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The Chinese Hearing Questionnaire for School Children
Xingkuan Bu1, Xiaolu Li, Carlie Driscoll
1Ear and Hearing Centre, Department of Otorhinolaryngology, Jiangsu Province Hospital, Nanjing Medical University, People's Republic of China.
Journal of the American Academy of Audiology
|March 7, 2006
Summary
A new hearing screening questionnaire for Chinese school children showed low accuracy. Otoacoustic emissions (OAE) screening proved more effective for identifying hearing loss in this population.
Area of Science:
- Audiology
- Public Health
- Pediatrics
Background:
- Hearing loss is a significant disability in China, affecting millions.
- There is a need for effective hearing surveillance systems tailored to China's population.
- Official neonatal hearing screening consensus highlights the importance of childhood surveillance.
Purpose of the Study:
- To develop and evaluate a questionnaire for mass hearing screening of school children in China.
- To compare the effectiveness of a new questionnaire with otoacoustic emissions (OAE) for hearing screening.
Main Methods:
- A cohort of 317 rural students in Jiangsu Province participated.
- Screening was conducted using the Chinese Hearing Questionnaire for School Children (CHQS) and otoacoustic emissions (OAE).
- Test performance measures were analyzed to evaluate accuracy.
Main Results:
- The CHQS demonstrated average overall accuracy (A' = 0.54).
- OAE screening achieved higher system accuracy (A' = 0.85) with excellent efficiency and specificity.
- OAE screening showed reasonable sensitivity for detecting hearing loss.
Conclusions:
- The CHQS requires significant modification to improve sensitivity before widespread use as a mass screening tool.
- Otoacoustic emissions (OAE) present a more accurate and efficient method for school-aged hearing screening in China.
- Further research is needed to enhance the CHQS for effective childhood hearing surveillance.