Ear health and hearing in urban Aboriginal children.

DeLacy, J; Burgess, L; Cutmore, M; Sherriff, S; Woolfenden, S; Falster, K; Banks, E; Purcell, A; Kong, K; Coates, H; Curotta, J; Douglas, M; Slater, K; Thompson, A; Stephens, J; Sherwood, J; McIntyre, P; Tsembis, J; Dickson, M; Craig, J; Gunasekera, H

Ear health and hearing in urban Aboriginal children.

DeLacy, J Burgess, L Cutmore, M Sherriff, S Woolfenden, S Falster, K Banks, E Purcell, A Kong, K Coates, H Curotta, J Douglas, M Slater, K Thompson, A Stephens, J Sherwood, J McIntyre, P Tsembis, J Dickson, M Craig, J Gunasekera, H

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Aust N Z J Public Health, 2023, 47, (4), pp. 100075
Issue Date:: 2023-08

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Field	Value	Language
dc.contributor.author	DeLacy, J
dc.contributor.author	Burgess, L
dc.contributor.author	Cutmore, M
dc.contributor.author	Sherriff, S
dc.contributor.author	Woolfenden, S
dc.contributor.author	Falster, K
dc.contributor.author	Banks, E
dc.contributor.author	Purcell, A
dc.contributor.author	Kong, K
dc.contributor.author	Coates, H
dc.contributor.author	Curotta, J
dc.contributor.author	Douglas, M
dc.contributor.author	Slater, K
dc.contributor.author	Thompson, A
dc.contributor.author	Stephens, J
dc.contributor.author	Sherwood, J
dc.contributor.author	McIntyre, P
dc.contributor.author	Tsembis, J
dc.contributor.author	Dickson, M
dc.contributor.author	Craig, J
dc.contributor.author	Gunasekera, H
dc.date.accessioned	2024-04-23T02:59:17Z
dc.date.available	2023-06-13
dc.date.available	2024-04-23T02:59:17Z
dc.date.issued	2023-08
dc.identifier.citation	Aust N Z J Public Health, 2023, 47, (4), pp. 100075
dc.identifier.issn	1326-0200
dc.identifier.issn	1753-6405
dc.identifier.uri	http://hdl.handle.net/10453/178266
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Aust N Z J Public Health
dc.relation.isbasedon	10.1016/j.anzjph.2023.100075
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1402 Applied Economics, 1605 Policy and Administration
dc.subject.classification	Public Health
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Humans
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Hearing
dc.subject.mesh	Hearing Loss
dc.subject.mesh	Otitis Media
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Infant
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Hearing Loss
dc.subject.mesh	Otitis Media
dc.subject.mesh	Hearing
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Humans
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Hearing
dc.subject.mesh	Hearing Loss
dc.subject.mesh	Otitis Media
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Infant
dc.subject.mesh	Adolescent
dc.title	Ear health and hearing in urban Aboriginal children.
dc.type	Journal Article
utslib.citation.volume	47
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1402 Applied Economics
utslib.for	1605 Policy and Administration
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Provost
pubs.organisational-group	University of Technology Sydney/Provost/Jumbunna
utslib.copyright.status	open_access	*
dc.date.updated	2024-04-23T02:59:15Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	47
utslib.citation.issue	4

Abstract:

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.

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