20多年来全国范围的听力损失趋势
David O Danis1, Rishubh Jain2, Benjamin J Homer2
1Dr. Elie E. Rebeiz Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, U.S.A.
The Laryngoscope
|August 1, 2024
概括
在美国成年人和老年人中,听力损失的患病率在过去二十年中保持稳定. 然而,在40-49岁的成年人和受教育程度较低的成年人中观察到下降,这表明特定的人口统计学群体的听力健康可能有所改善.
科学领域:
- 听力学和公共卫生
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 听力损失 (HL) 是美国普遍存在的一种慢性疾病.
- 了解HL患病率的长期趋势对于公共卫生干预至关重要.
研究的目的:
- 评估过去二十年 (1999-2018) 美国成年人听力损失患病率的趋势.
- 为了识别经历听力损失率变化的人口群体.
主要方法:
- 从1999年到2018年,从13468名成年参与国家健康和营养检查调查 (NHANES) 的听力测量数据的分析.
- 听力损失定义为纯音调平均>25dB至少在一只耳朵.
- 使用多变量逻辑和线性回归来评估趋势,控制年龄和性别.
主要成果:
- 在整个研究期间,成年人 (20-69岁) 和老年人 (70岁以上) 的整体听力损失患病率保持稳定.
- 在40-49岁的成年人和那些没有高中教育的人群中,发现了听力损失患病率的显著下降趋势.
- 根据回归分析,在成人和老年人队伍之间没有发现听力损失率的显著差异.
结论:
- 虽然整体听力损失患病率显示稳定,但在调整年龄和性别后,成人人口的潜在下降被建议.
- 老年人群没有显示出听力损失显著下降的趋势.
- 在40-49岁的成年人和受教育程度较低的成年人中,听力损失可能正在下降.
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