title: Impact of socio-economic status on ear health and behaviour in children: A cross-sectional study in the capital of India.
abstract: BACKGROUND
  Socio-economic differences in the society have been a major cause for the discrepancy in disease and behavioural patterns in society. With 360 million people (32 million children) in the world suffering from disabling hearing losses, it is imperative to gain an insight into the impact of differences in socio-economic strata on children's ear health issues, their knowledge of ear ailments and attitude towards ear health so as to suggest policies addressing ear health issues.
  
  
  METHODS
  The study was carried out in two different school types namely government schools and private schools which represent wide difference in the socio-economic status of the students studying there. A questionnaire was administered to students aged 10 to 13 years to assess the current ear care practices, knowledge regarding ear ailments, attitude towards hearing and their adaptability to reform.
  
  
  RESULTS
  The children belonging to higher socio-economic status were found to have lesser incidence of ear diseases and ear abuse, more referrals for ear ailments, lesser indulgence in risky ear health behaviours, better knowledge pool, positive attitude towards ear health and hearing and were more adaptable to change for better hearing.
  
  
  CONCLUSIONS
  Structures of social disparity are essential determinants of ear health acting both independently and through their influence on behavioural determinants of health. Increasing awareness of ear health issues at the school level itself should be one of the goals of health care providers.
authors: Department of Otorhinolaryngology and Head & Neck Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi 110002, India. Electronic address: divyagupta.leo@gmail.com.
authors: Divya
authors: D
authors: Gupta
authors: Department of Otorhinolaryngology and Head & Neck Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi 110002, India.
authors: Achal
authors: A
authors: Gulati
authors: Global Business Expansion Services, NEC Technologies, Noida, India.
authors: Umang
authors: U
authors: Gupta
mesh_terms: D000293:Adolescent; D002648:Child; D002652:Child Behavior; D003430:Cross-Sectional Studies; D004427:Ear Diseases / Q000191:economics*; D005260:Female; D015438:Health Behavior; D054624:Health Status Disparities; D006309:Hearing; D006801:Humans; D007194:India; D008297:Male; D012309:Risk-Taking; D012923:Social Class; D011795:Surveys and Questionnaires
keywords: Ear diseases; Ear health; Health seeking behaviour; Hearing loss; Noise-induced hearing loss; Socio-economic status