2025 Early Hearing Detection & Intervention Conference
March 9-11, 2025 • Pittsburgh, PA
DAVID L. LAWRENCE CONVENTION CENTER
| Exploring the Relationship Between Socioeconomic Status and Newborn Hearing Screening in Missouri
Exploring the Relationship Between Socioeconomic Status and Newborn Hearing Screening in Missouri
Background:
In Missouri, the prevalence of infant hearing loss is roughly 1.83 instances per 1,000 screenings. Beginning in 2021, the state of Missouri began participating in the international Early Hearing Detection and Intervention (iEHDI) program. This has created new opportunities for more robust analyses of trends and patterns regarding hearing screenings and diagnostics, which will aid in targeting resources to better serve children with hearing loss.
Study Questions:
What is the relationship between socioeconomic status (SES) and hearing screening and audiological diagnostics?
Methods:
Data came from iEHDI 2017-2019 and 2021-2022. 2020 data was excluded due to abnormalities found within the dataset. An SES index was created (? = 0.76) to account for the infant's SES. Facilities were also given an SES score based on the mean SES score of infants born there. Logistic regression models were constructed utilizing backward selection, retaining client and facility SES.
Results:
There was a statistically significant relationship between client and facility SES on newborn hearing screening results. Higher SES of both the facility and the individual correlated with improved odds of passing the hearing screening. When examining diagnostic results, there was also a statistically significant interaction between client and facility SES. This indicated that as facility SES increased, lower SES clients were more likely to have a failed screening with permanent hearing loss than a failed screening with no hearing loss.
Conclusions:
Lower SES clients and lower SES facilities are more likely to have failed hearing screenings than their higher SES counterparts. In addition, at the diagnostic level, lower SES clients are less likely to have a failed screening result with no permanent hearing loss when they give birth in higher SES facilities.
Public Health Implications:
Lower SES facilities may need to evaluate their present hearing screening process to better serve their patients.
- The participant will be able to describe the relationship between SES and hearing screening and diagnostics.
- The participant will be able to develop a similar study in their own jurisdiction.
- The participant will be able to discuss the implications of the research findings.
Presentation:
3545975_18093DanielQuay.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Daniel Quay
(Primary Presenter,Author), Missouri Department of Health and Senior Services, Daniel.Quay@health.mo.gov;
Daniel has worked as an employee for the Missouri Department of Health and Senior Services since 2016. He presently serves in the Office of Epidemiology as the Senior Research Analyst assigned to the Pregnancy Associated Mortality Review program and the Early Hearing Detection and Intervention program. He holds an M.A. from the University of Oklahoma in Sociology.
ASHA DISCLOSURE:
Financial -
• Receives Grants for Employment,Management position from Center for Disease Control and Prevention.
• Receives Grants for Employment,Management position from Health Resources Services Administration.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with Missouri Department of Health and Senior Services.
Nature: This project is supported by the Centers for Disease Control and Prevention’s (CDC) Early Hearing Detection and Intervention – Information Systems grant. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. This project was funded in part by the Missouri Department of Health and Senior Services Title V Maternal Child Health Services Block Grant and was supported by the Health Resources Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant #04MC40144, Maternal and Child Health Services for $12,299,305, of which $0 is from non-governmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
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Nonfinancial -
No relevant nonfinancial relationship exists.
Jami Kiesling
(Author,Co-Author), Missouri Department of Health and Senior Services, Jami.Kiesling@health.mo.gov;
Jami is the Chief of the Bureau of Genetics and Healthy Childhood for the Missouri Department of Health and Senior Services. In this role she oversees a variety of maternal and child health programs including EHDI. She holds a BSN and is an RN.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -
Karen Harbert
(Author,Co-Author), Missouri Department of Health and Senior Services, Karen.Harbert@health.mo.gov;
Karen Harbert is the Lead Maternal and Child Health (MCH) Epidemiologist at the Missouri Department of Health and Senior Services (DHSS). Her work includes serving as the lead epidemiologist for the state Maternal Child Health Block Grant (Title V) and the state maternal mortality review committee. She also works as the Project Director for the Missouri Pregnancy Risk Assessment Monitoring System (PRAMS), a surveillance survey for data on pregnancy, postpartum, and infant health. Karen graduated with her Master of Public Health (MPH) from University of Missouri - Columbia in 2010 and is currently a doctoral student at Johns Hopkins University. She previously worked as a contractor for the Department of Homeland Security’s National Biosurveillance Integration Center in Washington, DC, prior to joining DHSS.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -
Amanda Schwartze
(Co-Presenter,Author,Co-Author), Department of Health and Senior Services, amanda.schwartze@health.mo.gov;
manda Schwartze received her Bachelor of Science in Nursing degree from Lincoln University. She has worked as the Follow-up Coordinator in the Missouri Department of Health and Senior Services’ (DHSS) Missouri Newborn Hearing Screening Program (MNHSP) since April 2022. In this capacity, she is responsible for following up on newborn hearing screening results, developing and implementing strategies to reduce loss to follow-up, improving state 1-3-6 benchmarks, and responding to inquiries from parents, physicians, and other early hearing detection and intervention (EHDI) stakeholders. As the MNHSP liaison to the Family Partnership, Ms. Schwartze is responsible for meeting facilitation, data management assistance, and activity coordination. Past experience includes two years as a certified nurse assistant, two years as a cardiovascular step-down registered nurse, and five years as a neurology clinic registered nurse.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -