Nicole Perez, David Adkins, Marissa Schuh, Jennifer Shinn, Lori Travis, Matthew Bush
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Infants during the pandemic had a 24% lower odds of hearing testing adherence (OR = 0.76, p = 0.05, 95%CI: 0.57-1). Hispanic infants have 45% lower odds of EHDI adherence (OR = 0.55, p = 0.03, 95%CI: 0.31-0.96) and infants of Swahili speaking families have 90% lower odds of EHDI adherence (OR = 0.10, p = 0.001, 95%CI: 0.02-0.42). Infants of mothers with a high school degree had a higher odds of adherence (OR = 1.50, p = 0.02, 95%CI: 1.06-2.17), presented earlier for testing (p = 0.003, 95%CI: -15.73- [-]3.32), and had a higher odds of normal hearing (OR = 1.63, p = 0.03, 95%CI: 1.06-2.51).</p><p><strong>Conclusion: </strong>EHDI adherence is influenced by the COVID-19 pandemic and sociodemographic factors. EHDI programs are encouraged to use this data to promote timely and equitable access and use of diagnostic services.</p>","PeriodicalId":91737,"journal":{"name":"Journal of early hearing detection and intervention","volume":"8 2","pages":"26-33"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967730/pdf/","citationCount":"0","resultStr":"{\"title\":\"Sociodemographic Factors Influencing Pandemic-Era EHDI Use and Access.\",\"authors\":\"Nicole Perez, David Adkins, Marissa Schuh, Jennifer Shinn, Lori Travis, Matthew Bush\",\"doi\":\"10.26077/c18f-78ab\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The COVID-19 pandemic impact on Early Hearing Detection and Intervention (EHDI) programs is unknown. This research evaluated sociodemographic factors influencing adherence to EDHI diagnostic testing and the incidence of infant hearing loss during the pandemic.</p><p><strong>Method: </strong>We evaluated EHDI adherence and incidence of hearing loss in Kentucky before and during the COVID-19 pandemic. Using univariate and multivariate analysis, we evaluated the association of these outcomes to sociodemographic variables.</p><p><strong>Results: </strong>There were 71,206 births and 1,385 referred infant hearing screening tests during the study period. Infants during the pandemic had a 24% lower odds of hearing testing adherence (OR = 0.76, p = 0.05, 95%CI: 0.57-1). Hispanic infants have 45% lower odds of EHDI adherence (OR = 0.55, p = 0.03, 95%CI: 0.31-0.96) and infants of Swahili speaking families have 90% lower odds of EHDI adherence (OR = 0.10, p = 0.001, 95%CI: 0.02-0.42). Infants of mothers with a high school degree had a higher odds of adherence (OR = 1.50, p = 0.02, 95%CI: 1.06-2.17), presented earlier for testing (p = 0.003, 95%CI: -15.73- [-]3.32), and had a higher odds of normal hearing (OR = 1.63, p = 0.03, 95%CI: 1.06-2.51).</p><p><strong>Conclusion: </strong>EHDI adherence is influenced by the COVID-19 pandemic and sociodemographic factors. EHDI programs are encouraged to use this data to promote timely and equitable access and use of diagnostic services.</p>\",\"PeriodicalId\":91737,\"journal\":{\"name\":\"Journal of early hearing detection and intervention\",\"volume\":\"8 2\",\"pages\":\"26-33\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967730/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of early hearing detection and intervention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26077/c18f-78ab\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of early hearing detection and intervention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26077/c18f-78ab","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:COVID-19大流行对早期听力检测和干预(EHDI)计划的影响尚不清楚。本研究评估了大流行期间影响EDHI诊断检测依从性和婴儿听力损失发生率的社会人口因素。方法:我们在COVID-19大流行之前和期间评估肯塔基州EHDI依从性和听力损失发生率。使用单变量和多变量分析,我们评估了这些结果与社会人口变量的关系。结果:在研究期间,有71,206名新生儿和1,385名转诊婴儿听力筛查测试。大流行期间的婴儿遵守听力测试的几率低24% (OR = 0.76, p = 0.05, 95%CI: 0.57-1)。西班牙裔婴儿遵守EHDI的几率低45% (OR = 0.55, p = 0.03, 95%CI: 0.31-0.96),斯瓦希里语家庭的婴儿遵守EHDI的几率低90% (OR = 0.10, p = 0.001, 95%CI: 0.02-0.42)。母亲拥有高中学历的婴儿有更高的依从率(OR = 1.50, p = 0.02, 95%CI: 1.06-2.17),更早接受检查(p = 0.003, 95%CI: -15.73-[-]3.32),并且有更高的正常听力的几率(OR = 1.63, p = 0.03, 95%CI: 1.06-2.51)。结论:EHDI依从性受COVID-19大流行和社会人口因素的影响。鼓励EHDI项目利用这些数据促进及时、公平地获取和使用诊断服务。
Sociodemographic Factors Influencing Pandemic-Era EHDI Use and Access.
Objective: The COVID-19 pandemic impact on Early Hearing Detection and Intervention (EHDI) programs is unknown. This research evaluated sociodemographic factors influencing adherence to EDHI diagnostic testing and the incidence of infant hearing loss during the pandemic.
Method: We evaluated EHDI adherence and incidence of hearing loss in Kentucky before and during the COVID-19 pandemic. Using univariate and multivariate analysis, we evaluated the association of these outcomes to sociodemographic variables.
Results: There were 71,206 births and 1,385 referred infant hearing screening tests during the study period. Infants during the pandemic had a 24% lower odds of hearing testing adherence (OR = 0.76, p = 0.05, 95%CI: 0.57-1). Hispanic infants have 45% lower odds of EHDI adherence (OR = 0.55, p = 0.03, 95%CI: 0.31-0.96) and infants of Swahili speaking families have 90% lower odds of EHDI adherence (OR = 0.10, p = 0.001, 95%CI: 0.02-0.42). Infants of mothers with a high school degree had a higher odds of adherence (OR = 1.50, p = 0.02, 95%CI: 1.06-2.17), presented earlier for testing (p = 0.003, 95%CI: -15.73- [-]3.32), and had a higher odds of normal hearing (OR = 1.63, p = 0.03, 95%CI: 1.06-2.51).
Conclusion: EHDI adherence is influenced by the COVID-19 pandemic and sociodemographic factors. EHDI programs are encouraged to use this data to promote timely and equitable access and use of diagnostic services.