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- Title
苏州地区 0~14 岁儿童听力障碍流行病学调查 及发病因素的 Logistic 回归分析.
- Authors
马慧敏; 赵 青; 尹德佩; 朱慧娥; 窦训武
- Abstract
Objective: To investigate the epidemiological situation of hearing impairment in children aged 0~14 years in Suzhou, and to analyze the risk factors of the disease. Methods: Using the method of multi-stage and random sampling,1478 samples were selected from 46 streets and 51 towns in the region from January 2020 to January 2022. On-site investigation was carried out using the 《WHO Survey Plan on Ear Diseases and Hearing Impairment》. Pure tone audiometry was performed on children aged 0~14 years with AA222 screening audiometer. Hearing threshold greater than or equal to 26dB indicated that there was hearing impairment. The epidemiology of hearing impairment in children aged 0~14 years in Suzhou was investigated, and the risk factors of hearing impairment were analyzed. Results: 1478 subjects aged 0~14 years were included, 1459 of whom had complete data, with a recovery rate of 98.71%. All the subjects were divided into hearing impairment group (n=42) and non-hearing impairment group (n=1417) according to the occurrence of hearing impairment. The incidence of hearing impairment was 2.88%. Among them, the prevalence rate of male was higher than that of female, the prevalence rate of 8~14 years was higher than that of 0~7 years, and the prevalence rate of town was higher than that of countryside. The incidence of hearing impairment was related to the previous use of ototoxic drugs, family history of positive deafness, maternal perinatal infection, hyperbilirubinemia, neonatal asphyxia, maternal disease during pregnancy, adverse living habits during maternal pregnancy, adverse social environmental factors during maternal pregnancy, gender and age (P<0.05), but not related to head and neck deformities, bacterial meningitis, previous disease history in infancy and place of residence (P>0.05). Multivariate Logistic regression analysis showed that age 8~14 years, previous use of ototoxic drugs, had maternal perinatal infection, had hyperbilirubinemia, had maternal disease during pregnancy, had adverse living habits during maternal pregnancy, had adverse social environmental factors during maternal pregnancy, had family history of positive deafness, and had neonatal asphyxia were risk factors for hearing impairment (P<0.05). Conclusion: The incidence of hearing impairment in children aged 0~14 years in Suzhou is 2.88%, most of whom were aged 8~14 years. The incidence of hearing impairment is affected by many factors, such as the previous use of ototoxic drugs, maternal perinatal infection, hyperbilirubinemia, maternal disease during pregnancy, adverse living habits during maternal pregnancy, adverse social environmental factors during maternal pregnancy, family history of positive deafness, neonatal asphyxia and so on.
- Subjects
HEARING impaired children; HEARING disorders; DISEASE risk factors; EAR diseases; VERTICAL transmission (Communicable diseases)
- Publication
Progress in Modern Biomedicine, 2023, Vol 23, Issue 18, p3559
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2023.18.031