Related Experiment Video
Updated: Aug 12, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Racial differences in tympanometric results
Insights
Black preschoolers had fewer failed tympanometric screenings than White preschoolers, particularly older children. This study examined hearing health disparities in early childhood.
Area of Science:
- Pediatric Audiology
- Public Health
- Child Development
Background:
- Tympanometric screening is crucial for identifying middle ear conditions in children.
- Early identification of hearing issues is vital for speech and language development.
- Preschool-aged children are a key demographic for audiological surveillance.
Purpose of the Study:
- To investigate the incidence of failed tympanometric screenings in a cohort of middle-class preschool children.
- To examine potential racial differences in tympanometric screening failure rates.
- To identify age-related patterns in screening failures.
Main Methods:
- A cohort of 253 middle-class preschool children aged 30-48 months underwent tympanometric screening.
- Data on screening outcomes were collected and analyzed.
- Statistical comparisons were made between racial groups and age strata.
Main Results:
- Overall, 23% of Black children and 38% of White children failed the screening (p < .05).
- This disparity was most pronounced in older children (≥36 months).
- Significant differences in failure rates were observed between racial groups.
Conclusions:
- Racial disparities exist in tympanometric screening failures among preschool children.
- Older Black children demonstrated a lower incidence of failed screenings compared to their White peers.
- Further research is needed to understand the underlying factors contributing to these observed differences.
Abstract:
The occurrence of failed tympanometric screenings in 253 middle-class preschool children, ages 30-48 months, was examined. Black children showed a significantly (p less than .05) lower incidence of failure (23% compared to 38% for White children); this pattern was attributable primarily to differential rates of failure for older children (greater than or equal to 36 months). Explanations for this difference are discussed.

