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The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study

The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study
The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study
Objective: To determine whether the benefits of universal newborn hearing screening (UNHS) seen at age 8?years persist through the second decade.

Design: Prospective cohort study of a population sample of children with permanent childhood hearing impairment (PCHI) followed up for 17?years since birth in periods with (or without) UNHS.

Setting: Birth cohort of 100?000 in southern England.

Participants: 114 teenagers aged 13-19?years, 76 with PCHI and 38 with normal hearing. All had previously their reading assessed aged 6-10?years.

Interventions: Birth in periods with and without UNHS; confirmation of PCHI before and after age 9?months.

Main outcome measure: Reading comprehension ability. Regression modelling took account of severity of hearing loss, non-verbal ability, maternal education and main language.

Results: Confirmation of PCHI by age 9?months was associated with significantly higher mean z-scores for reading comprehension (adjusted mean difference 1.17, 95% CI 0.36 to 1.97) although birth during periods with UNHS was not (adjusted mean difference 0.15, 95% CI -0.75 to 1.06). The gap between the reading comprehension z-scores of teenagers with early compared with late confirmed PCHI had widened at an adjusted mean rate of 0.06 per year (95% CI -0.02 to 0.13) during the 9.2-year mean interval since the previous assessment.

Conclusions: The benefit to reading comprehension of confirmation of PCHI by age 9?months increases during the teenage years. This strengthens the case for UNHS programmes that lead to early confirmation of permanent hearing loss.
deafness, neurodevelopment, outcomes research, screening
0003-9888
9-15
Kennedy, Colin R.
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Pimperton, Hannah
705a9281-403e-4b1a-8de3-d46bf8f0a30a
Blythe, Hazel I.
51835633-e40b-4e8b-ae49-ad6b2f927f4c
Kreppner, Jana
6a5f447e-1cfe-4654-95b4-e6f89b0275d6
Mahon, Merle
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Peacock, Janet L.
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Stevenson, Jim
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Terlektsi, Emmanouela
afe028bf-071f-46ca-bb8c-9a79f0018871
Worsfold, Sarah
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Yuen, Ho Ming
b1df4c57-0c2a-44ac-ab40-22b88e8effe8
Kennedy, Colin R.
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
Pimperton, Hannah
705a9281-403e-4b1a-8de3-d46bf8f0a30a
Blythe, Hazel I.
51835633-e40b-4e8b-ae49-ad6b2f927f4c
Kreppner, Jana
6a5f447e-1cfe-4654-95b4-e6f89b0275d6
Mahon, Merle
5166ade4-5a04-4fb8-b907-1b83cf7c3a61
Peacock, Janet L.
1cb1242c-7606-4f8e-86d0-d3cd2ceff782
Stevenson, Jim
0c85d29b-d294-43cb-ab8d-75e4737478e1
Terlektsi, Emmanouela
afe028bf-071f-46ca-bb8c-9a79f0018871
Worsfold, Sarah
9e3f6aa2-8c17-4965-adf4-b3bc1d04ab54
Yuen, Ho Ming
b1df4c57-0c2a-44ac-ab40-22b88e8effe8

Kennedy, Colin R., Pimperton, Hannah, Blythe, Hazel I., Kreppner, Jana, Mahon, Merle, Peacock, Janet L., Stevenson, Jim, Terlektsi, Emmanouela, Worsfold, Sarah and Yuen, Ho Ming (2016) The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study. Archives of Disease in Childhood, 101 (1), 9-15. (doi:10.1136/archdischild-2014-307516). (PMID:25425604)

Record type: Article

Abstract

Objective: To determine whether the benefits of universal newborn hearing screening (UNHS) seen at age 8?years persist through the second decade.

Design: Prospective cohort study of a population sample of children with permanent childhood hearing impairment (PCHI) followed up for 17?years since birth in periods with (or without) UNHS.

Setting: Birth cohort of 100?000 in southern England.

Participants: 114 teenagers aged 13-19?years, 76 with PCHI and 38 with normal hearing. All had previously their reading assessed aged 6-10?years.

Interventions: Birth in periods with and without UNHS; confirmation of PCHI before and after age 9?months.

Main outcome measure: Reading comprehension ability. Regression modelling took account of severity of hearing loss, non-verbal ability, maternal education and main language.

Results: Confirmation of PCHI by age 9?months was associated with significantly higher mean z-scores for reading comprehension (adjusted mean difference 1.17, 95% CI 0.36 to 1.97) although birth during periods with UNHS was not (adjusted mean difference 0.15, 95% CI -0.75 to 1.06). The gap between the reading comprehension z-scores of teenagers with early compared with late confirmed PCHI had widened at an adjusted mean rate of 0.06 per year (95% CI -0.02 to 0.13) during the 9.2-year mean interval since the previous assessment.

Conclusions: The benefit to reading comprehension of confirmation of PCHI by age 9?months increases during the teenage years. This strengthens the case for UNHS programmes that lead to early confirmation of permanent hearing loss.

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Pimperton et al Arch Dis Child 2014.pdf - Version of Record
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More information

Accepted/In Press date: 9 November 2014
e-pub ahead of print date: 25 November 2014
Published date: January 2016
Keywords: deafness, neurodevelopment, outcomes research, screening
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 372165
URI: https://eprints.soton.ac.uk/id/eprint/372165
ISSN: 0003-9888
PURE UUID: e83cca7a-f2ea-408f-a895-7d503edb69f1
ORCID for Jana Kreppner: ORCID iD orcid.org/0000-0003-3527-9083

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Date deposited: 01 Dec 2014 14:18
Last modified: 18 Jul 2019 00:49

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Contributors

Author: Hannah Pimperton
Author: Hazel I. Blythe
Author: Jana Kreppner ORCID iD
Author: Merle Mahon
Author: Janet L. Peacock
Author: Jim Stevenson
Author: Emmanouela Terlektsi
Author: Sarah Worsfold
Author: Ho Ming Yuen

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