MACS/WIHS Combined Cohort Study: Cook County Clinical Research Site (CC_CRS)

中老年男女听力与平衡功能的研究 在MACS-WIHS联合队列研究中， 摘要 根据2014年美国全国健康访谈调查，5.5%的18-39岁成年人自我评估， 没有助听器的听力有问题。在40-69岁的成年人中， 在70岁及以上的成年人中增加到43%，其中63%报告轻度听力损失。迄今为止， 由于缺乏报告，这些艾滋病毒感染者（PLWH）的调查数据没有公布结果。 艾滋病毒感染状况。在一项针对中老年艾滋病毒阳性和艾滋病毒血清阴性的男性和女性的试点研究中， 在华盛顿和巴尔的摩进行的一项研究中，HIV感染与低频率和高频率相关， 听力损失但是，还需要更严格的研究，特别是因为美国一半以上的PLWH是 年龄超过50岁。除了听力和平衡方面的年龄和种族/民族差异外， 超重、饮酒量增加、吸烟、体力活动减少，发生高血压 和糖尿病是听力和平衡问题的常见风险因素。这些风险因素也可能是 高PLWH和共享炎症和免疫激活的共同标志。此外，听力 平衡问题可能会导致神经认知和身体功能障碍，这也是值得关注的问题。 在老化的PLWH中。最后，没有关于在艾滋病毒感染者中使用听力测试应用程序的研究。 评估使用听力测试应用程序的可行性和智能手机听力的准确性 需要在艾滋病毒感染者和艾滋病毒血清阴性者中进行检测。我们建议解决 通过实施NHANES听证会的全群组管理（和平衡）， 在MACS-WIHS联合队列研究（MWCCS）中，大约有4，100名活跃的中年人接受了问卷调查。 感染和未感染艾滋病毒的老年男女。在一个参与者子集中， 华盛顿特区和巴尔的摩研究中心，2009-2010年收集了基线听力和平衡数据， 在2020-2021年的后续测试中，我们建议调查免疫标记物的轨迹是否 激活和炎症有助于听力和平衡问题的进展， 智能手机听力测试应用程序可能是一种可行的方法，以捕捉听力问题，在PLWH 与HIV血清阴性的参与者相比。

Study of Hearing and Balance in Middle Aged and Aging Men and Women in the MACS- WIHS Combined Cohort Study Abstract According to the 2014 U.S. National Health Interview Survey, 5.5% of adults aged 18-39 years old self- reported trouble with hearing without a hearing aid. Among adults 40-69 years of age, the rate was 19% increasing to 43% among adults aged 70 and over with 63% reporting mild hearing loss. To date, there has been no published results from these survey data of people living with HIV (PLWH) due to lack of reported HIV status. In a pilot study of middle-aged and aging HIV positive and HIV seronegative men and women conducted in Washington DC and Baltimore, HIV infection was associated with low and high frequency hearing loss. But, more rigorous studies are needed, especially as more than half of PLWH in the U.S. are over the age of 50 years old. Besides age and race/ethnicity differences in hearing and balance, being overweight, increased alcohol consumption, smoking, less physical activity, the occurrence of hypertension and diabetes are common risk factors for hearing and balance problems. These risk factors may also be higher in PLWH and share a common hallmark of inflammation and immune activation. Furthermore, hearing and balance problems may contribute to neurocognitive and physical dysfunction, which are also of concern in aging PLWH. Finally, there is no research on the use of hearing testing applications in adults with HIV. Evaluation of the feasibility of using a hearing testing application and the accuracy of a smartphone hearing testing application in PLWH and their HIV seronegative counterparts are needed. We propose to address these gaps in knowledge by implementing cohort-wide administration of the NHANES hearing (and balance questionnaire) in the MACS-WIHS Combined Cohort Study (MWCCS) in approximately 4,100 active middle aged and aging men and women living with and without HIV. In a subset of participants from the Washington-DC and Baltimore sites with baseline hearing and balance data collected in 2009-2010 with follow-up testing in 2020-2021, we propose to investigate whether the trajectory of markers of immune activation and inflammation contribute to progression of hearing and balance issues, and whether a smartphone hearing test application may be a feasible method to capture hearing trouble in PLWH compared to HIV seronegative participants.