ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/197571 |
Resumo: | OBJECTIVE To compare the incidence of hearing loss among adults stratified by the occurrence of hypertension, and to investigate the association between hypertension and hearing loss. METHODS Longitudinal observational study, part of the Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil, Longitudinal Study on Adult’s Health). Data from the first and second waves were analyzed, including information from audiological assessment and general health of the subjects. As outcome, we considered the presence of hearing loss (hearing thresholds above 25 dBHL at frequencies from 500 Hz to 8 kHz) and, as exposure variable, hypertension (report of medical diagnosis of hypertension; and/or use of drugs to treat hypertension; and/or pressure systolic blood pressure ≥ 140 mmHg; or diastolic blood pressure ≥ 90 mmHg). As covariables for adjustment were considered: sex, age, education, race / ethnicity, income, smoking, diabetes, and occupational exposure to noise. Poisson regression analysis was conducted, estimating the crude and adjusted relative risks, with 95% confidence intervals, in order to assess the factors associated with hearing loss. RESULTS In crude analyses, the incidence of hearing loss was higher for subjects with hypertension (9.7% versus 5.4%). The crude relative risks for hearing loss was almost double (1.93; 95%CI: 1.10–3.39) for subjects with hypertension in the right ear. In the adjusted analyses, the relative risks was not significant for the hypertension variable (1.42; 95%CI: 0.75–2.67). Being 60 years or older (RR: 5.41; 95%CI: 2.79–10.50) showed a statistically significant association with hearing loss, indicating that older adults have higher relative risks for hearing loss. CONCLUSION In the adjusted analyses controlled for multiple risk factors there was no association between hypertension and hearing loss. The dichotomous variable age (being 60 years or older), on the other hand, has shown a significant association with hearing loss. |
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ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertensionAdultHearing LossHypertensionEpidemiologic FactorsLongitudinal StudiesOBJECTIVE To compare the incidence of hearing loss among adults stratified by the occurrence of hypertension, and to investigate the association between hypertension and hearing loss. METHODS Longitudinal observational study, part of the Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil, Longitudinal Study on Adult’s Health). Data from the first and second waves were analyzed, including information from audiological assessment and general health of the subjects. As outcome, we considered the presence of hearing loss (hearing thresholds above 25 dBHL at frequencies from 500 Hz to 8 kHz) and, as exposure variable, hypertension (report of medical diagnosis of hypertension; and/or use of drugs to treat hypertension; and/or pressure systolic blood pressure ≥ 140 mmHg; or diastolic blood pressure ≥ 90 mmHg). As covariables for adjustment were considered: sex, age, education, race / ethnicity, income, smoking, diabetes, and occupational exposure to noise. Poisson regression analysis was conducted, estimating the crude and adjusted relative risks, with 95% confidence intervals, in order to assess the factors associated with hearing loss. RESULTS In crude analyses, the incidence of hearing loss was higher for subjects with hypertension (9.7% versus 5.4%). The crude relative risks for hearing loss was almost double (1.93; 95%CI: 1.10–3.39) for subjects with hypertension in the right ear. In the adjusted analyses, the relative risks was not significant for the hypertension variable (1.42; 95%CI: 0.75–2.67). Being 60 years or older (RR: 5.41; 95%CI: 2.79–10.50) showed a statistically significant association with hearing loss, indicating that older adults have higher relative risks for hearing loss. CONCLUSION In the adjusted analyses controlled for multiple risk factors there was no association between hypertension and hearing loss. The dichotomous variable age (being 60 years or older), on the other hand, has shown a significant association with hearing loss.Universidade de São Paulo. Faculdade de Saúde Pública2022-04-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/19757110.11606/s1518-8787.2022056003796Revista de Saúde Pública; Vol. 56 (2022); 28Revista de Saúde Pública; Vol. 56 (2022); 28Revista de Saúde Pública; v. 56 (2022); 281518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/197571/181840https://www.revistas.usp.br/rsp/article/view/197571/181839Copyright (c) 2022 Fernanda Yasmin Odila Maestri Miguel Padilha, Nágila Soares Xavier Oenning, Itamar de Souza Santos, Camila Maia Rabelo, Renata Rodrigues Moreira, Isabela M. Bensenor, Paulo A. Lotufo, Alessandra Giannella Samellihttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPadilha, Fernanda Yasmin Odila Maestri MiguelOenning, Nágila Soares Xavier Santos, Itamar de Souza Rabelo, Camila Maia Moreira, Renata Rodrigues Bensenor, Isabela M.Lotufo, Paulo A.Samelli, Alessandra Giannella2022-05-10T18:45:55Zoai:revistas.usp.br:article/197571Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-05-10T18:45:55Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
