Prevalence and Risk Factors of Hearing Impairment Among Primary-School Children in Shebin El-Kom District, Egypt Purpose This study examined the feasibility of screening hearing loss in rural and urban schools in Egypt, and investigated the prevalence and causes of hearing impairment (HI) in Egyptian primary-school students. Method A total of 555 children (6–12 years of age) from a rural and an urban school ... Research Article
Research Article  |   June 01, 2010
Prevalence and Risk Factors of Hearing Impairment Among Primary-School Children in Shebin El-Kom District, Egypt
 
Author Affiliations & Notes
  • Azza A. Taha
    Menoufia University, Shebin El-Kom, Egypt
  • Sheila R. Pratt
    University of Pittsburgh and Geriatric Research Education and Clinical Center, Veterans Affairs Pittsburgh Medical System, PA
  • Taghreed M. Farahat
    Menoufia University
  • Gaafar M. Abdel-Rasoul
    Menoufia University
  • Manal A. Albtanony
    Menoufia University
  • Abdel-Latif E. Elrashiedy
    Menoufia University
  • Hany R. Alwakeel
    Menoufia University
  • Ahmed Zein
    Menoufia University
  • Contact author: Azza A. Taha, Menoufia University, Department of Community Medicine, Shebin El-Kom, Menoufia 2224819, Egypt. E-mail: azzaali55555@yahoo.com.
Article Information
Hearing Disorders / School-Based Settings / Research and Technology / Research Articles
Research Article   |   June 01, 2010
Prevalence and Risk Factors of Hearing Impairment Among Primary-School Children in Shebin El-Kom District, Egypt
American Journal of Audiology, June 2010, Vol. 19, 46-60. doi:10.1044/1059-0889(2010/09-0030)
History: Received October 27, 2009 , Accepted April 5, 2010
 
American Journal of Audiology, June 2010, Vol. 19, 46-60. doi:10.1044/1059-0889(2010/09-0030)
History: Received October 27, 2009; Accepted April 5, 2010

Purpose This study examined the feasibility of screening hearing loss in rural and urban schools in Egypt, and investigated the prevalence and causes of hearing impairment (HI) in Egyptian primary-school students.

Method A total of 555 children (6–12 years of age) from a rural and an urban school in the Shebin El-Kom District of Egypt were screened for HI at their schools. A 2-stage screening procedure was used, and positive cases were referred for a diagnostic hearing assessment at a regional medical facility. Risk factors were investigated through a parent questionnaire and an environmental study consisting of noise, ventilation, and crowding measurements at the schools.

Results The screening failure rate was 25.6%, and the prevalence of confirmed HI was 20.9%. The rate of HI did not differ across the schools. Conductive hearing loss of minimal to mild severity was the most common type of HI. The most important predictors for HI were parent suspicion, otitis media, household smoking, low socioeconomic status, and postnatal jaundice.

Conclusions The prevalence of HI did not differ across settings and was more common than reported in children from developed countries. The screening results also suggest that professionals with limited audiology background can be trained to implement hearing screening programs in Egyptian schools.

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