Psychosocial issues of hearing impaired school children: a psychometric approach

Author(s):  
Qurat-Ul-Ain ◽  
Sadia Saleem ◽  
Anila Sarwar ◽  
Zahid Mahmood

Abstract Objective: To develop a valid and reliable scale for measuring psychosocial issues of hearing-impaired school children. Method: The cross-sectional study with four stage model of scale development was conducted at Multan, Muzafargarh, and Dera Ghazi Khan Pakistan from August 2018 to January 2019. The four stages were item generation, expert validation, conversion of scale into sign language and psychometric study. The sample comprised hearing-impaired school children aged 18-23 years who were studying Special Education schools in Multan, Pakistan. Results: Of the 230 subjects, there were 110(47.8%) boys and 120(52.2%) girls. The overall mean age was 19.90+/-2.46 years.Exploratory factor analysis with varimax rotation revealed 26 items in ‘Depressive Affect’, ‘Social Isolation’ and ‘Feeling of Anger’ sub-scales with high internal consistency (r=0.85) and validity (r=-0.32). Conclusion: The internalised nature of psychosocial issues of children with hearing impairment needs timely identification and intervention so that silent suffering can be prevented to improve psychosocial functioning of such children. Key Words: Hearing impairment, Psychosocial issues, Gender, Age, Reliability, Validity. Continuous...

2017 ◽  
Vol 4 (2) ◽  
pp. 9-13
Author(s):  
Jayandra Byanju ◽  
Chhanchu Gopal Saha

Introductions: Hearing loss and chronic otitis media among school-aged children in developing countries is reported to be a significant health problem. This problem in children influences the overall development of behavioral and communication skills. The main objective of this study was to study the hearing impairment and chronic otitis media in school going children in Pokhara. Methods: This was a cross sectional study done in Pokhara district, Kaski, Western Region Nepal in two private schools and one government school of Pokhara, selected randomly. All these children were interviewed for history taking and the examinations included tuning fork examination (Rinne’s, Weber’s and absolute bone conduction tests) and examination of the ear using otoscope. Results: A total of 215 school children were included in the study. The mean age was 12.04 (SD=1.108), male 48.4% and female 51.6%. Hearing impairment was found in 21.4% and chronic otitis media in 9.8%. Among hearing impairment, 71.7% had conductive and 28.3% had sensorineural type of hearing losses. Out of total number of children, 12.1% had tympanic membrane perforation. Conclusions: The prevalence of hearing impairment was seen in one fifth and chronic otitis media in one tenth of local school children of Pokhara city, Nepal. Country wide prevalence and causes for preventive measures should be studied.  


2015 ◽  
Vol 24 (Number 1) ◽  
pp. 27-32
Author(s):  
Md. Daulatuzzaman ◽  
K A Majumder ◽  
F Md. S Hossain ◽  
E H Khan ◽  
O Hossain

The cross sectional study was done too measure prevalence of hearing impairment (HI) in school children living in poverty area of Bangladesh and to identify risk factors for HI and assess its impact on academic performance. The study was conducted on 325 school children (aged 6-19 years) of Digpait D.K high school, Jamalpur, from January 2013 to July 2013. Audiological health was assessed with pure-tone audiometry, tympanometry, and otoscopy. The primary outcome was HI, defined as average threshold >25 dB HL for 0.5, 1, 2, and 4 kHz, in one or both ears (a s per World Health Organization/International Organization for Standardization). A questionnaire on health history was administered to parents. HI prevalence: 6.9 percent, risk factors for HI: neonatal jaundice (8.0) seizure (7. 31), hospitalization (15.3), recurrent otitis media (13), past otorrhea (13.7), tympanic membrane abnormality (14.8), cerumen impaction (6.3) and eustachian tube dysfunction (8.67). HI was an independent predictor of academic failure (3.36). impoverished Bangladesh school children were four to seven times more likely to experience HI than children living in higher-income countries. Untreated middle ear disease in the context of limited access to pediatric care was a major risk factor for HI. Furthermore, HI was associated with worse scholastic achievement.


2021 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Sanjay Kumar Sah ◽  
Renu Thakur ◽  
Pankaj Ray Adhikari

