Associations Between Tinnitus and Hearing Loss Among Noise-Exposed Workers in the United States From 1999 to 2020: A Cross-Sectional Study.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY
Shuo-Wei Yang, Wei Xu, Lin Chen, Shu-Bin Fang
{"title":"Associations Between Tinnitus and Hearing Loss Among Noise-Exposed Workers in the United States From 1999 to 2020: A Cross-Sectional Study.","authors":"Shuo-Wei Yang, Wei Xu, Lin Chen, Shu-Bin Fang","doi":"10.1177/19160216251347597","DOIUrl":null,"url":null,"abstract":"<p><p>ImportanceTinnitus is a prevalent condition among noise-exposed workers, with significant implications for hearing health and quality of life. Identifying associated factors can inform prevention and management strategies.ObjectivesTo identify factors associated with tinnitus prevalence among noise-exposed workers and assess the effectiveness of hearing protection in mitigating tinnitus.DesignCross-sectional study.SettingData from the National Health and Nutrition Examination Surveys database.ParticipantsThis study included 4931 noise-exposed workers (mean age 48.9 ± 0.3 years). Participants were categorized into speech-frequency hearing loss (SFHL; n = 1032, mean age 67.2 ± 0.4 years) and high-frequency hearing loss (HFHL; n = 1634, mean age 62.9 ± 0.3 years) groups based on hearing threshold levels.Intervention or ExposuresNoise exposure duration, hearing loss severity, demographics, and medical history. Hearing protection usage was assessed for its effectiveness in preventing tinnitus.Main Outcome MeasuresPrimary outcome: tinnitus prevalence. Associations were analyzed using logistic regression, with factors including self-reported noise exposure, hearing loss severity, demographics, and medical history.ResultTinnitus prevalence was 32.85% in the group with SFHL and 29.99% in the group with HFHL. Prolonged noise exposure and greater hearing loss severity were associated with tinnitus in both groups. Hearing protection usage was potentially linked to a lower tinnitus prevalence in HFHL but not in SFHL. For SFHL, univariate analysis showed lower tinnitus prevalence in older age and females, while Caucasian ethnicity and higher income were associated with higher prevalence. Multivariate analysis indicated that older age was positively associated with tinnitus (<i>P</i> < .05). In HFHL, factors such as higher BMI, higher educational level, and elevated Patient Health Questionnaire-9 (PHQ9) scores were significantly associated with tinnitus prevalence.ConclusionsProlonged noise exposure and hearing loss severity among noise-exposed workers were associated with tinnitus prevalence in SFHL and HFHL. Hearing protection showed tendency to reduce tinnitus prevalence in HFHL but had a limited effect in SFHL. Higher BMI, higher education levels, and elevated PHQ9 scores were significantly associated with tinnitus in HFHL, warranting further research into protective strategies.RelevanceFuture studies should explore alternative protective strategies for SFHL patients and refine tinnitus prevention approaches in noise-exposed workers.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251347597"},"PeriodicalIF":2.6000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198548/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Otolaryngology - Head & Neck Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/19160216251347597","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

ImportanceTinnitus is a prevalent condition among noise-exposed workers, with significant implications for hearing health and quality of life. Identifying associated factors can inform prevention and management strategies.ObjectivesTo identify factors associated with tinnitus prevalence among noise-exposed workers and assess the effectiveness of hearing protection in mitigating tinnitus.DesignCross-sectional study.SettingData from the National Health and Nutrition Examination Surveys database.ParticipantsThis study included 4931 noise-exposed workers (mean age 48.9 ± 0.3 years). Participants were categorized into speech-frequency hearing loss (SFHL; n = 1032, mean age 67.2 ± 0.4 years) and high-frequency hearing loss (HFHL; n = 1634, mean age 62.9 ± 0.3 years) groups based on hearing threshold levels.Intervention or ExposuresNoise exposure duration, hearing loss severity, demographics, and medical history. Hearing protection usage was assessed for its effectiveness in preventing tinnitus.Main Outcome MeasuresPrimary outcome: tinnitus prevalence. Associations were analyzed using logistic regression, with factors including self-reported noise exposure, hearing loss severity, demographics, and medical history.ResultTinnitus prevalence was 32.85% in the group with SFHL and 29.99% in the group with HFHL. Prolonged noise exposure and greater hearing loss severity were associated with tinnitus in both groups. Hearing protection usage was potentially linked to a lower tinnitus prevalence in HFHL but not in SFHL. For SFHL, univariate analysis showed lower tinnitus prevalence in older age and females, while Caucasian ethnicity and higher income were associated with higher prevalence. Multivariate analysis indicated that older age was positively associated with tinnitus (P < .05). In HFHL, factors such as higher BMI, higher educational level, and elevated Patient Health Questionnaire-9 (PHQ9) scores were significantly associated with tinnitus prevalence.ConclusionsProlonged noise exposure and hearing loss severity among noise-exposed workers were associated with tinnitus prevalence in SFHL and HFHL. Hearing protection showed tendency to reduce tinnitus prevalence in HFHL but had a limited effect in SFHL. Higher BMI, higher education levels, and elevated PHQ9 scores were significantly associated with tinnitus in HFHL, warranting further research into protective strategies.RelevanceFuture studies should explore alternative protective strategies for SFHL patients and refine tinnitus prevention approaches in noise-exposed workers.

1999年至2020年美国噪音暴露工人耳鸣与听力损失之间的关系:一项横断面研究。
耳鸣是噪声暴露工人的常见病,对听力健康和生活质量有重大影响。确定相关因素可以为预防和管理战略提供信息。目的探讨噪声暴露工人耳鸣流行的相关因素,评价听力保护对减轻耳鸣的效果。DesignCross-sectional研究。数据来自国家健康和营养检查调查数据库。研究对象:4931名噪声暴露工人(平均年龄48.9±0.3岁)。参与者被分为言语频率听力损失(SFHL);n = 1032,平均年龄67.2±0.4岁)和高频听力损失(HFHL;N = 1634,平均年龄62.9±0.3岁)。干预或暴露:噪音暴露时间、听力损失严重程度、人口统计学和病史。评估听力保护的使用对预防耳鸣的有效性。主要结局指标:耳鸣患病率。使用逻辑回归分析相关因素,包括自我报告的噪音暴露、听力损失严重程度、人口统计学和病史。结果SFHL组耳鸣患病率为32.85%,HFHL组为29.99%。在两组中,长时间的噪音暴露和更严重的听力损失都与耳鸣有关。听力保护的使用可能与HFHL中较低的耳鸣患病率相关,但与SFHL无关。对于SFHL,单因素分析显示老年人和女性耳鸣患病率较低,而高加索人种和高收入与较高患病率相关。多因素分析表明,年龄与耳鸣呈正相关(P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.50
自引率
2.90%
发文量
0
审稿时长
6 weeks
期刊介绍: Journal of Otolaryngology-Head & Neck Surgery is an open access, peer-reviewed journal publishing on all aspects and sub-specialties of otolaryngology-head & neck surgery, including pediatric and geriatric otolaryngology, rhinology & anterior skull base surgery, otology/neurotology, facial plastic & reconstructive surgery, head & neck oncology, and maxillofacial rehabilitation, as well as a broad range of related topics.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信