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Variability of State School-Based Hearing Screening Protocols in The United States

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An Erratum to this article was published on 26 May 2016

Abstract

The prevalence of hearing loss has increased among United States children. As schools commonly perform hearing screens, we sought to contrast current United States school-based hearing screening protocols. State department of health and education websites were reviewed to assess school hearing screening protocols for the fifty states and the District of Columbia. Individuals listed on these websites were contacted as necessary to confirm and/or acquire relevant data. School-based hearing screening is currently required in 34/51 (67 %) states. Of these 34 states, 28 (82 %) mandate grades for screening, but only 20 (59 %) require screening beyond 6th grade. Pure tone audiometry is the most common screening method (33/34 [97 %]). A majority of states screen at 1, 2 and 4 kHz usually at 20 or 25 dB hearing level. Six states recommend or require testing at 6 or 8 kHz, which is necessary to detect high-frequency hearing loss. The results indicate that United States school-based hearing screens vary significantly. They focus on low frequencies with few testing adolescents for whom high-frequency hearing loss has increased. Disparities in hearing loss detection are likely, particularly considering the evolution of hazardous noise exposures and rising prevalence of hearing loss.

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References

  1. Meinke, D. K., & Dice, N. (2007). Comparison of audiometric screening criteria for the identification of noise-induced hearing loss in adolescents. American Journal of Audiology, 16(2), S190–S202.

    Article  PubMed  Google Scholar 

  2. Penn, T. O., & Wilkerson, B. (1999). A summary; School-based hearing screening in the United States. Audiology Today, 11(6), 20–22.

    Google Scholar 

  3. Green, D. R., Gaffney, M., Devine, O., & Grosse, S. D. (2007). Determining the effect of newborn hearing screening legislation: An analysis of state hearing screening rates. Public Health Reports, 122(2), 198–205.

    PubMed  Google Scholar 

  4. Cozad, R. L., Marston, L., & Joseph, D. (1974). Some implications regarding high frequency hearing loss in school-age children. Journal of School Health, 44(2), 92–96.

    Article  PubMed  CAS  Google Scholar 

  5. Niskar, A. S., Kieszak, S. M., Holmes, A., Esteban, E., Rubin, C., & Brody, D. J. (1998). Prevalence of hearing loss among children 6 to 19 years of age: The Third National Health and Nutrition Examination Survey. The Journal of the American Medical Association, 279(14), 1071–1075.

    Article  CAS  Google Scholar 

  6. Shargorodsky, J., Curhan, S. G., Curhan, G. C., & Eavey, R. (2010). Change in prevalence of hearing loss in US adolescents. The Journal of the American Medical Association, 304(7), 772–778.

    Article  CAS  Google Scholar 

  7. Harlor, A. D. B., Bower, C., & Committee on Practice and Ambulatory Medicine, Section on Otolaryngology Head and Neck Surgery. (2009). Hearing assessment in infants and children: Recommendations beyond neonatal screening. Pediatrics, 124(4), 1252–1263.

    Article  PubMed  Google Scholar 

  8. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. The Journal of the American Medical Association, 307(5), 483–490.

    Article  Google Scholar 

  9. Harrison, R. V. (2008). Noise-induced hearing loss in children: A ‘less than silent’ environmental danger. Paediatrics & Child Health, 13(5), 377–382.

    Google Scholar 

  10. Hetu, R., Getty, L., & Quoc, H. T. (1995). Impact of occupational hearing loss on the lives of workers. Occupational Medicine, 10(3), 495–512.

    PubMed  CAS  Google Scholar 

  11. Vogel, I., Verschuure, H., van der Ploeg, C. P. B., Brug, J., & Raat, H. (2009). Adolescents and MP3 players: Too many risks, too few precautions. Pediatrics, 123(6), e953–e958.

    Article  PubMed  Google Scholar 

  12. Vogel, I., Brug, J., van der Ploeg, C. P. B., & Raat, H. (2009). Strategies for the prevention of MP3-induced hearing loss among adolescents: Expert opinions from a Delphi study. Pediatrics, 123(5), 1257–1262.

    Article  PubMed  Google Scholar 

  13. Niskar, A. S., Kieszak, S. M., Holmes, A. E., Esteban, E., Rubin, C., & Brody, D. J. (2001). Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: The Third National Nutrition Examination Survey, 1988–1994, United States. Pediatrics, 108(1), 40–43.

