Association between cigarette smoking and hearing loss: A cross-sectional study from the NHANES database.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI:10.18332/tid/208812

Hesen Huang, Wenkao Zhou, Kaiqin Chen, Yu Du, Wei Lin, Yixian Ye

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引用次数: 0

Abstract

Introduction: Using data from the National Health and Nutrition Examination Survey (NHANES), this study aimed to assess the association between smoking and hearing loss and explore its heterogeneity across gender and age groups.

Methods: This secondary dataset analysis used a cross-sectional design and included NHANES data from 2005-2012 and 2015-2018. The study population consisted of adults without hearing-related disorders. Hearing loss was assessed by pure tone audiometry (PTA) and included low-frequency (LFHL), speech-frequency (SFHL) and high-frequency hearing loss (HFHL), expressed as continuous and categorical variables, respectively. Linear and logistic regression models were used to analyze the association between hearing loss and the exposure variable smoking status.

Results: A total of 4217 adult subjects were included. It was found that smokers had a higher prevalence of LFHL, SFHL and HFHL than non-smokers (LFHL: 15.62% vs 8.51%, SFHL: 23.22% vs 12.98%, HFHL: 53.48% vs 36.95%). In males, in Models 1 (unadjusted), 2 and 3 (adjusted), there were statistically significant differences (p<0.05) in LFHL (β=4.24; 95% CI: 3.32-5.17; β=1.65; 95% CI: 0.80-2.49; β=1.52; 95% CI: 0.66-2.38) in SFHL (β=5.63; 95% CI: 4.56-6.70; β=1.95; 95% CI: 1.05-2.84; β=1.62; 95% CI: 0.72-2.52) and in HFHL (β=10.20; 95% CI: 8.21-12.19; β=2.85; 95% CI: 1.33-4.37; β=2.19; 95% CI: 0.69-3.70) between smokers and non-smokers, for continuous variables of hearing loss. In male hearing loss, categorical variables also showed statistically significant differences between smokers and non-smokers (p<0.05). In the middle-aged group, compared with non-smokers, logistic regression of smoking with all three types of hearing loss showed statistically significant differences (p<0.05) in Models 1, 2 and 3.

Conclusions: There was a significant association between smoking and hearing loss, with maybe more significant associations with all three types of hearing loss in male smokers and a significant relationship between smoking and hearing loss in the middle-aged group.

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吸烟与听力损失之间的关系：来自NHANES数据库的一项横断面研究。

本研究利用美国国家健康与营养调查（NHANES）的数据，旨在评估吸烟与听力损失之间的关系，并探讨其在性别和年龄组中的异质性。方法：本二次数据集分析采用横断面设计，纳入2005-2012年和2015-2018年的NHANES数据。研究人群由没有听力相关疾病的成年人组成。听力损失采用纯音测听法（PTA）评估，包括低频（LFHL）、语音频率（SFHL）和高频听力损失（HFHL），分别以连续变量和分类变量表示。使用线性和逻辑回归模型分析听力损失与暴露变量吸烟状态之间的关系。结果：共纳入4217名成人受试者。结果发现，吸烟者的LFHL、SFHL和HFHL患病率均高于非吸烟者（LFHL: 15.62% vs 8.51%, SFHL: 23.22% vs 12.98%, HFHL: 53.48% vs 36.95%）。在男性中，在模型1（未调整）、模型2和模型3（调整）中，差异有统计学意义(p)结论：吸烟与听力损失之间存在显著相关性，男性吸烟者与三种类型的听力损失之间的相关性可能更为显著，吸烟与中年组的听力损失之间存在显著相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.