{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T21:38:05Z","timestamp":1793482685936,"version":"4.5.0"},"reference-count":65,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["PDF-2018-ST2-004"],"award-info":[{"award-number":["PDF-2018-ST2-004"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>(i) To identify peer reviewed publications reporting the mental and\/or physical health outcomes of Deaf adults who are sign language users and to synthesise evidence; (ii) If data available, to analyse how the health of the adult Deaf population compares to that of the general population; (iii) to evaluate the quality of evidence in the identified publications; (iv) to identify limitations of the current evidence base and suggest directions for future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Medline, Embase, PsychINFO, and Web of Science.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Eligibility criteria for selecting studies<\/jats:title>\n                    <jats:p>\n                      The inclusion criteria were Deaf adult populations who used a signed language, all study types, including methods-focused papers which also contain results in relation to health outcomes of Deaf signing populations. Full-text articles, published in peer-review journals were searched up to 13\n                      <jats:sup>th<\/jats:sup>\n                      June 2023, published in English or a signed language such as ASL (American Sign Language).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Data extraction<\/jats:title>\n                    <jats:p>Supported by the Rayyan systematic review software, two authors independently reviewed identified publications at each screening stage (primary and secondary). A third reviewer was consulted to settle any disagreements. Comprehensive data extraction included research design, study sample, methodology, findings, and a quality assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec006\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 35 included studies, the majority (25 out of 35) concerned mental health outcomes. The findings from this review highlighted the inequalities in health and mental health outcomes for Deaf signing populations in comparison with the general population, gaps in the range of conditions studied in relation to Deaf people, and the poor quality of available data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec007\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Population sample definition and consistency of standards of reporting of health outcomes for Deaf people who use sign language should be improved. Further research on health outcomes not previously reported is needed to gain better understanding of Deaf people\u2019s state of health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0298479","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T13:35:45Z","timestamp":1713274545000},"page":"e0298479","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":44,"title":["Health outcomes in Deaf signing populations: A systematic review"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0458-5715","authenticated-orcid":true,"given":"Katherine D.","family":"Rogers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleix","family":"Rowlandson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Harkness","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Shields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alys","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"#cr-split#-pone.0298479.ref001.1","unstructured":"World Health Organization. Deafness and hearing loss. [Internet]. 2021 [updated 2023 February 27"},{"key":"#cr-split#-pone.0298479.ref001.2","unstructured":"cited 2023 June 26]. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss."},{"key":"#cr-split#-pone.0298479.ref002.1","unstructured":"National Geographic. [Internet]. 2023 [updated 2023 October 19"},{"key":"#cr-split#-pone.0298479.ref002.2","unstructured":"cited 2023 October 31]. https:\/\/education.nationalgeographic.org\/resource\/sign-language\/"},{"key":"pone.0298479.ref003","unstructured":"United Nations. [Internet]. 