Validation of self-reported hearing loss. The Blue Mountains Hearing Study
Validation of self-reported hearing loss. The Blue Mountains Hearing Study
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DOI：
10.1093/ije/30.6.1371
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发表时间：
2001-12-01
影响因子：
7.7
通讯作者：
Rubin, G
中科院分区：
文献类型：
--
作者：
Sindhusake, D;Mitchell, P;Rubin, G
目的大规模的流行病学研究经常使用自我报告来估计年龄相关性听力损失的患病率。然而，很少有基于人群的大型研究证实自我报告与测量的听力损失相符。本研究旨在以纯音测听的黄金标准为标准，评估单一问题和一个简短的听力障碍问卷在听力损失个体识别中的表现。方法我们调查了2015年，居住在澳大利亚悉尼西部，年龄55-99岁的居民，他们在1997-1999年间参加了蓝山听力研究。听力专家进行了一份全面的问卷调查，其中包括这样一个问题：“你觉得自己听力受损了吗？”在听力检查中还进行了老年简明听力残疾评定量表(HHIE-S)，其中包括纯音测听。将单项问题和HHIE-S测试结果与测得的25、40和60分贝听力水平(DBHL)下的轻度、中度和显著听力损失，以及500、1000、2000和4000赫兹反应的纯音平均值(PTA)进行比较。结果单项问题对听力损害具有合理的敏感性和特异性，受年龄和性别的影响最小。HHIE-S评分和GT；8分的敏感性较低，但特异性和阳性预测值较高。结论在听力损失发生率较高(39.4%)的老年人群中，听力问题和S量表均具有足够的敏感性和特异度，可以为听力损失的患病率提供合理的估计。这两种方法都可以推荐用于流行病学研究，这些研究旨在评估与年龄相关的感觉障碍造成的负担的程度，但不能通过测听来衡量听力损失。
Purpose Large-scale epidemiological studies have often used self-report to estimate prevalence of age-related hearing loss. However, few large population-based studies have validated self-report against measured hearing loss. Our study aimed to assess the performance of a single question and a brief hearing handicap questionnaire in identifying individuals with hearing loss, against the gold standard of pure-tone audiometry.Methods We examined 2015; residents, aged 55-99 years, living in the west of Sydney, Australia, who participated in the Blue Mountains Hearing Study during 1997-1999. Audiologists administered a comprehensive questionnaire, including the question: 'Do you feel you have a hearing loss?' The Shortened Hearing Handicap Inventory for Elderly (HHIE-S) was also administered during the hearing examination, which included pure-tone audiometry. The single question and HHIE-S were compared with measured losses at levels >25, >40 and >60 decibels hearing level (dBHL) to indicate mild, moderate and marked hearing impairment, for pure-tone averages (PTA) of responses to 500, 1000, 2000 and 4000 Hz.Results The single question yielded reasonable sensitivity and specificity for hearing impairment, and was minimally affected by age and gender. HHIE-S scores >8 had lower sensitivity but higher specificity and positive predictive value. The HHIE-S performed slightly better in younger than older subjects and performed better for moderate hearing impairment.Conclusions In this older population with a high prevalence of hearing loss (39.4%), both a question about hearing and the HHIE-S appeared sufficiently sensitive and specific to provide reasonable estimates of hearing loss prevalence. Both could be recommended for use in epidemiological studies that aim to assess the magnitude of the burden caused by age-related sensory impairment but cannot measure hearing loss by audiometry.