Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults
Objective To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults. Study Design Cross-sectional study. Setting Nationally representative sample of US adults. Methods We analyzed data from the 2011-2012 and 2015-2016 National Health and Nu...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2021-12, Vol.165 (6), p.868-875 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Choi, Janet S. Wu, Franklin Park, Soyun Friedman, Rick A. Kari, Elina Volker, Courtney C. J. |
| description | Objective
To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults.
Study Design
Cross-sectional study.
Setting
Nationally representative sample of US adults.
Methods
We analyzed data from the 2011-2012 and 2015-2016 National Health and Nutritional Examination Survey, in which participants aged 20 to 69 years completed an audiometric evaluation (n = 8138). UHL was defined as a speech frequency pure-tone average ≥25 dB in the worse hearing ear and |
| doi_str_mv | 10.1177/0194599821995485 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2504353980</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0194599821995485</sage_id><sourcerecordid>2504353980</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3868-77613ebed96a3dc6790690c46614f3f119bcc5f69d2b1bd3f83cd2577054efaa3</originalsourceid><addsrcrecordid>eNqFkEtLAzEUhYMotj72riRLN6PJZPJa1mJtodiFFt0NmSRTU-ZRkxmk_96UVheCuLoc7vkO9x4ArjC6xZjzO4RlRqUUKZaSZoIegSFGkidMYH4Mhrt1stsPwFkIa4QQY5yfggEhnKaZwEPwNlG6a32AoxBa7VRnDXx13TtcNq6KyqsKTq3yrlnBeRsCVI2Bs3oTKdg2cNzWdd84rToXlWvg8hmOTF914QKclKoK9vIwz8Fy8vAynibzxeNsPJonmggmEs4ZJrawRjJFjGZcIiaRzhjDWUlKjGWhNS2ZNGmBC0NKQbRJKeeIZrZUipyDm33uxrcfvQ1dXrugbVWpxrZ9yFOKMkKJFCha0d6qffzE2zLfeFcrv80xynd95r_7jMj1Ib0vamt-gO8Co0HsDZ-ustt_A_PF9Ol-gmQmRESTPRrUyubrtvdNLOrvW74Ai4mMkw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2504353980</pqid></control><display><type>article</type><title>Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><source>Wiley Online Library All Journals</source><creator>Choi, Janet S. ; Wu, Franklin ; Park, Soyun ; Friedman, Rick A. ; Kari, Elina ; Volker, Courtney C. J.</creator><creatorcontrib>Choi, Janet S. ; Wu, Franklin ; Park, Soyun ; Friedman, Rick A. ; Kari, Elina ; Volker, Courtney C. J.</creatorcontrib><description>Objective
To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults.
Study Design
Cross-sectional study.
Setting
Nationally representative sample of US adults.
Methods
We analyzed data from the 2011-2012 and 2015-2016 National Health and Nutritional Examination Survey, in which participants aged 20 to 69 years completed an audiometric evaluation (n = 8138). UHL was defined as a speech frequency pure-tone average ≥25 dB in the worse hearing ear and <25 dB in the better hearing ear. Logistic regression was used to examine the association between UHL and relevant factors.
Results
The prevalence of UHL was 8.1% (95% CI, 7.3%-9.0%) in US adults. Factors associated with UHL included older age, male sex, white race, lower level of education, diabetes, cardiovascular disease, and off-work noise exposure. Among adults with UHL, 40% (95% CI, 32%-48%) reported subjective trouble with hearing, a rate higher than the 12% (95% CI, 11%-14%) among normal-hearing adults. After adjusting for relevant factors, adults with UHL were more likely to report difficulties with following conversations with noise (odds ratio [OR], 1.7; 95% CI, 1.2-2.5) and frustration when talking to family and friends (OR, 3.0; 95% CI, 1.9-4.6). Higher levels of communication difficulties were observed with worsening level of UHL.
