Factors influencing follow-up to newborn hearing screening for infants who are hard of hearing.
Factors influencing follow-up to newborn hearing screening for infants who are hard of hearing.
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DOI：
10.1044/1059-0889(2012/12-0016
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发表时间：
2012-12
影响因子：
1.8
通讯作者：
Tomblin JB
中科院分区：
文献类型：
--
作者：
Holte L;Walker E;Oleson J;Spratford M;Moeller MP;Roush P;Ou H;Tomblin JB
记录一组重听儿童的流行病学特征，确定新生儿听力筛查失败后及时随访的个体预测变量，并确定家庭遇到的随访障碍。在一项大型多中心研究中，采用加速纵向设计来研究重听儿童的结局。目前的研究涉及193名未通过新生儿听力筛查的听力损失儿童。可用的记录用于记录确认听力损失、助听器装配和进入早期干预的年龄。线性回归模型被用来调查在每个后续基准的个人预测变量和年龄之间的关系。在几个预测变量中，只有较高的母亲教育水平与早期确认听力损失和助听器的安装显着相关。听力损失的严重程度没有。没有变量与进入早期干预的年龄显著相关。大多数儿童达到了每一项建议的基准，但只有三分之一的儿童在建议的时限内达到了所有基准。结果表明，服务不足的社区需要额外的支持，在新生儿听力筛查失败后的导航步骤。
To document the epidemiological characteristics of a group of hard-of-hearing children, to identify individual predictor variables for timely follow-up after a failed newborn hearing screen, and to identify barriers to follow-up encountered by families. An accelerated longitudinal design was used to investigate outcomes for children who are hard-of-hearing in a large multicenter study. The current study involves a subgroup of 193 of children with hearing loss who did not pass the newborn hearing screen. Available records were used to capture ages of confirmation of hearing loss, hearing aid fitting and entry into early intervention. Linear regression models were used to investigate relationships among individual predictor variables and age at each follow-up benchmark. Of several predictor variables, only higher levels of maternal education were significantly associated with earlier confirmation of hearing loss and fitting of hearing aids. Severity of hearing loss was not. No variables were significantly associated with age of entry into early intervention. Each recommended benchmark was met by a majority of children, but only one-third met all of the benchmarks within the recommended time frame. Results suggest that underserved communities need extra support in navigating steps that follow failed newborn hearing screening.