The Sensitivity of Adolescent School-Based Hearing Screens Is Significantly Improved by Adding High Frequencies

Autor/inn/en	Sekhar, Deepa L.; Zalewski, Thomas R.; Beiler, Jessica S.; Czarnecki, Beth; Barr, Ashley L.; King, Tonya S.; Paul, Ian M.
Titel	The Sensitivity of Adolescent School-Based Hearing Screens Is Significantly Improved by Adding High Frequencies
Quelle	In: Journal of School Nursing, 32 (2016) 6, S.416-422 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1059-8405
DOI	10.1177/1059840516654004
Schlagwörter	Adolescents; Hearing (Physiology); Screening Tests; Hearing Impairments; Acoustics; Auditory Perception; High School Students; Grade 11; Public Schools; School Nurses; Measurement Equipment; Statistical Analysis; Protocol Analysis; Pennsylvania + Suchen Sie Ihr Suchwort? Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Gehör; Hören; Screening-Verfahren; Hearing impairment; Hörbehinderung; Akustik; Auditive Wahrnehmung; Akustische Wahrnehmung; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; School year 11; 11. Schuljahr; Schuljahr 11; Public school; Öffentliche Schule; Messinstrument; Statistische Analyse
Abstract	High frequency hearing loss (HFHL), often related to hazardous noise, affects one in six U.S. adolescents. Yet, only 20 states include school-based hearing screens for adolescents. Only six states test multiple high frequencies. Study objectives were to (1) compare the sensitivity of state school-based hearing screens for adolescents to gold standard sound-treated booth testing and (2) consider the effect of adding multiple high frequencies and two-step screening on sensitivity/specificity. Of 134 eleventh-grade participants (2013-2014), 43 of the 134 (32%) did not pass sound-treated booth testing, and 27 of the 43 (63%) had HFHL. Sensitivity/specificity of the most common protocol (1,000, 2,000, 4,000 Hz at 20 dB HL) for these hearing losses was 25.6% (95% confidence interval [CI] = [13.5, 41.2]) and 85.7% (95% CI [76.8, 92.2]), respectively. A protocol including 500, 1,000, 2,000, 4,000, 6,000 Hz at 20 dB HL significantly improved sensitivity to 76.7% (95% CI [61.4, 88.2]), p < 0.001. Two-step screening maintained specificity (84.6%, 95% CI [75.5, 91.3]). Adolescent school-based hearing screen sensitivity improves with high frequencies. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01