2023 [cited 2023 October 31]. https:\/\/www.un.org\/en\/observances\/sign-languages-day"},{"key":"pone.0298479.ref004","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9781139167048","volume-title":"The linguistics of British Sign Language: an introduction","author":"R Sutton-Spence","year":"1999"},{"key":"pone.0298479.ref005","article-title":"Understanding Deaf Culture: In search of Deafhood","author":"P. Ladd","year":"2003","journal-title":"Clevedon"},{"issue":"9820","key":"pone.0298479.ref006","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/S0140-6736(11)61670-X","article-title":"Deafness might damage your health","volume":"379","author":"A Alexander","year":"2012","journal-title":"Lancet"},{"issue":"631","key":"pone.0298479.ref007","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3399\/bjgp15X683629","article-title":"Access to primary care affects the health of Deaf people","volume":"65","author":"A Emond","year":"2015","journal-title":"British Journal of General Practice"},{"key":"pone.0298479.ref008","doi-asserted-by":"crossref","first-page":"e006668","DOI":"10.1136\/bmjopen-2014-006668","article-title":"The current health of the signing Deaf community in the UK compared with the general population: a cross-sectional study","volume":"5","author":"A Emond","year":"2015","journal-title":"BMJ Open"},{"issue":"12","key":"pone.0298479.ref009","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.2105\/AJPH.2011.300247","article-title":"Community Participatory Research With Deaf Sign Language Users to Identify Health Inequities","volume":"101","author":"S Barnett","year":"2011","journal-title":"American Journal of Public Health"},{"key":"pone.0298479.ref010","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s40258-019-00546-8","article-title":"Health State Values of Deaf British Sign Language (BSL) Users in the UK: An Application of the BSL Version of the EQ\u20115D\u20115L","volume":"18","author":"GE Shields","year":"2020","journal-title":"Applied Health Economics and Health Policy"},{"issue":"4","key":"pone.0298479.ref011","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1086\/689543","article-title":"Avoiding Linguistic Neglect of Deaf Children","volume":"90","author":"T Humphries","year":"2016","journal-title":"Social Service Review"},{"issue":"10","key":"pone.0298479.ref012","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1016\/j.chiabu.2014.04.010","article-title":"Child maltreatment and trauma exposure among deaf and hard of hearing young adults","volume":"38","author":"LS Schenkel","year":"2014","journal-title":"Child Abuse & Neglect"},{"key":"pone.0298479.ref013","unstructured":"Earis H, Reynolds S. Deaf and hard-of-hearing people\u2019s access to primary health care services in North East Essex: A report for North East Essex Primary Care Trust. [Internet] 2009. [cited 2023 January 18]. http:\/\/www.sally-reynolds.com\/wp-content\/uploads\/2012\/12\/Report-on-access-for-NE-Essex-PCT.pdf"},{"key":"pone.0298479.ref014","unstructured":"Tranebj\u00e6rg L, Samson RA, Green GE. Jervell and Lange-Nielsen Syndrome. In: Adam MP, Everman DB, Mirzaa GM, et al., editors. GeneReviews\u00ae [Internet]. Seattle (WA): University of Washington, Seattle; 1993\u20132023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1405\/"},{"issue":"2","key":"pone.0298479.ref015","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3233\/WOR-182731","article-title":"Health, work, social trust, and financial situation in persons with Usher syndrome type 1","volume":"60","author":"M Ehn","year":"2018","journal-title":"Work"},{"issue":"4","key":"pone.0298479.ref016","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1353\/aad.2020.0029","article-title":"Psychological Well-Being, Emotional Intelligence, and Emotional Symptoms in Deaf Adults","volume":"165","author":"C Pe\u00f1acoba","year":"2020","journal-title":"American Annals of the Deaf"},{"issue":"2","key":"pone.0298479.ref017","doi-asserted-by":"crossref","first-page":"e28464","DOI":"10.1097\/MD.0000000000028464","article-title":"Health disparities among Black deaf and hard of hearing Americans as compared to Black hearing Americans: A 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life for the deaf: a pilot study","volume":"33","author":"MA Henning","year":"2011","journal-title":"Disability and Rehabilitation"},{"issue":"1","key":"pone.0298479.ref032","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1089\/heq.2019.0009","article-title":"Health Disparities Among Mid-to-Older Deaf LGBTQ Adults Compared with Mid-to-Older Deaf Non-LGBTQ Adults in the United States","volume":"3","author":"P Kushalnagar","year":"2019","journal-title":"Health Equity"},{"key":"pone.0298479.ref033","doi-asserted-by":"crossref","first-page":"102867","DOI":"10.1016\/j.midw.2020.102867","article-title":"Creating the Capacity to Screen Deaf Women for Perinatal Depression: A Pilot Study","volume":"92","author":"ML Anderson","year":"2021","journal-title":"Midwifery"},{"issue":"3","key":"pone.0298479.ref034","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1089\/trgh.2020.0028","article-title":"Cross-Sectional Analysis of Medical Conditions in the U.S. Deaf Transgender Community","volume":"6","author":"K Sanfacon","year":"2021","journal-title":"Transgender Health"},{"issue":"2","key":"pone.0298479.ref035","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1093\/deafed\/enw073","article-title":"The Significance of Deaf Identity for Psychological