Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them
Objective: In the absence of newborn hearing screening, identification of childhood hearing loss is primarily mediated by parents’ help-seeking behaviour. This study attempted to measure the variables age of suspicion, diagnosis, and intervention of congenital hearing loss in India in a large cohort...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398424002987 |
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| author | Indira C. Pazhayapisharath Sandeep Maruthy |
| author_facet | Indira C. Pazhayapisharath Sandeep Maruthy |
| author_sort | Indira C. Pazhayapisharath |
| collection | DOAJ |
| description | Objective: In the absence of newborn hearing screening, identification of childhood hearing loss is primarily mediated by parents’ help-seeking behaviour. This study attempted to measure the variables age of suspicion, diagnosis, and intervention of congenital hearing loss in India in a large cohort to verify the efficiency of this approach. It aimed to study the influence of parental perceived awareness, accessibility, and affordability on these milestones. Method: Data were collected through a survey method of research using a pre-developed questionnaire as the instrument. The study involved 384 parents of children with hearing loss receiving hearing healthcare services from various healthcare institutions and clinics in Karnataka, India. Results: The mean age of suspicion, diagnosis, and intervention of hearing loss after data analysis were 18.6, 25.0, and 30.6 months, respectively. Earlier parental suspicion of hearing loss was associated with earlier diagnosis and intervention in the child. While less than 4 % of the cohort was diagnosed before three months, less than 1 % received intervention within six months of age. Lack of awareness, accessibility, and affordability significantly delayed these milestones. Among the participants, 15.03 % had experienced at least one of the three barriers (lack of awareness, accessibility, and affordability), whereas 35.28 % had reported two barriers, and 41.71 % had reported all three barriers for their help-seeking behavior. Conclusions: Relying on parental help-seeking behaviour cannot result in early identification and intervention required for optimum pediatric hearing healthcare. India should implement comprehensive early hearing detection and intervention program that includes universal newborn hearing screening and addresses awareness, accessibility, and affordability of hearing healthcare services as critical components. |
| format | Article |
| id | doaj-art-51cbdcc701344a4aa41c4c2b849bced7 |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-51cbdcc701344a4aa41c4c2b849bced72024-12-28T05:21:59ZengElsevierClinical Epidemiology and Global Health2213-39842024-11-0130101801Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence themIndira C. Pazhayapisharath0Sandeep Maruthy1Corresponding author.; All India Institute of Speech and Hearing, Mysuru, Karnataka, 570006, IndiaAll India Institute of Speech and Hearing, Mysuru, Karnataka, 570006, IndiaObjective: In the absence of newborn hearing screening, identification of childhood hearing loss is primarily mediated by parents’ help-seeking behaviour. This study attempted to measure the variables age of suspicion, diagnosis, and intervention of congenital hearing loss in India in a large cohort to verify the efficiency of this approach. It aimed to study the influence of parental perceived awareness, accessibility, and affordability on these milestones. Method: Data were collected through a survey method of research using a pre-developed questionnaire as the instrument. The study involved 384 parents of children with hearing loss receiving hearing healthcare services from various healthcare institutions and clinics in Karnataka, India. Results: The mean age of suspicion, diagnosis, and intervention of hearing loss after data analysis were 18.6, 25.0, and 30.6 months, respectively. Earlier parental suspicion of hearing loss was associated with earlier diagnosis and intervention in the child. While less than 4 % of the cohort was diagnosed before three months, less than 1 % received intervention within six months of age. Lack of awareness, accessibility, and affordability significantly delayed these milestones. Among the participants, 15.03 % had experienced at least one of the three barriers (lack of awareness, accessibility, and affordability), whereas 35.28 % had reported two barriers, and 41.71 % had reported all three barriers for their help-seeking behavior. Conclusions: Relying on parental help-seeking behaviour cannot result in early identification and intervention required for optimum pediatric hearing healthcare. India should implement comprehensive early hearing detection and intervention program that includes universal newborn hearing screening and addresses awareness, accessibility, and affordability of hearing healthcare services as critical components.http://www.sciencedirect.com/science/article/pii/S2213398424002987Newborn hearing screeningBarriers to hearing help-seekingDelayed hearing loss diagnosis and intervention |
| spellingShingle | Indira C. Pazhayapisharath Sandeep Maruthy Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them Clinical Epidemiology and Global Health Newborn hearing screening Barriers to hearing help-seeking Delayed hearing loss diagnosis and intervention |
| title | Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them |
| title_full | Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them |
| title_fullStr | Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them |
| title_full_unstemmed | Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them |
| title_short | Situational assessment of age of suspicion, diagnosis, and intervention of hearing loss in pediatric population in India and factors that influence them |
| title_sort | situational assessment of age of suspicion diagnosis and intervention of hearing loss in pediatric population in india and factors that influence them |
| topic | Newborn hearing screening Barriers to hearing help-seeking Delayed hearing loss diagnosis and intervention |
| url | http://www.sciencedirect.com/science/article/pii/S2213398424002987 |
| work_keys_str_mv | AT indiracpazhayapisharath situationalassessmentofageofsuspiciondiagnosisandinterventionofhearinglossinpediatricpopulationinindiaandfactorsthatinfluencethem AT sandeepmaruthy situationalassessmentofageofsuspiciondiagnosisandinterventionofhearinglossinpediatricpopulationinindiaandfactorsthatinfluencethem |