title |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
spellingShingle |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension Padilha, Fernanda Yasmin Odila Maestri Miguel Adult Hearing Loss Hypertension Epidemiologic Factors Longitudinal Studies |
title_short |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
title_full |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
title_fullStr |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
title_full_unstemmed |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
title_sort |
ELSA-Brasil: a 4-year incidence of hearing loss in adults with and without hypertension |
author |
Padilha, Fernanda Yasmin Odila Maestri Miguel |
author_facet |
Padilha, Fernanda Yasmin Odila Maestri Miguel Oenning, Nágila Soares Xavier Santos, Itamar de Souza Rabelo, Camila Maia Moreira, Renata Rodrigues Bensenor, Isabela M. Lotufo, Paulo A. Samelli, Alessandra Giannella |
author_role |
author |
author2 |
Oenning, Nágila Soares Xavier Santos, Itamar de Souza Rabelo, Camila Maia Moreira, Renata Rodrigues Bensenor, Isabela M. Lotufo, Paulo A. Samelli, Alessandra Giannella |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Padilha, Fernanda Yasmin Odila Maestri Miguel Oenning, Nágila Soares Xavier Santos, Itamar de Souza Rabelo, Camila Maia Moreira, Renata Rodrigues Bensenor, Isabela M. Lotufo, Paulo A. Samelli, Alessandra Giannella |
dc.subject.por.fl_str_mv |
Adult Hearing Loss Hypertension Epidemiologic Factors Longitudinal Studies |
topic |
Adult Hearing Loss Hypertension Epidemiologic Factors Longitudinal Studies |
description |
OBJECTIVE To compare the incidence of hearing loss among adults stratified by the occurrence of hypertension, and to investigate the association between hypertension and hearing loss. METHODS Longitudinal observational study, part of the Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil, Longitudinal Study on Adult’s Health). Data from the first and second waves were analyzed, including information from audiological assessment and general health of the subjects. As outcome, we considered the presence of hearing loss (hearing thresholds above 25 dBHL at frequencies from 500 Hz to 8 kHz) and, as exposure variable, hypertension (report of medical diagnosis of hypertension; and/or use of drugs to treat hypertension; and/or pressure systolic blood pressure ≥ 140 mmHg; or diastolic blood pressure ≥ 90 mmHg). As covariables for adjustment were considered: sex, age, education, race / ethnicity, income, smoking, diabetes, and occupational exposure to noise. Poisson regression analysis was conducted, estimating the crude and adjusted relative risks, with 95% confidence intervals, in order to assess the factors associated with hearing loss. RESULTS In crude analyses, the incidence of hearing loss was higher for subjects with hypertension (9.7% versus 5.4%). The crude relative risks for hearing loss was almost double (1.93; 95%CI: 1.10–3.39) for subjects with hypertension in the right ear. In the adjusted analyses, the relative risks was not significant for the hypertension variable (1.42; 95%CI: 0.75–2.67). Being 60 years or older (RR: 5.41; 95%CI: 2.79–10.50) showed a statistically significant association with hearing loss, indicating that older adults have higher relative risks for hearing loss. CONCLUSION In the adjusted analyses controlled for multiple risk factors there was no association between hypertension and hearing loss. The dichotomous variable age (being 60 years or older), on the other hand, has shown a significant association with hearing loss. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/197571 10.11606/s1518-8787.2022056003796 |
url |
https://www.revistas.usp.br/rsp/article/view/197571 |
identifier_str_mv |
10.11606/s1518-8787.2022056003796 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/197571/181840 https://www.revistas.usp.br/rsp/article/view/197571/181839 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 56 (2022); 28 Revista de Saúde Pública; Vol. 56 (2022); 28 Revista de Saúde Pública; v. 56 (2022); 28 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221802695229440 |