Modifiable Risk Factors and Hearing Loss: The National Health and Nutrition Examination Survey 1999–2020

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2026-10-02 Epub Date: 2026-07-31 DOI:10.1111/coa.70153

Yulu Zheng, Tingting Li, Zhiyuan Wu, Yahong Zhu, Zheng Guo, Xingang Li

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引用次数: 0

Abstract

Objective

To explore the associations between major modifiable risk factors and hearing loss.

Methods

This serial cross-sectional study was conducted within the National Health and Nutrition Examination Survey 1999–2020 in the United States. Associations were assessed using modified Poisson regression and within-sample population attributable fraction (PAF).

Results

Eight thousand seven hundred and seventy adults aged 40–85 years were included in the analyses, the mean (SD) age was 58.0 (11.7) years, with 4002 men (45.6%). Hearing loss was associated with low educational attainment with prevalence ratio 1.23, 95% confidence interval (1.15, 1.31); low income 1.11 (1.04, 1.19); diabetes 1.10 (1.03, 1.18); HDL-C dyslipidaemia 1.13 (1.06, 1.21); obesity 1.08 (1.01, 1.15) and tobacco use 1.11 (1.04, 1.19). Within our analysis, over 25% of hearing loss cases were attributed to modifiable risk factors, with low education or income, HDL-C dyslipidaemia, obesity and tobacco use being the leading contributors, though relative rankings varied slightly in survey-weighted analyses.

Conclusion

Hearing promotion policies should prioritise related modifiable factors to reduce the burden of hearing loss.

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可改变的危险因素与听力损失：1999-2020年全国健康和营养检查调查。

目的：探讨主要可改变危险因素与听力损失的关系。方法：本系列横断面研究是在美国1999-2020年国家健康与营养检查调查中进行的。使用修正泊松回归和样本内总体归因分数（PAF）评估相关性。结果：纳入年龄40 ~ 85岁的成人8770例，平均（SD）年龄58.0（11.7）岁，其中男性4002例（45.6%）。听力损失与受教育程度低相关，患病率为1.23,95%可信区间（1.15,1.31）；低收入1.11 (1.04,1.19)；糖尿病1.10 (1.03,1.18)；HDL-C血脂异常1.13 (1.06,1.21)；肥胖1.08(1.01,1.15)，吸烟1.11（1.04,1.19）。在我们的分析中，超过25%的听力损失病例归因于可改变的风险因素，低教育或收入、HDL-C血脂异常、肥胖和吸烟是主要因素，尽管在调查加权分析中相对排名略有不同。结论：听力促进政策应优先考虑相关可改变因素，以减轻听力损失负担。

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

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.