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Geographic and Racial Disparities in Infant Hearing Loss.

Publication ,  Journal Article
Lantos, PM; Maradiaga-Panayotti, G; Barber, X; Raynor, E; Tucci, D; Hoffman, K; Permar, SR; Jackson, P; Hughes, BL; Kind, A; Swamy, GK
Published in: Otolaryngol Head Neck Surg
December 2018

OBJECTIVE: Approximately 1 to 2 of every 1000 American newborns has hearing loss identified by newborn screening. This study was designed to determine if infant hearing loss is more common in socioeconomically disadvantaged communities. STUDY DESIGN: In this retrospective study, we analyzed electronic medical record data using geostatistical models. SETTING: Infants were residents of Durham County, North Carolina, born in 2 hospitals of the Duke University Health System. This county includes the city of Durham and surrounding suburban and rural communities. SUBJECTS AND METHODS: Subjects were hearing-screened newborns, born between 2005 and 2016, whose residential address was in Durham County, North Carolina. This was a retrospective study using medical record data. We used Bayesian regression models with smoothing of coordinate date to identify both spatial and nonspatial predictors of infant hearing loss. RESULTS: We identified 19,348 infants from Durham County, of whom 675 had failed initial hearing screening and 191 had hearing loss confirmed on follow-up. Hearing loss was significantly associated with minority race (odds ratio [OR], 2.45; 95% confidence interval, 1.97-3.06), as well as lower gestational age and maternal sexually transmitted infections. We identified significant geographic heterogeneity, with a higher probability of hearing loss in poorer urban neighborhoods (local OR range, 0.59-1.39). Neighborhood disadvantage was a significant predictor of hearing loss, as was high local seroprevalence of cytomegalovirus (CMV) among pregnant women. CONCLUSIONS: Urban, low-income neighborhoods have a high prevalence of infant hearing loss compared with more affluent surrounding communities, particularly among minorities. This distribution may be attributable to congenital CMV infection.

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Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

December 2018

Volume

159

Issue

6

Start / End Page

1051 / 1057

Location

England

Related Subject Headings

  • Otorhinolaryngology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lantos, P. M., Maradiaga-Panayotti, G., Barber, X., Raynor, E., Tucci, D., Hoffman, K., … Swamy, G. K. (2018). Geographic and Racial Disparities in Infant Hearing Loss. Otolaryngol Head Neck Surg, 159(6), 1051–1057. https://doi.org/10.1177/0194599818803305
Lantos, Paul M., Gabriela Maradiaga-Panayotti, Xavier Barber, Eileen Raynor, Debara Tucci, Kate Hoffman, Sallie R. Permar, et al. “Geographic and Racial Disparities in Infant Hearing Loss.Otolaryngol Head Neck Surg 159, no. 6 (December 2018): 1051–57. https://doi.org/10.1177/0194599818803305.
Lantos PM, Maradiaga-Panayotti G, Barber X, Raynor E, Tucci D, Hoffman K, et al. Geographic and Racial Disparities in Infant Hearing Loss. Otolaryngol Head Neck Surg. 2018 Dec;159(6):1051–7.
Lantos, Paul M., et al. “Geographic and Racial Disparities in Infant Hearing Loss.Otolaryngol Head Neck Surg, vol. 159, no. 6, Dec. 2018, pp. 1051–57. Pubmed, doi:10.1177/0194599818803305.
Lantos PM, Maradiaga-Panayotti G, Barber X, Raynor E, Tucci D, Hoffman K, Permar SR, Jackson P, Hughes BL, Kind A, Swamy GK. Geographic and Racial Disparities in Infant Hearing Loss. Otolaryngol Head Neck Surg. 2018 Dec;159(6):1051–1057.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

December 2018

Volume

159

Issue

6

Start / End Page

1051 / 1057

Location

England

Related Subject Headings

  • Otorhinolaryngology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences