Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States.
Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States.
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DOI：
10.1001/jamaoto.2016.1700
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发表时间：
2016-10-01
期刊：
影响因子：
--
通讯作者：
Bhattacharyya N
中科院分区：
文献类型：
--
作者：
Bhatt JM;Lin HW;Bhattacharyya N
迄今为止最大规模的美国成年人耳鸣流行病学分析旨在量化耳鸣的流行病学和影响，并根据 2014 年美国耳鼻喉科学会-头颈外科基金会 (AAO-HNSF) 耳鸣临床实践指南分析其在美国的管理。全国代表性健康调查的横断面分析。对 2007 年全国健康访谈调查（原始 N=75,764）进行了分析，确定了在过去 12 个月内报告耳鸣的成年人。除了量化耳鸣的持续时间、规律性和严重程度之外，还分析了耳鸣医疗就诊期间噪音暴露和耳鸣管理的具体数据。在 222.1±340 万美国成年人中，21.4±340 万（9.6±0.3%）人在过去 12 个月内经历过耳鸣。耳鸣患者中，27.0% 的症状持续时间超过 15 年； 36.0% 的症状几乎持续存在。据报告，长期工作（OR 3.3；CI：2.9-3.7）和娱乐时间（OR 2.6；CI：2.3-2.9）暴露于大声噪音的人耳鸣发生率较高。工作相关噪声暴露年限与耳鸣患病率增加相关，r=0.130（95% CI，0.103 至 0.157）。 7.2% 的人将耳鸣视为“大”或“非常大”的问题，而 41.6% 的人将耳鸣视为“小”问题。只有 49.4% 的人曾与医生讨论过耳鸣问题，其中药物治疗是最常讨论的建议 (45.5%)。其他干预措施，如助听器（9.2%）、掩蔽装置（4.9%）和认知行为治疗（0.2%）则较少被讨论。目前全国耳鸣患病率大约为十分之一的成年人。职业和休闲时间噪声暴露的持续时间与耳鸣发生率相关，并且可能是可针对的风险因素。最近发布的指南所建议的管理方案很少被遵循。
Largest analysis to date of tinnitus epidemiology in the American adult population To quantify the epidemiology and impact of tinnitus and to analyze its management in the United States relative to the 2014 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) clinical practice guideline on tinnitus. Cross sectional analysis of a nationally representative health survey. The 2007 National Health Interview Survey (raw N=75,764) was analyzed, identifying adults reporting tinnitus in the preceding 12 months. In addition to quantifying duration, regularity, and severity of the tinnitus, specific data regarding noise exposure and tinnitus management during health care visits for tinnitus were analyzed. Among 222.1±3.4 million American adults, 21.4±3.4 million (9.6±0.3%) experienced tinnitus in the past 12 months. Among tinnitus sufferers, 27.0% had symptoms greater than 15 years; 36.0% had near constant symptoms. Higher rates of tinnitus were reported in those with consistent work (OR 3.3; CI: 2.9-3.7) and recreational time (OR 2.6; CI: 2.3-2.9) loud noise exposure. Years of work-related noise exposure correlated with increasing prevalence of tinnitus r=0.130 (95% CI, 0.103 to 0.157). 7.2% reported their tinnitus as a “big” or “very big” problem versus 41.6% reporting it as a “small” problem. Only 49.4% had discussed their tinnitus with a physician, where medications were the most frequently discussed recommendation (45.5%). Other interventions, such as hearing aids (9.2%), masking devices (4.9%), and cognitive-behavioral therapy (0.2%) were less frequently discussed. The contemporary national prevalence of tinnitus is approximately one in 10 adults. Durations of occupational and leisure time noise exposures correlated with rates of tinnitus and are likely targetable risk factors. Management options suggested by recently published guidelines were quite infrequently followed.
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DOI：
10.3109/03005368909077819
发表时间：
1989-01-01
期刊：
British Journal of Audiology
影响因子：
--
作者：
AXELSSON A;RINGDAHL A
通讯作者：
RINGDAHL A
影响因子：
6.3
作者：
Engdahl, Bo;Tambs, Kristian
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影响因子：
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作者：
Khedr, Eman M.;Ahmed, Mohamed A.;Mohammad, Khaled A.
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影响因子：
5.6
作者：
Gopinath, Bamini;McMahon, Catherine M.;Mitchell, Paul
通讯作者：
Mitchell, Paul
影响因子：
2.9
作者：
Engdahl B;Krog NH;Kvestad E;Hoffman HJ;Tambs K
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