Barriers to Meeting National Early Hearing Detection and Intervention Guidelines in a Diverse Patient Cohort.

Autor:	Jaradeh K; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California, USA., Liao EN; Department of Otolaryngology Eye and Ear Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Lindeborg M; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, California, USA., Chan DK; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, California, USA., Weinstein JE; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, California, USA.
Jazyk:	angličtina
Zdroj:	Ear and hearing [Ear Hear] 2024 Nov-Dec 01; Vol. 45 (6), pp. 1496-1501. Date of Electronic Publication: 2024 Jun 20.
DOI:	10.1097/AUD.0000000000001534
Abstrakt:	Objectives: To determine our audiology clinics status in meeting the Joint Committee on Infant Hearing recommended 1-3-6 benchmarks for identification and intervention for congenital sensorineural hearing loss and identify those factors contributing to delay in identification and intervention. Design: This is a retrospective case series. Children with sensorineural hearing loss who underwent auditory brainstem response (ABR) testing, hearing aid evaluation, or cochlear implant mapping at our tertiary pediatric medical center between January 2018 and December 2021 were included. Simple and multiple linear regression analyses were used to identify social, demographic, and health factors associated with primary outcomes, defined as age at hearing loss identification, age at intervention (here defined as amplification start), and interval between identification and intervention. Results: Of 132 patients included, mean age was 2.4 years, 48% were male, and 51% were Hispanic. There was significant association between each Hispanic ethnicity ( p = 0.005, p = 0.04, respectively), insurance type ( p = 0.02, p = 0.001, respectively), and later age at identification and intervention. In multivariable analyses, Hispanic ethnicity was significantly associated with both delays in identification and intervention ( p = 0.03 and p = 0.03, respectively), and public insurance was associated with delays in intervention ( p = 0.01). In addition, the total number of ABRs was significantly associated with both older age of identification and intervention ( p < 0.001, p < 0.001, respectively). Mediator analysis demonstrated that the effect of ethnicity on age at identification is mediated by the total number of ABRs performed. Conclusions: A significant association between total number of ABRs and age at identification and intervention for children with hearing loss exists. Hispanic ethnicity was associated with delays in meeting milestones, further mediated by the number of ABRs, providing a potential avenue for intervention in addressing this disparity. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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