Effects of socioeconomic status on children with hearing loss

Smith, Blake; Zhang, Jessica; Pham, Gina Nhu; Pakanati, Keerthana; Ongkasuwan, Julina; Anne, Samantha

doi:10.1016/j.ijporl.2018.10.032

Cited by 20 publications

(19 citation statements)

References 12 publications

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“…A recent article looking at the effects of socioeconomic status on children with hearing loss demonstrated that access to hearing evaluations, compliance to hearing aids, and hearing outcomes were not significantly different between children with private insurance and Medicaid. 29 Finally, it is possible that implicit bias plays a role in the recognition of symptoms for evaluation of bacterial tracheitis. For instance, it may be that children of low SES have a lower rate of otolaryngology consultation with the same constellation of symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Barengo

Redmann

Kennedy

et al. 2021

Ann Otol Rhinol Laryngol

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Objectives: Examine the presentation and clinical course of patients with bacterial tracheitis (BT). Identify if socioeconomic differences exist among children who present with BT. Methods: This was a retrospective case series from a tertiary care pediatric medical center. The study group included patients less than 18 years old who were diagnosed with BT from January 2011 to March 2019. Patients with a tracheostomy and those who developed BT after prolonged hospitalization were excluded. Patient demographics were compared with the demographics of the counties surrounding the hospital. Results: 33 patients with BT met inclusion criteria. The most common presenting symptoms were difficulty breathing, stridor, and sore throat (81.8% each), followed by cough (78.8%). Median length of stay was 3 days [interquartile range (IQR):2-4]. 19 patients (57.5%) were admitted to the intensive care unit. Intubation was required for 13 patients (39.4%), for a median length of 2 days [IQR:2-2]. Methicillin sensitive staphylococcus aureus was the most common bacterial etiology (33%). Mean presenting age was 8.58 years [95% confidence interval:7.3-9.9] and 14 patients were female (42.4%). 31 patients were white (93.9%), 1 was black (3%), and 1 was Hispanic (3%). BT patients were more likely to have private insurance compared to comparison (81.8% vs 63.4%, P < .001). Conclusion: Children who presented with BT were more likely to be privately insured than a comparison population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Barengo

Redmann

Kennedy

et al. 2021

Ann Otol Rhinol Laryngol

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“…10 Prior studies on SES and pediatric hearing loss have mostly used insurance status or median income as surrogates for SES. 7-10,13,17-19,21-25 In the current study, we used both income and insurance status as markers of SES, as well as created the larger and more inclusive low SES group, as well as the smaller double-low SES groups.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Pediatric Single‐Sided Deafness

Lipschitz

Kohlberg

Scott

et al. 2020

Otolaryngol.--head neck surg.

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Objective To explore socioeconomic disparities in pediatric single-sided deafness (SSD) treatment. Study Design Retrospective chart review. Setting Tertiary referral academic center. Methods The charts of 190 pediatric patients with SSD were reviewed for demographic and clinical characteristics. Socioeconomic variables included race and insurance status. ZIP codes were used to obtain additional socioeconomic data from the American Community Survey, including mean and median income, percentage of families below the poverty level, and employment status. Socioeconomic status (SES) was classified by insurance status and income. Treatment outcomes were analyzed by socioeconomic variables. Results There were 105 males and 85 females with a mean follow-up of 55.2 months and a mean age at diagnosis of 4.4 years. Sixty-three percent of children received treatment at last follow-up. Thirty-five percent of children had public insurance and 65% had private insurance. Treatment rates were similar in the private and public insurance groups (60.6% vs 66.7%, P = .42), but device type was different between groups ( P = .02). Consistent device use was associated with private insurance (47.5% vs 38.9%, P = .003) and high SES (94.4% vs 80%, P = .04) on univariate but not on multivariate analysis. Aided audiometry results were similar between SES groups. No association was found between sex, race, income level, poverty level, or employment status and treatment outcomes. Conclusion Insurance type and SES were not associated with SSD treatment outcomes in children, although device use may be higher in children with private insurance and higher SES. Further research should focus on strategies to reduce barriers to treatment and improve adherence.

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“…affect gain in rehabilitation, which is multidisciplinary learning in which the household is also involved. 5,6 Therefore, we evaluated the relationship of features of children with HL like age, gender, socioeconomic status of a family, age of onset of HL, CI, etc. in a single hearing rehabilitation centre in Mardin and scores of children in Test of Early Language Development-3 (TEDIL-3).…”

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confidence: 99%

Evaluation of Children with Hearing Loss in a Special Education Centre by TEDIL-3 Test in Mardin

Sarı¹,

İMRAK²

2022

KBB ve BBC Dergisi

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Hearing loss (HL) inhibits the development of auditory and speech capabilities in children. Early rehabilitation of HL leads to better performance in language, academic and social development. A timely and suitable diagnosis is essential to obtain better re-sults. Severe to profound bilateral sensorineural HL (SNHL) can be managed by cochlear implantation (CI, unilateral or bilateral). Mild to moderate bilateral SNHL is easier to overcome with conventional hearing aids if started early. 1 The BAHA system has

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Effects of socioeconomic status on children with hearing loss

Cited by 20 publications

References 12 publications

Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Socioeconomic Disparities in Pediatric Single‐Sided Deafness

Evaluation of Children with Hearing Loss in a Special Education Centre by TEDIL-3 Test in Mardin

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