Purpose The purpose of this study is to describe and assess a hearing screening program of first-grade children in Poland. The program aimed to detect hearing disorders and increase awareness among parents of hearing problems. Method A hearing screening program was conducted in all elementary schools of the biggest region in Poland. A total of 34,618 first-graders were screened. The hearing screening protocol included video otoscopy and pure-tone audiometry. The program also included an information campaign directed to the local community and educational meetings between parents and medical staff. Results The estimated prevalence of hearing loss was 11%. Unilateral hearing loss was more common than bilateral hearing loss. Mild hearing loss was more frequent than moderate (or worse) hearing loss. In otoscopy, the most common positive result was otitis media with effusion. Parents and medical staff took part in 1,608 educational meetings, broadening the parents' knowledge of how to care for hearing. Conclusions A hearing screening program not only provides data on the prevalence of childhood hearing problems but is also an avenue for providing the local community with valuable knowledge about how to care for hearing. This study demonstrated the importance for systematic monitoring of children's hearing status and of increasing awareness among parents and teachers of the significance of hearing loss. The hearing screening of children starting school should become a standard part of school health care programs.

中文翻译：

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波兰马佐维亚地区一年级儿童听力筛查计划的组织方面和结果。

目的 本研究的目的是描述和评估波兰一年级儿童的听力筛查计划。该计划旨在检测听力障碍并提高父母对听力问题的认识。方法 在波兰最大地区的所有小学都进行了听力筛查计划。共筛选了 34,618 名一年级学生。听力筛查方案包括视频耳镜检查和纯音测听。该计划还包括针对当地社区的宣传活动以及家长和医务人员之间的教育会议。结果 听力损失的估计患病率为 11%。单侧听力损失比双侧听力损失更常见。轻度听力损失比中度（或更严重）听力损失更常见。在耳镜检查中，最常见的阳性结果是积液性中耳炎。家长和医务人员参加了1,608次教育会议，扩大了家长对听力保健的认识。结论 听力筛查计划不仅提供有关儿童听力问题患病率的数据，而且还是向当地社区提供有关如何护理听力的宝贵知识的途径。这项研究证明了系统监测儿童听力状况以及提高家长和教师对听力损失重要性的认识的重要性。入学儿童的听力筛查应成为学校医疗保健计划的标准组成部分。有关如何护理听力的知识。结论 听力筛查计划不仅提供有关儿童听力问题患病率的数据，而且还是向当地社区提供有关如何护理听力的宝贵知识的途径。这项研究证明了系统监测儿童听力状况以及提高家长和教师对听力损失重要性的认识的重要性。入学儿童的听力筛查应成为学校医疗保健计划的标准组成部分。有关如何护理听力的知识。结论 听力筛查计划不仅提供有关儿童听力问题患病率的数据，而且还是向当地社区提供有关如何护理听力的宝贵知识的途径。这项研究证明了系统监测儿童听力状况以及提高家长和教师对听力损失重要性的认识的重要性。入学儿童的听力筛查应成为学校医疗保健计划的标准组成部分。这项研究证明了系统监测儿童听力状况以及提高家长和教师对听力损失重要性的认识的重要性。入学儿童的听力筛查应成为学校医疗保健计划的标准组成部分。这项研究证明了系统监测儿童听力状况以及提高家长和教师对听力损失重要性的认识的重要性。入学儿童的听力筛查应成为学校医疗保健计划的标准组成部分。