Education, occupation, noise exposure history and the 10-yr cumulative incidence of hearing impairment in older adults.
Education, occupation, noise exposure history and the 10-yr cumulative incidence of hearing impairment in older adults.
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DOI：
10.1016/j.heares.2009.10.008
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发表时间：
2010-06-01
期刊：
影响因子：
2.8
通讯作者：
Nash, Scott D.
中科院分区：
文献类型：
--
作者：
Cruickshanks, Karen J.;Nondahl, David M.;Tweed, Ted S.;Wiley, Terry L.;Klein, Barbara E. K.;Klein, Ronald;Chappell, Rick;Dalton, Dayna S.;Nash, Scott D.
本研究的目的是确定听力损伤的 10 年累积发生率以及教育、职业和噪声暴露史与听力损伤发生率的关联，该研究是在 1993 年至 1995 年威斯康星州海狸坝对 3753 名年龄在 48-92 岁的成年人进行的基线检查中进行的一项基于人群的队列研究。在基线、2.5 年、5 年和 10 年随访检查时测量听力阈值。听力障碍定义为 500、1000、2000 和 4000 Hz 时纯音平均值 (PTA) > 25 dB HL。通过问卷调查获得人口统计特征和职业史。听力障碍10年累积发生率为37.2%。年龄（5岁；风险比（HR）=1.81）、性别（M vs W；HR=2.29）、基于工作时间最长的职业（生产/运营/农业与其他；HR=1.34）、婚姻状况（未婚与已婚；HR=1.29）和教育程度（<16岁与16岁以上；HR=1.40）与10年发病率相关。嘈杂的工作经历与 10 年听力障碍的发生率无关。听力障碍的风险很高，女性发病的时间稍晚。社会经济地位的标志与听力障碍相关，这表明老年人的听力障碍可能与可改变的生活方式和环境因素有关，因此至少部分是可以预防的。
The purpose of this study was to determine the 10-yr cumulative incidence of hearing impairment and associations of education, occupation and noise exposure history with the incidence of hearing impairment in a population-based cohort study of 3753 adults ages 48-92 years at the baseline examinations during 1993-1995 in Beaver Dam, WI. Hearing thresholds were measured at baseline, 2.5 yr, 5 yr, and 10-yr follow-up examinations. Hearing impairment was defined as a pure-tone average (PTA) > 25 dB HL at 500, 1000, 2000, and 4000 Hz. Demographic characteristics and occupational histories were obtained by questionnaire. The 10-yr cumulative incidence of hearing impairment was 37.2%. Age (5 yr; Hazard Ratio (HR)=1.81), sex (M v W; HR=2.29), occupation based on longest held job (Production/Operations/Farming vs others; HR=1.34), marital status (unmarried vs married; HR=1.29) and education (<16 vs 16+ yrs; HR=1.40) were associated with the 10 yr incidence. History of noisy jobs was not associated with the 10-yr incidence of hearing impairment. The risk of hearing impairment was high, with women experiencing a slightly later onset. Markers of socioeconomic status were associated with hearing impairment, suggesting that hearing impairment in older adults may be associated with modifiable lifestyle and environmental factors, and therefore, at least partially preventable.
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影响因子：
3.7
作者：
Lee, FS;Matthews, LJ;Mills, JH
通讯作者：
Mills, JH
影响因子：
5.7
作者：
Dalton, DS;Cruickshanks, KJ;Nondahl, DM
通讯作者：
Nondahl, DM
DOI：
10.1073/pnas.0606891103
发表时间：
2006-09-19
影响因子：
11.1
作者：
Guimaraes, Patricia;Frisina, Susan T.;Frisina, Robert D.
通讯作者：
Frisina, Robert D.
影响因子：
2.8
作者：
Gates, GA;Schmid, P;D'Agostino, R
通讯作者：
D'Agostino, R
影响因子：
120.7
作者：
Cruickshanks, KJ;Klein, R;Tweed, TS
通讯作者：
Tweed, TS