Wyatte C Hall1, Dongmei Li1, Timothy D V Dye1. 1. Wyatte C. Hall is with the Department of Obstetrics and Gynecology and the Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY. Dongmei Li is with the Clinical and Translational Science Institute, University of Rochester Medical Center. Timothy D. V. Dye is with the Departments of Obstetrics and Gynecology, Pediatrics, Public Health Sciences, and Medical Informatics, and the Clinical and Translational Science Institute, University of Rochester Medical Center.
Abstract
OBJECTIVES: To assess the influence of hearing loss on child behavioral diagnoses, and socioemotional and behavior status. METHODS: We analyzed US National Health Interview Survey (NHIS) child data, years 2011 to 2015, for associations between reported hearing loss and relevant NHIS items. RESULTS: Compared with hearing children, NHIS respondents with a deaf child were more likely to report developmental delays (adjusted odds ratio [AOR] = 11.1; 95% confidence interval [CI] = 3.8, 32.4), attention-deficit disorder (AOR = 3.1; 95% CI = 2.5, 3.9), autism diagnoses (AOR = 2.9; 95% CI = 1.8, 4.9), and minor to severe socioemotional difficulties (AOR = 3.9; 95% CI = 3.2, 4.7). When asked if their child was well behaved, respondents were more likely to reply "somewhat true" or "not true" (AOR = 2.7; 95% CI = 2.2, 3.4). CONCLUSIONS: Hearing loss increases likelihood of reporting child behavioral diagnoses, behavior issues, and socioemotional difficulties. Although etiology and professional misdiagnoses likely contribute to elevated prevalence, lack of attention toward language deprivation as a public health issue prevents any further epidemiological insights. Public Health Implications. Despite widespread use of cochlear implants, concerns about deaf children's well-being remain significant. Language deprivation requires investigation and awareness as a social determinant of health.
OBJECTIVES: To assess the influence of hearing loss on child behavioral diagnoses, and socioemotional and behavior status. METHODS: We analyzed US National Health Interview Survey (NHIS) child data, years 2011 to 2015, for associations between reported hearing loss and relevant NHIS items. RESULTS: Compared with hearing children, NHIS respondents with a deaf child were more likely to report developmental delays (adjusted odds ratio [AOR] = 11.1; 95% confidence interval [CI] = 3.8, 32.4), attention-deficit disorder (AOR = 3.1; 95% CI = 2.5, 3.9), autism diagnoses (AOR = 2.9; 95% CI = 1.8, 4.9), and minor to severe socioemotional difficulties (AOR = 3.9; 95% CI = 3.2, 4.7). When asked if their child was well behaved, respondents were more likely to reply "somewhat true" or "not true" (AOR = 2.7; 95% CI = 2.2, 3.4). CONCLUSIONS:Hearing loss increases likelihood of reporting child behavioral diagnoses, behavior issues, and socioemotional difficulties. Although etiology and professional misdiagnoses likely contribute to elevated prevalence, lack of attention toward language deprivation as a public health issue prevents any further epidemiological insights. Public Health Implications. Despite widespread use of cochlear implants, concerns about deaf children's well-being remain significant. Language deprivation requires investigation and awareness as a social determinant of health.
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