在一项基于人群的研究中,社会人口统计学和听力相关因素如何与助听器的使用相关:HUNT研究。

Q2 Medicine BMC Ear, Nose and Throat Disorders Pub Date : 2016-07-16 eCollection Date: 2016-01-01 DOI:10.1186/s12901-016-0028-2
Anne-Sofie Helvik, Steinar Krokstad, Kristian Tambs
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引用次数: 12

摘要

背景:目的是研究65岁及以上人群的助听器使用情况,并调查社会经济和听力相关因素与助听器使用的关系。方法:本研究纳入1995-1997年第二次Nord-Trøndelag健康研究(HUNT2)和Nord-Trøndelag听力损失综合研究(NTHLS)的11,602名65岁及以上受试者。对所有参与者进行听力测量。1103名(9.5%)参与者的数据中缺少关于可能使用HA的用户使用HA的信息。探讨了社会人口学变量、低、中、高频听力阈值和听力困扰对男性和女性的影响,并相互调整影响。采用交叉表法和logistic回归分析。结果:总共有14%(10499人中有1472人)是HA使用者,但62%的人平均听力损伤(HI)基于双耳0.5,1,2,4 kHz >25 dB。HA的使用与高等教育有关。调整所有协变量和听力变量后,每10 dB中频阈值移动,男性和女性使用ha的机会都会增加2 - 3倍。此外,被听力损失困扰的人患病几率增加了约7倍。低频听力阈值与女性ha使用无关。在男性中,高达50 dB的低频听力阈值增加了HA的使用几率,但≥70 dB的低频听力阈值降低了HA的使用几率。与没有配偶的男性相比,有配偶的男性使用HA的几率更高。有配偶和没有配偶的妇女在使用医管局方面没有差别。没有配偶的男性和女性在HA的使用上没有差异。结论:大约三分之二的65岁及以上的参与者HI高于25db,但只有七分之一的人使用HA。HA的使用与基础教育水平相关。与有配偶的男性相比,没有配偶的男性更不可能使用HA。
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How sociodemographic and hearing related factors were associated with use of hearing aid in a population-based study: The HUNT Study.

Background: The purpose was to study hearing aid (HA) use in persons 65 years and older, and to investigate how socioeconomic and hearing related factors were associated to use of HA.

Method: This study included 11,602 persons (65 years and above) from the second Nord-Trøndelag Health Study (HUNT2) and the integrated North-Trøndelag hearing loss study (NTHLS) in 1995-1997. Audiometry was taken of all participants. Missing information about use of HA in possible users of HA existed in data from 1103 (9.5 %) of the participants. Effects of sociodemographic variables, low, medium and high frequency hearing thresholds and being bothered by their hearing were explored in men and women, adjusting the effects for each other. Cross tabulations and logistic regression analyses were used.

Results: In all, 14 % (1472 of 10,499) were users of HA, but 62 % had a mean hearing impairment (HI) based on 0.5, 1, 2, 4 kHz over both ears >25 dB. Use of HA was associated with higher education. Adjusting for all covariates and hearing variables, each 10 dB medium frequency threshold shift increased the chance of HA-use by a factor of two-three in both men and women. Having reported being bothered by hearing loss additionally increased the chance around sevenfold. Low frequency hearing thresholds were not associated with HA-use in women. In men, low frequency hearing thresholds up to 50 dB increased odds for use of HA, but low frequency hearing thresholds ≥ 70 dB decreased odds for use of HA. Men living with a spouse had higher odds for using HA compared to men without a spouse. For women there is no difference between those with and without spouse in use of HA. Men and women without spouse did not differ in their use of HA.

Conclusions: About two third of 65 years and older participants had a HI higher than 25 dB, but only one seventh used HA. Use of HA was associated with higher than basic education. Men without a spouse were less likely to use HA compared to men with a spouse.

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来源期刊
BMC Ear, Nose and Throat Disorders
BMC Ear, Nose and Throat Disorders Medicine-Otorhinolaryngology
CiteScore
3.30
自引率
0.00%
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0
期刊介绍: BMC Ear, Nose and Throat Disorders is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of ear, nose and throat disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Ear, Nose and Throat Disorders (ISSN 1472-6815) is indexed/tracked/covered by PubMed, CAS, EMBASE, Scopus and Google Scholar.
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