Prevalence of Noise-Induced Hearing-Threshold Shifts and Hearing Loss Among US Youths
Prevalence of Noise-Induced Hearing-Threshold Shifts and Hearing Loss Among US Youths
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DOI：
10.1542/peds.2010-0926
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发表时间：
2011-01-01
期刊：
影响因子：
8
通讯作者：
Hartnick, Christopher
中科院分区：
文献类型：
--
作者：
Henderson, Elisabeth;Testa, Marcia A.;Hartnick, Christopher
目的：我们调查了噪声引起的阈值漂移（NITS）、高频听力损失（HFHL）和低频听力损失（LFHL）的趋势。方法：在 1988-1994 年和 2005-2006 年国家健康和营养检查调查期间，共有 4310 名 12 至 19 岁青少年完成了听力测试。 NITS 标准是降低 3 至 6 kHz 阈值但保留 0.5 至 1 kHz 和 8 kHz 阈值的听力模式； HFHL 和 LFHL 标准分别为 >15 dB HL 的高纯音平均值和低纯音平均值。 结果：NITS 没有显着增加（比值比 [OR]：0.81 [95% 置信区间 [CI]：0.53-1.22]；P = 0.29），HFHL（OR：1.21 [95% CI：0.87-1.69]；P = .25) 或调查期间之间的 LFHL (OR: 1.37 [95% CI: 0.77-2.45]; P = .28)。然而，青少年女性中 NITS 的患病率显着增加（11.6% [95% CI: 9.0%-14.1%] vs 16.7% [95% CI: 13.2%-20.3%]；P < .0001）。过去 24 小时内接触大声噪音或通过耳机听音乐的总体患病率从 19.8% (95% CI: 17.6%-22.1%) 增加到 34.8% (95% CI: 31.0%-38.5%; P < .0001)。 2005-2006 年，女性青少年接触娱乐噪音的患病率相似（23.6% [95% CI: 19.6%-27.6%] vs 27.7% [95% CI: 23.6%-31.8%]；P < .0001），但使用听力保护装置的患病率较低（3.4% [95% CI: 1.6%-5.3%]）对比 10.3% [95% CI：7.3%-13.2%]；与男性青少年相比，P < .0001）。结论：更多地接触娱乐噪音和最少使用听力保护装置可能会导致女性青少年中 NITS 患病率的增加。儿科 2011；127：e39-e46
OBJECTIVE: We investigated trends in noise-induced threshold shifts (NITSs), high-frequency hearing loss (HFHL), and low-frequency hearing loss (LFHL).METHODS: A total of 4310 adolescents 12 to 19 years of age completed audiometric testing during National Health and Nutrition Examination Surveys in 1988-1994 and 2005-2006. NITS criteria were audiometric patterns of decreased 3- to 6-kHz thresholds but preserved 0.5- to 1-kHz and 8-kHz thresholds; HFHL and LFHL criteria were high and low pure-tone averages, respectively, of >15 dB HL.RESULTS: There were no significant increases in NITSs (odds ratio [OR]: 0.81 [95% confidence interval [CI]: 0.53-1.22]; P = .29), HFHL (OR: 1.21 [95% CI: 0.87-1.69]; P = .25), or LFHL (OR: 1.37 [95% CI: 0.77-2.45]; P = .28) between survey periods. However, a significant increase in the prevalence of NITSs occurred among female youths (11.6% [95% CI: 9.0%-14.1%] vs 16.7% [95% CI: 13.2%-20.3%]; P < .0001). The overall prevalence of exposure to loud noise or listening to music through headphones in the previous 24 hours increased from 19.8% (95% CI: 17.6%-22.1%) to 34.8% (95% CI: 31.0%-38.5%; P < .0001). In 2005-2006, female youths had a similar prevalence of exposure to recreational noise (23.6% [95% CI: 19.6%-27.6%] vs 27.7% [95% CI: 23.6%-31.8%]; P < .0001) and a lower prevalence of hearing-protection use (3.4% [95% CI: 1.6%-5.3%] vs 10.3% [95% CI: 7.3%-13.2%]; P < .0001) compared with male youths.CONCLUSIONS: Increased exposure to recreational noise and minimal use of hearing protection might have lead to an increase in NITS prevalence among female youths. Pediatrics 2011;127:e39-e46