Global burden and prevalence of otitis media-induced hearing loss in children: 32-year study
Yuchen Jin1, Lingkang Dong1, Yumeng Jiang1
1Department of Otolaryngology Head & Neck Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Insights
Childhood hearing loss due to otitis media (OM) increased globally, particularly in South Asia and low-middle SDI regions. Preventive measures and improved healthcare are crucial for reducing this public health burden.
Area of Science:
- Pediatric Public Health
- Epidemiology
- Otolaryngology
Background:
- Childhood hearing loss is a significant public health concern, with otitis media (OM) as a primary contributor.
- This study investigates the global prevalence and burden of hearing loss caused by OM in children.
Purpose of the Study:
- To comprehensively assess the prevalence and burden of otitis media-induced hearing loss in children globally.
- To analyze trends and regional disparities in OM-induced hearing loss over 32 years.
Main Methods:
- Utilized data from the Global Burden of Disease (GBD) database (1990-2021).
- Evaluated Age-standardized Prevalence Rates (ASPR), Age-standardized Years Lived with Disability (ASYR), and Estimated Annual Percentage Changes (EAPC).
- Included stratification, correlation analysis, and projections for comprehensive assessment.
Main Results:
- Global prevalence of OM-induced hearing loss in children under 15 increased by 11.32% (31.18M to 34.71M cases) from 1990-2021.
- ASPR slightly decreased (-0.13% EAPC), but boys and children aged 5-9 years showed higher prevalence.
- Low-middle SDI regions exhibited 1.81x higher ASPR and 6.08x more cases than high SDI regions; South Asia had the highest ASPR.
Conclusions:
- Despite global improvements, significant burdens of OM-induced hearing loss persist in South Asia and low-middle SDI regions, likely due to healthcare resource limitations.
- Advancing pneumococcal vaccination and other preventive strategies are vital for mitigating this health issue.
- Targeted interventions are needed for high-burden regions and specific demographics.
Background:
Hearing loss in children has become a pressing public health issue, with otitis media (OM) being a leading cause. This study aims to comprehensively assess the prevalence and burden of OM-induced hearing loss in children.
Methods:
Data from the Global Burden of Disease (GBD) database were used. We evaluated the Age-standardized Prevalence Rates (ASPR), Age-standardized Years Lived with Disability rates (ASYR), and Estimated Annual Percentage Changes (EAPC) over the past 32 years. The analysis included stratification, correlation analysis, and projections.
Results:
From 1990 to 2021, the global prevalence of OM-induced hearing loss in children under 15 years increased from 31.18 million cases to 34.71 million cases, representing an 11.32% increase. The ASPR slightly decreased from 1793.38 to 1725.39 per 100,000 children, with an EAPC of -0.13. Boys had a higher prevalence and burden compared to girls, and the highest ASPR and ASYR were observed in children aged 5-9 years. Regions with higher Socio-Demographic Index (SDI) showed significant reductions in both prevalence and burden, while low-middle SDI regions bore a heavier burden, with ASPR 1.81 times higher and cases number 6.08 times higher than high SDI regions. Additionally, East Asia showed the largest decrease, while South Asia had the highest ASPR.
Conclusion:
Although the global burden of OM-induced hearing loss has improved, South Asia and low-middle SDI regions continue to face a significant burden, with insufficient healthcare resources likely being a major issue. Additionally, continuing to advance pneumococcal vaccination and other preventive measures is equally crucial for alleviating this burden.
Related Concept Videos
Prevalence and Incidence
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Hearing
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...


