Relative and attributable risks for moderate to profound bilateral sensorineural hearing impairment associated with lower birth weight in children 3 to 10 years old.
OBJECTIVE: To determine the prevalence, relative risks, and attributable fractions for congenital bilateral sensorineural hearing impairment in relation to lower birth weight among children born in the 1980s and living in the metropolitan Atlanta area from 1991 through 1993. METHODS: We used the pop...
| Publicado en: | Pediatrics Vol. 104; no. 4; pp. 905 - 911 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Oct99 Part 1 of 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107113778&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107113778 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Oct99 Part 1 of 2 vid: 104 iid: 4 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 107113778 107113778 2000040352 10.1542/peds.104.4.905 107113778 ppf: 905 ppct: 6 formats: tig: atl: Relative and attributable risks for moderate to profound bilateral sensorineural hearing impairment associated with lower birth weight in children 3 to 10 years old. aug: au: Van Naarden K Decouflé P affil: Developmental Disabilities Branch, Division of Birth Defects and Developmental Disabilities, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia sug: subj: Hearing Loss, Sensorineural In Infancy and Childhood Purposive Sample Record Review Epidemiological Research Birth Weight Abnormalities Risk Factors Child, Preschool Child Human Child, Preschool: 2-5 years Child: 6-12 years ab: OBJECTIVE: To determine the prevalence, relative risks, and attributable fractions for congenital bilateral sensorineural hearing impairment in relation to lower birth weight among children born in the 1980s and living in the metropolitan Atlanta area from 1991 through 1993. METHODS: We used the population-based, active case ascertainment Metropolitan Atlanta Developmental Disabilities Surveillance Program that conducts surveillance in the five-county metropolitan Atlanta area. Hearing impairment was defined as a bilateral, pure-tone hearing loss at frequencies of 500, 1000, and 2000 Hz averaging 40 dBs or more, unaided, in the better ear. Case children, 3 to 10 years of age, with sensorineural loss of presumed congenital origin were included in these analyses (n = 172). Prevalence rates and relative risks were computed for various birth weight categories by hearing level, sex, race, the presence or absence of coexisting developmental disabilities, and gestational age. Attributable fractions were calculated for low birth weight and very low birth weight children by race. RESULTS: The overall prevalence rate of presumed congenital bilateral sensorineural hearing impairment was 5.3 cases per 10 000 3-year survivors. The prevalence was 4.1 per 10 000 among children weighing >/=4000 g, 3.7 per 10 000 among those weighing 3000 to 3999 g, 6.6 per 10 000 among those 2500 to 2999 g, 12.7 per 10 000 among those 1500 to 2499 g, and 51.0 per 10 000 among those <1500 g. There was virtually no difference in birth weight-specific rates of hearing impairment across three hearing levels. The presence of coexisting developmental disabilities was associated with a much stronger inverse trend with birth weight. Black children weighing <2500 g had much higher rates of hearing impairment than comparable white children. The overall percentage of moderate to profound congenital bilateral sensorineural hearing loss in the entire study population that was attributable to children weighing <2500 g or <1500 g was estimated to be 18.9% and 9.4%, respectively. Prematurity did not alter the magnitude of risk among children weighing <2500 g. CONCLUSIONS: The results presented here provide recent estimates of the rates, relative risks, and attributable fractions for congenital bilateral sensorineural hearing impairment by birth weight among children in the United States. The elevated relative risks among children weighing 2500 to 2999 g and 1500 to 2499 g may have implications for future newborn hearing screening criteria. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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