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.
Abstract