VA RR&D National Center for Rehabilitative Auditory Research (NCRAR), Veterans Affairs Portland Health Care System, Portland, OR, USA.
School of Public Health, Oregon Health & Science University, Portland, OR, USA.
Int J Audiol. 2023 Jul;62(7):608-616. doi: 10.1080/14992027.2022.2068081. Epub 2022 May 9.
To examine associations between non-otologic medical conditions and auditory dysfunction.
Cross-sectional analysis of baseline data from the Noise Outcomes in Service members Epidemiology (NOISE) study. Logistic regression was used to estimate the association between medical conditions (0, 1, and 2 or more conditions) and auditory dysfunction (hearing loss pure tone average ≥20 dB HL and tinnitus), adjusting for key confounders including noise exposure. Secondarily, the association between specific medical conditions and auditory dysfunction was examined. All variables were self-reported.
United States military Veterans (n = 580) with mean age 34.1 years (standard deviation = 9.2), who were within approximately 2.5 years of separation from service.
Compared to Veterans reporting no medical conditions, Veterans reporting two or more had increased odds on low-frequency hearing loss and on tinnitus but not on high or extended-high frequency hearing loss. Furthermore, specific conditions sleep disorder and arthritis were associated with auditory dysfunction.
Non-otologic medical conditions were associated with low-frequency hearing loss and tinnitus in this sample of young Veterans. This suggests medical conditions may play a role in Veterans' hearing health. Whether management of medical conditions earlier in life reduces the risk of hearing loss and tinnitus requires further study.
探讨非耳科疾病与听觉功能障碍之间的关系。
对 Service members Epidemiology（NOISE）研究的基线数据进行横断面分析。采用逻辑回归来估计疾病状况（0、1 和 2 种或更多种疾病）与听觉功能障碍（听力损失纯音平均值≥20dBHL 和耳鸣）之间的关联，调整了包括噪声暴露在内的关键混杂因素。其次，还检查了特定疾病与听觉功能障碍之间的关联。所有变量均为自我报告。
美国退伍军人（n=580），平均年龄 34.1 岁（标准差=9.2），距离退役约 2.5 年。
与无疾病报告的退伍军人相比，报告 2 种或更多种疾病的退伍军人低频听力损失和耳鸣的可能性增加，但高频和扩展高频听力损失的可能性没有增加。此外，特定疾病睡眠障碍和关节炎与听觉功能障碍有关。
在这个年轻退伍军人样本中，非耳科疾病与低频听力损失和耳鸣有关。这表明，疾病状况可能在退伍军人的听力健康中起作用。是否在生命早期管理这些疾病状况可以降低听力损失和耳鸣的风险，这需要进一步研究。
