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Cardiovascular Risk Factors and Demographic Characteristics in Iranian Adults with Noise-Induced Hearing Impairment:
Mahdi Soheyli1, Mobin Obeidinia1, Arya Shirani2
1Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Insights
Hearing loss is linked to age, male gender, and lower education in Iranian adults. While cardiovascular risks show a connection, demographic factors are more strongly associated with hearing impairment.
Area of Science:
- Public Health
- Audiology
- Epidemiology
Background:
- Hearing loss (HL), including noise-induced hearing loss (NIHL), is a widespread global health issue and the third most common disability.
- Cardiovascular risk factors (RFs) like hypertension (HTN), diabetes mellitus (DM), and dyslipidemia (DLP) are significant health concerns.
Purpose of the Study:
- To investigate the relationship between hearing loss and cardiovascular risk factors in the Iranian adult population.
- To identify demographic and clinical factors associated with hearing loss in this population.
Main Methods:
- A study involving 1,996 individuals undergoing routine health checks at Iran University of Medical Sciences.
- Data collection included audiometry and laboratory tests to assess hearing and cardiovascular risk factors.
Main Results:
- Older age and male gender were significantly associated with hearing loss.
- Higher educational attainment (tertiary vs. primary) showed a protective effect against hearing loss.
- While initial analyses suggested links between HL and cardiovascular RFs, these became non-significant after adjusting for confounders. However, a single cardiovascular RF was linked to HL in the total sample and in men, but not in women.
Conclusions:
- Hearing loss in Iranian adults is significantly associated with demographic factors: age, gender, and educational level.
- These findings highlight the need for hearing health strategies that consider these demographic variables in occupational and public health settings.
Background:
Hearing loss (HL), including noise-induced hearing loss (NIHL), is a prevalent health issue that affects millions of individuals worldwide and ranks as the third most common disability. This study examines the relationship between HL and cardiovascular risk factors (RFs) such as hypertension (HTN), diabetes mellitus (DM), and dyslipidemia (DLP) within the Iranian adult population.
Methods:
This study was carried out at Iran University of Medical Sciences and involved 1,996 individuals undergoing routine health checks, including audiometry and lab tests.
Results:
The study indicated that older age (per each additional year of age, aOR=1.14, 95%CI: 1.12-1.16, P<0.001) and male gender (aOR=3.08, 95%CI: 1.84-5.14, P<0.001) were significantly associated with HL, while a higher educational level served as a protective factor (tertiary education compared to a primary school degree, aOR=0.35, 95%CI: 0.24-0.5, P<0.01). Although initial analyses suggested associations between HL and cardiovascular RFs, these associations lost significance after adjusting for confounding variables. Notably, the presence of a single cardiovascular RF was significantly linked to HL in the total sample (aOR=1.37, 95%CI: 1.04-1.81, P=0.02) and in men (aOR=1.41, 95%CI: 1.05-1.90, P=0.02), but not in women.
Conclusion:
This research emphasizes the significant association between hearing loss and demographic factors such as age, gender, and educational attainment in Iranian adults. These findings underscore the necessity for inclusive hearing health strategies that take these factors into account in both occupational and public health contexts.
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