Well-Being","volume":"22","author":"M Chapman","year":"2017","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"1","key":"pone.0298479.ref036","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.dhjo.2013.07.001","article-title":"Higher educational attainment but not higher income is protective for cardiovascular risk in Deaf American Sign Language (ASL) users","volume":"7","author":"MM McKee","year":"2014","journal-title":"Disability and Health Journal"},{"key":"pone.0298479.ref037","article-title":"Quality of Life and Needs of Deaf Informal Caregivers of Loved Ones with Alzheimer\u2019s and Related Dementia","author":"D Ammons","year":"2020","journal-title":"Gerontology & Geriatric Medicine"},{"issue":"1","key":"pone.0298479.ref038","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s11136-020-02611-5","article-title":"Validation of the WHOQOL-Bref instrument in Brazilian sign language (Libras)","volume":"30","author":"SBR Duarte","year":"2021","journal-title":"Quality of Life Research"},{"issue":"4","key":"pone.0298479.ref039","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.amepre.2020.04.016","article-title":"Adverse Childhood Communication Experiences Associated With an Increased Risk of Chronic Diseases in Adults Who Are Deaf","volume":"59","author":"P Kushalnagar","year":"2020","journal-title":"American Journal of Preventive Medicine"},{"issue":"1","key":"pone.0298479.ref040","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1093\/deafed\/enw061","article-title":"Mental Disorders in Deaf and Hard of Hearing Adult Outpatients: A Comparison of Linguistic Subgroups","volume":"22","author":"B \u00d8hre","year":"2017","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"4","key":"pone.0298479.ref041","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1080\/00048670902721111","article-title":"Validation of an Australian sign language instrument of outcome measurement for adults in mental health settings","volume":"43","author":"L Munro","year":"2009","journal-title":"Australian and New Zealand Journal of Psychiatry"},{"issue":"1","key":"pone.0298479.ref042","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1093\/deafed\/ens040","article-title":"The British Sign Language versions of the Patient Health Questionnaire, the Generalized Anxiety Disorder 7-item Scale, and the Work and Social Adjustment Scale","volume":"18","author":"KD Rogers","year":"2013","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"1","key":"pone.0298479.ref043","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1186\/s12888-016-1078-0","article-title":"The theoretical and practical determination of clinical cut-offs for the British Sign Language versions of PHQ-9 and GAD-7","volume":"16","author":"RA Belk","year":"2016","journal-title":"BMC Psychiatry"},{"issue":"4","key":"pone.0298479.ref044","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1002\/oby.23702","article-title":"Deaf Weight Wise: A novel randomized clinical trial with Deaf sign language users","volume":"31","author":"S Barnett","year":"2023","journal-title":"Obesity"},{"key":"pone.0298479.ref045","unstructured":"Office for National Statistics (ONS). Coronavirus (COVID-19) related deaths by hearing and vision impairment status, England methodology. [Internet]. 2022 [cited 2023 January 18] https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/disability\/methodologies\/coronaviruscovid19relateddeathsbyhearingandvisionimpairmentstatusenglandmethodology"},{"key":"pone.0298479.ref046","doi-asserted-by":"crossref","unstructured":"Hulme C, Rogers K, Young A, Munro K. Deaf Sign Language Users and Audiology Services: A scoping review on cultural competence practices. In: Hulme, C. Improving Patient Experience, Service access and outcomes in NHS Hearing Aid Services for Deaf adults who use British Sign Language. PhD thesis, The University of Manchester; 2022.","DOI":"10.37766\/inplasy2022.1.0133"},{"issue":"2","key":"pone.0298479.ref047","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1353\/sls.2004.0005","article-title":"Chasing the Mythical Ten Percent: Parental Hearing Status of Deaf and Hard of Hearing Students in the United States","volume":"4","author":"RE Mitchell","year":"2004","journal-title":"Sign Language Studies"},{"key":"pone.0298479.ref048","volume-title":"The deaf schoolchild: Language and cognitive function","author":"R. Conrad","year":"1979"},{"issue":"4","key":"pone.0298479.ref049","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1093\/deafed\/enm020","article-title":"What Really Matters in the Early Literacy Development of Deaf Children","volume":"12","author":"C. Mayer","year":"2007","journal-title":"Journal of Deaf Studies and Deaf Education"},{"key":"pone.0298479.ref050","unstructured":"Garberoglio CL, Palmer, JL, Cawthon, S, Sales, A. Deaf people and employment in the United States: 2019. Washington, DC: U.S. Department of Education, Office of Special Education Programs, National Deaf Center on Postsecondary Outcomes."