The prevalence of ear, nose and throat problems in the community: results from a national cross-sectional postal survey in Scotland

The prevalence of ear, nose and throat problems in the community: results from a national cross-sectional postal survey in Scotland
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DOI:
10.1093/fampra/cmi004
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发表时间:
2005-06-01
期刊:
影响因子:
2.2
通讯作者:
Mills, R
Mills, R
中科院分区:
医学4区
文献类型:
--
作者:
Hannaford, PC;Simpson, JA;Mills, R

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Objective.为了评估流行的耳,鼻,喉(ENT)的症状所经历的个人生活在苏格兰,他们使用的GP或医院服务,这些问题。一个横截面的邮政自我完成的问卷被发送到一个随机抽样的12 100个家庭在整个苏格兰。在7244户居民中,有15788名14岁以上的居民(调整后的回答率为64.2%)参加了调查。大约五分之一的受访者表示目前有听力困难,包括在背景噪音和听力问题引起担忧或不安时难以跟随谈话;很少有人经常佩戴助听器。五分之一的人报告头部或耳朵的噪音(耳鸣)持续超过五分钟。在过去的一年中,13%至18%的受访者报告了持续的鼻部症状或花粉热,7%的人打喷嚏或声音问题,31%的人至少有一次严重的喉咙痛或扁桃体炎。近21%的受访者报告说,他们曾经有过头晕,其中似乎有东西在个人周围旋转; 29%的人不稳定,头晕或感到头晕; 13%的人头晕,其中受访者似乎在移动。重要的性别,年龄,职业和剥夺这些耳鼻喉科症状的发生存在差异。有相当大的差异的比例,个人咨询他们的家庭医生或被转介到医院的不同问题。耳鼻喉科问题经常发生在社区,大多数是管理没有咨询医疗服务。虽然合理的许多问题,有可能是重要的群体在社会上与耳鼻喉科的问题,可能会受益于现代干预措施。
Objective. To assess the prevalence of ear, nose and throat (ENT) symptoms experienced by individuals living in Scotland, and their use of GP or hospital services for these problems.Methods. A cross-sectional postal self-completed questionnaire was sent to a random sample of 12 100 households throughout Scotland. 15 788 individuals aged 14+ years living in the 7244 households who returned the questionnaire (adjusted response rate 64.2%) participated in the study.Results. Roughly a fifth of respondents reported currently having hearing difficulties, including difficulty following conversations when there is background noise and hearing problems causing worry or upset; few wore a hearing aid regularly. A fifth reported noises in head or ears (tinnitus) lasting more than five minutes. In the previous year, between 13 and 18% of respondents reported persistent nasal symptoms or hayfever, 7% sneezing or voice problems and 31% had at least one episode of severe sore throat or tonsillitis. Nearly 21% of all respondents reported ever having had dizziness in which things seemed to spin around the individual; 29% unsteadiness, light-headedness or feeling faint; 13% dizziness in which the respondent seemed to move. Important gender, age, occupation and deprivation differences existed in the occurrence of these ENT symptoms. There was considerable variation in the proportion of individuals consulting their GP or being referred to hospital for different problems.Conclusions. ENT problems occur frequently in the community, and most are managed without consulting medical services. Whilst reasonable for many problems, there are likely to be important groups in the community with ENT problems that might benefit from modern interventions.