Automated hearing screening for children: A pilot study in China

Int J Audiol. 2013 Dec;52(12):855-60. doi: 10.3109/14992027.2013.832419. Epub 2013 Sep 23.


Objective: To establish the reliability and validity of an automated hearing screening test system for children.

Design: Cross-sectional within a comparative study of subjects.

Study sample: Subjects were 325 first-grade and second-grade children (6-10 years old) from primary schools in Shenzhen, China.

Results: Using the conventional pure-tone screening test with the pass/refer criterion set as 25 dB HL, as the 'gold standard", the sensitivity and specificity of the automated hearing screening test was 0.63 and 0.82, respectively. No specific pattern in the failure rates was observed to relate to the students' grade. There was no statistically significant age effect or gender effect.

Conclusions: The results suggest that with further improvement in terms of its sensitivity and specificity, it may be feasible to use the automated hearing screening test system to conduct routine school hearing screenings.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Acoustic Stimulation
  • Age Factors
  • Audiometry, Pure-Tone*
  • Auditory Threshold
  • Automation
  • Child
  • Child Health Services*
  • China
  • False Positive Reactions
  • Female
  • Hearing Disorders / diagnosis*
  • Hearing Disorders / physiopathology
  • Hearing*
  • Humans
  • Male
  • Mass Screening / methods*
  • Pilot Projects
  • Predictive Value of Tests
  • Reproducibility of Results