Hoveyzeh Ear Cohort Study in Southwest Iran: A Pilot Study
-
Nader Saki
,
Bahman Cheraghian
,
Masoud Motasaddi Zarandi
,
Shadman Nemati
,
Zahra Rahimi
,
Fakher Rahim
,
Hossein Poustchi
,
Sara Saki
,
Soheila Nikakhlagh
,
Arash Bayat
Abstract
Background and Aim: The increasing trend of hearing loss is an important public health concern that needs coordinated and well-designed measures at the regional, global, and local levels. We determined the audiological profile of a province in Iran with unique socioeconomic, ethnic, and geographical characteristics and investigated the risk factors associated with hearing loss.
Methods: A total number of 1845 participants (35–70 years old) were recruited in the current prospective study. Pure tone audiometry and tympanometry tests were conducted to determine the type and severity of hearing loss in adults living in southwest Iran (Arab ethnicity). The hearing loss prevalence in individuals with a history of head trauma, cardiovascular disease, noise exposure, diabetes, and smoking status was compared with that of disease-free participants.
Results: The hearing loss prevalence was 51.3% (947/1845), which was significantly correlated with sociodemographic factors, including age, gender, marital status, educational level, skill levels, wealth status, Townsend deprivation index, and smoking habit (p<0.001). The hearing loss prevalence showed a significant association with a history of diabetes, cardiovascular disorders, smoking habits, head trauma, and noise exposure (p<0.05). Nonetheless, the prevalence of hearing loss and the type of residency, and the wealth index were not significantly associated.
Conclusion: Hearing loss causes the burden of chronic disability in southwest of Iran. Several socioeconomic, demographic, and medical parameters influence the consequences of hearing loss.
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[21] Adams J, Ryan V, White M. How accurate are Townsend Deprivation Scores as predictors of self-reported health? A comparison with individual level data. J Public Health (Oxf). 2005;27(1):101-6. [DOI:10.1093/pubmed/fdh193]
[22] Olusanya BO, Davis AC, Hoffman HJ. Hearing loss: rising prevalence and impact. Bull World Health Organ. 2019;97(10):646-646A. [DOI:10.2471/BLT.19.224683]
[23] Genther DJ, Frick KD, Chen D, Betz J, Lin FR. Association of hearing loss with hospitalization and burden of disease in older adults. JAMA. 2013;309(22):2322-4. [DOI:10.1001/jama.2013.5912]
[24] Mener DJ, Betz J, Genther DJ, Chen D, Lin FR. Hearing loss and depression in older adults. J Am Geriatr Soc. 2013;61(9):1627-9. [DOI:10.1111/jgs.12429]
[25] Contrera KJ, Betz J, Genther DJ, Lin FR. Association of Hearing Impairment and Mortality in the National Health and Nutrition Examination Survey. JAMA Otolaryngol Head Neck Surg. 2015;141(10):944-6. [DOI:10.1001/jamaoto.2015.1762]
[26] Toyama K, Mogi M. Hypertension and the development of hearing loss. Hypertens Res. 2022;45(1):172-4. [DOI:10.1038/s41440-021-00789-w]
[27] Hirano K, Ikeda K, Kawase T, Oshima T, Kekehata S, Takahashi S, et al. Prognosis of sudden deafness with special reference to risk factors of microvascular pathology. Auris Nasus Larynx. 1999;26(2):111-5. [DOI:10.1016/s0385-8146(98)00072-8]
[28] Calvin D, Watley SR. Diabetes and Hearing Loss Among Underserved Populations. Nurs Clin North Am. 2015;50(3):449-56. [DOI:10.1016/j.cnur.2015.05.001]
[29] Zeinolabedini R, Akbari M, Forugh B, Kamali M. [Evaluation of hearing in patients with type II diabetes mellitus]. Audiol. 2013;22(3):23-30. Persian.
