Ear health and hearing in urban Aboriginal children.,Australian and New Zealand Journal of Public Health

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Ear health and hearing in urban Aboriginal children.
Australian and New Zealand Journal of Public Health ( IF 3.5 ) Pub Date : 2023-07-28 , DOI: 10.1016/j.anzjph.2023.100075
Jack DeLacy ₁ , Leonie Burgess ₂ , Mandy Cutmore ₂ , Simone Sherriff ₃ , Susan Woolfenden ₄ , Kathleen Falster ₄ , Emily Banks ₅ , Alison Purcell ₆ , Kelvin Kong ₇ , Harvey Coates ₈ , John Curotta ₉ , Markeeta Douglas ₁₀ , Kym Slater ₁₁ , Aleathia Thompson ₁₂ , Jacqueline Stephens ₁₃ , Juanita Sherwood ₁₄ , Peter McIntyre ₁₅ , Jean Tsembis ₂ , Michelle Dickson ₆ , Jonathan Craig ₁₃ , Hasantha Gunasekera ₁₆

Affiliation

The University of Sydney, Sydney, NSW, Australia; Children's Hospital at Westmead, Sydney, NSW, Australia; The Sax Institute, Sydney, NSW, Australia.
The Sax Institute, Sydney, NSW, Australia.
The University of Sydney, Sydney, NSW, Australia; The Sax Institute, Sydney, NSW, Australia.
The University of New South Wales, Sydney, NSW, Australia.
Australian National University, Canberra, ACT, Australia.
The University of Sydney, Sydney, NSW, Australia.
Newcastle Private Medical Suites, Newcastle, NSW, Australia.
University of Western Australia, Perth, WA, Australia.
Sydney Children's Hospital Network, Australia.
Awabakal Aboriginal Medical Service, Newcastle, NSW, Australia.
Tharawal Aboriginal Corporation, Sydney, NSW, Australia.
Riverina Medical and Dental Aboriginal Corporation, Wagga Wagga, NSW, Australia.
Flinders University, Adelaide, SA, Australia.
The University of Technology Sydney, NSW, Australia.
University of Otago, Dunedin, NZ, Australia.
The University of Sydney, Sydney, NSW, Australia; Children's Hospital at Westmead, Sydney, NSW, Australia.

OBJECTIVE Evaluate ear health and hearing among urban Aboriginal children and quantify relationships with child, family and social factors. METHODS Baseline questionnaire and ear health examinations from 1430 children with diagnoses (0.5-18 years) attending Aboriginal Health Services enrolled in SEARCH. Ear health outcomes were Otitis Media (OM), and hearing loss (three-frequency average hearing loss >20dB) diagnosed using pneumatic otoscopy, tympanometry, and audiometry. RESULTS Half the children 0.5-3 years had OM (51.5%, 136/264). One third 0.5-18 years (30.4%; 435/1430) had OM, including 1.8% (26/1430) with perforation (0.8% chronic suppurative OM, 0.6% dry perforation and 0.4% acute OM with perforation). One quarter 0.5-18 years (25.7%; 279/1087) had hearing loss; 12.4% unilateral, 13.2% bilateral (70.6% with bilateral loss had concurrent OM). OM was associated with: younger age (0.5-<3 years versus 6-18 years) age-sex-site; adjusted prevalence ratio (aPR)=2.64, 95%, 2.18-3.19); attending childcare/preschool (aPR=1.24, 95%CI, 1.04-1.49); foster care (aPR=1.40, 95%CI, 1.10-1.79); previous ear infection/s (aPR=1.68, 95%CI, 1.42-1.98); and ≥2 people/bedroom (aPR=1.66, 95%CI, 1.24-2.21). Hearing impairment was associated with younger age (0.5-<6 years vs. ≥6 years aPR=1.89, 95%CI, 1.40-2.55) and previous ear infection (aPR=1.87, 95%CI, 1.31-2.68). CONCLUSIONS Half the urban Aboriginal children in this cohort had OM and two-thirds with hearing impairment had OM. IMPLICATIONS FOR PUBLIC HEALTH Findings highlight importance of early detection and support for ear health, particularly in pre-school-aged children with risk factors.

中文翻译：

城市原住民儿童的耳朵健康和听力。

目标评估城市原住民儿童的耳朵健康和听力，并量化与儿童、家庭和社会因素的关系。方法对参与 SEARCH 的原住民健康服务机构的 1430 名确诊儿童（0.5-18 岁）进行基线问卷调查和耳部健康检查。耳朵健康结果包括中耳炎 (OM) 和使用气动耳镜检查、鼓室导抗测试和听力测定诊断的听力损失（三频平均听力损失 >20dB）。结果 0.5-3 岁儿童中有一半患有 OM (51.5%, 136/264)。三分之一的 0.5-18 岁患者 (30.4%; 435/1430) 患有 OM，其中 1.8% (26/1430) 伴有穿孔（0.8% 为慢性化脓性 OM，0.6% 为干性穿孔，0.4% 为急性 OM 伴有穿孔）。四分之一的 0.5-18 岁人群 (25.7%; 279/1087) 有听力损失；12.4% 单侧，13.2% 双侧（70.6% 双侧缺失并发 OM）。OM 与以下因素相关：年龄较小（0.5-<3 岁 vs 6-18 岁）年龄-性别；调整后患病率（aPR）=2.64、95%、2.18-3.19）；参加托儿所/学前班（aPR=1.24，95%CI，1.04-1.49）；寄养（aPR=1.40，95%CI，1.10-1.79）；既往耳部感染（aPR=1.68，95%CI，1.42-1.98）；≥2 人/卧室（aPR=1.66，95%CI，1.24-2.21）。听力障碍与年龄较小（0.5-<6岁与≥6岁aPR=1.89，95%CI，1.40-2.55）和既往耳部感染（aPR=1.87，95%CI，1.31-2.68）相关。结论该队列中有一半的城市原住民儿童患有 OM，三分之二的听力障碍儿童患有 OM。对公众健康的影响研究结果强调了早期检测和支持耳部健康的重要性，特别是对于有危险因素的学龄前儿童。

更新日期：2023-07-28

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