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Factors Related to Not Following Up with Recommended Testing in the Diagnosis of Newborn Hearing Loss

机译：与新生输损失诊断有关的推荐测试有关的因素

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摘要

Children's hearing is a public health concern, and universal newborn hearing screenings are the first step in detecting and treating congenital hearing loss. Despite the high rate of participation in such programs, loss to follow-up (LTF) with additional recommended diagnosis and treatment has been a persistent problem. The current research seeks to expand the knowledge base at the point of diagnosis, where there is a large drop-off in parents following through with recommended care. This research was organized around the following question: What biopsychosocial factors are associated with LTF between screenings and diagnostic evaluations? A prospective quantitative longitudinal study tracked 203 families whose newborns were referred for additional testing at discharge from the hospital after birth. Binary logistic regression was used to determine what constellation of factors best predicted LTF. Psychosocial factors related to being lost to follow-up at diagnosis included race and ethnicity and access to health care professionals, with African American babies being most at risk for LTF; however, the impact of race and ethnicity declined when parents believed they had more health care professionals with whom to consult.
机译：儿童的听证会是一个公共健康问题，普遍的新生儿听证会筛查是检测和治疗先天性听力损失的第一步。尽管参与此类方案的高度率，但随后的随访（LTF）丧失了额外的推荐诊断和治疗是持续存在的问题。目前的研究旨在扩大诊断点的知识库，父母在父母之后有大量的下降，伴随着推荐的护理。在以下问题周围组织了该研究：在筛选和诊断评估之间与LTF有什么生物学细胞因子因素？预期的定量纵向研究跟踪了203个家庭，其新生儿被提及出生后从医院排放的额外测试。二进制逻辑回归用于确定最佳预测LTF的因素的星座。与诊断中失去随访的心理社会因素包括种族和种族，进入医疗保健专业人员，非洲裔美国婴儿对LTF的风险有最大的风险;然而，当父母认为他们有更多的医疗保健专业人士时，种族和种族的影响下降了。

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