{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:07:41Z","timestamp":1789754861133,"version":"4.0.1"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The present study aims to explore the knowledge and attitudes among the mothers of children aged 1\u20135 years regarding childhood hearing loss, its risk factors, effects, and acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted among mothers of children aged 1\u20135 years using convenience sampling. Data collection at a tertiary care hospital was conducted using a structured questionnaire that covered demographic details, knowledge of childhood hearing loss, attitudes towards hearing loss, intervention, and sources of information. Descriptive statistics were used to summarise continuous variables, while discrete variables were summarised using frequencies and percentages. Associations between education levels and knowledge and attitude items were examined using Fisher\u2019s Exact test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 215 mothers participated in the study. The mean age of the mothers was 29.35\u2009\u00b1\u20094.85 years, and the mean age of the youngest child was 3.2\u2009\u00b1\u20091.2 years. Most mothers were aware that hearing loss could be congenital or late-onset. However, substantial gaps were noted in understanding of the causes of hearing loss and management options. Awareness of medical management options was higher than that of the use of rehabilitative services (42.3%). Awareness of middle ear infections among mothers was moderate, with more than 60% being aware of such infections and believing they can be prevented. Acceptance towards hearing screening was high (86.5%); however, acceptance of amplification devices was low (27.4%). Although the attitudes towards childhood hearing loss were largely positive, the attitudes towards rehabilitation procedures and inclusivity were negative. Maternal educational level was significantly associated with attitudes toward hearing rehabilitation and educational inclusion (p\u2009&lt;\u20090.05) but not with knowledge-related items. More than 80% of mothers expressed an interest in learning about the causes of hearing loss, treatment options, and where to seek help. Clinics or health workers were identified as the most preferred sources of information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mothers demonstrated a moderate awareness of childhood hearing loss, with substantial gaps in causes and management options, and negative attitudes towards rehabilitation procedures and inclusivity. Focused parental education programs and community-based awareness initiatives would help reduce stigma and overcome misconceptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0357285","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:23:27Z","timestamp":1789752207000},"page":"e0357285","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and attitude among the mothers of children in age group 1\u20135 years regarding childhood hearing loss"],"prefix":"10.1371","volume":"21","author":[{"given":"Anushree","family":"Bhagavan","sequence":"first","affiliation":[{"name":"Kasturba Medical College Mangalore, Manipal Academy of Higher Education","place":["Manipal, India"],"department":["Department of Audiology and Speech Language Pathology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adithya","family":"Sreedharan Sanitha","sequence":"additional","affiliation":[{"name":"Kasturba Medical College Mangalore, Manipal Academy of Higher Education","place":["Manipal, India"],"department":["Department of Audiology and Speech Language Pathology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2464-2580","authenticated-orcid":true,"given":"Dhanshree Rajesh","family":"Gunjawate","sequence":"additional","affiliation":[{"name":"Kasturba Medical College Mangalore, Manipal Academy of Higher Education","place":["Manipal, India"],"department":["Department of Audiology and Speech Language Pathology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Ravi","sequence":"additional","affiliation":[{"name":"Kasturba Medical College Mangalore, Manipal Academy of Higher Education","place":["Manipal, India"],"department":["Department of Audiology and Speech Language Pathology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"issue":"1","key":"pone.0357285.ref001","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/s12889-019-6449-2","article-title":"Childhood sensorineural hearing loss and adult mental health up to 43\u2009years later: results from the HUNT study","volume":"19","author":"M Idstad","year":"2019","journal-title":"BMC Public Health"},{"issue":"10","key":"pone.0357285.ref002","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1001\/jama.2020.17647","article-title":"Hearing loss in children: a review","volume":"324","author":"JEC Lieu","year":"2020","journal-title":"JAMA"},{"issue":"2","key":"pone.0357285.ref003","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1177\/0194599816640485","article-title":"Quality of life in children with hearing impairment: systematic review and meta-analysis","volume":"155","author":"L Roland","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"key":"pone.0357285.ref004","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/B978-0-444-64150-2.00009-5","article-title":"Critical periods of brain development","volume":"173","author":"JM Cisneros-Franco","year":"2020","journal-title":"Handb Clin Neurol"},{"issue":"1","key":"pone.0357285.ref005","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ejpn.2016.07.007","article-title":"Cerebral plasticity: Windows of opportunity in the developing brain","volume":"21","author":"FY Ismail","year":"2017","journal-title":"Eur J Paediatr Neurol"},{"key":"pone.0357285.ref006","unstructured":"World Health Organization. Deafness and hearing loss. 2023. Accessed 2025 December 10."