Laryngoscope Investig Otolaryngol. 2021 Feb 09;6(2):302-309. doi: 10.1002/lio2.529. eCollection 2021 Apr.
A 4-year follow-up study of hearing acuity in a large population-based cohort of children and adolescents.
Laryngoscope investigative otolaryngology
Danique E Paping, Jantien L Vroegop, Carlijn M P le Clercq, Robert J Baatenburg de Jong, Marc P van der Schroeff
Affiliations
Affiliations
- Department of Otorhinolaryngology, Head and Neck Surgery Erasmus University Medical Center Rotterdam Netherlands.
- The Generation R Study Group, Erasmus University Medical Center Rotterdam Netherlands.
PMID: 33869762
PMCID: PMC8035936 DOI: 10.1002/lio2.529
Abstract
OBJECTIVES: To describe the prevalence of hearing loss among 13 year old adolescents, and to examine the change in prevalence between ages 9 and 13 years.
METHODS: This study was embedded within Generation R, a population-based prospective cohort study from fetal life onwards in the Netherlands. Pure-tone thresholds were obtained at 0.5 to 8 kHz, and tympanometry was performed. Sensorineural hearing loss (SNHL) was defined as a low-frequency and/or high-frequency pure-tone average of more than 15 dB HL in one of both ears. Audiometric signs suggestive of noise-induced hearing loss (NIHL) included the presence of a notch and/or high-frequency hearing loss. The study was conducted from April 2012 to October 2015, and April 2016 to September 2019.
RESULTS: A total of 4572 adolescents with a mean age of 13 years and 7 months (SD, 5 months) were included, of whom 2334 (51.0%) were girls. Within the cohort, 6.4% (95% CI, 5.7%-7.2%) were estimated to have SNHL, and 12.4% (95% CI, 11.5%-13.4%) met the criteria of NIHL. In total, 3675 participants were included in the longitudinal analysis. The prevalence of SNHL decreased from 8.0% to 5.3% between ages 9 and 13 years (
CONCLUSIONS: The prevalence of SNHL significantly decreased by 2.7% (95% CI, 1.6%-3.9%) between ages 9 and 13 years, probably due to a change in alertness during assessment at the age of 13 years. Other possible explanations include the presence of selection bias or a decline in prevalence of conductive hearing loss. The number of participants with audiometric signs suggestive of NIHL increased by 1.9% (95% CI, 0.5%-3.3%).
LEVEL OF EVIDENCE: Level 3.
© 2021 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC. on behalf of The Triological Society.
Keywords: audiometry; children; hearing loss; noise; prevalence
Conflict of interest statement
The authors declare no potential conflict of interest.
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