Sierra Jenny Andrea, Montaña Leyder Mónica, Rugeles Karla Yohanna, Sandoval María Teresa, Sandoval Wilson, Delgado Karem Johanna, Abella Jhon Jairo
Grupo de Investigación en Salud Ambiental de Bogotá, Subred Integrada de Servicios de Salud Sur Occidente - E.S.E., Bogotá, D. C., Colombia.
Grupo de Investigación en Salud Ambiental de Bogotá, Subred Integrada de Servicios de Salud Norte - E.S.E., Bogotá, D. C., Colombia.
Biomedica. 2024 May 30;44(2):168-181. doi: 10.7705/biomedica.7271.
Hearing health is a public health concern that affects the quality of life and can be disturbed by noise exposure, generating auditory and extra-auditory symptoms. Objective. To identify the hearing health status in adults living in Bogotá and its association with environmental noise exposure and individual and otological factors.
To identify the hearing health status in adults living in Bogotá and its association with environmental noise exposure and individual and otological factors.
We conducted a cross-sectional study using a database with 10,311 records from 2014 to 2018, consigned in a structured survey of noise perception and hearing screening. We performed a descriptive, bivariate, and binary logistic regression analysis.
Of the included participants, 35.4% presented hearing impairment. In the perception component, 13.0 % reported not hearing well; 28.8 % had extra-auditory symptoms, 53.3 % informed otological antecedents and 69.0 % presented discomfort due to extramural noise. In the logistic regression, the variables with the highest association for hearing impairment were living in noisy areas (OR = 1.50) (95% CI: 1.34-1.69), being male (OR = 1.85) (95% CI: 1.64-2.09), increasing age (for each year of life, the risk of hearing impairment increased 6%), and having history of extra-auditory symptoms (OR = 1.86) (95% CI: 1.66-2.08).
Hearing impairment is multi-causal in the studied population. The factors that promote its prevalence are increasing age, being male, smoking, ototoxic medications, living in areas with high noise exposure, and extra-auditory symptoms.
听力健康是一个影响生活质量的公共卫生问题,可能会因接触噪音而受到干扰,从而产生听觉和非听觉症状。目的:确定居住在波哥大的成年人的听力健康状况及其与环境噪音暴露、个体因素和耳科因素的关联。
确定居住在波哥大的成年人的听力健康状况及其与环境噪音暴露、个体因素和耳科因素的关联。
我们进行了一项横断面研究,使用了一个包含2014年至2018年10311条记录的数据库,这些记录来自一项关于噪音感知和听力筛查的结构化调查。我们进行了描述性、双变量和二元逻辑回归分析。
在所纳入的参与者中,35.4%存在听力障碍。在感知方面,13.0%的人报告听力不好;28.8%有非听觉症状,53.3%有耳科病史,69.0%因室外噪音感到不适。在逻辑回归中,与听力障碍关联度最高的变量是居住在嘈杂地区(比值比=1.50)(95%置信区间:1.34-1.69)、男性(比值比=1.85)(95%置信区间:1.64-2.09)、年龄增长(每增加一岁,听力障碍风险增加6%)以及有非听觉症状史(比值比=1.86)(95%置信区间:1.66-2.08)。
在所研究的人群中,听力障碍是多因素导致的。促使其患病率上升的因素包括年龄增长、男性、吸烟、耳毒性药物、居住在高噪音暴露地区以及非听觉症状。