Lohi Venla, Ohtonen Pasi, Aikio Pekka, Sorri Martti, Mäki-Torkko Elina, Hannula Samuli
a PEDEGO Research Unit , University of Oulu , Oulu , Finland.
b Medical Research Center Oulu , University of Oulu and Oulu University Hospital , Oulu , Finland.
Int J Circumpolar Health. 2017;76(1):1398004. doi: 10.1080/22423982.2017.1398004.
The Saami are the only indigenous population in Europe and their traditional living area is northern Scandinavia. Hearing impairment (HI) among Saami has not been studied before. The objective was to investigate the presence and type of HI among Saami adults, aged 49-77 years (median age 61 years), living in northern Finland. In addition, the presence of self-reported hearing difficulties, difficulties to hear in background noise and tinnitus were studied. An epidemiological, cross-sectional study encompassing a structured interview, otological examination and audiometry was performed. Bilateral HI was present in 42.9% of men and 29.4% of women, when HI was defined as a pure tone average (PTA) of at least 20 dB hearing level (HL) or more at the frequencies of 0.5, 1, 2 and 4 kHz. In one or both ears (worse ear hearing level, WEHL≥20 dB HL) HI was present in 61.8% of men and 42.2% of women. Sensorineural high frequency hearing impairment was found to be most common. Nearly half (46.9%) of the study subjects reported hearing problems and more than half (55.6%) reported difficulties in following conversation in background noise. Measured HI and subjective hearing difficulties are common among the Saami adults. The healthcare personnel working in this area should be aware of the hearing problems of the Saami population.
ARHI, Age-related hearing impairment; PTA, Pure tone average; HI, Hearing impairment; HL, Hearing level; BEHL, Better ear hearing level; WEHL, Worse ear hearing level; CI, Confidence interval.
萨米人是欧洲唯一的原住民,其传统生活区位于斯堪的纳维亚半岛北部。此前尚未对萨米人中的听力障碍(HI)进行过研究。目的是调查居住在芬兰北部、年龄在49 - 77岁(中位年龄61岁)的萨米成年人中HI的存在情况及类型。此外,还研究了自我报告的听力困难、在背景噪声中听力困难以及耳鸣的情况。进行了一项包括结构化访谈、耳科检查和听力测定的流行病学横断面研究。当将HI定义为在0.5、1、2和4千赫频率下纯音平均听阈(PTA)至少为20分贝听力级(HL)或更高时,42.9%的男性和29.4%的女性存在双侧HI。在一只或两只耳朵(较差耳听力级,WEHL≥20分贝HL)中,61.8%的男性和42.2%的女性存在HI。发现感音神经性高频听力障碍最为常见。近一半(46.9%)研究对象报告有听力问题,超过一半(55.6%)报告在背景噪声中难以跟上对话。在萨米成年人中,测量到的HI和主观听力困难很常见。在该地区工作的医护人员应了解萨米人群的听力问题。
ARHI,年龄相关性听力障碍;PTA,纯音平均听阈;HI,听力障碍;HL,听力级;BEHL,较好耳听力级;WEHL,较差耳听力级;CI,置信区间。