Prevalence of Hearing Impairment by Gender and Audiometric Configuration: Results from the National Health and Nutrition Examination Survey (1999-2004) and the Keokuk County Rural Health Study (1994-1998)
Prevalence of Hearing Impairment by Gender and Audiometric Configuration: Results from the National Health and Nutrition Examination Survey (1999-2004) and the Keokuk County Rural Health Study (1994-1998)
复制标题
DOI：
10.3766/jaaa.19.9.3
复制
发表时间：
2008-10-01
影响因子：
1.2
通讯作者：
Flamme, Gregory A.
中科院分区：
文献类型：
--
作者：
Ciletti, Lindsay;Flamme, Gregory A.
目的：这项研究描述了最常见的听力配置和这些配置在成年人中的流行程度研究设计：这是一项以人口为基础的横断面研究。研究样本：对美国非住院人口的估计是基于国家健康和营养调查（NHANES）1999年至2004年期间收集了2 819名妇女和2 525名男子的数据。来自农村县的估计是基于Keokuk县农村健康研究（KCRHS）1994年至1998年期间收集的892名妇女和750名男子的数据。数据收集和分析：聚类分析（k均值）用于将参与者分成组，包括最大相似的双侧气导听力图。对每种性别进行单独的聚类分析。对于NHANES数据，使用样本权重获得患病率和误差估计值，旨在提供该年龄范围内美国非机构化人口的数据。听力配置的层次结构显示，大约25%的女性和50%的女性在美国的非机构化人群中，20至69岁的男性中有10%的人最好用与至少一个人的明显听力障碍相一致的配置来描述。频率.听力障碍在KCRHS的参与者中更为常见。轻度倾斜的听力障碍结构在女性中占主导地位，而具有较大倾斜度的结构在男性中占主导地位。有更大的各种听力配置在男性比women.Conclusions：除了他们的描述性价值，这些数据可以用来通知未来的研究的风险因素和听力损失的进展，并提高研究的普遍性，涉及听力障碍的人的康复方案。
Purpose: This study describes the most common audiometric configurations and the prevalence of these configurations among adults (ages 20 to 69) in the non institutionalized population of the United States and in a sample of residents of a rural county in Iowa.Research Design: This was a cross-sectional population-based study.Study Sample: Estimates generalizing to the noninstitutionalized population of the United States were based on National Health and Nutrition Examination Survey (NHANES) data collected from 2819 women and 2525 men between 1999 and 2004. Estimates from the rural county were based on Keokuk County Rural Health Study (KCRHS) data collected from 892 women and 750 men between 1994 and 1998.Data Collection and Analysis: Cluster analyses (k-means) were used to divide participants into groups including maximally similar bilateral air conduction audiograms. Separate cluster analyses were conducted for each gender. For NHANES data, prevalence and error estimates were obtained using sample weights intended to provide data generalizing to the noninstitutionalized population of the United States within this age range.Results: The hierarchical structure of audiometric configurations revealed that approximately 25% of women and 50% of men aged 20 to 69 in the noninstitutionalized population of the United States were best described by a configuration consistent with a marked hearing impairment in at least one frequency. Hearing impairments were more common among participants in the KCRHS. Gently sloping configurations of hearing impairment were dominant among women, while configurations featuring a greater slope were dominant among men. There was a greater variety of audiometric configurations in men than women.Conclusions: In addition to their descriptive value, these data can be used to inform future studies of risk factors and progression of hearing loss, and to improve the generalizability of studies involving rehabilitative options for people with hearing impairment.