. The results revealed poor physical and psychological health, a lack of social trust and a strained financial situation regardless of clinical diagnosis. The discussion stresses the importance of taking a biopsychosocial approach when describing the health of people with USH, in which previous research is lacking. Additional research should focus on the mechanisms at different levels that affect people with USH and their health from a life- course perspective. Furthermore, research should include a salutogenic perspective to explore the resources and strengths of people with USH.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2015. p. 118
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 76
Keywords
Usher syndrome, Deafblindness, Health, General Health, Physical Health, Psychological Health, Social Trust, Financial Situation
National Category
Otorhinolaryngology Public Health, Global Health and Social Medicine
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-46059 (URN)978-91-7529-098-0 (ISBN)
Public defence
2015-11-13, Prismahuset, Hörsal 2, Örebro universitet, Fakultetsgatan 1, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2015-10-12 Created: 2015-10-12 Last updated: 2025-02-20Bibliographically approved

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Wahlqvist, MoaMöller, KerstinMöller, ClaesDanermark, Berth

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OtorhinolaryngologyPublic Health, Global Health and Social Medicine

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