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Maternal Factors Predicting Loss to Follow-Up from Newborn Hearing Screenings in New Jersey
Health & Social Work ( IF 1.7 ) Pub Date : 2021-05-07 , DOI: 10.1093/hsw/hlab012
Wendy Zeitlin 1 , MaryRose McInerney 1 , Kathryn Aveni 2 , Rachel Scheperle 3 , Angela DeCristofano 4
Affiliation  

Because hearing loss in children can result in developmental deficits, early detection and intervention are critical. This article identifies a constellation of maternal factors that predict loss to follow-up (LTF) at the point of rescreening—the first follow-up for babies who did not pass the hearing screening performed at birth—through New Jersey’s early hearing detection and intervention program. Maternal factors are critical to consider, as mothers are often the primary decision makers around children’s health care. All data were obtained from the state’s department of health and included babies born between June 2015 and June 2017. Logistic regression was used to predict LTF. Findings indicate that non-Hispanic Black mothers, younger mothers, mothers with previous live births, and mothers with obesity were more likely to be LTF. Hispanic mothers and those enrolled in the state’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program were less likely to be LTF. Mothers most at risk for LTF should be targeted for intervention to help children with hearing loss achieve the benefits from early intervention. Being a WIC recipient is a protective factor for LTF; therefore, elements of WIC could be used to reduce the state’s LTF rate.

中文翻译:

新泽西州新生儿听力筛查失访的孕产妇因素预测

由于儿童听力损失会导致发育缺陷,因此早期发现和干预至关重要。本文通过新泽西州的早期听力检测和干预,确定了在重新筛查时预测失访 (LTF) 的一系列母体因素——这是对出生时未通过听力筛查的婴儿的首次随访程序。母亲因素是需要考虑的关键因素,因为母亲通常是儿童医疗保健的主要决策者。所有数据均来自该州卫生部门,包括 2015 年 6 月至 2017 年 6 月出生的婴儿。逻辑回归用于预测 LTF。研究结果表明,非西班牙裔黑人母亲、年轻母亲、以前活产的母亲和肥胖的母亲更有可能是 LTF。西班牙裔母亲和参加该州妇女、婴儿和儿童特殊补充营养计划 (WIC) 计划的母亲不太可能成为 LTF。应对 LTF 风险最高的母亲进行干预,以帮助听力损失儿童从早期干预中获益。成为 WIC 接受者是 LTF 的保护因素;因此,WIC 的要素可用于降低该州的 LTF 率。
更新日期:2021-05-07
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