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. 2017 Mar;52(3 Suppl 3):S258-S262.
doi: 10.1016/j.amepre.2016.11.002.

Hearing-Related Health Among Adult American Indians From a Pacific Northwest Tribe

Kapuaolaokalaniakea Gellert  1 , William Hal Martin  2 , Jodi A Lapidus  3 , Leslie Wosnig  4 , Thomas M Becker  5
Affiliations

Hearing-Related Health Among Adult American Indians From a Pacific Northwest Tribe

Kapuaolaokalaniakea Gellert et al. Am J Prev Med. 2017 Mar.

Abstract

Introduction: Hearing loss and tinnitus are common in most populations, although few data have addressed hearing-related health among tribal members and the need for public health interventions.

Methods: This cross-sectional study examined prevalence and risk factors for hearing loss and tinnitus among 217 adults in a Pacific Northwest tribe. Frequency measures were conducted for difficulty hearing certain sounds and hearing aid use. In 2006, risk factors were examined for two outcomes-hearing loss and tinnitus-with analysis conducted in the same year.

Results: Although self-reported hearing loss was more common in men (24%) than women (13%), a larger percentage of women compared with men reported difficulty hearing certain sounds. Only 8% of study participants reported hearing aid use. After age adjustment, significant noise exposure was associated with hearing loss (OR=8.30, 95% CI=1.84, 37.52). The overall prevalence of tinnitus was 33% (similar in men and women). After adjusting for age, the odds of tinnitus in individuals with more than four ear infections was 4.77 (95% CI=1.89, 12.02) times the odds in those who never had an ear infection. Tinnitus was also associated with significant noise exposure (OR=2.24, 95% CI=1.28, 6.73) even after age adjustment.

Conclusions: Increasing age and significant noise exposure were associated with hearing loss in this tribe. Tinnitus was associated with significant noise exposure and history of otitis media, even after age adjustment. Public health efforts are needed to improve hearing-related health in this tribe through messages about noise exposure and use of hearing protection.

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Figures

Figure 1
Figure 1
Prevalence of hearing loss among male and female participants by age group: Survey of hearing-related health among American Indians from one Northwest tribe, 2006.
Figure 2
Figure 2
Prevalence of tinnitus among male and female participants by age group: Survey of hearing related health among American Indians from one Northwest tribe, 2006.
See this image and copyright information in PMC

References

    1. Barnes P, Adams PF, Powell-Griner E. Health characteristics of the American Indian and Alaska Native adult population: United States, 1999–2003. [Accessed April 24, 2007];Adv Data Vital Health Stat. 2005 356 www.cdc.gov/nchs/data/ad/ad356.pdf.
    1. Brown SC. Older Americans and Tinnitus: A Demographic Study and Chartbook. Washington, DC: Gallaudet University; 1990.
    1. Hunter LL, Davey CS, Kohtz A, Daly KA. Hearing screening and middle ear measures in American Indian infants and toddlers. Int J Pediatr Otorhinolaryngol. 2007;71(9):1429–1438. - PubMed
    1. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System. Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion; [Accessed September 27, 2016]. http://www.cdc.gov/brfss/index.html. Updated August 26, 2016.
    1. Hosmer DW, Lemeshow S. Applied Logistic Regression. New York: John Wiley & Sons; 2000.