Nwankwo Chisom J, Vite Bari-Ika N, Udom Godswill J
Department of Health Sciences, College of Health, Medicine and Life Sciences, Brunel University London, United Kingdom.
Department of Health and Social Care, School of Applied Social Sciences, Milton Keynes Campus, University of Bedfordshire, Park Square, Luton, Bedfordshire, United Kingdom.
Int J Pediatr Otorhinolaryngol. 2023 May;168:111517. doi: 10.1016/j.ijporl.2023.111517. Epub 2023 Mar 21.
To investigate the perceptions of parents towards universal new-born screening for hearing loss in Nigeria.
A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) system. A comprehensive search was undertaken using multiple databases (National Library of Medicine, PubMed, Cochrane Library, Scopus, Google Scholar, and MEDLINE) published in English between 2009 and 2018. The sample size of 10 studies were retrieved by using a predefined inclusion and exclusion criteria, keywords, and Boolean operator search patterns. Data extraction and analysis and quality appraisal of the selected articles was carried out.
80% of the identified studies indicated negative perceptions of Nigerian parents towards new-born hearing loss screening programmes. Possible reasons behind such negative perceptions were categorised into demographic factors, psychological factors, behavioural factors, and service-related factors. Specifically, barriers included low income, misconceptions, mode of delivery, fear of associated risk with screening procedure, preference for traditional medicines, inappropriately designed screening programmes, cost of screening programmes, resource-limited settings, lack of awareness about risk factors and their effects.
The research concluded that it is necessary to focus on the range of underlying factors (including awareness and education) contributing in shaping the above mentioned negative perceptions among Nigerian parents. The findings have great implications for the theoretical researchers for developing future research path as well as practical suggestion for authorities in policymaking in the healthcare sector in Nigeria.
调查尼日利亚父母对新生儿听力损失普遍筛查的看法。
按照系统评价和荟萃分析的首选报告项目（PRISMA）系统进行系统评价。使用多个数据库（美国国立医学图书馆、PubMed、考科蓝图书馆、Scopus、谷歌学术和MEDLINE）对2009年至2018年期间以英文发表的文献进行全面检索。通过使用预定义的纳入和排除标准、关键词和布尔运算符搜索模式，检索出10项研究的样本量。对所选文章进行数据提取、分析和质量评估。
80%的已识别研究表明尼日利亚父母对新生儿听力损失筛查项目持负面看法。这种负面看法背后的可能原因分为人口统计学因素、心理因素、行为因素和服务相关因素。具体而言，障碍包括低收入、误解、分娩方式、对筛查程序相关风险的恐惧、对传统药物的偏好、筛查项目设计不当、筛查项目成本、资源有限的环境、对风险因素及其影响缺乏认识。
该研究得出结论，有必要关注导致尼日利亚父母上述负面看法的一系列潜在因素（包括意识和教育）。这些发现对理论研究人员制定未来研究路径具有重要意义，同时也为尼日利亚医疗保健部门的政策制定当局提供了实际建议。
