18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL
Mother’s Place of Birth and Hearing Screening Follow-up
In New Jersey, rates of documented outpatient follow-up rescreening and/or diagnostic audiologic testing after a refer result on inpatient newborn hearing screening rose each year from 2002 through 2016. The follow-up rate declined slightly from 88.9% in 2016 to 85.7% in 2017 for infants having either rescreening or diagnostic testing documented. The New Jersey Early Hearing Detection and Intervention (EHDI) program routinely evaluates program data to identify areas for quality improvement. Even when children are eligible for health care services, families may fail to seek care if there are concerns about the immigration status of other family members (Page, 2017; Vargas, 2015). The New Jersey’s EHDI data system does not contain data on family residency status, however data on multiple demographic variables including mother’s place of birth are obtained from the electronic birth certificate system. The New Jersey EHDI program used this data to compare the recent decline in follow-up rates from 2016 and 2017. Preliminary analysis revealed that overall rates of follow-up testing were lower for infants of United States-born mothers compared to all foreign-born mothers (85.4% vs. 89.7%). Follow-up rates were also examined using United Nations regional groupings (Latin American, Asia-Pacific, etc.), and follow-up declines were noted across all groups. This poster will provide additional analysis regarding the relationships between these demographic variables, maternal region of origin, and hearing screening follow-up rates.
(1)Page KR, Polk S. Chilling effect? Post-election health care use by undocumented and mixed-status families. N Engl J Med. 2017;376:e20.(2)Vargas ED. Immigration enforcement and mixed-status families: The effects of risk of deportation on medicaid use. Children and Youth Services Review. 2015;57:83–9.
- Compare follow-up rates for infants born to mothers of various international and United States regions.
- Identify trends in follow-up rates for various demographic subgroups.
- Describe demographic predictors of loss to hearing screening follow-up in New Jersey.
Poster:
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Presenter: Kathryn Aveni
Kathryn Aveni received her Master's in Public Health from Columbia University and BS in Nursing from the University of Virginia. She is a Research Scientist and Data System Coordinator for Special Child Health and Early Intervention Services at the New Jersey Department of Health where she has worked since 2002. She also serves as a Regional EHDI Technical Assistant Network Consultant for the National Center for Hearing Assessment and Management.
ASHA DISCLOSURE:
Financial -
• Receives Consulting fee for Consulting from NCHAM.
Nonfinancial -
No relevant nonfinancial relationship exist.
Nancy G. Schneider, M.A., CCC-A, FAAA, has served as the sole audiologist at the New Jersey EHDI program since its establishment at the New Jersey Department of Health. She received her M.A. degree in Audiology from the University of Maryland; her B.A. degree in Communication Sciences and Disorders from Montclair State College (now Montclair State University) and completed a Certificate Program in American Sign Language Studies at Union County College where she later served as an Adjunct Faculty Instructor. Miss Schneider is a licensed audiologist and hearing aid dispenser in New Jersey and received a gubernatorial appointment to serve on the Audiology and Speech Language Pathology Advisory Committee at the New Jersey Division of Consumer Affairs (2004 to the present). Prior to joining NJ EHDI, Miss Schneider was the Senior Clinical Audiologist at The University Hospital - The University of Medicine and Dentistry of New Jersey.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
ing Shi received her Masters’ in Statistics, Statistical Computing from Rutgers University, University of Central Florida and BA in Economics from Beijing University. She is a Research Scientist for Special Child Health and Early Intervention Services at the New Jersey Department of Health. She has worked in the field of data management and statistical analysis for more than 12 years.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.