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评估自报听力损失的二分测量值与金标准听力测定法的比较:汇总国家数据集的患病率估计和年龄偏差。

Evaluating a dichotomized measure of self-reported hearing loss against gold standard audiometry: prevalence estimates and age bias in a pooled national data set.

机构信息

Australian National University, Canberra, Australia.

出版信息

J Aging Health. 2012 Apr;24(3):439-58. doi: 10.1177/0898264311425088. Epub 2011 Dec 28.

Abstract

OBJECTIVES

To evaluate a harmonized binary measure of self-reported hearing loss against gold standard audiometry in an older adult population.

METHOD

Seven nationally representative population-based studies were harmonized and pooled (n = 23,001). Self-report items were recoded into a dichotomous format. Audiometric hearing loss was defined by averaged pure-tone thresholds greater than 25-decibel hearing level in the better ear. We compared age and sex stratified prevalence rates of hearing loss estimated by self-report and audiometric measures.

RESULTS

Overall, 56% of men and 43% of women had audiometric hearing loss. There were moderate associations between self-reported and audiometric hearing loss. However, prevalence based on self-report was overestimated for adults aged below 70 years and underestimated for adults aged above 75.

DISCUSSION

Self-report of hearing loss is insensitive to age effects and does not provide a reliable basis for estimating prevalence of age-related hearing loss, although may indicate perceived hearing disability.

摘要

目的

评估一种针对老年人群的自我报告听力损失的协调二进制测量方法与金标准听力测试的比较。

方法

对 7 项具有全国代表性的基于人群的研究进行了协调和汇总(n=23001)。自我报告项目被重新编码为二分类格式。听力损失通过在较好耳中平均纯音阈值大于 25 分贝听力水平来定义。我们比较了自我报告和听力计测量估计的听力损失在年龄和性别分层中的患病率。

结果

总体而言,56%的男性和 43%的女性有听力计听力损失。自我报告和听力计听力损失之间存在中度关联。然而,自我报告的患病率在 70 岁以下的成年人中被高估,而在 75 岁以上的成年人中被低估。

讨论

自我报告的听力损失对年龄效应不敏感,不能为估计与年龄相关的听力损失的患病率提供可靠依据,尽管可能表明听力障碍的感知。

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