Velandia Sandra L, Prentiss Sandra M, Martinez Diane M, Sanchez Chrisanda M, Laffitte-Lopez Denise, Snapp Hillary A
Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Communication Sciences and Disorders, University of South Florida, Tampa, FL, USA.
Int J Audiol. 2024 Dec 17:1-7. doi: 10.1080/14992027.2024.2427854.
To explore the effects of language on word recognition ability and associated access to cochlear implants in Spanish- and English-speakers with hearing loss.
Retrospective chart review.
The study included 1411 English and Spanish-speaking adults with sensorineural hearing loss. Word recognition as a function of pure-tone average was evaluated by test language. Sensitivity and specificity of word recognition testing performed using the NU-6 and Spanish Bisyllables in discriminating between cochlear implant and non-cochlear implant candidates were analysed.
Spanish-speakers had significantly poorer thresholds compared to English-speakers, yet significantly better word recognition, t(2763) = 1.86 < 0.05. The effect of test language on word recognition increased with increasing hearing loss severity, F(3,2762) = 6.03, < 0.001, partial η = .007. The sensitivity and specificity of word recognition testing were 93% and 74% respectively for Spanish, and 95% and 75%, respectively, for English word recognition tests in meeting referral criteria for cochlear implant evaluation.
Based on classification performance analysis, Spanish and English word recognition measures exhibit comparable effectiveness in referring patients for cochlear implant evaluation. While Spanish-language measures yielded better performance, this does not result in a significant difference in referral rates for Spanish versus English speakers for unaided word recognition scores of 60% or less.
探讨语言对西班牙裔和英裔听力损失患者单词识别能力以及人工耳蜗植入相关情况的影响。
回顾性病历审查。
该研究纳入了1411名讲英语和西班牙语的感音神经性听力损失成人。根据测试语言评估单词识别作为纯音平均听阈函数的情况。分析了使用NU - 6和西班牙语双音节词进行的单词识别测试在区分人工耳蜗植入候选者和非候选者方面的敏感性和特异性。
与讲英语者相比，讲西班牙语者的听阈明显更差，但单词识别能力明显更好，t(2763) = 1.86，P < 0.05。测试语言对单词识别的影响随着听力损失严重程度的增加而增大，F(3,2762) = 6.03，P < 0.001，偏η² = 0.007。在满足人工耳蜗植入评估转诊标准方面，西班牙语单词识别测试的敏感性和特异性分别为93%和74%，英语单词识别测试分别为95%和75%。
基于分类性能分析，西班牙语和英语单词识别测量在转诊患者进行人工耳蜗植入评估方面表现出相当的有效性。虽然西班牙语测量表现更好，但对于单词识别分数在60%及以下的讲西班牙语者和讲英语者，转诊率并没有显著差异。
