Prevalence of Asymmetric Hearing Among Adults in the United States.
Prevalence of Asymmetric Hearing Among Adults in the United States.
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DOI：
10.1097/mao.0000000000002931
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发表时间：
2021-02-01
影响因子：
2.1
通讯作者：
Goman, Adele M.
中科院分区：
文献类型：
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作者：
Suen, Jonathan J.;Betz, Joshua;Reed, Nicholas S.;Deal, Jennifer A.;Lin, Frank R.;Goman, Adele M.
通过应用两种不同的听力标准来估计全国成年人听力不对称的患病率。全国横断面调查。全国健康和营养检查调查（NHANES）中的门诊检查中心。2001年至2012年NHANES周期中美国20岁及以上非住院成人的纯音听力和鼓室压数据（n = 6，190）。纯音测听和鼓室导抗测试的标准化方案。根据两种不同听力标准的不对称听力比例。一个标准（美国耳鼻咽喉头颈外科学会[AAO-HNS]）将不对称性规定为纯音平均值（PTA）之间的差异大于15 dB，另一个标准（退伍军人事务部[VA]）将不对称性规定为两个连续频率之间的差异大于/等于20 dB或三个连续频率之间的差异大于/等于10 dB。分析包括抽样权重，以解释流行病学调查的复杂抽样设计。使用AAO-HNS的定义，当使用0.5至4kHz和4至8 kHz计算PTA时，总体患病率分别为2.77%和9.46%。相比之下，通过VA内使用的工作定义，在0.5至8 kHz范围内的总体患病率为25.05%。不同性别和年龄的估计数不同，男性和老年组的流行率较高。美国成年人的全国代表性样本表明，男性和老年人群体中听力不对称的患病率较高。目前还没有标准的听力标准来定义不对称，流行率的估计有很大的不同，这取决于听力标准的使用。鉴于不对称的潜在高患病率取决于标准，临床医生在推荐医疗转诊时还应考虑其他补充临床数据。
To estimate the national prevalence of asymmetric hearing among adults through applying two distinct audiometric criteria. National cross-sectional survey. Ambulatory examination centers within the National Health and Nutrition Examination Survey (NHANES). Non-institutionalized adults in the United States from the 2001 to 2012 cycles of NHANES aged 20 years and older with pure tone audiometric and tympanometric data (n = 6,190). Standardized protocol for pure tone audiometry and tympanometry. Proportion of asymmetric hearing according to two distinct audiometric criteria. One criterion (American Academy of Otolaryngology–Head and Neck Surgery [AAO-HNS]) specifies asymmetry as a difference between pure tone averages (PTA) greater than 15 dB, and the other (Veterans Affairs [VA]) specifies asymmetry as a difference greater than/equal to 20 dB across two contiguous frequencies or 10 dB across three contiguous frequencies. Analyses included sampling weights to account for the epidemiologic survey’s complex sampling design. Using a definition from the AAO-HNS, overall prevalence was 2.77 and 9.46% when calculating the PTA with 0.5 to 4kHz and 4 to 8kHz, respectively. In contrast, through a working definition used within the VA, overall prevalence was 25.05% across 0.5 to 8kHz. Estimates differed across sex and age, with men and older age cohorts exhibiting higher prevalence. A nationally-representative sample of US adults indicates higher prevalence of asymmetric hearing among men and older adult cohorts. There is currently no standard audiometric criterion for defining asymmetry, and prevalence estimates vary markedly depending on which audiometric criteria is used. Given the potentially high prevalence of asymmetry depending on criterion, clinicians should also consider other supplementary clinical data when recommending medical referral.