Wells Timothy S, Seelig Amber D, Ryan Margaret A K, Jones Jason M, Hooper Tomoko I, Jacobson Isabel G, Boyko Edward J
Advanced Analytics Optum, Ann Arbor, MI, San Diego, CA, USA.
Noise Health. 2015 Jan-Feb;17(74):34-42. doi: 10.4103/1463-1741.149574.
The objective of this study was to define the risk of hearing loss among US military members in relation to their deployment experiences. Data were drawn from the Millennium Cohort Study. Self-reported data and objective military service data were used to assess exposures and outcomes. Among all 48,540 participants, 7.5% self-reported new-onset hearing loss. Self-reported hearing loss showed moderate to substantial agreement (k = 0.57-0.69) with objective audiometric measures. New-onset hearing loss was associated with combat deployment (adjusted odds ratio [AOR] = 1.63, 95% confidence interval [CI] = 1.49-1.77), as well as male sex and older age. Among deployers, new-onset hearing loss was also associated with proximity to improvised explosive devices (AOR = 2.10, 95% CI = 1.62-2.73) and with experiencing a combat-related head injury (AOR = 6.88, 95% CI = 3.77-12.54). These findings have implications for health care and disability planning, as well as for prevention programs.
本研究的目的是确定美国军人听力损失风险与其部署经历之间的关系。数据来源于千禧队列研究。自我报告数据和客观军事服役数据用于评估暴露因素和结果。在所有48540名参与者中，7.5%的人自我报告有新发听力损失。自我报告的听力损失与客观听力测量结果显示出中度到高度的一致性（k = 0.57 - 0.69）。新发听力损失与战斗部署有关（调整后的优势比[AOR] = 1.63，95%置信区间[CI] = 1.49 - 1.77），也与男性性别和年龄较大有关。在部署人员中，新发听力损失还与靠近简易爆炸装置有关（AOR = 2.10，95% CI = 1.62 - 2.73），以及与经历与战斗相关的头部受伤有关（AOR = 6.88，95% CI = 3.77 - 12.54）。这些发现对医疗保健和残疾规划以及预防计划具有启示意义。
