Park Bumjung, Choi Hyo Geun, Lee Hyo-Jeong, An Soo-Youn, Kim Si Whan, Lee Joong Seob, Hong Sung Kwang, Kim Hyung-Jong
*Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Anyang; and †Department of Otorhinolaryngology-Head & Neck Surgery, Thyroid/Head & Neck Cancer Center of the Dongnam Institute of Radiological & Medical Sciences, Busan, Korea.
Otol Neurotol. 2014 Aug;35(7):1218-22. doi: 10.1097/MAO.0000000000000472.
Tinnitus in children and adolescents is known to be as common as in adults. However, tinnitus in this young population is often overlooked, and a large population-based study designed to adjust for various risk factors for tinnitus is lacking.
A cross-sectional study was conducted using data from the Korea National Health and Nutrition Examination Survey, with 3047 participants aged 12 to 19 years, from 2008 through 2011. We investigated the tinnitus prevalence by questionnaire and analyzed risk factors for tinnitus of three types: personal, otologic, and parental factors.
The prevalence of tinnitus in the young population was 17.7%, although only 0.3% of subjects reported severe discomfort caused by tinnitus. The tinnitus prevalence increased with age (adjusted odds ratio [AOR], 1.087). Female gender (AOR, 1.401), sleeping less than 9 hours (sleep 7 or 8 h: AOR, 1.437; sleep 6 h or less: AOR, 1.737), noise exposure in other places (AOR, 6.395), and momentary noise exposure (AOR, 5.504) increased the risk of tinnitus. Participants whose mother had a history of tinnitus showed higher AORs. However, high body mass index, alcohol consumption, stress, monthly household income, having an abnormal tympanic membrane, unilateral or bilateral hearing loss, noise exposure caused by earphone, and noise exposure in the workplace, all reported risk factors for tinnitus, showed no statistically significant difference. A tinnitus history in the father was also not associated with tinnitus in children.
We believe that understanding the influences of these factors will help in preventing tinnitus.
已知儿童和青少年耳鸣的发生率与成年人相当。然而,这一年轻人群中的耳鸣常常被忽视,且缺乏一项针对耳鸣各种风险因素进行校正的大规模人群研究。
利用韩国国家健康与营养检查调查的数据进行了一项横断面研究,研究对象为2008年至2011年期间3047名年龄在12至19岁之间的参与者。我们通过问卷调查了耳鸣患病率,并分析了三类耳鸣风险因素:个人因素、耳科因素和父母因素。
年轻人群中耳鸣的患病率为17.7%,尽管只有0.3%的受试者报告耳鸣导致严重不适。耳鸣患病率随年龄增加而升高(校正比值比[AOR],1.087)。女性(AOR,1.401)、睡眠时间少于9小时(睡眠7或8小时:AOR,1.437;睡眠6小时或更少:AOR,1.737)、在其他场所接触噪音(AOR,6.395)以及瞬间噪音暴露(AOR,5.504)会增加耳鸣风险。母亲有耳鸣病史的参与者显示出更高的AOR值。然而,高体重指数、饮酒、压力、家庭月收入、鼓膜异常、单侧或双侧听力损失、耳机引起的噪音暴露以及工作场所的噪音暴露,所有这些报告的耳鸣风险因素均未显示出统计学上的显著差异。父亲的耳鸣病史也与儿童耳鸣无关。
我们认为了解这些因素的影响将有助于预防耳鸣。