Prevalence and factors associated with tinnitus: a community-based study of Japanese elders.

Prevalence and factors associated with tinnitus: a community-based study of Japanese elders.
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DOI:
10.2188/jea.je20090121
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发表时间:
2010
影响因子:
4.7
通讯作者:
Takebayashi T
Takebayashi T
中科院分区:
医学3区
文献类型:
--
作者:
Michikawa T;Nishiwaki Y;Kikuchi Y;Saito H;Mizutari K;Okamoto M;Takebayashi T

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据报道,西方老年人口耳鸣的患病率很高,并提出了一些危险因素。然而,基于社区的流行率证据有限,据我们所知,没有来自老年非西方人群的此类信息。本研究的目的是确定居住在社区的日本老年人耳鸣的患病率和相关因素。在这项以社区为基础的横断面研究中,2006年对仓渊町1320名65岁以上的居民(男性584名,女性736名;参与比例=98.7%)进行了家中访谈,收集了有关耳鸣和耳鸣相关因素的信息。我们按年龄组和性别估计了耳鸣的患病率,并使用逻辑回归模型来研究相关因素。耳鸣患病率为18.6%(男性:18.0%;女性:19.0%);不同年龄组或性别之间没有统计学上的显着差异。听力困难、抑郁情绪、处方药物、既往/当前冠心病史以及需要就医的膝关节疼痛与耳鸣有关。这些研究结果表明,耳鸣在 65 岁以上的日本人中很常见。由于本横断面研究中与耳鸣相关的因素可能是可以改变的,因此应在纵向研究中对其进行彻底调查。
The prevalence of tinnitus is reported to be high in older Western populations, and several risk factors have been suggested. However, community-based evidence on prevalence is limited and, to our knowledge, there is no such information from older non-Western populations. The purpose of this study was to determine the prevalence and factors associated with tinnitus in community-dwelling Japanese elders. In this community-based cross-sectional study, 1320 residents of Kurabuchi Town aged 65 years or older (584 men and 736 women; participation proportion = 98.7%) were interviewed at home in 2006, and information on tinnitus and factors associated with tinnitus was collected. We estimated the prevalence of tinnitus by age group and sex and used a logistic regression model to investigate associated factors. The prevalence of tinnitus was 18.6% (men: 18.0%; women: 19.0%); there were no statistically significant differences by age group or sex. Hearing difficulty, depressive mood, prescribed medication, past/current history of coronary heart disease, and knee joint pain requiring medical consultation were associated with tinnitus. These findings suggest that tinnitus is common in Japanese aged over 65 years. Because the factors associated with tinnitus in this cross-sectional study are potentially modifiable, they should be thoroughly investigated in a longitudinal study.
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