Reduced hearing, ownership, and use of hearing aids in elderly people in the UK - the MRC Trial of the Assessment and Management of Older People in the Community: a cross-sectional survey
Reduced hearing, ownership, and use of hearing aids in elderly people in the UK - the MRC Trial of the Assessment and Management of Older People in the Community: a cross-sectional survey
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DOI：
10.1016/s0140-6736(02)08433-7
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发表时间：
2002-04-27
期刊：
影响因子：
168.9
通讯作者：
Tulloch, A
中科院分区：
文献类型：
--
作者：
Smeeth, L;Fletcher, AE;Tulloch, A
老年人听力下降很重要，因为它是致残的，而且可能是可以治疗的。我们的目的是评估老年人听力下降的患病率和水平的所有权助听器和use.Methods我们做了一个横断面调查，年龄至少75岁的人在106个家庭的做法在英国。我们获得了32 656人的自我报告的听力困难的数据，并给了14 877低声的声音测试（响应率78%）。结果2537（8%）的32 656名参与者报告了很多听力困难和13 630（42%）一点或很多的困难。在14877名参与者中，有3795名（26%）完成了耳语测试（95%CI 23-29），但测试失败，这一比例随着年龄的增长而急剧上升。除蜡后，343人通过了重新测试，剩下3452人（23%，20-26）未通过测试，即使在除蜡后（如果存在）。在测试时佩戴助听器的2180人中，有998人（46%）未能通过耳语测试。超过一半的测试失败者没有助听器。在3846名拥有助听器的人中，有2200人（60%）表示他们经常使用助听器。使用水平与感知benefit.Interpretation密切相关听力下降是常见的，老年人助听器的提供不足。许多拥有助听器的人并不经常使用它，即使戴着助听器，许多人仍然有社交能力的听力损失。老年人发病率的一个主要来源可以通过改善听力下降的检测和管理来缓解。
Background Reduced hearing in elderly people is important because it is disabling and potentially treatable. We aimed to assess the prevalence of reduced hearing in elderly people and levels of ownership of hearing aids and use.Methods We have done a cross-sectional survey of people aged at least 75 years in 106 family practices in the UK. We obtained self-reported data on hearing difficulties for 32 656 people and gave 14 877 a whispered voice test (response rate 78%).Findings 2537 (8%) of 32 656 participants reported a lot of difficulty hearing and 13 630 (42%) a little or a lot of difficulty. 3795 (26%) of 14 877 participants who completed the whispered voice test (95% CI 23-29) failed the test, the proportion rising sharply with age. Following wax removal, 343 passed a retest, leaving 3452 (23%, 20-26) who failed the test, even after wax removal if present. 998 (46%) of 2180 people wearing a hearing aid at the time of testing failed the whispered voice test. More than half the people who failed the test did not own a hearing aid. 2200 (60%) of 3846 people who owned a hearing aid said they used it regularly. Level of use was strongly related to perceived benefit.Interpretation Reduced hearing is common and provision of hearing aids inadequate in elderly people. Many people who own a hearing aid do not use it regularly, and even when wearing their aid many still have socially disabling levels of hearing loss. A major source of morbidity in elderly people could be alleviated by improvements in detection and management of reduced hearing.