美国亚临床听力损失的流行率。
Prevalence of Subclinical Hearing Loss in the United States.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian/Columbia University Irving Medical Center, New York City, New York, USA.
Department of Epidemiology, Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Maryland, Baltimore, USA.
出版信息
Otolaryngol Head Neck Surg. 2023 Oct;169(4):884-889. doi: 10.1002/ohn.326. Epub 2023 Mar 24.
OBJECTIVE
Current definitions of hearing loss (HL) may be insufficiently strict, as subclinical hearing loss (SCHL; >0 and ≤25 dB hearing level) has been associated with deleterious age-related conditions. SCHL prevalence and mean age of HL onset in the United States has not been characterized.
STUDY DESIGN
A cross-sectional epidemiologic prevalence study.
SETTING
US Community.
METHODS
We analyzed cross-sectional audiometric data in the US National Health and Nutrition Examination Survey (2005-2012, 2015-2018, n = 15,649). Results were scaled to the current population using weighting.
RESULTS
79.6% of participants (227.32 million Americans) had SCHL. The mean age of HL onset at thresholds of 25, 20, and 15 dB was 74, 66, and 55 years, respectively, for the 4-frequency pure-tone average, and 48, 44, and 35 years for the high-frequency pure-tone average.
CONCLUSION
We present SCHL prevalence and define HL onset by various sensitive definitions. These results inform ongoing public health efforts to increase hearing aid utilization, particularly given the arrival of over-the-counter hearing aids.
目的
目前的听力损失（HL）定义可能不够严格，因为亚临床听力损失（SCHL；>0 且 ≤25dB 听力级）与有害的与年龄相关的疾病有关。美国 SCHL 的患病率和 HL 发病的平均年龄尚未确定。
研究设计
一项横断面流行性病学患病率研究。
设置
美国社区。
方法
我们分析了美国国家健康和营养检查调查（2005-2012 年，2015-2018 年，n=15649）中的横断面听力数据。结果使用加权法按当前人口进行了调整。
结果
79.6%的参与者（22732 万美国人）患有 SCHL。在 4 个频率纯音平均值中，25、20 和 15dB 阈值处 HL 发病的平均年龄分别为 74、66 和 55 岁，在高频纯音平均值中，分别为 48、44 和 35 岁。
结论
我们提出了 SCHL 的患病率，并通过各种敏感定义来定义 HL 的发病。这些结果为正在进行的公共卫生工作提供了信息，以增加助听器的使用，特别是考虑到非处方助听器的到来。
Zotero 插件