A history of occupational noise exposure is associated with steep-slope audiograms and poorer self-reported hearing-aid outcomes.

Autor:	Houmøller SS; Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, Odense, Denmark.; OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark., Tsai LT; Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, Odense, Denmark., Wolff A; Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Kaithali Narayanan S; Section for AI and Sound, Department of Electronic Systems, Aalborg University, Aalborg, Denmark., Hougaard DD; Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Gaihede M; Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Hammershøi D; Section for AI and Sound, Department of Electronic Systems, Aalborg University, Aalborg, Denmark., Neher T; Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, Odense, Denmark., Godballe C; Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, Odense, Denmark.; OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark., Schmidt JH; Research Unit for ORL - Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, Odense, Denmark.; OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.
Jazyk:	angličtina
Zdroj:	International journal of audiology [Int J Audiol] 2024 Oct; Vol. 63 (10), pp. 772-784. Date of Electronic Publication: 2023 Nov 01.
DOI:	10.1080/14992027.2023.2272558
Abstrakt:	Objective: To investigate the effects of previous occupational noise exposure in older adults with hearing loss on (1) audiometric configuration and acoustic reflex (AR) thresholds and (2) self-reported hearing abilities and hearing aid (HA) effectiveness. Design: A prospective observational study. Study Sample: The study included 1176 adults (≥60 years) with bilateral sensorineural hearing loss. Pure-tone audiometry, AR thresholds, and responses to the abbreviated version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire were obtained, along with information about previous occupational noise exposure. Results: Greater occupational noise exposure was associated with a higher prevalence of steeply sloping audiograms in men and women and a 0.32 (95% CI: -0.57; -0.06) scale points lower mean SSQ12 total score among noise-exposed men. AR thresholds did not show a significant relation to noise-exposure status, but hearing thresholds at a given frequency were related to elevated AR thresholds at the same frequency. Conclusions: A noise exposure history is linked to steeper audiograms in older adults with hearing loss as well as to poorer self-reported hearing abilities in noise-exposed men. More attention to older adults with previous noise exposure is warranted in hearing rehabilitation.
Databáze:	MEDLINE
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