The Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi.
Department of Otolaryngology-Head/Neck Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.
Laryngoscope. 2019 Oct;129(10):2391-2397. doi: 10.1002/lary.27920. Epub 2019 Mar 19.
OBJECTIVES/HYPOTHESIS: The objective of this study was to determine the audiological profile of an African American cohort, identify related factors, and compare them to other datasets.
Cross-sectional, longitudinal cohort study.
The Jackson Heart Study (JHS) is a longitudinal cohort study of 5,306 African Americans living in the metropolitan Jackson, Mississippi area, with a focus on cardiometabolic health. The JHS Hearing Study (n = 1,314) was implemented to measure the prevalence of hearing, tinnitus, and balance outcomes and relationship to predictor variables. Here we present prevalence and covariate relationships in comparison to the Epidemiology of Hearing Loss Study and the National Health and Nutrition Examination Survey.
The prevalence of self-reported hearing difficulty was 38.1% (n = 500). The prevalence of hearing loss based on audiometric pure tone threshold average (0.5, 1.0, 2.0, 4.0 kHz) of the better ear was 19.8% (n = 260) and for the worse ear 29.8% (n = 392). The prevalence of tinnitus was 29.5% (n = 388) and balance dysfunction 24.1% (n = 317). Relationships of hearing loss to demographic, cardiometabolic, and audiologic variables are presented.
These results demonstrate that hearing loss, tinnitus, and balance dysfunction are common issues affecting adult African Americans, and that hearing loss is related to numerous modifiable and nonmodifiable risk factors. Furthermore, our findings are consistent with lower prevalence of hearing loss in African Americans compared to the non-African American populations. However, despite the lower audiometric evidence of hearing loss, nearly 40% of participants reported hearing difficulty.
2b Laryngoscope, 129:2391-2397, 2019.
目的/假设：本研究旨在确定非裔美国人队列的听力学特征，确定相关因素，并将其与其他数据集进行比较。
横断面、纵向队列研究。
杰克逊心脏研究（JHS）是一项针对生活在密西西比州杰克逊都会区的 5306 名非裔美国人的纵向队列研究，重点关注心脏代谢健康。JHS 听力研究（n=1314）旨在测量听力、耳鸣和平衡结果的患病率以及与预测变量的关系。在这里，我们比较了流行病学听力损失研究和全国健康和营养检查调查的患病率和协变量关系。
自我报告听力困难的患病率为 38.1%（n=500）。根据更好耳的纯音听力阈值平均（0.5、1.0、2.0、4.0kHz），听力损失的患病率为 19.8%（n=260），更差耳为 29.8%（n=392）。耳鸣的患病率为 29.5%（n=388），平衡功能障碍的患病率为 24.1%（n=317）。介绍了听力损失与人口统计学、心脏代谢和听力变量的关系。
这些结果表明，听力损失、耳鸣和平衡功能障碍是影响成年非裔美国人的常见问题，听力损失与许多可改变和不可改变的危险因素有关。此外，我们的发现与非裔美国人的听力损失患病率低于非裔美国人的情况一致。然而，尽管听力损失的听力证据较低，但近 40%的参与者报告有听力困难。
2b 喉镜，129：2391-2397，2019 年。
