TY - JOUR
T1 - Hearing impairment among children in Sweden with foreign-born parents and natives
T2 - A national Swedish study
AU - Wändell, Per
AU - Li, Xinjun
AU - Carlsson, Axel C.
AU - Sundquist, Jan
AU - Sundquist, Kristina
N1 - Publisher Copyright:
© 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
PY - 2021/10
Y1 - 2021/10
N2 - Aim: We aimed to estimate the risk of hearing impairment in children and adolescents with foreign-born parents, compared to natives. Methods: A nationwide study of 1,923,590 (51.4% boys) individuals aged 0–17 years of age in Sweden. Hearing impairment was defined as at least one registered diagnosis in the National Patient Register between 1 January 1998 and 31 December 2015. We used Cox regression analysis to estimate relative risk (hazard ratios with 99% confidence intervals) of incident hearing impairment in children with foreign-born parents compared to Swedish-born natives. Cox regression models were stratified by sex and adjusted for age, co-morbidities and socioeconomic status. Results: A total of 20,514 cases (53.7% boys) with extended sensorineural hearing impairment were registered, also including noise-induced hearing impairment and that from other causes, and 6172 cases (50.0% boys) with conductive hearing impairment. The risk of extended sensorineural hearing impairment was higher in boys with parents from Asia, especially from Iraq, fully adjusted HR (99% CI) 1.30 (1.17–1.4), and lower in boys with parents from Nordic countries, South Europe, and North America. Conclusion: The risk of extended sensorineural hearing impairment was higher in boys with parents from Asia, in particular Iraq.
AB - Aim: We aimed to estimate the risk of hearing impairment in children and adolescents with foreign-born parents, compared to natives. Methods: A nationwide study of 1,923,590 (51.4% boys) individuals aged 0–17 years of age in Sweden. Hearing impairment was defined as at least one registered diagnosis in the National Patient Register between 1 January 1998 and 31 December 2015. We used Cox regression analysis to estimate relative risk (hazard ratios with 99% confidence intervals) of incident hearing impairment in children with foreign-born parents compared to Swedish-born natives. Cox regression models were stratified by sex and adjusted for age, co-morbidities and socioeconomic status. Results: A total of 20,514 cases (53.7% boys) with extended sensorineural hearing impairment were registered, also including noise-induced hearing impairment and that from other causes, and 6172 cases (50.0% boys) with conductive hearing impairment. The risk of extended sensorineural hearing impairment was higher in boys with parents from Asia, especially from Iraq, fully adjusted HR (99% CI) 1.30 (1.17–1.4), and lower in boys with parents from Nordic countries, South Europe, and North America. Conclusion: The risk of extended sensorineural hearing impairment was higher in boys with parents from Asia, in particular Iraq.
KW - co-morbidities
KW - foreign-born
KW - gender
KW - hearing impairment
KW - neighbourhood
KW - socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=85108358749&partnerID=8YFLogxK
U2 - 10.1111/apa.15990
DO - 10.1111/apa.15990
M3 - Article
C2 - 34139033
AN - SCOPUS:85108358749
SN - 0803-5253
VL - 110
SP - 2817
EP - 2824
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 10
ER -