Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status

Area of Science:

• Audiology
• Pediatric Health
• Educational Psychology

Background:

• Minimal sensorineural hearing loss (MSHL) is often overlooked in school-aged children.
• Understanding its prevalence and impact is vital for early intervention.

Purpose of the Study:

• To determine the prevalence of MSHL in school-aged children.
• To assess the relationship between MSHL and educational performance.
• To evaluate the impact of MSHL on functional status.

Main Methods:

• A large-scale study sampled 1218 children across 3rd, 6th, and 9th grades.
• Educational performance was assessed using the Comprehensive Test of Basic Skills (CTBS/4) and teacher-reported data (SIFTER, Revised Behavior Problem Checklist).
• Functional status was evaluated using the COOP Adolescent Chart Method.

Main Results:

• MSHL prevalence was 5.4%, nearly doubling the overall hearing impairment rate.
• Children with MSHL showed lower academic scores in 3rd grade and poorer communication skills.
• MSHL was associated with increased grade retention (37%) and greater functional difficulties in behavior, energy, stress, social support, and self-esteem.

Conclusions:

• MSHL significantly affects school-aged children's educational and functional outcomes.
• The findings highlight the need for improved identification and management strategies for MSHL.
• Addressing MSHL can lead to better academic progress and psychosocial well-being for affected children.