J Public Health Afr. 2017 Sep 04;8(1):557. doi: 10.4081/jphia.2017.557. eCollection 2017 Jun 23.
Knowledge and Cultural Beliefs of Mothers Regarding the Risk Factors of Infant Hearing Loss and Awareness of Audiology Services.
Journal of public health in Africa
Samantha M Govender, Nasim Banu Khan
Affiliations
Affiliations
- Department of Audiology, University of KwaZulu-Natal, Durban, South Africa.
PMID: 28890772
PMCID: PMC5585586 DOI: 10.4081/jphia.2017.557
Abstract
The aim of the paper is to describe the knowledge of mothers in Durban, South Africa, regarding risk factors of hearing loss in infants and their awareness of audiology services, and to describe their cultural beliefs about the risk factors for hearing loss in infants. A descriptive survey design with quantitative methods of analysis were used. Conveniently sampled mothers (n=102) receiving postnatal care for their infants from eight provincial clinics within Durban consented to participate, yielding a response rate of 48%. A questionnaire was used to collect the data and the Cronbach α was calculated yielding a score of 0.835, indicating good internal consistency and reliability of the questionnaire. Sixty percent of the mothers were aware of risk factors, such as middle ear infections, ototoxic medication and consumption of alcohol during pregnancy. Seventy percent were unaware that NICU/mechanical ventilation for more than 5 days, prematurity, rubella and jaundice are considered risk factors for hearing loss, implying a need to create awareness amongst mothers regarding such risk factors. Sixty percent (n=62) believed that bewitchment and ancestral curses can cause hearing loss. Cultural beliefs were associated with hearing loss, therefore, health professionals need to demonstrate cultural competence when providing audiology services, especially in a culturally and linguistically diverse countries such as South Africa. Although the mothers had an average knowledge about risk factors, two thirds did not know which professional to seek help from. There is a need to create awareness amongst mothers regarding the risk factors of infant hearing loss as well as audiology services in order to facilitate early detection and intervention. There is a need for health professionals to demonstrate cultural competence when working with their patients.
Keywords: Competence; early hearing detection and intervention; newborn hearing screening
References
- Am J Prev Med. 2003 Apr;24(3 Suppl):68-79 - PubMed
- Bull World Health Organ. 2014 May 1;92(5):367-73 - PubMed
- Int J Lang Commun Disord. 2005 Oct-Dec;40(4):385-401 - PubMed
- PLoS One. 2012;7(4):e36226 - PubMed
- S Afr Med J. 2013 May 16;103(7):467-70 - PubMed
- Int J Pediatr Otorhinolaryngol. 2011 Jul;75(7):925-30 - PubMed
- Int J Audiol. 2008;47 Suppl 1:S23-9 - PubMed
- Pediatr Ann. 2004 Dec;33(12):811-21 - PubMed
- Int J Audiol. 2008;47 Suppl 1:S44-8 - PubMed
- Audiol Res. 2013 Nov 22;3(1):e7 - PubMed
- Curr Opin Otolaryngol Head Neck Surg. 2003 Oct;11(5):372-7 - PubMed
- Int J Pediatr Otorhinolaryngol. 2012 Apr;76(4):552-9 - PubMed
- Int J Audiol. 2008;47 Suppl 1:S36-43 - PubMed
- J Med Screen. 2005;12(3):115-8 - PubMed
- Br J Ophthalmol. 1993 Jun;77(6):358-63 - PubMed
- Annu Rev Public Health. 2004;25:439-55 - PubMed
- Ear Hear. 2000 Oct;21(5):373-82 - PubMed
- BMC Public Health. 2009 Feb 23;9:66 - PubMed
- Int J Pediatr Otorhinolaryngol. 2000 Aug 11;54(1):1-5 - PubMed
- Int J Audiol. 2008;47 Suppl 1:S30-5 - PubMed
- Int J Pediatr Otorhinolaryngol. 2013 Mar;77(3):394-8 - PubMed
- Int J Pediatr Otorhinolaryngol. 2011 Mar;75(3):316-21 - PubMed
- S Afr J Commun Disord. 2011 Oct;58:2-5 - PubMed
- Paediatr Perinat Epidemiol. 2007 Nov;21(6):495-500 - PubMed
- JAMA. 2013 Nov 27;310(20):2191-4 - PubMed
- Ann Epidemiol. 1994 Jul;4(4):271-8 - PubMed
- S Afr Med J. 2014 May 12;104(6):431-5 - PubMed
- Int J Pediatr Otorhinolaryngol. 2009 Jun;73(6):783-6 - PubMed
- Arch Dis Child. 2012 Jul;97(7):654-9 - PubMed
- Int J Pediatr Otorhinolaryngol. 2006 Feb;70(2):241-6 - PubMed
- Lancet. 2007 Apr 14;369(9569):1314-7 - PubMed
- Int J Audiol. 2005 Sep;44(9):489-99 - PubMed
- S Afr J Commun Disord. 2012 Dec;59:3-7 - PubMed
Publication Types