Abstract
Background
Hearing loss is a common and considerable disability that harms educational performance of school children in developing countries like Iran. Lack of a simple and practical screening protocol often deters routine and systematic hearing screening at school entry.
Methods
This study was to establish a practical screening model for hearing loss in school-aged children based on a community-based, retrospective casecontrol study in Ilam, the capital of Ilam province in Iran. Results from the audiologic and non-audiologic examination of 785 children in primary schools were selected and examined. The non-audiologic evaluation consisted of medical history, general physical examination, while the audiologic assessment consisted of otoscopy, audiometry and tympanometry.
Results
Univariate analysis of non-audiologic variables showed an association between hearing loss and male gender (P<0.05) and the grade of study (P<0.05). The frequency of impaired hearing in the first grade of primary schools was significantly higher than the children in the second grade (P<0.05). In audiologic factors related to impaired hearing, otitis media with effusion (OME) was diagnosed significantly (P<0.05).
Conclusion
Routine screening based on the identification of OME will facilitate the detection of a major amount of hearing impaired school-aged children.
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References
Rao RS, Subramanyam MA, Nair NS, Rajashekhar B. Hearing impairment and ear diseases among children of school entry age in rural South India. Int J Pediatr Otorhinolaryngol 2002;64:105–110.
Olusanya BO, Okolo AA, Ijaduola GT. The hearing profile of Nigerian school children. Int J Pediatr Otorhinolaryngol 2000;55:173–179.
Swart SM, Lemmer R, Parbhoo JN, Prescott CA. A survey of ear and hearing disorders amongst a representative sample of grade 1 schoolchildren in Swaziland. Int J Pediatr Otorhinolaryngol 1995;32:23–34.
Mourad MI, Farghaly NF, Mohamed HG. Hearing impairment: is it a public health problem among primary school pupils in Alexandria. J Egypt Public Health Assoc 1993;68:703–726.
Lyn C, Jadusingh WA, Ashman H, Chen D, Abramson A, Soutar I. Hearing screening in Jamaica: prevalence of otitis media with effusion. Laryngoscope 1998;108:288–290.
Mencher GT, Madriz Alfaro JJ. Prevalence of sensorineural hearing loss in children in Costa Rica. Audiology 2000;39:278–283.
McPherson BD, Holborow CA. School screening for hearing loss in developing countries. Scand Audiol Suppl 1988;28:103–110.
Gell FM, White EM, Newell K, Mackenzie I, Smith A, Thompson S, et al. Practical screening priorities for hearing impairment among children in developing countries. Bull World Health Organ 1992;70:645–655.
World Health Organisation. Report of the 4th Informal Consultation on Future Program Developments for the Prevention of Deafness and Hearing Impairment, Geneva, February 17–18, 2000. http://whqlibdoc.who.int/hq/ (accessed December 14, 2008)
Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Greater Boston Otitis Media Study Group. J Infect Dis 1990;162:685–694.
Bess FH, Dodd-Murphy J, Parker RA. Children with minimal sensorineural hearing loss: prevalence, educational performance and functional status. Ear Hear 1998;19:339–354.
Keller WD, Bundy RS. Effects of unilateral hearing loss upon educational achievement. Child Care Health Dev 1980;6:93–100.
Thompson MD, Thompson G. Early identification of hearing loss: listen to parents. Clin Pediatr (Phila) 1991;30:77–80.
Watkin PM, Baldwin M, Laoide S. Parental suspicion and identification of hearing impairment. Arc Dis Child 1990;65:846–850.
Hall DMB. Health for all children: Report of the Third Joint Working Party on Child Health Surveillance, 4th ed. Oxford: Oxford University Press, 2003.
Developmental surveillance and screening of infants and young children. Pediatrics 2001;108:192–196.
Oduntan SO. The health of Nigerian children of school age (6–15 years). II. Parasitic and infective conditions, the special senses, physical abnormalities. Ann Trop Med Parasitol 1974;68:145–156.
Olusanya O, Okpere E, Ezimokhai M. The importance of social class in voluntary fertility control in a developing country. West Afr J Med 1985;4:205–212.
Dibley MJ, Staehling N, Nieburg P, Trowbridge FL. Interpretation of Z-score anthropometric indicators derived from the international growth reference. Am J Clin Nutr 1987;46:749–762.
Ebigbo PO, Izuola GI. Draw a person test: standardization, validation and guidelines for use in Nigeria. Enugu: University of Nigeria, 1981.
Sowemimo CO. Validation of Slosson’s drawing coordination test of brain damage with Nigerian samples. B. Sc Psychology project (unpublished). Lagos: University of Lagos, 1990.
Joint Committee on Infant Hearing. Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics 2000;106:798–817.
Seely DR, Gloyd SS, Wright AD, Norton SJ. Hearing loss prevalence and risk factors among Sierra Leonean children. Arch Otolaryngol Head Neck Surg 1995;121:853–858.
World Health Organization. Prevention of hearing impairment from chronic otitis media. Report of a WHO/CIBA Foundation Workshop, London: 19th–21st November 1996. WHO 1998. http://whqlibdoc.who.int/hq/1998/WHO_PDH_98.4.pdf. (accessed December 13, 2008)
Jacob A, Rupa V, Job A, Joseph A. Hearing impairment and otitis media in rural primary school in South India. Int J Pediatr Otorhinolaryngol 1997;39:133–138.
Saim A, Saim L, Saim S, Ruszymah BH, Sani A. Prevalence of otitis media with effusion amongst pre-school children in Malaysia. Int J Pediatr Otorhinolaryngol 1997;41:21–28.
Takata GS, Chan LS, Morphew T, Mangione-Smith R, Morton SC, Shekelle P. Evidence assessment of the accuracy of methods of diagnosing middle ear effusion in children with otitis media with effusion. Pediatrics 2003;112:1379–1387.
Steinbach WJ, Sectish TC, Benjamin DK Jr, Chang KW, Messner AH. Pediatric residents’ clinical diagnostic accuracy of otitis media. Pediatrics 2002;109:993–998.
Garbutt J, Jeffe DB, Shackelford P. Diagnosis and treatment of acute otitis media: an assessment. Pediatrics 2003;112:143–149.
Deshmukh CT. Acute otitis media in children-treatment options. J Postgrad Med 1998;44:81–84.
Bauchner H, Pelton SI, Klein JO. Parents, physicians, and antibiotic use. Pediatrics 1999;103:395–401.
Rosenfeld RM, Goldsmith AJ, Madell JR. How accurate is parent rating of hearing for children with otitis media? Arch Otolaryngol Head Neck Surg 1998;124:989–992.
Berberich FR, Johnston K. Antibiotic use and parental home otoscopy. Pediatrics 2000;105:159–160.
Paradise JL, Rockette HE, Colborn DK, Bernard BS, Smith CG, Kurs-Lasky M, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997;99:318–333.
Hudson HM, Rocket IR. An environmental and demographic analysis of otitis media in rural Australian aborigines. Int J Epidemiol 1984;13:73–82.
Teele DW, Klein JO, Rosner B. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective cohort study. J Infect Dis 1989;160:83–94.
Engel J, Anteunis L, Volovics A, Hendriks J, Marres E. Risk factors of otitis media with effusion during infancy. Int J Pediatr Otorhinolaryngol 1999;48:239–249
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Sarafraz, M., Ahmadi, K. A practical screening model for hearing loss in Iranian school-aged children. World J Pediatr 5, 46–50 (2009). https://doi.org/10.1007/s12519-009-0008-3
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DOI: https://doi.org/10.1007/s12519-009-0008-3