Validation of Self-Reported Hearing Loss Among Multi-Ethnic Community Dwelling older Adults in Malaysia
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 10
Abstract
Introduction: Little is known about the prevalence of hearing loss and the usefulness of self-reported hearing loss among older adults in Malaysia. Aim: We conducted a population-based study to investigate the prevalence of self-reported hearing problem and its relationship with audiometric hearing thresholds in older adults in Selangor, Malaysia. We also investigated demographic factors that were associated with the self-reported hearing loss. Materials and Methods: The participants were recruited from Selangor using multi-stage clustered sampling involving 324 participants aged between 60 to 88 years (68.3±5.9 years). All participants underwent a face-to-face interview and pure tone audiometry. Self-reported hearing loss was obtained using three questions. Results: The prevalence of self-reported hearing problems was 53.4%. This prevalence did not differ significantly among age group, gender, race and education level (p>0.05). Univariate and logistic regression analyses found that tinnitus and Pure Tone Average (PTA) of at least moderate hearing loss at 0.5 kHz to 4 kHz contributed significantly to the likelihood of self-reported hearing problem. Participants with tinnitus and participants with PTA of at least moderate hearing loss at 0.5 kHz to 4 kHz were twice as likely to report hearing problem than their counterparts. The questions yielded poor sensitivity in identifying at least mild loss and moderate sensitivity for at least moderate hearing loss. Conclusion: The present study highlights the need for a more effective self-report inventory or audiometry instrument that is less sensitive to background noise to better estimate hearing loss prevalence among adults in Malaysia.
Authors and Affiliations
Wan Syafira Ishak, Siti Zamratol-Mai Sarah Mukari, Nashrah Maamor, Wan Fazlina Wan Hashim
Spectrum of Sinonasal Lesions with Expression of p16 and Ki-67 in Premalignant Lesions and Squamous Cell Carcinomas
Introduction: Sinonasal masses are heterogeneous group of non-neoplastic and neoplastic lesions originating from epithelial, mesenchymal, haematolymphoid and neuroendocrine cells. Exact categorization and aetiological ev...
“Head Over Heels” Position of Duodenum-A Unique Congenital Anomaly
ABSTRACT Knowledge of congenital anomalies of duodenum and biliary apparatus is useful in radiological diagnosis and surgical procedures of upper abdominal region. We present concurrent variations of duodenum, bile duct...
Relation of Lymphocyte Subsets and Cytokines in Different Grades of Alcoholic Cirrhosis
ABSTRACT Introduction: The pathogenesis of Alcoholic Liver Disease (ALD) shows immune dysregulation with decreasing lymphocyte subsets and increasing CD4/CD8 ratio. T lymphocyte activation leads to secretion of cytokines...
Invasive Ductal Carcinoma Breast: How Neoadjuvant Chemotherapy Affects the Status of Estrogen Receptor, Progesterone Receptor and HER2/NeuA Tertiary Care Centre Study
Introduction: Determination of Estrogen Receptor (ER), Progesterone Receptor (PR) and HER2/neu in primary Invasive Ductal Carcinoma (IDC) breast is the standard of care parameter for determining treatment options. Whethe...
Isolation of Haemophilus influenzae from Urine of an Elderly Male Patient with Carcinoma Bladder-An Under-recognised Pathogen?
ABSTRACT Haemophilus species are rare uropathogens. The incidence and significance of Haemophilus species isolated from the genitourinary tract are not well studied. Here we describe the serendipitous isolation of Haemop...