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自报听力损失的患病率及相关危险因素:威斯康星州健康调查结果。

Prevalence of Self-Reported Hearing Loss and Associated Risk Factors: Findings From the Survey of the Health of Wisconsin.

机构信息

Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison.

Department of Communication Sciences and Disorders, University of Wisconsin-Madison.

出版信息

J Speech Lang Hear Res. 2022 May 11;65(5):2016-2028. doi: 10.1044/2022_JSLHR-21-00580. Epub 2022 Apr 29.

Abstract

PURPOSE

The purpose of this study was to determine the prevalence of self-reported hearing loss and associated risk factors in a representative population-based study of Wisconsin residents.

METHOD

Survey of the Health of Wisconsin participants with data on self-reported hearing loss were included. We reported prevalence of self-reported hearing loss with corresponding 95% confidence intervals (CIs), overall, and stratified by age and sex. Age- and sex-adjusted and multivariable logistic regression models were used to evaluate determinants of self-reported hearing loss, and results are presented as odds ratios with corresponding 95% CIs.

RESULTS

There were 2,767 participants (50.7% men) with a mean age of 46 years (range: 21-74) in this study. Prevalence of self-reported hearing loss was 26.8% (24.4, 28.4) and was higher in men (30.3% [27.1, 33.4]) than in women (22.5% [19.9, 25.0]). Prevalence increased with age. After multivariable adjustment, age (per +1 year increase; 1.05 [1.04, 1.06]), male sex (1.57 [1.18, 2.08]), having two chronic diseases (vs. 0; 1.93 [1.16, 3.23]), occupational (2.47 [1.91, 3.19]) and recreational (1.58 [1.22, 2.04]) noise exposure, and poor diet (1.88 [1.28, 2.78]) were associated with higher odds of self-reported hearing loss.

CONCLUSIONS

Hearing loss is a highly prevalent public health concern and may be at least partially modifiable via interventions to reduce noise exposure and promote health. Statewide prevalence and risk factor data can be used to inform public health practice and promote hearing loss prevention.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.19661130.

摘要

目的

本研究旨在确定威斯康星州居民代表性人群研究中自我报告听力损失的患病率及其相关危险因素。

方法

对威斯康星州健康调查参与者进行了数据调查,这些参与者报告了听力损失情况。我们报告了自我报告听力损失的总体患病率以及按年龄和性别分层的患病率,并报告了相应的 95%置信区间(CI)。采用年龄和性别调整的多变量逻辑回归模型来评估自我报告听力损失的决定因素,结果以比值比及其相应的 95%CI 表示。

结果

本研究共纳入 2767 名参与者(50.7%为男性),平均年龄为 46 岁(范围:21-74 岁)。自我报告听力损失的患病率为 26.8%(24.4%,28.4%),男性(30.3%[27.1%,33.4%])高于女性(22.5%[19.9%,25.0%])。患病率随年龄增长而增加。多变量调整后,年龄(每增加 1 岁;1.05[1.04,1.06])、男性(1.57[1.18,2.08])、患有两种慢性疾病(与无慢性疾病相比;1.93[1.16,3.23])、职业性(2.47[1.91,3.19])和娱乐性(1.58[1.22,2.04])噪声暴露以及不良饮食(1.88[1.28,2.78])与自我报告听力损失的高风险相关。

结论

听力损失是一个高度普遍的公共卫生问题,至少可以通过减少噪声暴露和促进健康的干预措施部分加以改善。全州的患病率和危险因素数据可用于为公共卫生实践提供信息,并促进听力损失预防。

补充材料

https://doi.org/10.23641/asha.19661130。

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