听力损失和收入增长减少:一个纵向的社会经济分析
Michael W Denham1, Lauren H Tucker1, Prakash Gorroochurn2
1Department 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.
概括
听力损失 (HL) 与收入增长的减少有关. 听力恶化预测收入较低,强调需要考虑社会经济因素在听力损失研究和治疗.
科学领域:
- 流行病学 流行病学
- 听力学 听力学是指听力学.
- 社会经济学 社会经济学
背景情况:
- 听力损失 (HL) 与不利的社会经济结果有关,包括较低的收入水平.
- 了解HL与经济轨迹之间的纵向关系至关重要.
研究的目的:
- 检查美国成年人口中听力损失和收入增长之间的关联.
- 调查听力恶化是否会随着时间的推移预测家庭收入的变化.
主要方法:
- 使用西班牙裔社区健康研究 (HCHS) 数据进行的纵向观测研究.
- 在平均5.9年的时间内分析了1342名成年人 (18-74岁).
- 通过4频纯色平均 (PTA) 和使用10支架级的收入来测量听力损失;对共变量进行控制.
主要成果:
- 观察到一个显著的时间 × HL 相互作用 (P < .001).
- 每10dB的HL恶化,就会使属于高收入阶层的几率降低0.979.9.
- 在38.6dB HL,收入增长的几率小于1,表明收入下降.
结论:
- 听力损失的增加与收入增长的减少和潜在的收入损失有很大关系.
- 强调在HL临床试验中纳入社会经济措施的重要性.
- 强调需要在评估听力损失影响的研究中进行扩大后续调查.
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