Article record

未满足的健康相关社会需求影响学龄前听力损失儿童的生活质量

Unmet health-related social needs impact quality of life in preschool-age children with hearing loss.

临床研究耳科IF 1.7Q2

文献信息

PMID	42815165
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Zarah Belacic 查看其他 5 位作者 Zheng Hong Tan；Isaac Kistler；Lauren Wills；Prasanth Pattisapu；Ursula M Findlen
作者单位	College of Medicine, The Ohio State University, Columbus, OH, USA. 查看其他 5 条单位信息 College of Medicine, The Ohio State University, Columbus, OH, USA; Division of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, OH, USA.；Division of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, OH, USA; Center for Biostatistics, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA; Biostatistics Resource, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.；Divison of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH, USA.；Division of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, OH, USA; Center for Surgical Outcomes Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.；Division of Pediatric Otolaryngology, Nationwide Children's Hospital, Columbus, OH, USA; Divison of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: Ursula.findlen@nationwidechildrens.org.
期刊	International journal of pediatric otorhinolaryngology
SCI 分区	Q2
IF	1.7
研究类型	临床研究 · 临床
所属专科	耳科

中文摘要

引言： 儿童听力损失（HL）可阻碍言语和语言发育，影响语用社交技能，进而可能影响其感知的生活质量（QoL）。本研究旨在了解与听力干预和听力学数据相关的因素，以及健康的社会决定因素（SDOH）和健康相关社会需求（HRSN），如何影响学龄前HL儿童的QoL。
方法： 对2015年至2024年期间通过跨学科听力项目接受照护的2-7岁HL儿童进行了横断面、单机构回顾性病历审查。结局指标包括通过学龄前听力环境与生活质量反思问卷（HEAR-QL）测量的QoL。HEAR-QL评分在听力、语言和社会经济因素（包括家长报告的HRSN和儿童机会指数（COI））的背景下进行评估。通过回归分析评估统计学显著性。
结果： 本研究共纳入50名儿童。个体听力相关因素与QoL结局差异无关。同时，发现至少有一个未满足HRSN风险因素的儿童，在调整HL程度和侧别前后，总体QoL评分均较低（平均差-10；95% CI -20,-1.4；p = 0.024和平均差-13；95% CI -22,-3.6；p = 0.008）。通过COI测量的社区层面SDOH指标未发现与HEAR-QL相关。
结论： 未满足的HRSN可对HL儿童的QoL产生负面影响。需要进一步研究以在更大、更多样化的人群中描述这些因素之间的相互作用，并将帮助临床医生识别可能需要专门干预以改善结局的患者。

英文摘要

INTRODUCTION: Hearing loss (HL) in children can impede speech and language development, impacting pragmatic social skills which can influence one's perceived quality of life (QoL). This study sought to understand how factors relating to hearing interventions and audiological data, as well as social determinants of health (SDOH) and health-related social needs (HRSN), influence QoL in preschool-aged children with HL.
METHODS: A cross-sectional, single-institution retrospective chart review was conducted of children ages 2-7 with HL receiving care through an interdisciplinary Hearing Program from 2015 to 2024. Outcome measures included QoL as measured by the Preschool Hearing Environments and Reflection on Quality-of-Life Questionnaire (HEAR-QL). HEAR-QL scores were evaluated within the context of hearing, language, and socioeconomic factors including parent-reported HRSNs and Childhood Opportunity Index (COI). Statistical significance was evaluated via regression analysis.
RESULTS: Fifty children were included in this study. Individual hearing-related factors were not associated with differences in QoL outcomes. At the same time, children with at least one unmet HRSN risk factor were found to have lower overall QoL scores both before and after adjustment for degree and laterality of HL (mean difference -10; 95% CI -20,-1.4; p = 0.024 and mean difference -13; 95% CI -22,-3.6; p = 0.008, respectively). Measures of community-level SDOH via COI were not found to be associated with HEAR-QL.
CONCLUSIONS: Unmet HRSNs can negatively impact QoL in children with HL. Further work is needed to characterize interactions between these factors within larger and more diverse populations and will help clinicians identify patients who may need specialized interventions to improve outcomes.