中国北京 1914 名儿童的听力阈值升高与情绪问题的潜在关联。

Hearing thresholds elevation and potential association with emotional problems among 1,914 children in Beijing, China.

机构信息

Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, China.

Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

出版信息

Front Public Health. 2022 Aug 4;10:937301. doi: 10.3389/fpubh.2022.937301. eCollection 2022.

DOI:10.3389/fpubh.2022.937301

PMID:35991012

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9386347/

Abstract

OBJECTIVES

School-aged children may experience hearing loss and emotional problems. Previous studies have shown a bidirectional relationship between hearing loss and emotional problems in the elderly population, and we aimed to analyze the association between hearing thresholds and emotional problems in school-aged children.

METHODS

Based on the Beijing Child Growth and Health Cohort (PROC) study, the hearing screenings were conducted in November 2019 using pure tone audiometry. A total of 1,877 parents completed the Strengths and Difficulties Questionnaire (SDQ) to assess children's emotional and behavioral status. We used generalized linear regression analysis to assess the potential association of emotional problems with hearing thresholds, based on multiple imputed datasets with a sample size of 1,914.

RESULTS

The overall pass rate of hearing screening was 91.5%. The abnormal rate of SDQ total difficulties was 55.8%. Emotional symptoms were positively associated with left ear average hearing thresholds (β = 0.24, 95%: 0.08-0.40), and right ear average hearing thresholds (β = 0.18, 95%: 0.04-0.32). Conduct problems, hyperactivity/inattention, peer problems, and prosocial behaviors had no association with the pass rate of the hearing screening. Regarding emotional symptoms, boys with many fears and who are easily scared coincided with increased right ear average hearing thresholds (β = 0.67, 95%: 0.01-1.33). Girls having many worries, frequently feeling unhappy and downhearted were positively associated with left and right ear average hearing thresholds, respectively (β = 0.96, 95%: 0.20-1.73; β = 0.72, 95%: 0.07-1.37).

CONCLUSIONS

The co-occurrence of hearing problems and emotional problems of children aged 6-8 in Beijing attracts attention. It is important to address undiscovered hearing loss and emotional problems from the perspective of comorbidity driving factors.

摘要

目的

学龄儿童可能会出现听力损失和情绪问题。先前的研究表明，老年人的听力损失和情绪问题之间存在双向关系，我们旨在分析学龄儿童的听力阈值与情绪问题之间的关联。

方法

基于北京儿童生长与健康队列研究（PROC），于 2019 年 11 月使用纯音测听法进行听力筛查。共有 1877 名家长完成了长处与困难问卷（SDQ），以评估儿童的情绪和行为状况。我们使用广义线性回归分析，基于大小为 1914 的多个插补数据集，评估情绪问题与听力阈值之间的潜在关联。

结果

听力筛查的总体通过率为 91.5%。SDQ 总困难发生率为 55.8%。情绪症状与左耳平均听力阈值呈正相关（β=0.24，95%置信区间：0.08-0.40），与右耳平均听力阈值呈正相关（β=0.18，95%置信区间：0.04-0.32）。品行问题、多动/注意力不集中、同伴问题和亲社会行为与听力筛查通过率无关。对于情绪症状，有许多恐惧和容易受惊的男孩与右耳平均听力阈值增加有关（β=0.67，95%置信区间：0.01-1.33）。有许多担忧、经常感到不开心和沮丧的女孩与左耳和右耳的平均听力阈值呈正相关，分别为（β=0.96，95%置信区间：0.20-1.73；β=0.72，95%置信区间：0.07-1.37）。