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A case-control study on high-risk factors for newborn hearing loss in seven cities of Shandong province

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Summary

To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening (UNHS) were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn’t pass the hearing screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit (NICU), neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity (OR=16.285, 95% CI 3.379–78.481), neonatal disease (OR=34.968, 95% CI 2.720–449.534), family history of congenital hearing loss (OR=69.488, 95% CI 4.417–1093.300) and birth weight (OR=0.241, 95% CI 0.090–0.648). It is concluded that parity, neonatal disease and family history of hearing loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.

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Authors and Affiliations

  1. Departement of Child and Adolescent Health & Maternal and Child Health Care, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430060, China

    Nie Wenying  (聂文英) & Wu Hanrong  (吴汉荣)

  2. Beijing Otorhinolaryngology Research Institute, Beijing, 10073, China

    Qi Yisheng  (戚以胜)

  3. Jinan Maternal and Child Care Hospital, Jinan Newborn Hearing Screening and Rehabilitation Center, Jinan, 250001, China

    Lin Qian  (林倩), Xiang Lili  (相丽丽), Li Hui  (李惠) & Li Yinghui  (李应会)

Authors
  1. Nie Wenying  (聂文英)
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  2. Wu Hanrong  (吴汉荣)
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  3. Qi Yisheng  (戚以胜)
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  4. Lin Qian  (林倩)
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  5. Xiang Lili  (相丽丽)
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  6. Li Hui  (李惠)
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  7. Li Yinghui  (李应会)
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Additional information

NIE Wenying, female, born in 1968, Associate Professor

This project is supported by a grant from the National Natural Sciences Foundation (No. 30100207) and a grant from the Top Ten Scientific Research Programs of Shandong Province (No. 2004GG3202003).

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Nie, W., Wu, H., Qi, Y. et al. A case-control study on high-risk factors for newborn hearing loss in seven cities of Shandong province. J. Huazhong Univ. Sc. Technol. 27, 217–220 (2007). https://doi.org/10.1007/s11596-007-0230-y

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  • DOI: https://doi.org/10.1007/s11596-007-0230-y

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