2015 年 1 月 1 日至 2019 年 9 月 30 日期间，美国陆军士兵自述耳鸣困扰的患病率。

Prevalence of Self-Reported Bothersome Tinnitus in U.S. Army Soldiers From January 1, 2015, Through September 30, 2019.

机构信息

Hearing Conservation and Readiness Branch, U.S. Army Public Health Center, Aberdeen Proving Ground, MD.

Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD.

出版信息

Am J Audiol. 2023 Jun;32(2):323-333. doi: 10.1044/2022_AJA-22-00201. Epub 2023 Mar 20.

DOI:10.1044/2022_AJA-22-00201

PMID:36940481

Abstract

PURPOSE

Tinnitus is a symptom of auditory dysfunction or injury and can be a precursor to permanent hearing loss. Tinnitus can interfere with communication, sleep, concentration, and mood; when this occurs, it is referred to as bothersome tinnitus. Annual hearing surveillance in the U.S. Army includes screening for bothersome tinnitus. Estimating the prevalence of self-reported bothersome tinnitus can facilitate prioritization of prevention and education efforts. The objective of this study was to examine Army hearing conservation data to estimate the prevalence of self-reported bothersome tinnitus as a function of age, hearing, sex, service component, and pay grade.

METHOD

The study employed a cross-sectional, retrospective design. Records from 1,485,059 U.S. Army Soldiers retrieved from the Defense Occupational and Environmental Health Readiness System-Hearing Conservation were analyzed. Descriptive statistics and multinomial logistic regression analysis were used to estimate the prevalence of bothersome tinnitus and its associations with Soldiers' demographic characteristics.

RESULTS

The estimated prevalence of self-reported bothersome tinnitus was 17.1% between January 1, 2015, and September 30, 2019; 13.6% of the Soldiers reported "bothered a little" and 3.5% reported "bothered a lot." Proportionally, the prevalence of self-reported bothersome tinnitus was higher for males, older Soldiers, and Reserve Component Soldiers. For every 1-year increase in age, the odds of self-reporting "bothered a little" tinnitus relative to "bothered not at all tinnitus" would be expected to increase by 2.2% (2.1%, 2.3%), and the odds of self-reporting "bothered a lot" tinnitus relative to "bothered not at all" tinnitus would be expected to increase by 3.6% (3.5%, 3.7%).

CONCLUSIONS

The self-reported prevalence of bothersome tinnitus in the U.S. Army (17.1%) is substantially higher than that of the general population, where prevalence of bothersome tinnitus is estimated at 6.6%. Examination of bothersome tinnitus among Soldiers is an important step toward optimizing prevention, education, and intervention efforts.

摘要

目的

耳鸣是听觉功能障碍或损伤的一种症状，可能是永久性听力损失的前兆。耳鸣会干扰沟通、睡眠、注意力和情绪；当这种情况发生时，就被称为烦人的耳鸣。美国陆军的年度听力监测包括对烦人的耳鸣进行筛查。估计自我报告的烦人的耳鸣的患病率有助于优先考虑预防和教育工作。本研究的目的是检查陆军听力保护数据，以评估自我报告的烦人的耳鸣的患病率，其功能是年龄、听力、性别、服务组件和薪级。

方法

该研究采用了横断面、回顾性设计。从国防职业和环境健康准备系统-听力保护中检索了 1485059 名美国陆军士兵的记录。采用描述性统计和多项逻辑回归分析来估计烦人的耳鸣的患病率及其与士兵人口统计学特征的关系。

结果

2015 年 1 月 1 日至 2019 年 9 月 30 日期间，自我报告的烦人的耳鸣的估计患病率为 17.1%；13.6%的士兵报告“有点困扰”，3.5%报告“非常困扰”。比例上，男性、年龄较大的士兵和预备役士兵自我报告的烦人的耳鸣患病率较高。与报告“完全不困扰”的耳鸣相比，年龄每增加 1 岁，报告“有点困扰”的耳鸣的可能性预计会增加 2.2%（2.1%，2.3%），报告“非常困扰”的耳鸣的可能性预计会增加 3.6%（3.5%，3.7%）。