2023 Early Hearing Detection & Intervention Conference

March 5-7, 2023 • Cincinnati, OH

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3/19/2018  |   2:15 PM - 3:15 PM   |  Identification of Hearing Loss Among Privately Insured Children in the United States   |  Quartz A/B

Identification of Hearing Loss Among Privately Insured Children in the United States

Data reported annually to the Centers for Disease Control and Prevention (CDC) have shown that approximately 1 to 3 per 1,000 live born infants have hearing loss. The objective of this analysis is to determine the number of privately insured children diagnosed with hearing loss in the United States during a five-year time period, and describe their demographic characteristics. We analyzed national patient-level claims data from the Truven Health MarketScan® Commercial Databases for 2010–2014. We included children up to 17 years of age and searched the databases for diagnoses of hearing loss. Hearing loss was defined as having either two separate medical claims with a hearing loss code, or one medical claim with a hearing aid or cochlear implant procedure/service code. Preliminary results show that more males than females were diagnosed with hearing loss, and 59% of the children diagnosed with hearing loss were under the age of 8 years old. Between 2010 and 2014, the number of children diagnosed with hearing loss increased from 5.8 to 6.8 per 1,000 children. Determining the number and trends in the early diagnosis of hearing loss among children, using patient-level claims data, can serve as an additional surveillance and tracking method to help state and national-level entities plan for EHDI services. Future research will investigate co-occurring conditions and hearing loss in Medicaid-insured children.

  • Participants will understand how to use a patient-level claims database to study national EHDI trends.
  • Participants will identify strengths and limitations to using administrative data.
  • Participants will identify how such analytic methods can be best used to support national and statewide EHDI efforts.

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Presenters/Authors

Krishnaveni Subbiah (), CDC, yqc7@cdc.gov;
Krishnaveni (Kris) Subbiah is an ORISE Epidemiology Fellow. She assists with the annual preparation, collection and data dissemination of the CDC EHDI Hearing Screening and Follow-up Survey (HSFS) and provides technical assistance to EHDI jurisdictions on data standardization, management, analysis and visualization. Her additional duties include using various statewide and national databases to investigate trends in the identification of hearing loss and co-morbidities among infants and young children, and to assess the progress in documentation and utilization of EHDI related services. Before joining EHDI, Kris led a trachoma research project in East Africa, has worked as a part-time research analyst with Emory Vaccine Center, and as a student analyst with other CDC teams. She obtained her Masters of Public Health in Epidemiology from Emory University, and her Bachelor of Science in Biology, with a minor in Chemistry, and Bachelor of Arts in Religious Studies and Philosophy from Occidental College.


ASHA DISCLOSURE:

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Suhana Ema (), CENTERS FOR DISEASE CONTROL AND PREVENTION, vns0@cdc.gov;
Suhana Ema serves as an epidemiologist with the CDC EHDI Team. She is responsible for analyzing EHDI data and disseminating findings with jurisdictional EHDI programs and partners. She also provides technical assistance to jurisdictional EHDI programs to improve their program and tracking and surveillance work. She holds Master of Public Health degree from the University of Georgia. Suhana was born with severe to profound hearing loss on both ears and wears hearing aids. She is fluent in American Sign Language and lipreads well.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Marcus Gaffney (), CDC, nzg9@cdc.gov;
Marcus Gaffney is a Health Scientist and serves as the lead for the CDC EHDI Team. He has over 14 years’ experience working in the area of newborn hearing screening and is responsible for overseeing a range of activities, including supporting the development of jurisdictional EHDI Information Systems, assessing progress towards national goals, providing technical assistance, and supporting research efforts. He holds a Masters of Public Health from Mercer University.


ASHA DISCLOSURE:

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ThuyQuynh Do (), Centers for Disease Control and Prevention, ThuyQuynhDo@cdc.gov;
Dr. Quynh Do is a Health Services Researcher on the Early Hearing Detection and Intervention Team at the Centers for Disease Control and Prevention's National Center for Birth Defects and Developmental Disabilities in the Division of Human Development and Disability. She received her PhD in Sociomedical Sciences from the University of Texas Medical Branch and Master of Public Health from the Virginia Commonwealth University. She works on the Early Hearing Detection and Intervention Team. Prior to CDC, Quynh worked as public health consultant in a wide range of areas including program management and support, research and evaluation, health promotion and marketing, database administration, survey development, technical writing, and technical assistance in minority health, occupational health, substance abuse and mental health, maternal/child health, and women’s health issues.


ASHA DISCLOSURE:

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Nonfinancial -