Subjective screening questions do not reliably identify teenagers who are at risk for hearing loss, according to researchers at Penn State College of Medicine. The results suggest that objective hearing tests should be refined for this age group to replace screening questions.
The American Academy of Pediatrics, in partnership with the Bright Futures children's health organization, sets standards for pediatric preventive care. The AAP recommends screening adolescents with subjective questions and then following up with objective hearing tests for those found to be at high risk of hearing loss.
However, the screening questions were not specifically developed for children or adolescents. Studies also show that adolescents are poor self-reporters of hearing status.
"We found that you can't rely on the Bright Futures questions to select out teenagers at high risk for hearing loss who would warrant an objective screen," said Deepa Sekhar, M.D., M.Sc., assistant professor of pediatrics.
A study in 2010 using data from the National Health and Nutrition Examination Survey showed that one in five adolescents aged 12 to 19 has hearing loss. Most have high-frequency hearing loss, which may be related to increasing hazardous noise exposures from such things as personal listening devices, concert-going, ATV-riding and hunting with firearms.
For the study, eleventh grade students at Hershey High School -- located in the college's community -- answered the 10 Bright Futures hearing screening questions and additional questions assessing other potential risk factors for adolescent hearing loss.
They also took the Pennsylvania state-mandated hearing test -- the familiar hearing screening where children raise their hand when they hear a tone -- and a hearing test developed by the researchers to better detect high-frequency noise-related hearing loss. Some of the children underwent additional standard hearing testing in a soundproof booth. The researchers report their results in the Journal of Medical Screening.
Neither the Bright Futures questions nor the additional questions were tailored specifically to adolescent hearing loss. In addition, the Pennsylvania school hearing test was found to have a sensitivity of 13 percent for adolescent hearing loss while the study-designed hearing test had 100 percent sensitivity.
"Although our test had more false positives, we caught 100 percent of the students with hearing loss," Sekhar said.
School hearing tests currently used in most states screen mainly for low-frequency hearing loss, which is seen more often in younger children in association with frequent ear infections and fluid in the ear. Sekhar's previous research showed that these tests often miss high-frequency hearing loss.
She is working to develop an objective hearing screening test specifically for adolescents with more high-frequency tones above 3,000 Hertz. These tones are typically affected by hazardous noise exposure. A testing protocol that requires adolescents to fail twice instead of once will reduce false positives.
"The onset of high-frequency hearing loss is often very insidious and the symptoms are often very subtle," Sekhar said. "It's important to identify hearing problems at any age because of the impact it can have on all different areas of life, including academic success, workplace advancement and social relationships."
Students with mild hearing loss are more likely to repeat a grade, and it's estimated that people with hearing loss lose between $220,000 and $440,000 in earnings over a lifetime.
The study failed to find an association between typical adolescent noise exposures and hearing loss. The challenge in doing so may stem from the fact that genetics and duration of exposure are additional factors that affect an individual's risk of hearing loss.
"You could be listening at a lower volume for an extended period of time, and that can be as bad as a high-volume sound for a short period of time," Sekhar said.
Additional researchers on this project are Tonya King, associate professor of health evaluation science and Ian Paul, professor of pediatrics and public health science, both at Penn State; and Thomas Zalewski, professor of audiology, Bloomsburg University.
A grant from the Academic Pediatric Association/Maternal and Child Health Bureau Young Investigator Award funded this research.
Matt Solovey | Eurek Alert!
Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT
Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont
Physicists of the University of Würzburg have made an astonishing discovery in a specific type of topological insulators. The effect is due to the structure of the materials used. The researchers have now published their work in the journal Science.
Topological insulators are currently the hot topic in physics according to the newspaper Neue Zürcher Zeitung. Only a few weeks ago, their importance was...
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
09.12.2016 | Life Sciences
09.12.2016 | Ecology, The Environment and Conservation
09.12.2016 | Health and Medicine