Hearing screening almost twice as likely to miss Māori and Pacific preschoolers, study suggests

Publicly released:
New Zealand
Photo by Ben Mullins on Unsplash
Photo by Ben Mullins on Unsplash

Our national 'B4 School Check', which aims to identify health issues among four-year-olds, is less likely to catch hearing problems such as glue ear among those most likely to have them. Researchers looked at ethnicity, deprivation, and other data for over 260,000 children who'd had this hearing screening, and over 38,000 eligible children who had no B4 School Check records. Children who were Māori, Pacific or experiencing more deprivation made up a far higher proportion of those who weren't screened. When screened, though, the same groups had higher rates of hearing loss and were less likely to get immediate referrals or have GP enrollments to support treatment. The study authors say public health policies to address middle ear disease have been "eroded" by lack of funding, and we need a redeveloped screening programme to address these inequities.

Media release

From: New Zealand Medical Journal

Otitis media with effusion, otherwise known as glue ear, is a common childhood condition that can lead to impaired hearing, with flow-on effects for language and social development as well as participation in education. If detected it is often able to be treated with grommets or other interventions. Data from the hearing component of the national health screening programme for four-year-olds (the B4School Check) were analysed to determine if certain groups of children were being missed by the screening programme and whether there were any differences in the rates of glue ear and in referral and access to care providers for further management. Māori and Pacific children and those living in higher deprivation were less likely to be screened, and when screened were significantly more likely to have glue ear. When glue ear was found, children from these groups were less likely to be immediately referred for management and less likely to be enrolled in GP practices to action treatment. These findings will help inform future redevelopment of the screening programme, to enable more equitable access to appropriate care and to improve hearing outcomes for these populations in particular.

Journal/
conference:
New Zealand Medical Journal
Organisation/s: Te Whatu Ora - Health New Zealand, University of Auckland
Funder: N/A
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