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Association of Access Challenges and Family Support With Language Development for Children With Hearing Loss.

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Τίτλος: Association of Access Challenges and Family Support With Language Development for Children With Hearing Loss.
Συγγραφείς: Rashidi N; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, San Francisco, California, USA.; These authors contributed equally to this manuscript., Patel E; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, San Francisco, California, USA.; These authors contributed equally to this manuscript., Garrett S; Department of Speech-Language Pathology, Rady Children's Hospital-San Diego, San Diego, California, USA., Kearns JM; Department of Audiology, University of California, San Francisco Benioff Children's Hospital-Oakland, Oakland, California, USA., Lazar AA; Division of Oral Epidemiology and Division of Biostatistics, University of California, San Francisco, San Francisco, California, USA., Bostrom A; Division of Oral Epidemiology and Division of Biostatistics, University of California, San Francisco, San Francisco, California, USA., Ou H; Division of Pediatric Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, USA., Stephans J; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, San Francisco, California, USA., Tebb KP; Division of Adolescent & Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA., Chan DK; Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Πηγή: Ear and hearing [Ear Hear] 2026 Sep-Oct 01; Vol. 47 (5), pp. 1326-1332. Date of Electronic Publication: 2026 Apr 23.
Τύπος έκδοσης: Journal Article; Multicenter Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Williams And Wilkins Country of Publication: United States NLM ID: 8005585 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-4667 (Electronic) Linking ISSN: 01960202 NLM ISO Abbreviation: Ear Hear Subsets: MEDLINE
Imprint Name(s): Publication: Baltimore Md : Williams And Wilkins
Original Publication: Baltimore, Williams & Wilkins.
Ιατρικοί όροι (MeSH): Language Development Disorders*/epidemiology , Health Services Accessibility* , Language Development* , Hearing Loss, Bilateral*, Humans ; Female ; Infant ; Child, Preschool ; Male ; Prospective Studies ; Family Support ; Infant, Newborn ; California ; Washington ; Socioeconomic Disparities in Health
Περίληψη: Objectives: To assess the association between access challenges, measured by the Access Challenge Index (ACI), and baseline language performance in young children with hearing loss. Children with hearing loss are at increased risk of language delays, which can be influenced by access to specialized care. However, the impact of access challenges on these disparities requires further study to develop targeted interventions.
Design: An analysis of two prospective cohort studies' (NCT04928209) baseline assessments conducted at enrollment. This is a multicenter study, including four tertiary children's hospitals in California and Washington, with the cohort including 182 children, aged 0 to 27 months, with bilateral hearing loss, from diverse sociodemographic backgrounds. Language performance was measured using the Preschool Language Scales and Receptive-Expressive Emergent Language Scale, with scores analyzed against ACI. Expressive, receptive, and total language outcomes were included for analysis.
Results: Of the 182 children who met inclusion criteria, 117 (64.3%) were lower income (defined as below the 266% of the federal poverty level), 85 (46.7%) were assigned female at birth, 99 (54.4%) had public health insurance, 45 (24.7%) identified as non-Hispanic White, and 71 (39.0%) used a language other than English primarily at home. Higher ACI scores were associated with worse total language scores in both PLS (-1.25, 95% confidence interval [CI]: -2.00, -0.50, p = 0.0012) and REEL (-2.31, 95% CI: -3.36, -1.26, p < 0.0001) after inverse probability weighting of the propensity score. Subsequent analysis with ACI subscales indicated Family Support to be a strong predictor of PLS total language outcome (-4.63, 95% CI: -7.48, -1.79, p = 0.0016) and for REEL total language (-9.01, 95% CI: -12.89, -5.12, p ≤ 0.0001).
Conclusions: Family support appears to be a key modifiable factor influencing language disparities for children with hearing loss. Targeted interventions to support families may improve language outcomes.
(Copyright © 2026 The American Auditory Society.)
Competing Interests: The authors have no conflicts of interest to disclose.
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Contributed Indexing: Keywords: Access to care; Healthcare disparities; Pediatric hearing loss
Molecular Sequence: ClinicalTrials.gov NCT04928209
Entry Date(s): Date Created: 20260423 Date Completed: 20260818 Latest Revision: 20260902
Update Code: 20260902
DOI: 10.1097/AUD.0000000000001828
PMID: 42020937
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1538-4667
DOI:10.1097/AUD.0000000000001828