},{"issue":"1","key":"pone.0357285.ref007","first-page":"1","article-title":"The Joint Committee on Infant Hearing, Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs","volume":"4","author":"Joint Committee on Infant Hearing","year":"2019","journal-title":"J Early Hearing Detect Interven"},{"issue":"6","key":"pone.0357285.ref008","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1002\/ohn.221","article-title":"Sociodemographic factors affecting loss to follow-up after newborn hearing screening: a systematic review and meta-analysis","volume":"168","author":"KM Atherton","year":"2023","journal-title":"Otolaryngol Head Neck Surg"},{"key":"pone.0357285.ref009","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijporl.2016.08.016","article-title":"Follow-up in newborn hearing screening - a systematic review","volume":"90","author":"R Ravi","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"7","key":"pone.0357285.ref010","doi-asserted-by":"crossref","first-page":"3397","DOI":"10.1007\/s00405-024-08527-x","article-title":"Late-onset, progressive sensorineural hearing loss in the paediatric population: a systematic review","volume":"281","author":"V Corazzi","year":"2024","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"2","key":"pone.0357285.ref011","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1080\/14992027.2024.2385550","article-title":"A systematic review of the prevalence of late identified hearing loss in childhood","volume":"64","author":"K Mu\u00f1oz","year":"2025","journal-title":"Int J Audiol"},{"key":"pone.0357285.ref012","article-title":"Provider perspectives: identification and follow-up of infants who are deaf or hard of hearing","volume":"41","author":"RA Cree","year":"2024","journal-title":"Am J Perinatol"},{"key":"pone.0357285.ref013","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1472-6963-7-14","article-title":"Progress towards early detection services for infants with hearing loss in developing countries","volume":"7","author":"BO Olusanya","year":"2007","journal-title":"BMC Health Serv Res"},{"key":"pone.0357285.ref014","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.ijporl.2017.11.004","article-title":"Systematic review of knowledge of, attitudes towards, and practices for newborn hearing screening among healthcare professionals","volume":"104","author":"R Ravi","year":"2018","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"2","key":"pone.0357285.ref015","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/mrdd.10064","article-title":"Family perceptions of early hearing, detection, and intervention systems: listening to and learning from families","volume":"9","author":"J DesGeorges","year":"2003","journal-title":"Ment Retard Dev Disabil Res Rev"},{"issue":"12","key":"pone.0357285.ref016","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1080\/14992027.2016.1215560","article-title":"Knowledge and attitude of parents\/caregivers towards hearing loss and screening in newborns - 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Critique and recommendations","volume":"29","author":"DF Polit","year":"2006","journal-title":"Res Nurs Health"},{"issue":"2","key":"pone.0357285.ref025","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1111\/j.1547-5069.2007.00161.x","article-title":"A psychometric toolbox for testing validity and reliability","volume":"39","author":"HA DeVon","year":"2007","journal-title":"J Nurs Scholarsh"},{"key":"pone.0357285.ref026","unstructured":"Jamovi. The jamovi project. 2025. Accessed 2025 December 10."},{"key":"pone.0357285.ref027","doi-asserted-by":"crossref","first-page":"1623225","DOI":"10.3389\/fped.2025.1623225","article-title":"Delayed-onset hearing loss in first-grade students who previously passed the newborn hearing screening","volume":"13","author":"R Elbeltagy","year":"2025","journal-title":"Front Pediatr"},{"key":"pone.0357285.ref028","article-title":"Early hearing detection and intervention: Considering the role of caregivers as key co-drivers within the African context.","author":"K Khoza-Shangase","journal-title":"Khoza-Shangase K, editor. Preventive audiology: an African perspective"},{"key":"pone.0357285.ref029","article-title":"Pediatric hearing loss","volume-title":"StatPearls","author":"L Dimitrov","year":"2025"},{"issue":"20","key":"pone.0357285.ref030","doi-asserted-by":"crossref","first-page":"2151","DOI":"10.1056\/NEJMra050700","article-title":"Newborn hearing screening--a silent revolution","volume":"354","author":"CC Morton","year":"2006","journal-title":"N Engl J Med"},{"key":"pone.0357285.ref031","doi-asserted-by":"crossref","DOI":"10.1101\/cshperspect.a033258","article-title":"The epidemiology of deafness","volume":"9","author":"AM Sheffield","year":"2019","journal-title":"Cold Spring Harb Perspect Med"},{"key":"pone.0357285.ref032","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1055\/s-0044-1793837","article-title":"Knowledge about genetics in congenital hearing loss: a survey among audiologists","volume":"15","author":"N Kaur","year":"2024","journal-title":"J Health Allied Sci NU"},{"key":"pone.0357285.ref033","article-title":"Speech language pathologist\u2019s knowledge of genetics \u2013 an Indian perspective","volume":"15","author":"R Ravi","year":"2017","journal-title":"Online J Health and Allied Sci"},{"issue":"1","key":"pone.0357285.ref034","doi-asserted-by":"crossref","first-page":"557","DOI":"10.4081\/jphia.2017.557","article-title":"Knowledge and cultural beliefs of mothers regarding the risk factors of infant hearing loss and awareness of audiology services","volume":"8","author":"SM Govender","year":"2017","journal-title":"J Public Health Afr"},{"issue":"4","key":"pone.0357285.ref035","doi-asserted-by":"crossref","first-page":"119","DOI":"10.5463\/dcid.v25i4.328","article-title":"Knowledge and beliefs about ear and hearing health among mothers of young children in a rural community in South India","volume":"25","author":"M Narayansamy","year":"2014","journal-title":"DCID"},{"key":"pone.0357285.ref036","article-title":"Maternal views on infant hearing loss and early intervention in a South African community","author":"D Swanepoel","year":"2008","journal-title":"Int J Audiol"},{"key":"pone.0357285.ref037","article-title":"Acute otitis media","volume-title":"StatPearls","author":"A Danishyar","year":"2025"},{"issue":"6","key":"pone.0357285.ref038","doi-asserted-by":"crossref","first-page":"2959","DOI":"10.1007\/s00405-024-09165-z","article-title":"Trends in the incidence and burden of otitis media in children: a global analysis from 1990 to 2021","volume":"282","author":"L Dong","year":"2025","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"4","key":"pone.0357285.ref039","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1044\/2021_PERSP-21-00188","article-title":"Barriers to equity in pediatric hearing health care: a review of the evidence","volume":"7","author":"S Kingsbury","year":"2022","journal-title":"Perspect ASHA Spec Interest Groups"},{"key":"pone.0357285.ref040","article-title":"An introduction to the outcomes of children with hearing loss study","author":"MP Moeller","year":"2015","journal-title":"Ear Hear"},{"issue":"1","key":"pone.0357285.ref041","article-title":"Stress among parents of children with hearing loss and how they deal with it: a systematic review","volume":"27","author":"DR Gunjawate","year":"2022","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"1","key":"pone.0357285.ref042","doi-asserted-by":"crossref","first-page":"5807","DOI":"10.1007\/s12070-024-05107-7","article-title":"Parental\/caregiver satisfaction and anxiety with newborn hearing screening program in Dakshina Karnataka, India \u2013 a questionnaire based study","volume":"76","author":"R Ravi","year":"2024","journal-title":"Indian J Otolaryngol Head and Neck Surgery"},{"issue":"1","key":"pone.0357285.ref043","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3766\/jaaa.24.1.2","article-title":"Parent hearing aid experiences in the United States","volume":"24","author":"K Mu\u00f1oz","year":"2013","journal-title":"J Am Acad Audiol"},{"issue":"2","key":"pone.0357285.ref044","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/AUD.0000000000000111","article-title":"Pediatric hearing aid use: parent-reported challenges","volume":"36","author":"K Mu\u00f1oz","year":"2015","journal-title":"Ear Hear"},{"issue":"8","key":"pone.0357285.ref045","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1016\/j.pec.2017.03.005","article-title":"Breaking the sound barrier: exploring parents\u2019 decision-making process of cochlear implants for their children","volume":"100","author":"PF Chang","year":"2017","journal-title":"Patient Educ Couns"},{"key":"pone.0357285.ref046","doi-asserted-by":"crossref","first-page":"110163","DOI":"10.1016\/j.ijporl.2020.110163","article-title":"Parent reported barriers and facilitators towards cochlear implantation - a systematic review","volume":"136","author":"R Ravi","year":"2020","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"2","key":"pone.0357285.ref047","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-2964","article-title":"Early Hearing Detection and Vocabulary of Children With Hearing Loss","volume":"140","author":"C Yoshinaga-Itano","year":"2017","journal-title":"Pediatrics"},{"issue":"3","key":"pone.0357285.ref048","doi-asserted-by":"crossref","DOI":"10.1542\/peds.106.3.e43","article-title":"Early intervention and language development in children who are deaf and hard of hearing","volume":"106","author":"MP Moeller","year":"2000","journal-title":"Pediatrics"},{"issue":"1","key":"pone.0357285.ref049","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1007\/s12070-023-04353-5","article-title":"Knowledge and attitudes of parents and caregivers in New Delhi to childhood hearing loss and hearing services","volume":"76","author":"S Yoshita","year":"2024","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"pone.0357285.ref050","unstructured":"World report on hearing. 2021. https:\/\/www.who.int\/publications\/i\/item\/9789240020481"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0357285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:23:35Z","timestamp":1789752215000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0357285"}},"subtitle":[],"editor":[{"given":"Jeyasakthy","family":"Saniasiaya","sequence":"first","affiliation":[{"name":"Universiti Malaya Fakulti Perubatan: University of Malaya Faculty of Medicine","place":["MALAYSIA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":50,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,18]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0357285","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]}}}