Park R J, Moon J D
Department of Occupational and Environmental Medicine, Chonnam National University Medical School, Gwangju, Korea.
Clin Otolaryngol. 2014 Apr;39(2):89-94. doi: 10.1111/coa.12232.
OBJECTIVES: The aim of this study was to examine the association between tinnitus and several potential risk factors in Korean population. DESIGN: A cross-sectional study. SETTING: Based on data from the fifth Korean National Health and Nutrition Examination Survey. PARTICIPANTS: The study included 10,061 Korean individuals. MAIN OUTCOME MEASURES: Tinnitus was assessed by using a questionnaire, and otorhinolaryngologic examination was conducted. Risk factors associated with tinnitus were evaluated using a multiple logistic regression analysis. RESULTS: Of the 10,061 participants ranging from 20 to 97 years old, the overall prevalence of any tinnitus was 21.4% and annoying tinnitus was 7.3%. In a multivariable logistic regression model, the following factors were associated with having tinnitus: occupational noise exposure [any tinnitus, odd ratio (OR) = 1.34; annoying tinnitus, OR = 1.47], non-occupational noise exposure (any tinnitus, OR = 1.48; annoying tinnitus, OR = 2.02), hearing impairment (any tinnitus, OR = 2.27; annoying tinnitus, OR = 3.61), chronic otitis media (any tinnitus, OR = 1.53; annoying tinnitus, OR = 1.36), chronic rhinosinusitis (any tinnitus, OR = 1.38; annoying tinnitus, OR = 1.38), temporomandibular disorder (any tinnitus, OR = 1.69; annoying tinnitus, OR = 1.90), depression (any tinnitus, OR = 1.44; annoying tinnitus, OR = 1.70), and higher stress level (any tinnitus, OR = 1.28; annoying tinnitus, OR = 1.76). CONCLUSIONS: These results suggest that tinnitus is common in Korea and may be associated with some avoidable risk factors.
目的:本研究旨在探讨韩国人群中耳鸣与几种潜在风险因素之间的关联。 设计:横断面研究。 设置:基于韩国第五次全国健康与营养检查调查的数据。 参与者:该研究纳入了10061名韩国个体。 主要观察指标:通过问卷调查评估耳鸣情况,并进行耳鼻喉科检查。使用多元逻辑回归分析评估与耳鸣相关的风险因素。 结果:在10061名年龄在20至97岁之间的参与者中,任何耳鸣的总体患病率为21.4%,烦人的耳鸣患病率为7.3%。在多变量逻辑回归模型中,以下因素与耳鸣有关:职业噪声暴露[任何耳鸣,比值比(OR)=1.34;烦人的耳鸣,OR =1.47]、非职业噪声暴露(任何耳鸣,OR =1.48;烦人的耳鸣,OR =2.02)、听力障碍(任何耳鸣,OR =2.27;烦人的耳鸣,OR =3.61)、慢性中耳炎(任何耳鸣,OR =1.53;烦人的耳鸣,OR =1.36)、慢性鼻窦炎(任何耳鸣,OR =1.38;烦人的耳鸣,OR =1.38)、颞下颌关节紊乱(任何耳鸣,OR =1.69;烦人的耳鸣,OR =1.90)、抑郁症(任何耳鸣,OR =1.44;烦人的耳鸣,OR =1.70)以及较高的压力水平(任何耳鸣,OR =1.28;烦人的耳鸣,OR =1.76)。 结论:这些结果表明耳鸣在韩国很常见,并且可能与一些可避免的风险因素有关。
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