A history of occupational noise exposure is associated with steep-slope audiograms and poorer self-reported hearing-aid outcomes.

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Audiology Pub Date : 2024-10-01 Epub Date: 2023-11-01 DOI:10.1080/14992027.2023.2272558

Sabina Storbjerg Houmøller, Li-Tang Tsai, Anne Wolff, Sreeram Kaithali Narayanan, Dan Dupont Hougaard, Michael Gaihede, Dorte Hammershøi, Tobias Neher, Christian Godballe, Jesper Hvass Schmidt

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Abstract

Objective: To investigate the effects of previous occupational noise exposure in older adults with hearing loss on (1) audiometric configuration and acoustic reflex (AR) thresholds and (2) self-reported hearing abilities and hearing aid (HA) effectiveness.

Design: A prospective observational study.

Study sample: The study included 1176 adults (≥60 years) with bilateral sensorineural hearing loss. Pure-tone audiometry, AR thresholds, and responses to the abbreviated version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire were obtained, along with information about previous occupational noise exposure.

Results: Greater occupational noise exposure was associated with a higher prevalence of steeply sloping audiograms in men and women and a 0.32 (95% CI: -0.57; -0.06) scale points lower mean SSQ12 total score among noise-exposed men. AR thresholds did not show a significant relation to noise-exposure status, but hearing thresholds at a given frequency were related to elevated AR thresholds at the same frequency.

Conclusions: A noise exposure history is linked to steeper audiograms in older adults with hearing loss as well as to poorer self-reported hearing abilities in noise-exposed men. More attention to older adults with previous noise exposure is warranted in hearing rehabilitation.

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职业噪声暴露史与陡坡听力图和较差的自我报告助听器结果有关。

目的：研究有听力损失的老年人先前的职业噪声暴露对（1）听力测量配置和声反射（AR）阈值以及（2）自我报告的听力能力和助听器（HA）有效性的影响。设计：前瞻性观察性研究。研究样本：该研究包括1176名成年人（≥60 年）伴有双侧感音神经性听力损失。获得了纯音测听、AR阈值、对语音、空间和听力质量量表（SSQ12）缩写版和国际助听器结果量表（IOI-HA）问卷的回答，以及以前职业噪声暴露的信息。结果：在男性和女性中，更大的职业噪声暴露与更高的陡坡听力图患病率相关，在噪声暴露的男性中，平均SSQ12总分低0.32（95%CI:0.57；-0.06）分。AR阈值与噪声暴露状态没有显著关系，但给定频率下的听力阈值与相同频率下的AR阈值升高有关。结论：噪声暴露史与患有听力损失的老年人的听力图陡峭有关，也与暴露于噪声的男性自我报告的听力能力较差有关。在听力康复中，有必要更多地关注以前接触过噪音的老年人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Audiology 医学-耳鼻喉科学

CiteScore

4.90

自引率

14.80%

发文量

133

审稿时长

4-8 weeks

期刊介绍： International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.