ObjectiveTo examine the impact of slight to mild hearing loss in children by studying its association with academic performance and behavioral problems.MethodsThis study was embedded within a prospective birth cohort in Rotterdam, the Netherlands. Participants underwent audiometric and behavioral evaluations between ages 9–11 (April 2012–October 2015) and 13–15 (May 2017–September 2019). At 13–15, a multiple linear regression was conducted to explore the relationship between hearing acuity and both academic and behavioral outcomes. A cross‐lagged analysis using data from ages 9 to 11 investigated bidirectional associations between hearing loss and behavioral problems.ResultsThe cross‐sectional part of the study involved 4688 participants at the age of 13–15 years. The relative risk for children with slight to mild hearing loss of being placed in a lower educational level compared with the highest level was 1.52 (95% confidence interval (CI) [1.14, 2.02]). Among boys, elevated high‐frequency pure‐tone average (HPTA) was associated with a higher total problem score (per 1 dB HPTA: β = 0.01; 95% CI [0.00, 0.02]). For girls, elevated low‐frequency pure‐tone average (LPTA) was associated with a higher attention problem score (per 1 dB LPTA: β = 0.02; 95% CI [0.01, 0.02]). Cross‐lagged effects showed that participants with increased pure‐tone averages in low frequencies at 9–11 years had more social problems at ages 13–15 years (Z‐score difference: 0.01; 95% CI [0.01, 0.02]).ConclusionElevated hearing thresholds in slight to mild hearing loss were linked to poorer academic performance and increased behavioral problems.Level of Evidence2 (prospective cohort study) Laryngoscope, 2024
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