文献类型：期刊文献

英文题名：Otitis Media and Its Association With Hearing Loss in Chinese Adults: A Population Based Study of 4 Provinces in China

作者：Luo, Yanan[1];He, Ping[2];Wen, Xu[3];Gong, Rui[4];Hu, Xiangyang[4];Zheng, Xiaoying[5]

第一作者：Luo, Yanan

通讯作者：Zheng, XY[1]

机构：[1]Peking Univ, Sch Publ Hlth, Dept Global Hlth, Beijing, Peoples R China;[2]Peking Univ, China Ctr Hlth Dev Studies, Beijing, Peoples R China;[3]Beijing Union Univ, Coll Biochem Engn, Beijing, Peoples R China;[4]China Rehabil Res Ctr Deaf Children, Beijing, Peoples R China;[5]Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China

第一机构：Peking Univ, Sch Publ Hlth, Dept Global Hlth, Beijing, Peoples R China

通讯机构：[1]corresponding author), Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China.

年份：2022

卷号：10

外文期刊名：FRONTIERS IN PUBLIC HEALTH

收录：;Scopus(收录号：2-s2.0-85131270936);WOS:【SSCI(收录号:WOS:000804583500001)，SCI-EXPANDED(收录号:WOS:000804583500001)】；

基金：This work was supported by Major Project of the National Social Science Fund of China (21 & ZD187), National Social Science Fund of China (21CRK014), Promotion of Initiative and Empowerment for Women (ANSO-SBA-2020-02), Beijing Social Science Foundation (Grant No. 20SRC029), and Beijing Union University Foundation (Grant No. BPHR2020DS05). The funders had no role in study design, data collection and analysis, decision to publish and preparation of the manuscript.

语种：英文

外文关键词：otitis media; hearing loss; rural-urban disparities; adults; China

摘要：ObjectiveOtitis media is a recognized cause of significant hearing loss, particularly in developing countries. This study aimed to investigate the relationship between otitis media and hearing loss in Chinese adults aged 18 years and older. MethodsThe survey was based on WHO Ear and Hearing Disorders Survey Protocol and 36,783 adults at the ages between 18 years and above were selected in this study. Trained local examiners performed pure tone audiometry to screen people with hearing loss, and those who were screened positively for hearing loss were referred to audiologists to make final diagnosis. All participants underwent clinical ENT check-up and otoscopic examination by doctors trained in ENT. Each participant was assigned a single middle ear diagnosis. Diagnoses were assigned as per the WHO classification of ear and hearing disorders. ResultsLogistic regressions showed that higher prevalence of hearing loss was found in participants with otitis media, with an unadjusted odds ratio of 5.67 (95%CI: 4.66, 6.90). The next two models (Model 2-3) had slight impact on ORs. The interaction of residency and otitis media was statistically significant (OR = 1.70, 95%CI = 1.15, 2.53); otitis media patients in rural areas had higher risk of hearing loss. However, this interaction became not significant in 65 years old and above participants. ConclusionsOtitis media was associated with the risk of hearing loss. Compared with urban patients with otitis media, rural patients have the higher risk of hearing loss. Action to reduce the risk of hearing loss in otitis media will require attention to rural-urban disparities.