Social inequalities in pure-tone hearing assessed using occupational stratification schemes.
Objective: The objective of this study is to analyse the performance of two occupational stratification approaches and the impact of social position on adult hearing.Design: The prevalence of hearing impairment, pure-tone averages (PTA) and prevalence ratios (PR) for relative hearing loss, which foc...
| Published in: | International Journal of Audiology Vol. 56; no. 7; pp. 443 - 453 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jul2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123914459&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123914459 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14992027 JW2 jtl: International Journal of Audiology issn: 14992027 maglogo: Y pubinfo: dt: Jul2017 vid: 56 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 123914459 123914459 123914459 10.1080/14992027.2017.1294767 123914459 ppf: 443 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Social inequalities in pure-tone hearing assessed using occupational stratification schemes. aug: au: von Gablenz, Petra Holube, Inga affil: Institute of Hearing Technology and Audiology, Jade University of Applied Sciences and Cluster of Excellence "Hearing4All", Oldenburg, Germany sug: subj: Hearing Disorders Occupations and Professions Human Age Factors Sex Factors Male Female Adult Middle Age Aged Aged, 80 and Over Cross Sectional Studies Data Analysis Software Analysis of Variance Logistic Regression Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective: The objective of this study is to analyse the performance of two occupational stratification approaches and the impact of social position on adult hearing.Design: The prevalence of hearing impairment, pure-tone averages (PTA) and prevalence ratios (PR) for relative hearing loss, which focuses on the position of one’s PTA in the age- and gender-specific distribution, were compared in groups defined by ISCO Skill Level and the International Socio-Economic Index (ISEI).Study sample: About 1571 subjects aged 30–89, including 677 highly screened adults, from the cross-sectional study HÖRSTAT.Results: ISCO Skill Level and ISEI yielded qualitatively the same results. The prevalence difference between the socially least and most advantaged group ranges between 10 and 16%, varying with the scheme applied. Low- and high-frequency PTA and PR for relative hearing loss confirm the gradient. Screening reduced, but did not negate the social differences. The prevalence difference dropped to 6–7% in the otologically normal subsample.Conclusions: Social groups defined by hierarchical, occupational measures differ in their pure-tone hearing, even if the main risk factors are controlled for. This underlines the need for population-based sampling, the relevance of reporting the study group’s social composition and the importance of advancing the discussion on appropriate social measures in hearing research. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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