Juarez Jose M, Shaffer Amber D, Chi David H
University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA 15261, USA.
UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
Am J Otolaryngol. 2020 Nov-Dec;41(6):102614. doi: 10.1016/j.amjoto.2020.102614. Epub 2020 Jun 18.
The current loss to follow-up rate after failed newborn hearing screening (NBHS) is 34.4%. Previous studies have found that lack of parental and primary care provider (PCP) awareness of NBHS results are significant contributors to loss to follow-up. The objective of this study was to identify factors associated with parental and PCP awareness of NBHS results.
Retrospective cohort study. A survey asking about demographics and knowledge of NBHS testing and results was offered to parents in the waiting room of an urban pediatric primary care office. Included were biological parents ≥18 years of age of children ≤10 years of age born in Pennsylvania. Each child's chart was reviewed for PCP documentation of NBHS results. The odds of knowing NBHS results were evaluated using logistic regression.
The survey was completed by 304 parents. 74.0% were aware of their child's NBHS results. Child age ≥1 year old (OR: 0.49, 95%CI[0.29, 0.82], P = 0.007) and Hispanic ethnicity (OR: 0.38, 95%CI[0.16, 0.89], P = 0.03) were associated with decreased odds of a parent knowing NBHS results. In addition, fewer fathers knew the results of their child's NBHS compared with mothers (OR: 0.33, 95%CI[0.18, 0.62], P < 0.001). However, parental awareness was not associated with birthing facility or insurance type. 222 charts were reviewed for NBHS documentation, revealing PCP awareness in 95.5% of cases and no associations with any of the factors examined.
Factors associated with parents not knowing NBHS results included being the parent of an older child, Hispanic, or the father.
新生儿听力筛查（NBHS）未通过后的当前失访率为34.4%。既往研究发现，家长和初级保健提供者（PCP）对NBHS结果缺乏认知是导致失访的重要因素。本研究的目的是确定与家长和PCP对NBHS结果认知相关的因素。
回顾性队列研究。在一家城市儿科初级保健办公室的候诊室，向家长发放了一份关于人口统计学以及NBHS检测和结果知识的调查问卷。纳入对象为宾夕法尼亚州出生的10岁及以下儿童的年满18岁的亲生父母。查阅每个孩子的病历，了解PCP对NBHS结果的记录情况。使用逻辑回归评估知晓NBHS结果的几率。
304名家长完成了调查问卷。74.0%的家长知晓其孩子的NBHS结果。孩子年龄≥1岁（比值比[OR]：0.49，95%置信区间[CI][0.29, 0.82]，P = 0.007）和西班牙裔（OR：0.38，95%CI[0.16, 0.89]，P = 0.03）与家长知晓NBHS结果的几率降低相关。此外，与母亲相比，知晓其孩子NBHS结果的父亲较少（OR：0.33，95%CI[0.18, 0.62]，P < 0.001）。然而，家长的认知与分娩机构或保险类型无关。查阅了222份病历以了解NBHS记录情况，结果显示PCP知晓率为95.5%，且与所研究的任何因素均无关联。
与家长不知晓NBHS结果相关的因素包括孩子年龄较大、为西班牙裔或父亲。