    Article  PubMed  CAS  Google Scholar 

References for state department of health and state department of education websites utilized to gather information for this manuscript.

  1. Alabama Department of Education. (cited 2011). Hearing screening form. RTF. Retrieved from http://www.alsde.edu/html/sections/doc_download.asp?section=65&id=3538&sort=4.

  2. Arizona Department of State. (2002). Title 9. Health services. Retrieved from http://www.azsos.gov/public_services/Title_09/9-13.htm.

  3. Arkansas Department of Education. (2011). Screenings in schools. Hearing screening training. Retrieved from http://www.arkansascsh.org/support-the-program/screenings-in-schools.php.

  4. Chapter 64F-6 School Health Services Program. (cited 2010). Retrieved from http://www.doh.state.fl.us/Family/School/legislative/64F-6.pdf.

  5. Colorado Department of Education. (2001). Colorado Department of Public Health and Environment. Colorado early childhood hearing screening guidelines. Retrieved from http://www.cde.state.co.us/cdesped/download/pdf/CI-EChearingGu.pdf.

  6. Colorado Department of Education Exceptional Student Services. (2004). Colorado state board of education standards of practice for audiology services in the schools. Retrieved from http://www.cde.state.co.us/cdesped/download/pdf/Stndrs_Practice_Audiology_Svcs.pdf.

  7. Connecticut State Department of Education. (2004). Guidelines for health screenings. Retrieved from http://www.sde.ct.gov/sde/lib/sde/PDF/DEPS/Special/Guidelines_Health_Screenings_CSDE.pdf.

  8. Department of Education. (2006). Chapter 45. Rule for vision and hearing screening in Maine schools. Retrieved from http://www.maine.gov/sos/cec/rules/05/071/071c045.doc.

  9. Department of Health and Mental Hygiene. (2004). Maryland State Department of Education. Maryland State School Health Council. Maryland State School Health Services Guidelines. Hearing and vision screening manual. Retrieved from http://www.marylandpublicschools.org/NR/rdonlyres/6561B955-9B4A-4924-90AE-F95662804D90/3331/HearingandVision.pdf.

  10. Florida School Health Administrative Guidelines. (2007). Appendix H-1. Health screening procedures. Hearing screening procedures. Retrieved from http://www.doh.state.fl.us/Family/School/attachments/Documents/Appendix_F-K_4-07.pdf.

  11. General Health Appraisal Hearing Screening. (cited 2010). Retrieved from http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/hearing.pdf.

  12. Hearing Screening. (cited 2011). The school nurse’s unique role. Retrieved from http://www.answers4families.org/book/export/html/94.

  13. Indiana State Department of Health. (2000). School hearing screening report. Retrieved from http://www.cbsed.org/depts/SLPResource/forms/39986.pdf.

  14. Joint Committee on Administrative Rules. (2000). Administrative code. Frequency of screening. Retrieved from http://www.ilga.gov/commission/jcar/admincode/077/077006750B01100R.html.

  15. Joint Committee on Administrative Rules. (cited 2011). Administrative code. Identification audiometry. Retrieved from http://www.ilga.gov/commission/jcar/admincode/077/077006750B01200R.html.

  16. Kansas State Department of Education. (2003). Kansas Department of Health and Environment. Hearing screening guidelines and resources manual. Retrieved from http://www.ksde.org/LinkClick.aspx?fileticket=BU9hNBDF2N0%3D&tabid=2333&mid=6549.

  17. Massachusetts Department of Public Health. (2007). The comprehensive school health manual. Chapter 5. Health assessment. Retrieved from http://www.maclearinghouse.com/schoolhealthmanual.htm.

  18. Minnesota Department of Health. (2010). Hearing screening training manual. Retrieved from http://www.health.state.mn.us/divs/fh/mch/hlth-vis/materials/hearingmanual.pdf.

  19. Mississippi Department of Education. (2007). Mississippi Board of Nursing. Mississippi Department of Health. Mississippi School Nurse Association. Mississippi School Nurse Procedures and Standards of Care. Retrieved from http://www.healthyschoolsms.org/health_services/documents/ProceduresStandardsofCare.pdf.

