Societal‐level Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos, Adam; Colello, Stephanie; Kyle, Meghann E.; Shin, Jennifer J.

doi:10.1177/0194599814526561

Cited by 12 publications

(16 citation statements)

References 48 publications

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“…The percentage of deaf people who had access to university education in this study (2%) was similar to the 5% reported by Blanchfield et al 19 in the United States. Furthermore, the higher prevalence of prelingually deaf people in the lowest income quintiles corroborates the results found in a systematic review about societal-level risk factors associated with pediatric hearing loss 22 .…”

Section: Socioeconomic Gradientsupporting

confidence: 85%

Access to healthcare for deaf people: a model from a middle-income country in Latin America

Fuentes‐López

Fuente

2020

Rev. saúde pública

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OBJECTIVE: To determine if there are existing healthcare access inequities among the deaf Chilean population when compared to the general Chilean population. METHODS: Data were obtained from a population-based national survey in Chile. In total, 745 prelingually deaf individuals were identified. The number of times the person used the healthcare system was dichotomized and analyzed using a multivariate logistic regression model. RESULTS: Prelingually deaf people had lower incomes, fewer years of education, and greater rates of unemployment and poverty when compared with the general population. Moreover, they visited more general practitioners, mental health specialists, and other medical specialists. On average, they attended more appointments for depression but had fewer general checkups and gynecological appointments than the general population. CONCLUSIONS: Deaf people in Chile have a lower socioeconomic status than the rest of the Chilean population. The results from this study are similar to the findings reported for high-income countries, despite differences in the magnitude of the associations between being deaf and healthcare access. Further studies should be conducted to determine the health status of deaf people in Chile and other Latin American countries and what factors are associated with a significantly lower prevalence of gynecological appointments among deaf women when compared with non-deaf women.

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Section: Socioeconomic Gradientsupporting

confidence: 85%

Access to healthcare for deaf people: a model from a middle-income country in Latin America

Fuentes‐López

Fuente

2020

Rev. saúde pública

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“…provincial and central levels), but a number of health services that used to be delivered at higher-level facilities are gradually becoming available at the district and commune levels. The health reports ( Orb et al, 2014 ; Waters et al, 2016 ) have indicated that curative services at the grassroots level have failed to attract people or gain their trust. Several studies have shown patients’ dissatisfaction with the facilities (e.g.…”

Section: Introductionmentioning

confidence: 99%

Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015

Quyen

Hà

Minh

2021

Health Psychology Open

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Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients’ age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients’ waiting time and increase their examining time.

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“…A sister article focuses on risk factors that are more likely to require societal-level changes for modification. 29 …”

Section: Introductionmentioning

confidence: 99%

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos

Kyle

Gilani

et al. 2014

Otolaryngol.--head neck surg.

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Background Pediatric hearing loss is an increasingly recognized problem with significant implications. Increasing our quantitative understanding of potentially modifiable environmental risk factors for hearing loss may form the foundation for prevention and screening programs. Objective To determine whether specific threshold exposure levels of personally modifiable risk factors for hearing loss have been defined, with the overarching goal of providing actionable guidance for the prevention of pediatric hearing loss. Data Sources A systematic review was performed. Computerized searches of PubMed, EMBASE, and the Cochrane Library were completed and supplemented with manual searches. Review Methods Inclusion/exclusion criteria were designed to determine specific threshold values of personally modifiable risk factors on hearing loss in the pediatric population. Searches and data extraction were performed by independent reviewers. Results There were 38 criterion-meeting studies, including a total of 50,651 subjects. Threshold noise exposures significantly associated with hearing loss in youth included: (1) more than 4 hours per week or more than 5 years of personal headphone usage, (2) more than 4 visits per month to a discotheque, and (3) working on a mechanized farm. Quantified tobacco levels of concern included any level of in utero smoke exposure as well as secondhand exposure sufficient to elevate serum cotinine. Conclusions Specific thresholds analyses are limited. Future studies would ideally focus on stratifying risk according to clearly defined levels of exposure, in order to provide actionable guidance for children and families.

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Societal‐level Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Cited by 12 publications

References 48 publications

Access to healthcare for deaf people: a model from a middle-income country in Latin America

Access to healthcare for deaf people: a model from a middle-income country in Latin America

Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

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