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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Sociodemographic Factors Affecting Loss to Follow-Up After Newborn Hearing Screening: A Systematic Review and

Kelly M Atherton1, Nicolas S Poupore2, Clarice S Clemmens2

  • 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Medical University of South Carolina, South Carolina, Charleston, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|March 20, 2023
PubMed

Insights

Sociodemographic factors like low birth weight, minority race, and lack of insurance are linked to missed follow-up appointments after newborn hearing screening (NBHS). Addressing these disparities is crucial for ensuring timely hearing care for all infants.

Area of Science:

  • Public Health
  • Pediatrics
  • Genetics

Background:

  • Universal newborn hearing screening (NBHS) is a critical component of early hearing detection and intervention (EHDI) programs globally.
  • Despite high screening rates, a significant number of infants referred for further testing or intervention are lost to follow-up.
  • Identifying factors contributing to this loss is essential for improving EHDI program effectiveness.

Approach:

  • A systematic review and meta-analysis were conducted following PRISMA guidelines.
  • Databases searched included PubMed, Scopus, and CINAHL from inception through December 2021.
  • Included studies contained sociodemographic data for infants referred from NBHS, comparing follow-up adherence rates.

Key Points:

  • Analysis of 169,238 infants across 19 studies revealed significant sociodemographic predictors of missed follow-up.
  • Infant factors associated with non-adherence include low birth weight, minority racial status, rural residence, and lack of insurance.
  • Maternal factors linked to missed follow-up include low educational attainment, young maternal age, unmarried status, and maternal smoking.

Conclusions:

  • Both infant and maternal sociodemographic characteristics significantly impact follow-up compliance after NBHS referrals.
  • Targeted interventions addressing identified sociodemographic barriers are necessary.
  • Collaboration between healthcare providers and policymakers is vital to ensure equitable access to newborn hearing care and timely interventions.
Abstract

Keywords:
early hearing detection and interventionloss to follow-upmeta-analysisnewborn hearing screeningsystematic review

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