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Paediatric hearing loss: a community-based survey in peri-urban Kumasi, Ghana
R Larsen-Reindorf1, E Otupiri2, J E Anomah1
1Department of Otolaryngology/Head and Neck Surgery and Audiology, Hearing Assessment Center, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Insights
Paediatric hearing loss is a prevalent public health issue in Ghana, affecting at least 4 out of 362 children screened. Further research is needed to characterize the epidemiology of childhood hearing impairment in the region.
Area of Science:
- Audiology
- Public Health
- Epidemiology
Background:
- Paediatric hearing loss prevalence in Ghana was previously unknown.
- Childhood hearing impairment poses a significant public health concern.
Purpose of the Study:
- To determine the prevalence of paediatric hearing loss in peri-urban Kumasi, Ghana.
- To characterize initial findings related to childhood hearing impairment in the region.
Main Methods:
- A cross-sectional study involved 387 children aged 3-15 years in Ghana.
- Children underwent otoscopic examination and pure tone screening using the ShoeBox audiometer.
- Caregiver auditory questionnaires (LittlEars) were administered.
Main Results:
- Four of 362 children screened had hearing loss.
- Eight children were referred for further audiological evaluation.
- Ear canal cerumen impaction was the most common otoscopic finding.
Conclusions:
- Paediatric hearing loss is prevalent in Ghana.
- Childhood hearing impairment should be considered a public health problem.
- Further epidemiological characterization is warranted.
Background:
Paediatric hearing loss rates in Ghana are currently unknown.
Methods:
A cross-sectional study was conducted in peri-urban Kumasi, Ghana; children (aged 3-15 years) were recruited from randomly selected households. Selected children underwent otoscopic examination prior to in-community pure tone screening using the portable ShoeBox audiometer. The LittlEars auditory questionnaire was also administered to caregivers and parents.
Results:
Data were collected from 387 children. After conditioning, 362 children were screened using monaural pure tones presented at 25 dB. Twenty-five children could not be conditioned to behavioural audiometric screening. Eight children were referred based on audiometric screening results. Of those, four were identified as having hearing loss. Four children scored less than the maximum mark of 35 on the LittleEars questionnaire. Of those, three had hearing loss as identified through pure tone screening. The predominant physical finding on otoscopy was ear canal cerumen impaction.
Conclusion:
Paediatric hearing loss is prevalent in Ghana, and should be treated as a public health problem warranting further evaluation and epidemiology characterisation.
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