Macquarie University, Sydney, New South Wales, Australia.
University of Santo Tomas, Manila, Philippines.
Asia Pac J Public Health. 2020 Jul;32(5):235-241. doi: 10.1177/1010539520937086. Epub 2020 Jul 1.
This study aimed to estimate the prevalence of hearing loss in the Philippines using a nationally representative sample. A cross-sectional national survey was undertaken utilizing a 3-stage stratified cluster design. Participants in the present study comprised 2275 adults and children with pure tone hearing assessment results. Prevalence of moderate or worse hearing loss, defined as 4FA ≥41 dBHL, was 7.5% in children <18 years, 14.7% in adults between 18 and 65 years, and 49.1% in adults >65 years. Factors associated with greater risk of moderate hearing loss in the better ear were presence of a middle ear condition (adjusted odds ratio = 2.39, 95% confidence interval = 1.49-3.85) and socioeconomic status (household income; adjusted odds ratio = 1.64, 95% confidence interval = 1.23-2.19). Age was also associated with increased risk, with adjusted odds ratios varying with age category. Prevalence of wax occlusion and outer and middle ear disease was 12.2% and 14.2%, respectively. Prevalence of hearing loss, outer, and middle ear disease appear comparatively high in the Philippines when compared with rates reported in high-income countries. Higher proportions of severe to profound hearing loss were also identified, indicating that there is both an increased prevalence and severity of hearing loss in this population.
本研究旨在利用全国代表性样本估算菲律宾的听力损失患病率。采用 3 阶段分层聚类设计进行了横断面全国性调查。本研究的参与者包括 2275 名接受纯音听力评估的成年人和儿童。将中度或更严重的听力损失定义为 4FA≥41dBHL，18 岁以下儿童的患病率为 7.5%，18-65 岁成年人的患病率为 14.7%，65 岁以上成年人的患病率为 49.1%。更好耳中度听力损失风险增加的相关因素包括中耳状况（调整后的优势比=2.39，95%置信区间=1.49-3.85）和社会经济地位（家庭收入；调整后的优势比=1.64，95%置信区间=1.23-2.19）。年龄也与风险增加相关，调整后的优势比随年龄类别而变化。耳垢堵塞、外耳和中耳疾病的患病率分别为 12.2%和 14.2%。与高收入国家的报告率相比，菲律宾的听力损失、外耳和中耳疾病的患病率似乎相对较高。还确定了更严重至极重度听力损失的更高比例，表明该人群的听力损失患病率和严重程度都有所增加。
