Age of detection of congenital hearing loss in South Africa: A systematic review.

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health in Africa Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.4102/jphia.v16i1.777

Mukovhe Phanguphangu, Khomotjo Kgare, Andrew J Ross

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引用次数: 0

Abstract

Background: Newborn hearing screening is the most important step towards early intervention of congenital or early-onset hearing loss (HL) and has the potential to optimise patient outcomes. Yet, literature on the age of identification of this HL in South Africa (SA) is sparse.

Aim: To determine the age of identification of congenital HL from published studies in SA.

Setting: The study was conducted in SA.

Methods: This was a systematic review conducted during April 2024 - June 2024 across the following databases: PubMed, EBSCO, Web of Science and Scopus. A random effects (RE) model meta-analysis was conducted using STATA version 18. Statistical tests conducted include meta-summary statistics and RE meta-analysis.

Results: Ten studies, with a total of 1501 children, were included in this review. The computed Q-test of homogeneity was 5870.97 and the pooled mean age of identification was 30 months (95% confidence intervals [CI]: 19.3-41.3).

Conclusion: These findings show that congenital or early-onset HL in SA is identified later than the national and international standards, that is, < 1 month of age. These findings are important for future research, priority setting and implementation of strategies to reduce the burden and impact of HL. Future research investigating the barriers to early detection of HL in SA is recommended. Furthermore, the implementation of evidence-based interventions to lower the age of identification of congenital HL to enable its early detection and intervention in this age group is recommended.

Contribution: This study highlights the need to strengthen preventative programmes for paediatric HL in SA.

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南非先天性听力损失的发现年龄：一项系统综述。

背景：新生儿听力筛查是先天性或早发性听力损失（HL）早期干预最重要的一步，有可能优化患者的预后。然而，关于这种HL在南非（SA）的鉴定年龄的文献很少。目的：从SA已发表的研究中确定先天性HL的鉴定年龄。背景：本研究在南非进行。方法：这是一项于2024年4月至2024年6月对以下数据库进行的系统评价：PubMed， EBSCO， Web of Science和Scopus。采用STATA version 18进行随机效应（RE）模型meta分析。进行的统计检验包括元汇总统计和RE元分析。结果：本综述纳入了10项研究，共1501名儿童。同质性的计算q检验为5870.97，合并平均识别年龄为30个月（95%可信区间[CI]: 19.3 ~ 41.3）。结论：这些发现表明SA先天性或早发性HL的发现晚于国家和国际标准，即小于1月龄。这些发现对未来的研究、确定重点和实施减轻HL负担和影响的战略具有重要意义。建议进一步研究SA中早期发现HL的障碍。此外，建议实施循证干预措施，降低先天性HL的识别年龄，使其能够在该年龄组早期发现和干预。贡献：本研究强调了加强南非儿童HL预防计划的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.