Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan.
J Epidemiol. 2010;20(4):271-6. doi: 10.2188/jea.je20090121. Epub 2010 May 22.
The prevalence of tinnitus is reported to be high in older Western populations, and several risk factors have been suggested. However, community-based evidence on prevalence is limited and, to our knowledge, there is no such information from older non-Western populations. The purpose of this study was to determine the prevalence and factors associated with tinnitus in community-dwelling Japanese elders.
In this community-based cross-sectional study, 1320 residents of Kurabuchi Town aged 65 years or older (584 men and 736 women; participation proportion = 98.7%) were interviewed at home in 2006, and information on tinnitus and factors associated with tinnitus was collected. We estimated the prevalence of tinnitus by age group and sex and used a logistic regression model to investigate associated factors.
The prevalence of tinnitus was 18.6% (men: 18.0%; women: 19.0%); there were no statistically significant differences by age group or sex. Hearing difficulty, depressive mood, prescribed medication, past/current history of coronary heart disease, and knee joint pain requiring medical consultation were associated with tinnitus.
These findings suggest that tinnitus is common in Japanese aged over 65 years. Because the factors associated with tinnitus in this cross-sectional study are potentially modifiable, they should be thoroughly investigated in a longitudinal study.
据报道,在西方老年人群体中,耳鸣的患病率较高,并且已经提出了一些危险因素。然而,基于社区的患病率证据有限,据我们所知,没有来自非西方老年人群体的此类信息。本研究的目的是确定社区居住的日本老年人耳鸣的患病率和相关因素。
在这项基于社区的横断面研究中,2006 年在家中对栗洼镇的 1320 名 65 岁或以上的居民(584 名男性和 736 名女性;参与比例=98.7%)进行了访谈,并收集了耳鸣和与耳鸣相关的因素信息。我们按年龄组和性别估计了耳鸣的患病率,并使用逻辑回归模型调查了相关因素。
耳鸣的患病率为 18.6%(男性:18.0%;女性:19.0%);按年龄组或性别划分无统计学差异。听力困难、抑郁情绪、规定的药物治疗、既往/现患冠心病和需要医疗咨询的膝关节疼痛与耳鸣相关。
这些发现表明,65 岁以上的日本老年人中耳鸣很常见。由于横断面研究中与耳鸣相关的因素是潜在可改变的,因此应在纵向研究中对其进行深入调查。