Mestrado Profissional em Saúde da Comunicação Humana, Faculdade de Ciências Médicas da Santa Casa de São Paulo - FCMSCSP - São Paulo (SP), Brasil.
Codas. 2022 Feb 28;34(4):e20210106. doi: 10.1590/2317-1782/20212021106. eCollection 2022.
To investigate the sensitivity and specificity of 5 questions of the SSQ in Brazilian Portuguese for its application as a hearing screening instrument in adults.
A total of 135 adults with a mean age of 49.6 years and education of 9 years took part in the study. All subjects underwent hearing tests and were divided into 2 groups according to hearing acuity: G1 - 66 individuals with normal hearing on audiometric test: and G2 - 69 participants with impaired hearing on audiometric evaluation in one or both ears. The 5 items of the SSQ5, derived from the Brazilian Portuguese version of the SSQ49 were applied. The level of significance was set at a p-value ≤ 0.05, with a 95% confidence interval.
G1 subjects were younger and higher educated (p<0.01). A weak positive correlation was found between education and SSQ5 score only in G1. In G2, there was no correlation of age or education with SSQ5 performance. The area under the ROC curve (AUC) for the relationship between SSQ5 and audiometric average was 0.854 and p-value was <0.001 with bounds of 0.79 and 0.91. SSQ5 scores were lower in G2 (p<0.001). The cut-off point with optimal balance between sensitivity and specificity was 7.3, yielding 80% accuracy, 81.8% sensitivity and 78.3% specificity.
The Brazilian Portuguese version of the SSQ5 proved suitable for screening hearing loss in adults, offering good accuracy, sensitivity and specificity for detecting hearing loss.
研究 SSQ 中的 5 个问题在巴西葡萄牙语中的敏感性和特异性，以将其作为成人听力筛查工具应用。
共有 135 名平均年龄为 49.6 岁、受教育程度为 9 年的成年人参与了这项研究。所有受试者均接受听力测试，并根据听力 acuity 分为两组：G1 - 66 名受试者在听力测试中听力正常；G2 - 69 名受试者在一只或两只耳朵的听力评估中听力受损。应用 SSQ5 的 5 个项目，该项目源自巴西葡萄牙语版的 SSQ49。显著性水平设置为 p 值≤0.05，置信区间为 95%。
G1 组受试者年龄较小，受教育程度较高（p<0.01）。仅在 G1 中发现教育程度与 SSQ5 评分之间存在微弱的正相关。在 G2 中，年龄或教育程度与 SSQ5 表现之间没有相关性。SSQ5 与平均听力之间的 ROC 曲线下面积（AUC）为 0.854，p 值<0.001，范围为 0.79 至 0.91。G2 组的 SSQ5 评分较低（p<0.001）。具有最佳敏感性和特异性平衡的最佳截断点为 7.3，其准确率为 80%，敏感性为 81.8%，特异性为 78.3%。
SSQ5 的巴西葡萄牙语版本适用于筛查成人听力损失，具有良好的准确性、敏感性和特异性，可检测听力损失。
