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. 2023 Apr 17:11:1140500.
doi: 10.3389/fpubh.2023.1140500. eCollection 2023.

Association between individual, household, and area-level socioeconomic status indicators and sensorineural hearing loss in adults in southwest Iran: a population-based study

Zahra Rahimi  1 , Nader Saki  2   3 , Bahman Cheraghian  2   4 , Payam Amini  5 , Masoud Solaymani Dodaran  1
Affiliations

Association between individual, household, and area-level socioeconomic status indicators and sensorineural hearing loss in adults in southwest Iran: a population-based study

Zahra Rahimi et al. Front Public Health. .

Abstract

Introduction: Hearing loss is the fourth most common chronic disease, but studies on the relationship between hearing loss and socioeconomic factors are limited. We aimed to examine the association between hearing loss and socioeconomic factors among 35-70 year adults in southwest Iran.

Materials and methods: This population-based cross-sectional study was conducted in the baseline of Hoveyzeh cohort study in adults aged 35-70 in southwest Iran between 2017 and 2021. Information on socioeconomic factors, demographic characteristics, comorbidities, family history of hearing loss, and noise exposure was collected. We assessed the relationship between three levels of socioeconomic factors (individual, household, and area level) with sensorineural hearing loss (SNHL). Multiple logistic regression was used to adjust the potential confounders.

Results: Among a total of 1,365 assessed participants, 485 patients were diagnosed as having hearing loss, and the other 880 individuals were diagnosed without hearing loss, which is considered the case and the control group, respectively. At the individual level of socioeconomic, the odds of having hearing loss in the participants with high school education and diploma, [OR = 0.51 (95%CI:0.28-0.92)], and the individuals with university education [OR = 0.44 (95%CI:0.22-0.87)] were significantly lower than the illiterate participants. At the household socioeconomic level, the odds of having hearing loss were lower for those with poor [OR = 0.63 (95%CI:0.41-0.97)] and moderate [OR = 0.62 (95%CI:0.41-0.94)] wealth status vs. those with the poorest wealth status. In the area level socioeconomic, although the odds of hearing loss in the residents of affluent areas were slightly lower than the residents of deprived areas, there was no significant difference among the groups.

Conclusion: The individuals with hearing loss may have insufficient education and income.

Keywords: Iran; education; hearing loss; sensorineural; socioeconomic status.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Adjusted odds ratios (95% CI) of hearing loss according to levels of education.
Figure 2
Figure 2
Adjusted odds ratios (95% CI) of hearing loss according to wealth status.
Figure 3
Figure 3
Adjusted odds ratios (95% CI) of hearing loss according to the Townsend deprivation index.
See this image and copyright information in PMC

References

    1. Bowl MR, Simon MM, Ingham NJ, Greenaway S, Santos L, Cater H, et al. . A large-scale hearing loss screen reveals an extensive unexplored genetic landscape for auditory dysfunction. Nat Commun. (2017) 8:1–11. 10.1038/s41467-017-00595-4 - DOI - PMC - PubMed
    1. Haile LM, Kamenov K, Briant PS, Orji AU, Steinmetz JD, Abdoli A, et al. . Hearing loss prevalence and years lived with disability, 1990–2019: findings from the global burden of disease study 2019. Lancet. (2021) 397:996–1009. 10.1016/S0140-6736(21)00516-X - DOI - PMC - PubMed
    1. Rashedi V, Asadi-Lari M, Foroughan M, Delbari A, Fadayevatan R. Prevalence of disability in Iranian older adults in Tehran, Iran: A population-based study. J. Health Soc Sci. (2016) 1:251–62. Available online at: https://journalhss.com/wp-content/uploads/JHHS13.pdf#page=95
    1. Olusanya BO, Neumann KJ, Saunders JE. The global burden of disabling hearing impairment: a call to action. Bull World Health Organ. (2014) 92:367–73. 10.2471/BLT.13.128728 - DOI - PMC - PubMed
    1. Wilson BS, Tucci DL, Merson MH, O'Donoghue GM. Global hearing health care: new findings and perspectives. Lancet. (2017) 390:2503–15. 10.1016/S0140-6736(17)31073-5 - DOI - PubMed

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