{"id":"https://openalex.org/W7125636498","doi":"https://doi.org/10.1007/s13187-025-02822-9","title":"Self-perceived Ability to Understand Speech does not Influence CRC Screening Adherence Among Sign Language Users","display_name":"Self-perceived Ability to Understand Speech does not Influence CRC Screening Adherence Among Sign Language Users","publication_year":2026,"publication_date":"2026-01-26","ids":{"openalex":"https://openalex.org/W7125636498","doi":"https://doi.org/10.1007/s13187-025-02822-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/41582234"},"language":"en","primary_location":{"id":"doi:10.1007/s13187-025-02822-9","doi":"https://doi.org/10.1007/s13187-025-02822-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-025-02822-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-025-02822-9.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s13187-025-02822-9.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038118124","display_name":"R. Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Regina M. Wang","raw_affiliation_strings":["Department of Family Medicine, University of California, La Jolla, San Diego, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, University of California, La Jolla, San Diego, CA, USA","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113798309","display_name":"Erika Bergeron","orcid":"https://orcid.org/0000-0003-1592-2262","observed_orcids":["https://orcid.org/0000-0003-1592-2262"]},"institutions":[{"id":"https://openalex.org/I66108857","display_name":"Gallaudet University","ror":"https://ror.org/02b9aym09","country_code":"US","type":"education","lineage":["https://openalex.org/I66108857"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erika Bergeron","raw_affiliation_strings":["Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA","institution_ids":["https://openalex.org/I66108857"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024918720","display_name":"Sowmya R. Rao","orcid":"https://orcid.org/0000-0003-3869-8320","observed_orcids":["https://orcid.org/0000-0003-3869-8320"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sowmya R. Rao","raw_affiliation_strings":["School of Public Health, Boston University, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Boston University, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057940825","display_name":"Emmanuel C. Perrodin-Njoku","orcid":"https://orcid.org/0000-0002-1164-9636","observed_orcids":["https://orcid.org/0000-0002-1164-9636"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emmanuel Perrodin-Njoku","raw_affiliation_strings":["School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123817025","display_name":"David T. Bruno","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I66108857","display_name":"Gallaudet University","ror":"https://ror.org/02b9aym09","country_code":"US","type":"education","lineage":["https://openalex.org/I66108857"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David T. Bruno","raw_affiliation_strings":["Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA","institution_ids":["https://openalex.org/I66108857"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064590141","display_name":"Rupa S. Valdez","orcid":"https://orcid.org/0000-0002-5125-0793","observed_orcids":["https://orcid.org/0000-0002-5125-0793"]},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rupa Valdez","raw_affiliation_strings":["Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA","institution_ids":["https://openalex.org/I51556381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054489657","display_name":"Georgia Robins Sadler","orcid":"https://orcid.org/0000-0002-4927-3873","observed_orcids":["https://orcid.org/0000-0002-4927-3873"]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]},{"id":"https://openalex.org/I4390039236","display_name":"Moores Cancer Center","ror":"https://ror.org/01qkmtm61","country_code":null,"type":"healthcare","lineage":["https://openalex.org/I2800935791","https://openalex.org/I36258959","https://openalex.org/I4390039236"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Georgia R. Sadler","raw_affiliation_strings":["Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA","institution_ids":["https://openalex.org/I36258959","https://openalex.org/I4390039236"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001511610","display_name":"Poorna Kushalnagar","orcid":"https://orcid.org/0000-0002-8658-6932","observed_orcids":["https://orcid.org/0000-0002-8658-6932"]},"institutions":[{"id":"https://openalex.org/I66108857","display_name":"Gallaudet University","ror":"https://ror.org/02b9aym09","country_code":"US","type":"education","lineage":["https://openalex.org/I66108857"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Poorna Kushalnagar","raw_affiliation_strings":["Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA. Poorna.kushalnagar@gallaudet.edu"],"raw_orcid":"https://orcid.org/0000-0002-8658-6932","affiliations":[{"raw_affiliation_string":"Center of Deaf Health Excellence, Gallaudet