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European Archives of Oto-Rhino-Laryngology

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13.07.2023 | Review Article

Prevalence and risk factors of hearing loss among the middle-aged and older population in China: a systematic review and meta-analysis

verfasst von: Peishan Li, Kaiyun Pang, Rong Zhang, Lan Zhang, Hui Xie

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 11/2023

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Abstract

Purpose

This paper was aimed at estimating the prevalence and risk factors of hearing loss (HL) among the middle-aged and elderly in China.

Methods

Databases including the CQVIP (VIP) Database, Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), Wanfang, PubMed, Web of Science, Excerpta Medica Database (Embase) and the Cochrane Library were comprehensively searched. In this review, random-effect models were used for pooling the prevalence of HL and the odds ratios (ORs) of potential risk factors.

Results

34 studies were included in the meta-analysis. HL among the middle-aged and elderly in China had a pooled prevalence of 45% (95% confidence interval (CI) 40–51%). There were significant differences in the prevalence of HL between males and females (47% vs. 42%), between different screening methods by self-report and pure-tone audiometry (44% vs. 46%), between the middle-aged and the elderly (18% vs. 52%), and between the uneducated and the educated (49% vs. 36%). In urban areas, the prevalence was slightly higher than that in rural areas (50% vs. 48%). The findings suggested that the middle-aged and elderly in the South Central China region (61%, 95% CI 45–78%) and Northwest China (57%, 95% CI 55–58%) were more likely to develop HL. In addition, it was confirmed that advanced age, being male, noise exposure history, hypertension and hyperglycemia were related to a higher prevalence of HL among middle-aged and older adults.

Conclusion

The prevalence of HL among the middle-aged and older population in China is 45%, nearly half of the total population. It is urgent to take great efforts to raise people’s awareness of HL prevention and early hearing screening.

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Titel: Prevalence and risk factors of hearing loss among the middle-aged and older population in China: a systematic review and meta-analysis
verfasst von: Peishan Li
Kaiyun Pang
Rong Zhang
Lan Zhang
Hui Xie
Publikationsdatum: 13.07.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 11/2023
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08109-3

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Prevalence and risk factors of hearing loss among the middle-aged and older population in China: a systematic review and meta-analysis

Abstract

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Conclusion

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