Conclusions
Adults with UHL report significant communication difficulties in comparison to normal-hearing adults. Further research is needed to understand the psychosocial impact of UHL on adults and ways to improve communication support for adults with UHL.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599821995485</identifier><identifier>PMID: 33752481</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Communication ; Cross-Sectional Studies ; disability ; Female ; hearing aids ; Hearing Loss, Unilateral - complications ; Hearing Loss, Unilateral - diagnosis ; Hearing Loss, Unilateral - epidemiology ; Hearing Tests ; Humans ; Logistic Models ; Male ; Middle Aged ; Nutrition Surveys ; Prevalence ; Risk Factors ; unilateral hearing loss ; United States - epidemiology</subject><ispartof>Otolaryngology-head and neck surgery, 2021-12, Vol.165 (6), p.868-875</ispartof><rights>American Academy of Otolaryngology–Head and Neck Surgery Foundation 2021</rights><rights>2021 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3868-77613ebed96a3dc6790690c46614f3f119bcc5f69d2b1bd3f83cd2577054efaa3</citedby><cites>FETCH-LOGICAL-c3868-77613ebed96a3dc6790690c46614f3f119bcc5f69d2b1bd3f83cd2577054efaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599821995485$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599821995485$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1416,21818,27923,27924,43620,43621,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33752481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Janet S.</creatorcontrib><creatorcontrib>Wu, Franklin</creatorcontrib><creatorcontrib>Park, Soyun</creatorcontrib><creatorcontrib>Friedman, Rick A.</creatorcontrib><creatorcontrib>Kari, Elina</creatorcontrib><creatorcontrib>Volker, Courtney C. J.</creatorcontrib><title>Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults.
Study Design
Cross-sectional study.
Setting
Nationally representative sample of US adults.
Methods
We analyzed data from the 2011-2012 and 2015-2016 National Health and Nutritional Examination Survey, in which participants aged 20 to 69 years completed an audiometric evaluation (n = 8138). UHL was defined as a speech frequency pure-tone average ≥25 dB in the worse hearing ear and <25 dB in the better hearing ear. Logistic regression was used to examine the association between UHL and relevant factors.
Results
The prevalence of UHL was 8.1% (95% CI, 7.3%-9.0%) in US adults. Factors associated with UHL included older age, male sex, white race, lower level of education, diabetes, cardiovascular disease, and off-work noise exposure. Among adults with UHL, 40% (95% CI, 32%-48%) reported subjective trouble with hearing, a rate higher than the 12% (95% CI, 11%-14%) among normal-hearing adults. After adjusting for relevant factors, adults with UHL were more likely to report difficulties with following conversations with noise (odds ratio [OR], 1.7; 95% CI, 1.2-2.5) and frustration when talking to family and friends (OR, 3.0; 95% CI, 1.9-4.6). Higher levels of communication difficulties were observed with worsening level of UHL.
