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：
2012-12-01
影响因子：
1.8
通讯作者：
Tomblin, J. Bruce
中科院分区：
文献类型：
--
作者：
Holte, Lenore;Walker, Elizabeth;Tomblin, J. Bruce
目的：为了记录一组儿童谁是听力困难的流行病学特征，确定个别预测变量，及时跟进后，新生儿听力筛查失败，并确定后续遇到的障碍family.Method：作者采用了加速纵向设计，调查结果为儿童谁是听力困难的一个大型，多中心研究。本研究涉及193名未通过新生儿听力筛查的听力损失儿童。作者使用可用的记录来记录确认听力损失、助听器验配和进入早期干预的年龄。线性回归模型被用来调查个人预测变量和年龄之间的关系，在每个后续benchmark.Results：几个预测变量，只有较高水平的母亲教育显着相关的听力损失和助听器的拟合早期确认;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。每个建议的基准都达到了大多数儿童，但只有三分之一达到了所有的基准在建议的时间框架内。结论：结果表明，服务不足的社区需要额外的支持，在导航步骤，以下失败的新生儿听力筛查。
Purpose: To document the epidemiological characteristics of a group of children who are hard of hearing, identify individual predictor variables for timely follow-up after a failed newborn hearing screening, and identify barriers to follow-up encountered by families.Method: The authors used an accelerated longitudinal design to investigate outcomes for children who are hard of hearing in a large, multicenter study. The present study involved a subgroup of 193 children with hearing loss who did not pass the newborn hearing screening. The authors used available records 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.Results: 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.Conclusion: Results suggest that underserved communities need extra support in navigating steps that follow failed newborn hearing screening.