Hearing health and noise exposure in population between 18 to 64 years old in Bogotá, Colombia, 2014-2018

Jenny Andrea Sierra, Leyder Mónica Montaña, Karla Yohanna Rugeles, María Teresa Sandoval, Wilson Sandoval, Karem Johanna Delgado, Jhon Jairo Abella
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Abstract

Introduction: Hearing health is a public health concern that affects the quality of life and can be disturbed by noise exposure, generating auditory and extra-auditory symptoms. Objective. To identify the hearing health status in adults living in Bogotá and its association with environmental noise exposure and individual and otological factors.

Objective: To identify the hearing health status in adults living in Bogotá and its association with environmental noise exposure and individual and otological factors.

Materials and methods: We conducted a cross-sectional study using a database with 10,311 records from 2014 to 2018, consigned in a structured survey of noise perception and hearing screening. We performed a descriptive, bivariate, and binary logistic regression analysis.

Results: Of the included participants, 35.4% presented hearing impairment. In the perception component, 13.0 % reported not hearing well; 28.8 % had extra-auditory symptoms, 53.3 % informed otological antecedents and 69.0 % presented discomfort due to extramural noise. In the logistic regression, the variables with the highest association for hearing impairment were living in noisy areas (OR = 1.50) (95% CI: 1.34-1.69), being male (OR = 1.85) (95% CI: 1.64-2.09), increasing age (for each year of life, the risk of hearing impairment increased 6%), and having history of extra-auditory symptoms (OR = 1.86) (95% CI: 1.66-2.08).

Conclusions: Hearing impairment is multi-causal in the studied population. The factors that promote its prevalence are increasing age, being male, smoking, ototoxic medications, living in areas with high noise exposure, and extra-auditory symptoms.

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2014 年至 2018 年哥伦比亚波哥大 18-64 岁人口的听力健康和环境噪声暴露情况。
导言。听力健康是一个影响生活质量的公共卫生问题,持续暴露于噪声会影响听力健康,噪声是产生听觉和听觉外症状的风险因素。材料与方法通过分析一个包含 10,311 条记录的数据库,开展了一项横断面研究,这些记录是在 2014 年至 2018 年期间通过噪声感知和听力筛查结构化调查获得的。结果显示:35.4%的参与者存在听力障碍。在感知部分:13.0%的人报告听力不佳,28.8%的人报告有听力外症状,53.3%的人有耳科病史,69.0%的人报告有室外噪声烦恼。在逻辑回归中,与听力损伤最相关的变量是:在环境变量中,居住在噪声增加的地区(OR = 1.50)(95%CI:1.34-1.69);在个人变量中,男性(OR = 1.85)(95%CI:1.64-2.09)和年龄(每增加一岁,听力损伤的风险增加 6%);在耳科变量中,有耳科症状史(OR = 1.86)(95%CI:1.66-2.08):结论:在接受评估的人群中,听力损伤是多因素造成的。结论:在接受评估的人群中,听力损伤是由多种原因造成的,其中年龄增长、男性、吸烟、服用耳毒性药物、生活在噪音较大的地区以及有听力外症状等因素会增加听力损伤的发生率。
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