中文译文： 台湾老年人自我报告听力损失的诊断准确性：听力自我评估问卷在听力测试中的诊断性能。
Diagnostic Validity of Self-Reported Hearing Loss in Elderly Taiwanese Individuals: Diagnostic Performance of a Hearing Self-Assessment Questionnaire on Audiometry.
机构信息
Department of Otorhinolaryngology, Taipei City Hospital, Taipei 100, Taiwan.
General Education Center, University of Taipei, Taipei 10671, Taiwan.
出版信息
Int J Environ Res Public Health. 2021 Dec 15;18(24):13215. doi: 10.3390/ijerph182413215.
KEY POINTS
Question: Can the traditional Chinese version of the hearing handicap inventory for elderly screening (HHIE-S) checklist screen for age-related hearing loss (ARHL) in elderly individuals?
FINDINGS
In this cross-sectional study of 1696 Taiwanese patients who underwent annual government-funded geriatric health checkups, the Chinese version of the HHIE-S had a sensitivity of 76.9% and a specificity of 79.8% with a cutoff score greater than 6 for identifying patients with disabled hearing loss (defined as a PTA > 40 dB). Meaning: The traditional Chinese version of the HHIE-S is an effective test to detect ARHL and can improve the feasibility of large-scale hearing screening among elderly individuals.
PURPOSE
The traditional Chinese version of the hearing handicap inventory for elderly screening (TC-HHIE-S) was translated from English and is intended for use with people whose native language is traditional Chinese, but its effectiveness and diagnostic performance are still unclear. The purpose of this study was to evaluate the validity and reliability of the traditional Chinese version of the HHIE-S for screening for age-related hearing loss (ARHL).
METHODS
A total of 1696 elderly people underwent the government's annual geriatric medical examination at community hospitals. In this cross-sectional study, we recorded average conducted pure-tone averages (PTA) (0.5 kHz, 1 kHz, 2 kHz, 4 kHz), age, sex, and HHIE-S data. Receiver operating characteristic (ROC) curve analysis was used to identify the best critical point for detecting hearing impairment, and the validity of the structure was verified by the agreement between the TC-HHIE-S and PTA results.
RESULTS
The HHIE-S scores were correlated with the better-ear pure-tone threshold averages (PTAs) at 0.5-4 kHz (correlation coefficient r = 0.45). The internal consistency of the total HHIE-S score was excellent (Cronbach's alpha = 0.901), and the test-retest reliability was also excellent (Spearman's correlation coefficient = 0.60, intraclass correlation coefficient = 0.75). In detecting disabled hearing loss (i.e., PTA at 0.5-4 kHz > 40 dB), the HHIE-S cutoff score of > 6 had a sensitivity of 76.9% and a specificity of 79.8%.
CONCLUSIONS
The traditional Chinese version of the HHIE-S is a valid, reliable, and efficient tool for large-scale screening for ARHL.
要点
问题：传统的中文版本的老年听力障碍筛查量表（HHIE-S）能筛查出老年人的与年龄相关的听力损失（ARHL）吗？
发现
在这项对 1696 名接受政府资助的年度老年健康检查的台湾患者的横断面研究中，中文版 HHIE-S 的灵敏度为 76.9%，特异性为 79.8%，截断值大于 6 分可识别有听力障碍的患者（定义为 PTA>40dB）。
意义
传统的中文版本的 HHIE-S 是一种有效的检测 ARHL 的方法，可以提高老年人大规模听力筛查的可行性。
目的
传统的中文版本的老年听力障碍筛查量表（TC-HHIE-S）是从英文翻译而来，用于母语为中文的人群，但它的有效性和诊断性能仍不清楚。本研究旨在评估传统中文版本的 HHIE-S 筛查与年龄相关的听力损失（ARHL）的有效性和可靠性。
方法
共有 1696 名老年人在社区医院接受政府的年度老年医学检查。在这项横断面研究中，我们记录了平均纯音听阈（PTA）（0.5kHz、1kHz、2kHz、4kHz）、年龄、性别和 HHIE-S 数据。我们使用接受者操作特征（ROC）曲线分析来确定检测听力障碍的最佳临界点，并通过 TC-HHIE-S 与 PTA 结果的一致性来验证结构的有效性。
结果
HHIE-S 评分与较好耳纯音阈值平均值（PTA）在 0.5-4kHz 之间呈正相关（相关系数 r=0.45）。HHIE-S 总分的内部一致性非常好（Cronbach's alpha=0.901），测试重测信度也非常好（Spearman 相关系数=0.60，组内相关系数=0.75）。在检测到听力障碍（即 0.5-4kHz 处的 PTA>40dB）时，HHIE-S 的截断值>6 分的灵敏度为 76.9%，特异性为 79.8%。
结论
传统的中文版本的 HHIE-S 是一种有效的、可靠的、高效的大规模 ARHL 筛查工具。
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