  20. Missouri Department of Health and Senior Services. (2004). Guidelines for hearing screening. Retrieved from http://www.dhss.mo.gov/SchoolHealth/HearingScreeningGuidelines.pdf.

  21. The Office of Public Instruction. (2007). Guidelines for an educational hearing conservation program. Retrieved from http://opi.mt.gov/pdf/speced/HearConservGuide.pdf.

  22. Ohio Department of Health. (2007). Hearing screening guidelines and requirements. Retrieved from http://www.odh.ohio.gov/ASSETS/A2EC0A5D016B4336BD94ACA36AF77520/hear01.pdf.

  23. PA Department of Health. (2001). School hearing screening program for Pennsylvania’s school age population. Retrieved from http://www.portal.state.pa.us/protal/server.pt?open=18&objID=444933&mode=2.

  24. Screening, Special Services and SoonerStart. Oklahoma State Department of Health. (2006). Guidelines: A school hearing screening program. Retrieved from http://www.ok.gov/health/documents/Schlhrscrn.pdf.

  25. Section B. School Entry & Maintenance. (2010). Retrieved from http://www.doe.k12.de.us/infosuites/schools/files/de_schoolnursemanual_b1.pdf.

  26. South Carolina Department of Health and Environmental Control. (2011). School Health Services. Screening recommendations for 2010–2011 school year. Retrieved from http://www.scdhec.gov/health/mch/wcs/school/recommendations.htm.

  27. State of California Department of Health Services. (cited 2010). Children’s Medical Services Branch. Hearing Conservation Program. Manual for the School Audiometrist. Retrieved from http://www.dhcs.ca.gov/services/hcp/Documents/audmanschool.pdf.

  28. The State Education Department. (2008). School hearing screening guidelines. Retrieved from http://www.schoolhealthservicesny.com/uploads/Hearing%20Guidelines%20final%20copy4%208%2008.pdf.

  29. Tennessee Department of Education. (2008). Tennessee school health screenings guidelines. Retrieved from http://www.tennessee.gov/education/schoolhealth/healthservices/doc/HealthScreeningGuidelines.pdf.

  30. Texas Department of State Health Services. (2006). Vision and hearing screening requirements. Retrieved from http://www.dfps.state.tx.us/Documents/Child_Care/pdf/DSHS_VisionHearingScreening.pdf.

  31. Vermont Department of Education. (2009). Vermont Department of Health. Screening. Retrieved from http://healthvermont.gov/local/school/documents/SP26_screening.pdf.

  32. Washington State Legislature. (2010). Chapter 246760 WAC. Auditory and visual standards—School districts. Retrieved from http://apps.leg.wa.gov/WAC/default.aspx?cite=246-760&full=true.

  33. West Virginia Council of School Nurses. (2009). Recommendation for pure tone hearing screening. Retrieved from http://wvde.state.wv.us/osshp/section6/documents/WVCOSNHearingScreeningRevisedRecommendation2009.doc.

  34. Wyoming Department of Health Developmental Disabilities Division and the Wyoming Department of Education. (2008). Screening, hearing & middle ear function in infants, toddlers, preschoolers & school age children. A manual for Wyoming Child Development Centers & Public Schools. Retrieved from http://www.k12.wy.us/SE/DHH/hearing_screening_manual.pdf.

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Authors and Affiliations

  1. Department of Pediatrics, Penn State College of Medicine, 500 University Drive, HS83, Hershey, PA, 17033, USA

    Deepa L. Sekhar & Ian M. Paul

  2. Department of Audiology, Bloomsburg University, 400 E 2nd Street, Bloomsburg, PA, 17815, USA

    Thomas R. Zalewski

  3. Department of Public Health Sciences, Penn State College of Medicine, 500 University Drive, HS83, Hershey, PA, 17033, USA

    Ian M. Paul

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  1. Deepa L. Sekhar
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  2. Thomas R. Zalewski
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Correspondence to Deepa L. Sekhar.

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An erratum to this article is available at http://dx.doi.org/10.1007/s10900-016-0203-9.

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Sekhar, D.L., Zalewski, T.R. & Paul, I.M. Variability of State School-Based Hearing Screening Protocols in The United States. J Community Health 38, 569–574 (2013). https://doi.org/10.1007/s10900-013-9652-6

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