},{"key":"pone.0298479.ref051","first-page":"19","volume-title":"Advancing social justice through clinical practice","author":"I. Prilleltensky","year":"2007"},{"issue":"1","key":"pone.0298479.ref052","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/00812463211070921","article-title":"Social justice, health equity, and mental health","volume":"52","author":"D Bhugra","year":"2022","journal-title":"South African Journal of Psychology"},{"issue":"2","key":"pone.0298479.ref053","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1080\/10810730.2015.1066468","article-title":"Assessing Health Literacy in Deaf American Sign Language Users","volume":"20","author":"MM McKee","year":"2015","journal-title":"Journal of Health Communication"},{"issue":"567","key":"pone.0298479.ref054","doi-asserted-by":"crossref","first-page":"721","DOI":"10.3399\/bjgp09X472584","article-title":"Health literacy: a necessity for increasing participation in health care","volume":"59","author":"J Protheroe","year":"2009","journal-title":"British Journal of General Practice"},{"issue":"11","key":"pone.0298479.ref055","first-page":"1465","article-title":"Barriers and Facilitators of Health Literacy among D\/deaf Individuals: A Review Article","volume":"46","author":"T Naseribooriabadi","year":"2017","journal-title":"Iranian Journal of Public Health"},{"issue":"3","key":"pone.0298479.ref056","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ypmed.2005.12.012","article-title":"Cardiovascular disease knowledge among culturally Deaf patients in Chicago","volume":"42","author":"H Margellos-Anast","year":"2006","journal-title":"Preventive Medicine"},{"issue":"2","key":"pone.0298479.ref057","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1891\/1061-3749.19.2.91","article-title":"One-Dimensional Scales for Pain Evaluation Adopted in Italian Nursing Practice: Giving Preference to Deaf Patients","volume":"19","author":"A Palese","year":"2011","journal-title":"Journal of Nursing Measurement"},{"issue":"1","key":"pone.0298479.ref058","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s40271-017-0260-x","article-title":"Challenges of Realising Patient-Centred Outcomes for Deaf Patients","volume":"11","author":"KD Rogers","year":"2018","journal-title":"The Patient: Patient-Centered Outcomes Research"},{"issue":"3","key":"pone.0298479.ref059","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1093\/deafed\/enz002","article-title":"Parental Conceptualizations of Autism and Deafness in British Deaf Children","volume":"24","author":"A Young","year":"2019","journal-title":"Journal of Deaf Studies and Deaf Education"},{"key":"pone.0298479.ref060","unstructured":"Sahota O, Boff A, Malthouse K, Qureshi M, Shawcross V. Access to health services for deaf people. London Assembly. [Internet]. 2015 [cited 2023 January 18] https:\/\/www.london.gov.uk\/sites\/default\/files\/london_assembly_health_committee_-_access_to_health_services_for_deaf_people_-_june_2015_-_updated.pdf"},{"key":"pone.0298479.ref061","unstructured":"NHS Liverpool CCG. Understanding Experiences of D\/deaf People and People with Hearing Loss in Getting Information and Communication Support from the NHS in Liverpool. 2nd May 2018 Engagement Meeting Report. NHS Liverpool CCGs Engagement Team. [Internet. 2018 [cited 2023, January 18] https:\/\/www.liverpoolccg.nhs.uk\/media\/3391\/liverpool-nhs-final-report-and-actions-deaf-hearing-loss-final.pdf"},{"issue":"4","key":"pone.0298479.ref062","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1177\/0020872814539983","article-title":"The mental health needs of deaf adults in Nepal","volume":"59","author":"TV Crowe","year":"2016","journal-title":"International Social Work"},{"issue":"9","key":"pone.0298479.ref063","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1097\/NMD.0b013e3181e9dd23","article-title":"Linguistic ability and mental health outcomes among deaf people with schizophrenia","volume":"198","author":"HK Horton","year":"2010","journal-title":"Journal of Nervous and Mental Disease"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0298479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T13:36:16Z","timestamp":1713274576000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0298479"}},"subtitle":[],"editor":[{"given":"Ateya","family":"Megahed Ibrahim El-eglany","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,4,16]]},"references-count":65,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,16]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0298479","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2024.01.26.24301843","asserted-by":"object"}]},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,16]]}}}