[30] Li J, Zhang Y, Fu X, Bi J, Li Y, Liu B, et al. Alteration of auditory function in type 2 diabetic and pre-diabetic patients. Acta Otolaryngol. 2018;138(6):542-7. [DOI:10.1080/00016489.2017.1422084]
[31] Helzner EP, Cauley JA, Pratt SR, Wisniewski SR, Zmuda JM, Talbott EO, et al. Race and sex differences in age-related hearing loss: the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2005;53(12):2119-27. [DOI:10.1111/j.1532-5415.2005.00525.x]
[32] Cruickshanks KJ, Wiley TL, Tweed TS, Klein BE, Klein R, Mares-Perlman JA, et al. Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The Epidemiology of Hearing Loss Study. Am J Epidemiol. 1998;148(9):879-86. [DOI:10.1093/oxfordjournals.aje.a009713]
[33] Gates GA, Cooper JC Jr, Kannel WB, Miller NJ. Hearing in the elderly: the Framingham cohort, 1983-1985. Part I. Basic audiometric test results. Ear Hear. 1990;11(4):247-56.
[34] Mizoue T, Miyamoto T, Shimizu T. Combined effect of smoking and occupational exposure to noise on hearing loss in steel factory workers. Occup Environ Med. 2003;60(1):56-9. [DOI:10.1136/oem.60.1.56]
[35] Bayat A, Saki N, Nikakhlagh S, Mirmomeni G, Raji H, Soleimani H, et al. Is COPD associated with alterations in hearing? A systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;14:149-62. [DOI:10.2147/COPD.S182730]
[36] Blanchet C, Eróstegui C, Sugasawa M, Dulon D. Acetylcholineinduced potassium current of guinea pig outer hair cells: its dependence on a calcium influx through nicotinic-like receptors. J Neurosci. 1996;16(8):2574-84. [DOI:10.1523/JNEUROSCI.16-08-02574.1996]
[37] Li X, Rong X, Wang Z, Lin A. Association between Smoking and Noise-Induced Hearing Loss: A Meta-Analysis of Observational Studies. Int J Environ Res Public Health. 2020;17(4):1201. [DOI:10.3390/ijerph17041201]
[38] Alpsoy MY, Sönmez S, Orhan Z, Kocasoy Orhan E, Aslıyüksek H, Orhan KS. Evaluation of Patients with Post-Traumatic Hearing Loss: A Retrospective Review of 506 Cases. J Int Adv Otol. 2021;17(3):239-44. [DOI:10.5152/iao.2021.9089]
[39] Shangkuan WC, Lin HC, Shih CP, Cheng CA, Fan HC, Chung CH, et al. Increased long-term risk of hearing loss in patients with traumatic brain injury: A nationwide population-based study. Laryngoscope. 2017;127(11):2627-35. [DOI:10.1002/lary.26567]
[2] World Health Organisation. Deafness and hearing loss. Geneva: World Health Organization; 2020. Available from: https://www.who.int/en/news-room/fact-sheets/detail/deafness-and-hearingloss
[3] McDaid D, Park AL, Chadha S. Estimating the global costs of hearing loss. Int J Audiol. 2021;60(3):162-70. [DOI:10.1080/14992027.2021.1883197]
[4] Lisan Q, Goldberg M, Lahlou G, Ozguler A, Lemonnier S, Jouven X, et al. Prevalence of Hearing Loss and Hearing Aid Use Among Adults in France in the CONSTANCES Study. JAMA Netw Open. 2022;5(6):e2217633. [DOI:10.1001/jamanetworkopen.2022.17633]
[5] Cunningham LL, Tucci DL. Hearing Loss in Adults. N Engl J Med. 2017;377(25):2465-73. [DOI:10.1056/NEJMra1616601]
[6] Nocini R, Henry BM, Lippi G, Mattiuzzi C. Estimating the worldwide burden of health loss due to hearing loss. Eur J Public Health. 2023;33(1):146-8. [DOI:10.1093/eurpub/ckac171]
[7] Olusanya BO, Neumann KJ, Saunders JE. The global burden of disabling hearing impairment: a call to action. Bull World Health Organ. 2014;92(5):367-73. [DOI:10.2471/BLT.13.128728]
[8] Leverton T. Depression in older adults: hearing loss is an important factor. BMJ. 2019;364:l160. [DOI:10.1136/bmj.l160]
[9] Jafari Z, Kolb BE, Mohajerani MH. Age-related hearing loss and tinnitus, dementia risk, and auditory amplification outcomes. Ageing Res Rev. 2019;56:100963. [DOI:10.1016/j.arr.2019.100963]
[10] Chern A, Golub JS. Age-related Hearing Loss and Dementia. Alzheimer Dis Assoc Disord. 2019;33(3):285-90. [DOI:10.1097/WAD.0000000000000325]
