{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:55:52Z","timestamp":1763427352361,"version":"3.45.0"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1626","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The B4 School Check includes hearing screening of four-year-old children in Aotearoa New Zealand. This study describes the\nprevalence and distribution of hearing loss, likely due to otitis media with effusion (OME), to determine if there is inequity in access to\nscreening and primary healthcare, and to inform programme design and delivery.\nmethod: Hearing data over a five-year period were linked with demographic data and interrogated using regression analyses for\ndifferences in disease burden, access to screening and to primary healthcare.\nresults: M\u0101ori and Pacific children and those living with higher deprivation were less likely to be screened. When screened these\nchildren had higher rates of disease, were less likely to be referred immediately and had poorer access to primary healthcare to enable\nappropriate management.\nconclusion: The current delivery of hearing screening is inequitable, missing those that need it most and exacerbating an uneven\ndistribution of disease burden. A redeveloped programme to enable identification and screening of all eligible children, differential\ndelivery according to need and a more holistic provision of care is required. This includes support for speech and language concerns,\near health promotion and linkage with primary care and healthy housing programmes.<\/jats:p>","DOI":"10.26635\/6965.7137","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:54:09Z","timestamp":1763427249000},"page":"26-34","source":"Crossref","is-referenced-by-count":0,"title":["B4 School Check hearing screening and middle ear disease: a five-year analysis of prevalence and inequity"],"prefix":"10.26635","volume":"138","author":[{"given":"Thomas","family":"Oliver","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"Searchfield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Jo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alehandrea","family":"Manuel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Leversha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Purdy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Exeter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Garland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2025,11,21]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:54:10Z","timestamp":1763427250000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-138-no-1626\/b4-school-check-hearing-screening-and-middle-ear-disease-a-five-year-analysis-of-prevalence-and-inequity"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":0,"journal-issue":{"issue":"1626","published-online":{"date-parts":[[2025,11,21]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7137","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,21]]}}}