2024 Early Hearing Detection & Intervention Conference

March 17-19, 2024 • Denver, CO

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  |  Demographics and Perinatal Characteristics Associated with Loss to Follow Up Among Children in Michigan with a Failed Hearing Screen, 2016-2021

Demographics and Perinatal Characteristics Associated with Loss to Follow Up Among Children in Michigan with a Failed Hearing Screen, 2016-2021

Purpose: To analyze of differences in demographic and perinatal characteristics associated with loss to follow up (LTF) among infants, and their families, that failed a hearing screen. Methods: This retrospective case control study evaluated differences between populations that followed up with appropriate screening techniques after a failed hearing screen, compared to those who were LTF. The individuals included within this study were born between January 1, 2016 and December 31, 2021. Chi-square analyses were conducted for binary variables, while ANOVA analyses were used for categorical variables. T-tests were conducted on continuous variables to examine differences between cases (N=1,636) and controls (N=2,447). An overall logistic regression was conducted, and odds ratios were obtained. Results: There were significant differences (p ? 0.05) between individuals who followed up on a failed screen as compared to those that were LTF with regards to maternal education, paternal education, marital status, prenatal care, trimester prenatal care began, type of hearing screen fail, test phase, source of payment, WIC status, race/ethnicity of the infant, whether the infant was admitted to a NICU, smoking during pregnancy, region, maternal age, and infant birthweight. Regression analysis showed significant (p ? 0.05) odds ratios with regards to maternal education, marital status, maternal age, trimester prenatal care began, type of hearing screen fail, test phase, method of hearing screen, source of payment, WIC status, race/ethnicity of the infant, whether the infant was admitted to a NICU, smoking during pregnancy, and region. Conclusion: Multiple demographic and perinatal characteristics were found to be significantly associated with infants who failed hearing screens and were LTF. Future research should investigate effective strategies to support families to improve LTF.

  • The participant will be able to identify demographic and perinatal characteristics that are significantly associated with LTF in Michigan.
  • The participant will be able to perform these analyses on their own data to look for associations.
  • The participant will be able to interpret the results of the statistical tests.

Presentation:
3478265_16278AmyRakowski.pdf

Handouts:
Handout is not Available

Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference


Presenters/Authors

Amy Rakowski (Primary Presenter,Author), Michigan Department of Health and Human Services, RakowskiA@michigan.gov;
Pediatric Genomics and Early Hearing Epidemiologist


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

Gina Cooper (Author,Co-Author), MDHHS EHDI, CooperG5@michigan.gov;
Dr. Gina Cooper is the Early Hearing Detection & Intervention Coordinator for the State of Michigan and a licensed audiologist. She holds a Doctorate in Audiology, (Au.D.) from Salus University, a bachelor’s and master’s degree from Michigan State University and completed an Audiology Fellowship at the Mayo Clinic in Rochester, MN. She subsequently worked as an Audiologist at the Mayo Clinic providing auditory and vestibular services, clinical research, and newborn hearing screening. Dr. Cooper previously held a position as a Regional Director with Cochlear Americas, providing strategic leadership, provider collaboration, and managing cross disciplinary teams. Dr. Cooper holds a Certificate of Clinical Competence from the American Speech-Language-Hearing Association.


ASHA DISCLOSURE:

Financial -

Nonfinancial -

AAA DISCLOSURE:

Financial -

Nonfinancial -

Michelle Garcia (Co-Author), MDHHS/EHDI, garciam@michigan.gov;
Michelle Garcia is a licensed audiologist. She obtained her doctorate of audiology from Salus University and has experience as a clinical audiologist and expertise in newborn hearing screening as follow-up consultant for the Michigan EHDI program. Dr. Garcia has coordinated meetings for hearing screening, presented at conferences and in-service trainings, developed program materials and publications, and coordinated follow up efforts with partner organizations and agencies.


ASHA DISCLOSURE:

Financial -
• Receives Salary for Employment from MDHHS.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
Financial relationship with MDHHS.
Nature: Salary.

Nonfinancial -
No relevant nonfinancial relationship exists.

Nick Drzal (Author,Co-Author), MDHHS EHDI, DrzalN@michigan.gov;
Nick is the Michigan EHDI Manager.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

Chris Fussman (Co-Author), MDHHS, FussmanC@michigan.gov;
Chris is the Maternal and Child Health Epidemiology Section Manager


ASHA DISCLOSURE:

Financial -

Nonfinancial -

AAA DISCLOSURE:

Financial -

Nonfinancial -