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ABSTRACT INFORMATION
Title: 'Multivariate Analysis on Factors Associated with LFU after Initial NHS in TN'
Track: 6 - Follow-up, Tracking and Data Management
Keyword(s): EHDI-IS, loss to follow-up, odds ratio, multivariate analysis
Learning Objectives:
  1. To identify potential factors associated with loss to follow-up
  2. To improve the quality of surveillance and reduce the loss to follow-up

Abstract:

In order to help minimize loss to follow up (LFU) among infants who do not pass the initial Newborn Hearing Screening (NHS), multivariate analyses have been conducted to identify potential factors associated with the LFU among Tennessee 2012 Infants. The results based on the Logistic model showed that Non-resident Mother and Maternal Medicare Status (Tenncare) were more likely to increase the LFU, with odds ratios of 2.0 (95% CI, 1.54 to 2.50) and 1.5 (95% CI, 1.3 to 1.8), respectively; Babies with no NICU were less likely to be lost to follow-up, with odds ratio of 0.57 (95% CI, 0.44 to 0.74); Other factors associated with the LFU included Maternal Race and Maternal Education Level. Compared to White people, Black people were more likely to be lost to follow-up, while mothers with higher education levels were less likely to be lost to follow-up. No associations were found with Child Sex, Maternal Ethnicity, and Maternal Marriage Status. The relationships of LFU with these factors and how to improve the quality of surveillance have been discussed among TN NHS and EHDI-IS teams to help reduce LFU in the future audiologic follow-up.
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PRESENTER(S) / AUTHOR(S) INFORMATION
Fenyuan Xiao - Primary Presenter,Author,POC
TN Department of Health
     Credentials: MD, PhD
      Fenyuan Xiao have been working in the TN EHDI TSI/IS program as a senior epidemiologist for more than 5 years. His main duties is to assess newborn hearing screening coverage, audiologic follow-up and early intervention services, to help minimize the loss to follow-up by identifing the missing and retrieving their updated contact information, to help establish EHDI-IS data system by data linking, data quality control, and data management and analysis, and to provide data related and epidemiological supports to the TN EHDI NHS program and its partners.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Jacque Cundall - Co-Presenter,Author
TN Department of Health, Family Health & Wellness
     Credentials: RN, BSN
     Other Affiliations: None.
      Jacque Cundall has served as the Early Hearing Detection and Intervention Coordinator and Program Director for the TN Department of Health since 1996. She has worked with children and families in a number of public health programs including newborn hearing screening, home visiting, adult and child health clinics, wIC, and for children with special health care needs. Jacque has developed a network of stakeholders, including hospitals, audiologists, early intervention providers, medical providers, educators, and parents of children who are deaf or hard of hearing, to promote and improve the EHDI program.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.