標題: | The Prevalence of Hearing Impairment and Associated Risk Factors The Beaver Dam Offspring Study |
作者: | Nash, Scott D. Cruickshanks, Karen J. Klein, Ronald Klein, Barbara E. K. Nieto, F. Javier Huang, Guan H. Pankow, James S. Tweed, Theodore S. 統計學研究所 Institute of Statistics |
公開日期: | 1-五月-2011 |
摘要: | Objective: To estimate the prevalence of hearing impairment (HI) and evaluate the cross-sectional associations of environmental and cardiovascular disease risk factors and HI in middle-aged adults. Design: Data were collected as part of the Beaver Dam Offspring Study, an epidemiological cohort study of aging. Hearing impairment was defined as a pure-tone average (0.5, 1.0, 2.0, and 4.0 kHz) greater than 25 db hearing level in either ear. Word recognition in competing message (WRCM) was measured using the Northwestern University No. 6 word list. Questionnaire information about behaviors, environmental factors, and medical history was also collected. Participants: The participants (N = 3285) were offspring of participants of the population-based Epidemiology of Hearing Loss Study and ranged in age from 21 to 84 years (mean age, 49 years). Results: The prevalence of HI was 14.1%, and the mean (SD) WRCM score was 64% (15%). In a multivariate model, after age, sex, education, and occupational noise were controlled for, a history of ear surgery (odds ratio [OR], 4.11; 95% confidence interval [CI], 2.37-7.15), a larger central retinal venular equivalent (OR, 1.77; 95% CI, 1.20-2.60 [fourth quartile vs first quartile]), and a higher hematocrit percentage (OR, 0.77; 95% CI, 0.63-0.95 [per 5%]) were independently associated with HI. Factors associated with lower WRCM scores were similar but also included mean intima-media thickness (mean difference, -0.63%; 95% CI, -1.06% to -0.19%; P = .005 [per 0.1 mm]) and statin use (mean difference, -2.09%; 95% CI, -3.58% to -0.60%; P = .005). Conclusions: Hearing impairment is a common condition in middle-aged adults. Cardiovascular disease risk factors may be important correlates of age-related auditory dysfunction. |
URI: | http://dx.doi.org/10.1001/archoto.2011.15 http://hdl.handle.net/11536/8925 |
ISSN: | 0886-4470 |
DOI: | 10.1001/archoto.2011.15 |
期刊: | ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY |
Volume: | 137 |
Issue: | 5 |
起始頁: | 432 |
結束頁: | 439 |
顯示於類別: | 期刊論文 |