Vital Signs: Noise-Induced Hearing Loss Among Adults - United States 2011-2012.
Vital Signs: Noise-Induced Hearing Loss Among Adults - United States 2011-2012.
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DOI：
10.15585/mmwr.mm6605e3
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发表时间：
2017-02-10
期刊：
影响因子：
--
通讯作者：
Breysse P
中科院分区：
文献类型：
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作者：
Carroll YI;Eichwald J;Scinicariello F;Hoffman HJ;Deitchman S;Radke MS;Themann CL;Breysse P
2016年美国国家科学院的报告《成人听力保健：改善可及性和可负担性的优先事项》呼吁政府机构采取行动，加强收集、分析和传播成人听力损失的人口数据。CDC分析了2011-2012年国家健康和营养检查调查（NHANES）中20-69岁成年参与者的问卷和听力测试收集的最新数据，以确定是否存在指示噪声性听力损失的听力等级。计算单侧和双侧测听等级的患病率及其与社会人口统计学和自我报告的大声噪声暴露的相关性。近四分之一的成年人（24%）有听力测试缺口，这表明噪音引起的听力损失的患病率很高。男性中刻痕的流行率较高。几乎四分之一的美国成年人报告听力极好或良好，有听力测定缺口（5.5%双侧和18.0%单侧）。在报告在工作中暴露于巨大噪音的参与者中，近三分之一的人有一个缺口。噪音引起的听力损失是美国成年人中一个重要的，经常被忽视的健康问题。患者和个人医疗保健提供者之间关于听力损失症状，测试和保护听力的方法的讨论可能有助于早期诊断听力损失，并提供防止有害噪声暴露的机会。避免长时间暴露在嘈杂的环境中，并使用个人听力保护设备可以防止噪音引起的听力损失。
The 2016 National Academies of Sciences report “Hearing Health Care for Adults: Priorities for Improving Access and Affordability” included a call to action for government agencies to strengthen efforts to collect, analyze, and disseminate population-based data on hearing loss in adults. CDC analyzed the most recent available data collected both by questionnaire and audiometric tests of adult participants aged 20–69 years in the 2011–2012 National Health and Nutrition Examination Survey (NHANES) to determine the presence of audiometric notches indicative of noise-induced hearing loss. Prevalence of both unilateral and bilateral audiometric notches and their association with sociodemographics and self-reported exposure to loud noise were calculated. Nearly one in four adults (24%) had audiometric notches, suggesting a high prevalence of noise-induced hearing loss. The prevalence of notches was higher among males. Almost one in four U.S. adults who reported excellent or good hearing had audiometric notches (5.5% bilateral and 18.0% unilateral). Among participants who reported exposure to loud noise at work, almost one third had a notch. Noise-induced hearing loss is a significant, often unrecognized health problem among U.S. adults. Discussions between patients and personal health care providers about hearing loss symptoms, tests, and ways to protect hearing might help with early diagnosis of hearing loss and provide opportunities to prevent harmful noise exposures. Avoiding prolonged exposure to loud environments and using personal hearing protection devices can prevent noise-induced hearing loss.