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新生儿听力筛查对儿童有益,但全球差距依然存在。

Newborn Hearing Screening Benefits Children, but Global Disparities Persist.

作者信息

Neumann Katrin, Mathmann Philipp, Chadha Shelly, Euler Harald A, White Karl R

机构信息

Department of Phoniatrics and Pedaudiology, University Hospital Münster, 48149 Münster, Germany.

Blindness Deafness Prevention, Disability and Rehabilitation Unit, Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention, World Health Organization, 1211 Geneva, Switzerland.

出版信息

J Clin Med. 2022 Jan 5;11(1):271. doi: 10.3390/jcm11010271.

Abstract

There is substantial evidence that newborn hearing screening (NHS) reduces the negative sequelae of permanent childhood hearing loss (PCHL) if performed in programs that aim to screen all newborns in a region or nation (often referred to as Universal Newborn Hearing Screening or UNHS). The World Health Organization (WHO) has called in two resolutions for the implementation of such programs and for the collection of large-scale data. To assess the global status of NHS programs we surveyed individuals potentially involved with newborn and infant hearing screening (NIHS) in 196 countries/territories (in the following text referred to as countries). Replies were returned from 158 countries. The results indicated that 38% of the world's newborns and infants had no or minimal hearing screening and 33% screened at least 85% of the babies (hereafter referred to as UNHS). Hearing screening programs varied considerably in quality, data acquisition, and accessibility of services for children with PCHL. In this article, we summarize the main results of the survey in the context of several recent WHO publications, particularly the World Report on Hearing, which defined advances in the implementation of NHS programs in the Member States as one of three key indicators of worldwide progress in ear and hearing care (EHC).

摘要

有大量证据表明,如果在旨在筛查某一地区或国家所有新生儿的项目(通常称为普遍新生儿听力筛查或UNHS)中开展新生儿听力筛查(NHS),可减少儿童永久性听力损失(PCHL)的负面后果。世界卫生组织(WHO)已在两项决议中呼吁实施此类项目并收集大规模数据。为评估NHS项目的全球现状,我们对196个国家/地区(以下简称国家)中可能参与新生儿及婴幼儿听力筛查(NIHS)的人员进行了调查。收到了158个国家的回复。结果表明,全球38%的新生儿和婴幼儿未接受听力筛查或接受的筛查极少,33%的国家对至少85%的婴儿进行了筛查(以下简称UNHS)。听力筛查项目在质量、数据采集以及为PCHL儿童提供服务的可及性方面差异很大。在本文中,我们结合WHO近期的几份出版物,特别是《世界听力报告》,总结了调查的主要结果,该报告将成员国实施NHS项目的进展确定为全球耳与听力保健(EHC)进展的三项关键指标之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2c/8746089/29bb9f215a02/jcm-11-00271-g001.jpg

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