[11] Feng L, Wu D, Lin J, Li Y, Zhao Y, Zhang P, et al. Associations between age-related hearing loss, cognitive decline, and depression in Chinese centenarians and oldest-old adults. Ther Adv Chronic Dis. 2022;13:20406223221084833. [DOI:10.1177/20406223221084833]
[12] Bielefeld EC, Tanaka C, Chen GD, Henderson D. Age-related hearing loss: is it a preventable condition? Hear Res. 2010;264(1-2):98-107. [DOI:10.1016/j.heares.2009.09.001]
[13] Maidment DW, Wege TE. The association between noncommunicable disease and hearing aid adoption in older adults with hearing loss. Int J Audiol. 2022;61(3):220-7. [DOI:10.1080/14992027.2021.1910740]
[14] He ZH, Li M, Zou SY, Liao FL, Ding YY, Su HG, et al. Protection and Prevention of Age-Related Hearing Loss. Adv Exp Med Biol. 2019;1130:59-71. [DOI:10.1007/978-981-13-6123-4_4]
[15] Graydon K, Waterworth C, Miller H, Gunasekera H. Global burden of hearing impairment and ear disease. J Laryngol Otol. 2019;133(1):18-25. [DOI:10.1017/S0022215118001275]
[16] Kim MB, Zhang Y, Chang Y, Ryu S, Choi Y, Kwon MJ, et al. Diabetes mellitus and the incidence of hearing loss: a cohort study. Int J Epidemiol. 2017;46(2):717-26. [DOI:10.1093/ije/dyw243]
[17] Bishop CE, Spankovich C, Lin FR, Seals SR, Su D, Valle K, et al. Audiologic profile of the jackson heart study cohort and comparison to other cohorts. Laryngoscope. 2019;129(10):2391-7. [DOI:10.1002/lary.27920]
[18] Baiduc RR, Sun JW, Berry CM, Anderson M, Vance EA. Relationship of cardiovascular disease risk and hearing loss in a clinical population. Sci Rep. 2023;13(1):1642. [DOI:10.1038/s41598-023-28599-9]
[19] Cheraghian B, Hashemi SJ, Hosseini SA, Poustchi H, Rahimi Z, Sarvandian S, et al. Cohort profile: The Hoveyzeh Cohort Study (HCS): A prospective population-based study on noncommunicable diseases in an Arab community of Southwest Iran. Med J Islam Repub Iran. 2020;34:141. [DOI:10.34171/mjiri.34.141]
[20] Saki N, Hashemi SJ, Hosseini SA, Rahimi Z, Rahim F, Cheraghian B. Socioeconomic status and metabolic syndrome in Southwest Iran: results from Hoveyzeh Cohort Study (HCS). BMC Endocr Disord. 2022;22(1):332. [DOI:10.1186/s12902-022-01255-5]
[21] Adams J, Ryan V, White M. How accurate are Townsend Deprivation Scores as predictors of self-reported health? A comparison with individual level data. J Public Health (Oxf). 2005;27(1):101-6. [DOI:10.1093/pubmed/fdh193]
[22] Olusanya BO, Davis AC, Hoffman HJ. Hearing loss: rising prevalence and impact. Bull World Health Organ. 2019;97(10):646-646A. [DOI:10.2471/BLT.19.224683]
[23] Genther DJ, Frick KD, Chen D, Betz J, Lin FR. Association of hearing loss with hospitalization and burden of disease in older adults. JAMA. 2013;309(22):2322-4. [DOI:10.1001/jama.2013.5912]
[24] Mener DJ, Betz J, Genther DJ, Chen D, Lin FR. Hearing loss and depression in older adults. J Am Geriatr Soc. 2013;61(9):1627-9. [DOI:10.1111/jgs.12429]
[25] Contrera KJ, Betz J, Genther DJ, Lin FR. Association of Hearing Impairment and Mortality in the National Health and Nutrition Examination Survey. JAMA Otolaryngol Head Neck Surg. 2015;141(10):944-6. [DOI:10.1001/jamaoto.2015.1762]
[26] Toyama K, Mogi M. Hypertension and the development of hearing loss. Hypertens Res. 2022;45(1):172-4. [DOI:10.1038/s41440-021-00789-w]
[27] Hirano K, Ikeda K, Kawase T, Oshima T, Kekehata S, Takahashi S, et al. Prognosis of sudden deafness with special reference to risk factors of microvascular pathology. Auris Nasus Larynx. 1999;26(2):111-5. [DOI:10.1016/s0385-8146(98)00072-8]
[28] Calvin D, Watley SR. Diabetes and Hearing Loss Among Underserved Populations. Nurs Clin North Am. 2015;50(3):449-56. [DOI:10.1016/j.cnur.2015.05.001]
[29] Zeinolabedini R, Akbari M, Forugh B, Kamali M. [Evaluation of hearing in patients with type II diabetes mellitus]. Audiol. 2013;22(3):23-30. Persian.