University, Washington, DC, USA. Poorna.kushalnagar@gallaudet.edu","institution_ids":["https://openalex.org/I66108857"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5001511610"],"corresponding_institution_ids":["https://openalex.org/I66108857"],"apc_list":{"value":3790,"currency":"USD","value_usd":3790},"apc_paid":{"value":3790,"currency":"USD","value_usd":3790},"fwci":5.5024,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.9425279,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.8252000212669373,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.8252000212669373,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.06419999897480011,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11285","display_name":"Hearing Impairment and Communication","score":0.02280000038444996,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/colorectal-cancer-screening","display_name":"colorectal cancer screening","score":0.9959999918937683},{"id":"https://openalex.org/keywords/screening-adherence","display_name":"screening adherence","score":0.9769999980926514},{"id":"https://openalex.org/keywords/educational-inequality","display_name":"educational inequality","score":0.6240000128746033},{"id":"https://openalex.org/keywords/hispanic-health-disparities","display_name":"Hispanic health disparities","score":0.5830000042915344},{"id":"https://openalex.org/keywords/community-health-workers","display_name":"community health workers","score":0.7699999809265137},{"id":"https://openalex.org/keywords/patient-navigators","display_name":"patient navigators","score":0.8629999756813049},{"id":"https://openalex.org/keywords/health-communication-barriers","display_name":"health communication barriers","score":0.48100000619888306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8116999864578247},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6136000156402588},{"id":"https://openalex.org/C2777185736","wikidata":"https://www.wikidata.org/wiki/Q7265603","display_name":"QUIET","level":2,"score":0.6061999797821045},{"id":"https://openalex.org/C2779297142","wikidata":"https://www.wikidata.org/wiki/Q3276412","display_name":"Educational attainment","level":2,"score":0.5508000254631042},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49129998683929443},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.44029998779296875},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.40389999747276306},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.4032000005245209},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.39899998903274536},{"id":"https://openalex.org/C2776154706","wikidata":"https://www.wikidata.org/wiki/Q5690559","display_name":"Health Information National Trends Survey","level":4,"score":0.3752000033855438},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3603000044822693},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.34869998693466187},{"id":"https://openalex.org/C2776737515","wikidata":"https://www.wikidata.org/wiki/Q14759","display_name":"American Sign Language","level":3,"score":0.3427000045776367},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3407000005245209},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.3398999869823456},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3319999873638153},{"id":"https://openalex.org/C2776230583","wikidata":"https://www.wikidata.org/wiki/Q1322198","display_name":"Spoken language","level":2,"score":0.3312999904155731},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.32989999651908875},{"id":"https://openalex.org/C47602998","wikidata":"https://www.wikidata.org/wiki/Q2588869","display_name":"Language barrier","level":2,"score":0.3248000144958496},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.31380000710487366},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.30570000410079956},{"id":"https://openalex.org/C522192633","wikidata":"https://www.wikidata.org/wiki/Q34228","display_name":"Sign language","level":2,"score":0.3034999966621399},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2964000105857849},{"id":"https://openalex.org/C2780128664","wikidata":"https://www.wikidata.org/wiki/Q6973004","display_name":"National Health Interview Survey","level":3,"score":0.2962999939918518},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.29420000314712524},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.28690001368522644},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2791000008583069}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1007/s13187-025-02822-9","doi":"https://doi.org/10.1007/s13187-025-02822-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-025-02822-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-025-02822-9.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},{"id":"pmid:41582234","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41582234","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cancer education : the official journal of the American Association for Cancer Education","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1007/s13187-025-02822-9","doi":"https://doi.org/10.1007/s13187-025-02822-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-025-02822-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-025-02822-9.