Field test of the Rapid Assessment of Hearing Loss survey protocol in Ntcheu district, Malawi

被引：5

作者：

Bright, Tess ^{[1
]}

Mulwafu, Wakisa ^{[2
]}

Phiri, Mwanaisha ^{[3
]}

Jiang, Fan ^{[4
]}

Swanepoel, De Wet ^{[5
]}

Kuper, Hannah ^{[1
]}

Mactaggart, Islay ^{[1
]}

Yip, Jennifer L. Y. ^{[1
]}

Polack, Sarah ^{[1
]}

机构：

[1] London Sch Hyg & Trop Med, Int Ctr Evidence Disabil, London, England

[2] Coll Med, Dept Surg, Blantyre, Malawi

[3] Queen Elizabeth Cent Hosp, Audiol Dept, Blantyre, Malawi

[4] Shandong Univ, Sch Publ Hlth, Jinan, Peoples R China

[5] Univ Pretoria, Dept Speech Language Pathol & Audiol, Pretoria, South Africa

来源：

INTERNATIONAL JOURNAL OF AUDIOLOGY | 2020年 / 59卷 / 08期

关键词：

Demographics; epidemiology; adult or general hearing screening; aging; hearing aids; IMPAIRMENT; PREVALENCE; DISABILITY; VALIDITY; DISEASE;

D O I：

10.1080/14992027.2020.1739764

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

Objective: (1) To test the feasibility of the Rapid Assessment of Hearing Loss (RAHL) survey protocol in Malawi (Ntcheu); (2) To estimate the prevalence and probable causes of hearing loss (adults 50+). Design: Cross-sectional population-based survey. Study sample: Clusters (n = 38) were selected using probability-proportionate-to-size-sampling. Within each cluster, 30 people aged 50+ were selected using compact-segment-sampling. All participants completed smartphone-based audiometry (hearTest). Prevalence was estimated using WHO definitions (PTA of thresholds 0.5, 1, 2, 4 kHz in the better ear of >25 dB HL (any) and >40 dB HL (>= moderate)). Otoscopy and questionnaire were used to assess probable causes. Participants with hearing loss and/or ear disease were asked about care-seeking and barriers. Results: Four teams completed the survey in 24 days. 1080 of 1153 (93.7%) participants were examined. The median time to complete the protocol was 24 min/participant. Prevalence of hearing loss was 35.9% (95% CI = 31.6-40.2) (any level); and 10.0% (95% CI = 7.9-12.5) (>= moderate). The majority was classified as probable sensorineural. Nearly one third of people (30.9%) needed diagnostic audiology services and possible hearing aid fitting. Hearing aid coverage was Conclusion: The RAHL is simple, fast and provides information about the magnitude and probable causes of hearing loss to plan services.

引用

页码：574 / 582

页数：9