Zelaya Carla E, Lucas Jacqueline W, Hoffman Howard J
NCHS Data Brief. 2015 Sep(214):1-8.
Age is typically the most significant determinant of hearing loss (5,6). Among U.S. adults in 2014, self-reported hearing loss was most prevalent among adults aged 70 and over (43.2%), compared with adults aged 40-69 (19.0%) and aged 18-39 (5.5%). Age-related hearing loss is often overlooked due to its deceptively slow progression, lack of attention from providers, and public acceptance as a condition that is perceived to be a "normal" consequence of aging (7). Among U.S. adults aged 70 and over who had any trouble hearing, 56.8% had seen a doctor or other health care professional about their hearing or ear problems in the past 5 years, but only 42.0% had ever used a hearing aid. Younger adults (aged 18-39) who had any trouble hearing were even less likely to have seen a doctor or used a hearing aid, but they were more likely to have used other assistive technology because of their hearing compared with adults aged 40-69 or 70 and over. Among U.S. adults who had any trouble hearing without a hearing aid, 1.7% were deaf, but the majority (62.6%) had mild hearing loss (defined as "a little trouble hearing"). Men were more likely than women to have self-reported trouble hearing, a sex disparity that has been documented globally among all age groups (8). Men were also more likely than women to state they had moderate trouble hearing.
年龄通常是听力损失最重要的决定因素(5,6)。在2014年的美国成年人中,自我报告的听力损失在70岁及以上的成年人中最为普遍(43.2%),相比之下,40 - 69岁的成年人中这一比例为19.0%,18 - 39岁的成年人中为5.5%。与年龄相关的听力损失往往被忽视,因为其进展看似缓慢,医疗服务提供者不够关注,而且公众将其视为衰老的“正常”后果而予以接受(7)。在70岁及以上有听力问题的美国成年人中,56.8%在过去5年中就其听力或耳部问题看过医生或其他医疗保健专业人员,但只有42.0%曾使用过助听器。有听力问题的较年轻成年人(18 - 39岁)看医生或使用助听器的可能性更小,但与40 - 69岁或70岁及以上的成年人相比,他们因听力问题更有可能使用其他辅助技术。在没有使用助听器却有听力问题的美国成年人中,1.7%失聪,但大多数(62.6%)有轻度听力损失(定义为“听力有点问题”)。男性自我报告有听力问题的可能性高于女性,这种性别差异在全球所有年龄组中都有记录(8)。男性表示有中度听力问题的可能性也高于女性。