Acoustic reflexes are common but not pervasive: evidence from the National Health and Nutrition Examination Survey, 1999-2012
Acoustic reflexes are common but not pervasive: evidence from the National Health and Nutrition Examination Survey, 1999-2012
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DOI：
10.1080/14992027.2016.1257164
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发表时间：
2017-01-01
影响因子：
2.7
通讯作者：
Ahroon, William A.
中科院分区：
文献类型：
--
作者：
Flamme, Gregory A.;Deiters, Kristy K.;Ahroon, William A.
目的：为了确定声反射是否普遍存在（即足够普遍，以提供至少95%的患病率的95%置信度），并可能在损伤风险标准（DRC）和健康危害评估（HHA）中调用脉冲噪声。设计：全国代表性研究的横截面分析。使用了1999年至2012年收集的国家健康和营养调查数据。从15，106 NHANES参与者获得的超过60万个反射轨迹被用于该研究，沿着人口统计学，听力，健康和暴露变量在该study.Results中获得：声反射没有足够普遍被认为是普遍的任何检测方法或在任何亚组定义的年龄或听力特征。女性、年轻人和听力灵敏度更高的人观察到声反射的几率更大。异常高的鼓室导抗导纳和其他种族/民族（即人谁不自我识别为专门的非西班牙裔白色，非西班牙裔黑人，墨西哥裔美国人，或西班牙裔）与较低的odds.Conclusions：声反射是不够普遍，包括在刚果民主共和国和HHA脉冲噪声。
Objective: To determine whether acoustic reflexes are pervasive (i.e. sufficiently prevalent to provide 95% confidence of at least 95% prevalence) and might be invoked in damage-risk criteria (DRC) and health hazard assessments (HHA) for impulsive noise.Design: Cross-sectional analyses of a nationally-representative study.Study sample: National Health and Nutrition Examination Survey (NHANES) data collected between 1999 and 2012 were used. Over 60 thousand reflex traces obtained from 15,106 NHANES participants were used in the study, along with demographic, audiometric, health and exposure variables obtained in that study.Results: Acoustic reflexes were not sufficiently prevalent to be deemed pervasive by any detection method or in any subgroup defined by age or audiometric characteristics. The odds of observing acoustic reflexes were greater for women, young adults, and people with better hearing sensitivity. Abnormally high tympanometric admittance and Other race/ethnicity (i.e. people who do not self-identify as exclusively Non-Hispanic White, Non-Hispanic Black, Mexican-American, or Hispanic) were associated with lower odds.Conclusions: Acoustic reflexes are not sufficiently prevalent to be included in DRC and HHA for impulsive noise.