一个综合风险评分,用于在社区查计划中识别高风险听力损失的老年人
Juan Juan Li1,2, Wei Xiang Gao3, Jiao Wang3
1Department of Otolaryngology, Shenzhen Longgang Otolaryngology Hospital and Shenzhen Institute of Otolaryngology, Shenzhen, Guangdong, 518172, China.
BMC geriatrics
|July 30, 2025
概括
一个新的听力风险评分 (HRS) 可以有效地识别有听力损失的老年人. 这种工具有助于有针对性的查,改善与年龄相关的听力损失的早期发现和干预.
科学领域:
- 听力学 听力学是指听力学.
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 与年龄相关的听力损失 (HL) 在老年人中很常见,但往往未被诊断和治疗.
- 助听器普及率低,社区查有限,阻碍了管理.
- 需要工具来识别高风险的人群HL.
研究的目的:
- 开发一个综合风险评分来识别高风险的个人与年龄相关的听力损失.
- 为了在社区环境中实现有针对性的听力测试查.
主要方法:
- 一项对中国深2490名成年人进行的横截面研究,使用社区健康查数据.
- 进行纯音调听力测量,以评估听力值.
- 逐步多变量回归确定了听力风险评分 (HRS) 的预测因素.
主要成果:
- 32.5%的参与者有中度或较大的听力损失 (PTA ≥35dB).
- 七个因素 (年龄≥65,男性性别,自我报告的听力困难,社会隔离,心血管疾病,代谢疾病) 形成了HRS.
- 较高的HRS得分与中度或较大的听力损失的可能性增加密切相关 (P < 0.001).
结论:
- 开发的听力风险评分 (HRS) 表明与听力损失存在显著的剂量反应关系.
- HRS可以作为针对老年人有针对性的听力学评估的实用工具.
- 这种方法有助于早期发现和管理与年龄相关的听力损失.
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