与听力障碍主观评估准确性相关的因素。
Factors associated with the accuracy of subjective assessments of hearing impairment.
作者信息
Kamil Rebecca J, Genther Dane J, Lin Frank R
机构信息
1Albert Einstein College of Medicine, Bronx, New York, USA; 2Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA; and 3Departments of Otolaryngology-Head and Neck Surgery, Geriatric Medicine, Mental Health, and Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
出版信息
Ear Hear. 2015 Jan;36(1):164-7. doi: 10.1097/AUD.0000000000000075.
OBJECTIVES
Self-reported hearing impairment is often used to gauge objective hearing loss in both clinical settings and research studies. The aim of this study was to examine whether demographic factors affect the accuracy of subjective, self-reported hearing in older adults.
DESIGN
We examined 3557 participants aged 50 and older in the National Health and Nutrition Examination Survey cycles 1999-2006 and 2009-2010. We examined the relationship between objective and subjective hearing impairment using percent correct classification and misclassification bias in analyses stratified by gender, age group, race/ethnicity, and education.
RESULTS
We found that younger participants tended to overestimate and older participants underestimate their hearing impairment. Older women, blacks, and Hispanics were less accurate in self-reporting than their respective younger age groups.
CONCLUSIONS
The association between subjective and objective hearing differs across gender, age, race/ethnicity, and education, and this observation should be considered by clinicians and researchers employing self-reported hearing.
目的
在临床环境和研究中，自我报告的听力障碍常被用于评估客观听力损失。本研究的目的是检验人口统计学因素是否会影响老年人主观自我报告听力的准确性。
设计
我们在1999 - 2006年和2009 - 2010年的国家健康和营养检查调查中，对3557名50岁及以上的参与者进行了研究。在按性别、年龄组、种族/族裔和教育程度分层的分析中，我们使用正确分类百分比和错误分类偏差来研究客观和主观听力障碍之间的关系。
结果
我们发现年轻参与者倾向于高估，而老年参与者倾向于低估他们的听力障碍。老年女性、黑人及西班牙裔在自我报告方面不如各自较年轻年龄组准确。
结论
主观和客观听力之间的关联因性别、年龄、种族/族裔和教育程度而异，临床医生和使用自我报告听力的研究人员应考虑这一观察结果。
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