Kelly H A, Weeks S A
Health Department of Western Australia, East Perth.
Med J Aust. 1991 Feb 18;154(4):240-5.
Surveys of ear disease amongst Aboriginal people in two isolated bush communities (Wiluna and La Grange) and one urban community (Kwinana) in Western Australia were undertaken in 1988 or 1989. The age-adjusted prevalence odds ratio (relative risk) of perforations of the tympanic membrane for Wiluna compared with Kwinana was 5.0 (95% confidence interval [CI] 2.7-12.2) and 6.8 (95% CI 3.5-13.9) for La Grange compared with Kwinana. The relative risk of mild hearing loss, in comparison with Kwinana, was 2.5 (95% CI 1.5-4.3) for Wiluna and 3.2 (95% CI 2.0-5.0) for La Grange. There was no significant difference in the relative risk of moderate or severe hearing loss or impedance pattern B, usually interpreted as "glue ear", in any of the three communities. Overall, the urban Aboriginal community had less ear disease and hearing loss than either of the isolated bush communities, but even this community did not approach the much lower levels of prevalence in Australia as a whole.
1988年或1989年，对西澳大利亚州两个偏远丛林社区（威卢纳和拉格朗日）以及一个城市社区（奎纳纳）的原住民耳部疾病进行了调查。与奎纳纳相比，威卢纳鼓膜穿孔的年龄调整患病率比值比（相对风险）为5.0（95%置信区间[CI] 2.7 - 12.2），拉格朗日与奎纳纳相比为6.8（95% CI 3.5 - 13.9）。与奎纳纳相比，威卢纳轻度听力损失的相对风险为2.5（95% CI 1.5 - 4.3），拉格朗日为3.2（95% CI 2.0 - 5.0）。在这三个社区中，中度或重度听力损失或B型阻抗图（通常被解释为“胶耳”）的相对风险没有显著差异。总体而言，城市原住民社区的耳部疾病和听力损失比任何一个偏远丛林社区都少，但即使是这个社区，其患病率也远低于澳大利亚整体的较低水平。