Background: The prevalence of hearing impairment in Nepal is 16.5%, affecting approximately 2.71 million people. Deaf children are visually dependent, and even a mild refractive error may cause visual discomfort. The goal of this study was to determine the need for vision screenings in schools for the hearing impaired in Biratnagar, Nepal. Methods: A cross-sectional study was conducted with permission from Birat Deaf Secondary School, Biratnagar, Nepal. A total of 130 hearing-impaired students were examined. Non-invasive, comprehensive optometric examinations were performed to detect visual disorders. When a more detailed evaluation was needed, the students were referred to the Pediatric Ophthalmology Department, Biratnagar Eye Hospital Biratnagar, Nepal. Results: Of the 130 hearing-impaired students, 58 (44.6%) were male and 72 (55.4%) were female. The mean ± standard deviation of age was 16.03 ± 3.8 years (range 6–25 years). Twenty-one (16.1%) students had refractive errors: 13 (10%) had myopia, 7 (5.4%) had hyperopia, and 1 (0.8%) had anisometropia. In the cover test, 88 (67.7%) had orthophoria, 19 (14.6%) had exophoria, 11 (8.5%) had esophoria, 5 (3.85%) had exotropia, and 3 (2.3%) had esotropia. Cover tests were not performed in 4 (3.1%) students, as they were unable to fixate due to nystagmus or decreased vision. On ocular examination, 20 (15.3%) students had anterior segment abnormalities, including lid abnormality, conjunctivitis, Bitot’s spots, pterygium, corneal opacity, and lenticular opacity. Posterior segment or retinal abnormalities were found in four students with one having Usher syndrome. Color vision defects, nystagmus, and amblyopia were found in 8 (6.1%), 2 (1.5 %), and 1 (0.8%), respectively. Conclusions: The findings of the present study reflect the need of periodic vision screenings in schools for the hearing impaired in Nepal. These children are at a high risk of vision impairment. How to cite this article: Sah SK, Thakur R, Adhikari PR. Vision screening among hearing-impaired school children in Biratnagar, Nepal. Med Hypothesis Discov Innov Optom. 2021 Spring; 2(1): 36-40. DOI: https://doi.org/10.51329/mehdioptometry123  


Author(s):  
Prasan Norman ◽  
Mahendran Chandran ◽  
Pandiyan Kr ◽  
Kokila Selvaraj

Background: The morbidity of ENT infections have increased considerably in recent decades, so that they are now amongst the most common chronic disorders of childhood. Awareness of hearing deficit is poor in India. The major proportion of childhood hearing impairment in developing countries is secondary to preventable causes. At the same time, even mild degrees of hearing impairment can affect proper learning in noisy class rooms where speech is produced at a distance. This in turn can have significant impact on the scholastic performance and overall development.Methods: A cross sectional study was conducted to identify the factors leading to hearing impairment in school children aged 8years to 14 years in the schools in Vadamavanthal area during the months of January 2013 to July 2013. The students were interviewed through pre - tested questionnaire and aural examination was done by a qualified otolaryngologist.Results: Out of 700 school, 216(30.9%) school children were suffering from hearing impairment. 139 (19.9%) students were found to be suffering from impacted wax, 67 (9.6%) were suffering from otitis media with effusion, 17 (2.4%) students were suffering from chronic suppurative otitis media and 5 (0.7%) students were suffering from foreign body impaction in ear.Conclusions: Simple measures like regular screening for ear diseases and hearing assessment done at the school level can help identify hearing impairment which can be modified with early health education for students and teachers.


2013 ◽  
Vol 40 (2) ◽  
Author(s):  
Ni Ketut Susilawati ◽  
Wayan Sudana ◽  
Eka Putra Setiawan

Background: Noise pollution or noise is an unwanted sound which is disturbing to human beings.However small or soft the sound, if it is undesirable it is considered as noise. Noise induced hearingloss is a sensorineural hearing loss that is commonly encountered second to presbycusis. Purpose: Toknow the effect of traffic noise exposure on hearing impairment to the employees of the Parking DistrictCompany of the Denpasar city and to improve diagnostic detection on hearing impairment caused bynoise. Method: A cross sectional study was conducted at the Parking District Company office. Thepopulations of this study were the employees of the Parking District Company. Samples of this study were the employees who were exposed to traffic noise and control samples were an employee who was unexposed. Samples were selected by simple random sampling. Results: From 40 parking attendants,27 persons (67.5%) aged above 35 years old. The parking attendants who had been working for ten to fifteen years were 36 persons (90%) and no history using ear protection when working. Seven persons(17.5%) had referred DPOAE upon examination with increase hearing threshold on audiogram result.In this study the parking attendants who had hearing deficit induced by noise were 7 persons (17.5%)and only one person (2.5%) in control group. There was a statistically significant effect of traffic noiseto hearing function deficit (p<0.05). Conclusion: Traffic noise has effect in hearing function deficit onthe parking attendants.ORLI Vol. 40 No. 2 Tahun 2010Key words: NIHL, parking attendant, audiometry, DPOAE.


Author(s):  
Kohinur Akther ◽  
Md Zakir Hossain

Aim: Objectives: To analyze variations in dental arch width in relation to oral habits.   Materials and Methods : Cross sectional  study was carried out Department of Orthodontics & Dentofacial Orthopedics of Dhaka Dental College & Hospital, Dhaka with a total number of 600 primary school children of 3-6 years ages of Bangladeshi population. Results: This study was a cross sectional study conducted among the 600 children with 3-6 years old prima- ry school children of Bangladeshi population. According to present study, bottle feeding causes significant reduction in maxillary intercanine width and mouth breathers show significant reduction of both arches. Conclusion: It was observed that the children who had used a bottle had a significant reduction in maxillary intercanine width. Breathing through mouth appeared to be associated with a reduction in the size of both arches. This was more significant in the maxillary intercanine , mandibular  intercanine and mandibular molar widths. Therefore to prevent malocclusions, the public should be informed of the harm caused by certain oral habits, the benefits of breast-feeding, and the need to correct bad habits at early life. Ban J Orthod & Dentofac Orthop, April 2016; Vol-7 (1-2), P.6-11


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