[30] Li J, Zhang Y, Fu X, Bi J, Li Y, Liu B, et al. Alteration of auditory function in type 2 diabetic and pre-diabetic patients. Acta Otolaryngol. 2018;138(6):542-7. [DOI:10.1080/00016489.2017.1422084]
[31] Helzner EP, Cauley JA, Pratt SR, Wisniewski SR, Zmuda JM, Talbott EO, et al. Race and sex differences in age-related hearing loss: the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2005;53(12):2119-27. [DOI:10.1111/j.1532-5415.2005.00525.x]
[32] Cruickshanks KJ, Wiley TL, Tweed TS, Klein BE, Klein R, Mares-Perlman JA, et al. Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The Epidemiology of Hearing Loss Study. Am J Epidemiol. 1998;148(9):879-86. [DOI:10.1093/oxfordjournals.aje.a009713]
[33] Gates GA, Cooper JC Jr, Kannel WB, Miller NJ. Hearing in the elderly: the Framingham cohort, 1983-1985. Part I. Basic audiometric test results. Ear Hear. 1990;11(4):247-56.
[34] Mizoue T, Miyamoto T, Shimizu T. Combined effect of smoking and occupational exposure to noise on hearing loss in steel factory workers. Occup Environ Med. 2003;60(1):56-9. [DOI:10.1136/oem.60.1.56]
[35] Bayat A, Saki N, Nikakhlagh S, Mirmomeni G, Raji H, Soleimani H, et al. Is COPD associated with alterations in hearing? A systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;14:149-62. [DOI:10.2147/COPD.S182730]
[36] Blanchet C, Eróstegui C, Sugasawa M, Dulon D. Acetylcholineinduced potassium current of guinea pig outer hair cells: its dependence on a calcium influx through nicotinic-like receptors. J Neurosci. 1996;16(8):2574-84. [DOI:10.1523/JNEUROSCI.16-08-02574.1996]
[37] Li X, Rong X, Wang Z, Lin A. Association between Smoking and Noise-Induced Hearing Loss: A Meta-Analysis of Observational Studies. Int J Environ Res Public Health. 2020;17(4):1201. [DOI:10.3390/ijerph17041201]
[38] Alpsoy MY, Sönmez S, Orhan Z, Kocasoy Orhan E, Aslıyüksek H, Orhan KS. Evaluation of Patients with Post-Traumatic Hearing Loss: A Retrospective Review of 506 Cases. J Int Adv Otol. 2021;17(3):239-44. [DOI:10.5152/iao.2021.9089]
[39] Shangkuan WC, Lin HC, Shih CP, Cheng CA, Fan HC, Chung CH, et al. Increased long-term risk of hearing loss in patients with traumatic brain injury: A nationwide population-based study. Laryngoscope. 2017;127(11):2627-35. [DOI:10.1002/lary.26567]
| Files | ||
| Issue | Vol 32 No 4 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v32i4.13597 | |
| Keywords | ||
| Hearing loss cohort study Iran | ||
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How to Cite
1.
Saki N, Cheraghian B, Motasaddi Zarandi M, Nemati S, Rahimi Z, Rahim F, Poustchi H, Saki S, Nikakhlagh S, Bayat A. Hoveyzeh Ear Cohort Study in Southwest Iran: A Pilot Study. Aud Vestib Res. 2023;32(4):334-343.
