ArticleFrontiers in public health2026
Prevalence of hearing loss and tinnitus among school-age children: a cross-sectional analysis of the PICTURE cohort study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Hearing loss and tinnitus in children are increasingly recognized as important public health concerns with potential long-term consequences for development and communication. The aim of this study was to determine the prevalence of hearing loss and tinnitus in children, and to examine the concordance between parental subjective assessments and otoacoustic emission (OAE) results. Secondary aims were to investigate the association between hearing loss and sociodemographic factors, parents' level of education, and to evaluate the effectiveness of different diagnostic methods in detecting pediatric hearing impairment. Methods: This cross-sectional study involved 1,250 children aged 7-17 years. Participants underwent tympanometric, hearing threshold and OAEs testing and were divided into two groups according to age. Parents completed a questionnaire regarding hearing loss and presence of tinnitus. Results: The prevalence of positive hearing screening results was 3.5%, with a higher incidence in younger children, (the difference was not statistically significant). The prevalence of hearing loss was 4.5% among boys and 2.5% among girls ( Conclusion: This study identifies a measurable prevalence of hearing loss and tinnitus among children, with a greater burden of hearing impairment observed in younger age. There is need for systematic, school-based hearing screening programs and improved parental and educator awareness of early hearing loss indicators. These findings support the integration of standardized pediatric hearing monitoring into public health strategies and underscore the importance of addressing socioeconomic disparities in access to early diagnosis and intervention.
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