Global Data on Ear and Hearing Screening in an Intellectual Disability Population.
Treatable ear disease is the norm, not the exception, in clients with ID—screen ears first.
01Research in Context
What this study did
Willems et al. (2022) looked back at hearing tests from over 100,000 Special Olympics athletes with intellectual disability. They counted how many had wax blockages, middle-ear trouble, or true hearing loss. The data came from free screenings done at games around the world.
What they found
Four in every ten athletes had plugged ears from wax. Three in ten showed middle-ear problems. One in four already had hearing loss that doctors could confirm. Most problems had never been treated.
How this fits with other research
Sasson et al. (2022) ran the same kind of check on vision in U.S. Special Olympics athletes. They found 85% had vision problems, matching the high hearing numbers.
Lin et al. (2005) asked directors what health checks matter most. Directors rated hearing care very high, yet the new data show huge gaps in real life.
Doughty et al. (2015) found one in twelve adults with ID had silent artery disease. Melina adds hearing loss to the list of hidden, treatable conditions that need routine screening.
Why it matters
If you serve adults or teens with ID, add a two-minute ear check to every intake. Look for wax, fluid, or failed hearing pass/fail. Refer clears wax and repeats test before costly ABA sessions. Early fixes cut problem behavior linked to pain or poor hearing.
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02At a glance
03Original abstract
Intellectual disability (ID) and hearing loss are frequent comorbid conditions, although otological problems often go unnoticed until picked up by screening. In the hearing program of Special Olympics (SO), athletes with ID are screened for otological problems. By retrospective analysis of all SO meetings between 2007 and 2017, more than 100,000 screenings could be included. Cerumen impaction was found in 40.7%, middle ear problems in 29.5% of those who failed hearing screening, and hearing loss confirmation in 26.9%. Prevalences for different world regions and country income groups are provided. The results emphasize the high prevalence of hearing loss in this ID population. Awareness among health care workers and active screening are required to reduce health disparities among this disadvantaged population.
American journal on intellectual and developmental disabilities, 2022 · doi:10.1352/1944-7558-127.2.125