Conclusions
Adults with UHL report significant communication difficulties in comparison to normal-hearing adults. Further research is needed to understand the psychosocial impact of UHL on adults and ways to improve communication support for adults with UHL.</description><subject>Adult</subject><subject>Aged</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>disability</subject><subject>Female</subject><subject>hearing aids</subject><subject>Hearing Loss, Unilateral - complications</subject><subject>Hearing Loss, Unilateral - diagnosis</subject><subject>Hearing Loss, Unilateral - epidemiology</subject><subject>Hearing Tests</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition Surveys</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>unilateral hearing loss</subject><subject>United States - epidemiology</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEUhYMotj72riRLN6PJZPJa1mJtodiFFt0NmSRTU-ZRkxmk_96UVheCuLoc7vkO9x4ArjC6xZjzO4RlRqUUKZaSZoIegSFGkidMYH4Mhrt1stsPwFkIa4QQY5yfggEhnKaZwEPwNlG6a32AoxBa7VRnDXx13TtcNq6KyqsKTq3yrlnBeRsCVI2Bs3oTKdg2cNzWdd84rToXlWvg8hmOTF914QKclKoK9vIwz8Fy8vAynibzxeNsPJonmggmEs4ZJrawRjJFjGZcIiaRzhjDWUlKjGWhNS2ZNGmBC0NKQbRJKeeIZrZUipyDm33uxrcfvQ1dXrugbVWpxrZ9yFOKMkKJFCha0d6qffzE2zLfeFcrv80xynd95r_7jMj1Ib0vamt-gO8Co0HsDZ-ustt_A_PF9Ol-gmQmRESTPRrUyubrtvdNLOrvW74Ai4mMkw</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Choi, Janet S.</creator><creator>Wu, Franklin</creator><creator>Park, Soyun</creator><creator>Friedman, Rick A.</creator><creator>Kari, Elina</creator><creator>Volker, Courtney C. J.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202112</creationdate><title>Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults</title><author>Choi, Janet S. ; Wu, Franklin ; Park, Soyun ; Friedman, Rick A. ; Kari, Elina ; Volker, Courtney C. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3868-77613ebed96a3dc6790690c46614f3f119bcc5f69d2b1bd3f83cd2577054efaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Communication</topic><topic>Cross-Sectional Studies</topic><topic>disability</topic><topic>Female</topic><topic>hearing aids</topic><topic>Hearing Loss, Unilateral - complications</topic><topic>Hearing Loss, Unilateral - diagnosis</topic><topic>Hearing Loss, Unilateral - epidemiology</topic><topic>Hearing Tests</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition Surveys</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>unilateral hearing loss</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Janet S.</creatorcontrib><creatorcontrib>Wu, Franklin</creatorcontrib><creatorcontrib>Park, Soyun</creatorcontrib><creatorcontrib>Friedman, Rick A.</creatorcontrib><creatorcontrib>Kari, Elina</creatorcontrib><creatorcontrib>Volker, Courtney C. J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Janet S.</au><au>Wu, Franklin</au><au>Park, Soyun</au><au>Friedman, Rick A.</au><au>Kari, Elina</au><au>Volker, Courtney C. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2021-12</date><risdate>2021</risdate><volume>165</volume><issue>6</issue><spage>868</spage><epage>875</epage><pages>868-875</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults.
Study Design
Cross-sectional study.
Setting
Nationally representative sample of US adults.
Methods
We analyzed data from the 2011-2012 and 2015-2016 National Health and Nutritional Examination Survey, in which participants aged 20 to 69 years completed an audiometric evaluation (n = 8138). UHL was defined as a speech frequency pure-tone average ≥25 dB in the worse hearing ear and <25 dB in the better hearing ear. Logistic regression was used to examine the association between UHL and relevant factors.
Results
The prevalence of UHL was 8.1% (95% CI, 7.3%-9.0%) in US adults. Factors associated with UHL included older age, male sex, white race, lower level of education, diabetes, cardiovascular disease, and off-work noise exposure. Among adults with UHL, 40% (95% CI, 32%-48%) reported subjective trouble with hearing, a rate higher than the 12% (95% CI, 11%-14%) among normal-hearing adults. After adjusting for relevant factors, adults with UHL were more likely to report difficulties with following conversations with noise (odds ratio [OR], 1.7; 95% CI, 1.2-2.5) and frustration when talking to family and friends (OR, 3.0; 95% CI, 1.9-4.6). Higher levels of communication difficulties were observed with worsening level of UHL.
Conclusions
Adults with UHL report significant communication difficulties in comparison to normal-hearing adults. Further research is needed to understand the psychosocial impact of UHL on adults and ways to improve communication support for adults with UHL.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33752481</pmid><doi>10.1177/0194599821995485</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Communication Cross-Sectional Studies disability Female hearing aids Hearing Loss, Unilateral - complications Hearing Loss, Unilateral - diagnosis Hearing Loss, Unilateral - epidemiology Hearing Tests Humans Logistic Models Male Middle Aged Nutrition Surveys Prevalence Risk Factors unilateral hearing loss United States - epidemiology |
| title | Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults |
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