Shah Samit, Gopal Bharat, Reis Janet, Novak Michael
College of Medicine, University of Illinois, Urbana-Champaign, IL, USA.
J Am Board Fam Med. 2009 Jan-Feb;22(1):17-23. doi: 10.3122/jabfm.2009.01.080033.
Noise-induced hearing loss (NIHL) is a common but preventable disability. The purpose of this study was to assess the understanding of NIHL in a community sample in the context of exposure to portable music players, including MP3 players, and personal hearing acuity as tested with the Welch Allyn Audioscope 3.
A cross-sectional convenience sample of 94 adults (18 to 65 years old) at a university recreation center completed an analysis of personal use of portable digital music players (MP3 players), concerns about hearing loss, and a 3-dB-level hearing test at 4 levels of speech frequency in a low ambient noise setting.
The majority of participants (85%) were concerned about hearing loss, willing to protect their hearing with lower volume (77%), had little measurable hearing loss but were exposed to longer and louder periods of noise than other national samples, and mistakenly felt that NIHL is a medically reversible condition. Many (40%) also wanted their family medicine physician to be more concerned about their hearing.
Family medicine physicians are in a key position to provide basic information on the preventability and negative consequences of NIHL, as well as to identify and refer patients with identified hearing loss.
噪声性听力损失(NIHL)是一种常见但可预防的残疾。本研究的目的是在接触便携式音乐播放器(包括MP3播放器)的背景下,评估社区样本对NIHL的了解情况,并使用Welch Allyn听力计3测试个人听力敏锐度。
在大学娱乐中心对94名年龄在18至65岁之间的成年人进行横断面便利抽样,他们完成了关于便携式数字音乐播放器(MP3播放器)个人使用情况、对听力损失的担忧的分析,并在低环境噪声环境下进行了4个语音频率水平的3分贝听力测试。
大多数参与者(85%)担心听力损失,愿意通过降低音量来保护听力(77%),几乎没有可测量的听力损失,但与其他全国样本相比,接触到的噪声时间更长、音量更大,并且错误地认为NIHL在医学上是可逆转的状况。许多人(40%)还希望他们的家庭医生更关注他们的听力。
家庭医生处于关键地位,能够提供关于NIHL的可预防性和负面后果的基本信息,以及识别和转诊已确诊听力损失的患者。