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7364000082015991}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.721713662147522}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G6009640095","display_name":null,"funder_award_id":"5U01DC021718-04","funder_id":"https://openalex.org/F4320337352","funder_display_name":"National Institute on Deafness and Other Communication Disorders"}],"funders":[{"id":"https://openalex.org/F4320337352","display_name":"National Institute on Deafness and Other Communication Disorders","ror":"https://ror.org/04mhx6838"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7125636498.pdf","grobid_xml":"https://content.openalex.org/works/W7125636498.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2005839559","https://openalex.org/W2069595702","https://openalex.org/W2077728549","https://openalex.org/W2101761001","https://openalex.org/W2130860679","https://openalex.org/W2617719142","https://openalex.org/W2755217893","https://openalex.org/W3216464321","https://openalex.org/W4322719806","https://openalex.org/W4364356878","https://openalex.org/W4376612513","https://openalex.org/W4389899428","https://openalex.org/W4390946922","https://openalex.org/W4392200654","https://openalex.org/W4393088852","https://openalex.org/W4403540986","https://openalex.org/W4404261908","https://openalex.org/W4405856392","https://openalex.org/W4409632342"],"related_works":[],"abstract_inverted_index":{"Early":[0],"detection":[1],"of":[2,33,82],"colorectal":[3],"cancer":[4,49],"(CRC)":[5],"through":[6,290],"screening":[7,67,99,121,161,189,217,285,302],"improves":[8],"survival":[9],"and":[10,19,31,94,113,160,170,203,245],"reduces":[11],"mortality,":[12],"yet":[13],"adherence":[14],"is":[15,45,52],"shaped":[16],"by":[17],"education":[18,204],"communication":[20],"barriers.":[21],"Such":[22],"systemic":[23],"barriers":[24],"are":[25],"relevant":[26],"for":[27,164],"the":[28,102,199,305],"deaf,":[29],"deafblind,":[30],"hard":[32],"hearing":[34,75,181,267],"(DDBHH)":[35],"population":[36],"using":[37],"American":[38],"Sign":[39],"Language":[40],"(ASL).":[41],"While":[42],"educational":[43,288],"attainment":[44],"closely":[46],"linked":[47],"to":[48,60,85,97,131,142,215,220,255,273],"screening,":[50],"less":[51,253],"understood":[53],"about":[54],"whether":[55],"an":[56],"individual's":[57],"self-perceived":[58,140],"ability":[59,84,141,182,272],"communicate":[61],"in":[62,90,111,146,156,277,304],"spoken":[63,144],"language":[64,145],"settings":[65],"influences":[66],"behavior.":[68],"In":[69],"this":[70,223],"study,":[71],"we":[72,123],"examine":[73],"'functional":[74],"ability,'":[76],"defined":[77,269],"as":[78,270],"a":[79,91,147,157,275,278],"person's":[80],"self-perception":[81],"their":[83,167],"understand":[86,143,154,274],"what":[87],"someone":[88],"says":[89],"quiet":[92,148,158,279],"room,":[93,280],"its":[95],"relationship":[96],"CRC":[98,120,188,301],"adherence.":[100,286],"Using":[101],"National":[103,108],"Cancer":[104],"Institute's":[105],"Health":[106],"Information":[107],"Trends":[109],"Survey":[110],"ASL":[112],"U.S.":[114],"Preventive":[115],"Services":[116],"Task":[117],"Force":[118],"(USPSTF)":[119],"guidelines,":[122],"surveyed":[124],"600":[125],"ASL-using":[126],"adults":[127],"from":[128],"July":[129],"2023":[130],"June":[132],"2025.":[133],"Multivariable":[134],"logistic":[135],"regression":[136],"tested":[137],"associations":[138],"between":[139,201],"room":[149],"(understand":[150],"well":[151,155],"vs.":[152],"cannot":[153],"room)":[159],"adherence,":[162],"adjusting":[163],"age,":[165],"education,":[166],"interaction,":[168],"race,":[169],"marital":[171],"status.":[172],"Significance":[173],"was":[174,183],"set":[175],"at":[176],"p":[177,195],"\u2264":[178],"0.05.":[179],"Functional":[180],"not":[184,283],"significantly":[185],"associated":[186],"with":[187,226],"[OR":[190,242,248],"0.86":[191],"(95%":[192],"CI:":[193],"0.58-1.27);":[194],"=":[196,208,262],"0.44].":[197],"However,":[198],"interaction":[200],"age":[202,227],"remained":[205],"significant":[206],"(p":[207,261],"0.04).":[209],"College":[210],"graduates":[211],"were":[212,251],"more":[213],"likely":[214,254],"follow":[216],"guidelines":[218],"compared":[219],"non-graduates,":[221],"though":[222],"benefit":[224],"diminished":[225],"[age":[228],"45-54:":[229],"OR":[230,234,238],"2.47":[231],"(1.30-4.70);":[232],"55-64:":[233],"1.25":[235],"(0.72-2.17);":[236],"65-74:":[237],"0.75":[239],"(0.39-1.46)].":[240],"Hispanic":[241],"0.80":[243],"(0.53-1.19)]":[244],"Other":[246],"races":[247],"0.50":[249],"(0.31-0.80)]":[250],"also":[252],"be":[256],"screened":[257],"than":[258],"White":[259],"participants":[260],"0.02).":[263],"Findings":[264],"suggest":[265],"functional":[266],"ability,":[268],"perceived":[271],"speaker":[276],"alone":[281],"does":[282],"predict":[284],"Addressing":[287],"disparities,":[289],"ASL-fluent":[291],"community":[292],"health":[293],"workers":[294],"or":[295],"patient":[296],"navigators,":[297],"may":[298],"improve":[299],"increasing":[300],"rates":[303],"DDBHH":[306],"community.":[307]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2026-01-26T00:00:00"}
