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Burden of Ear, Nose and Throat – Voice, Speech and Language Disorders Based on United States Health Surveys, 2011–2016

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  • Description:
    Introduction: The Global Burden of Disease 2010 (GBD 2010) produced worldwide estimates for a wide array of health conditions, including an estimate that more than 500 million people have disabling hearing loss. American data were used extensively in GBD 2010. The National Institute on Deafness and Other Communication Disorders (NIDCD) conducts and supports research on disorders of Ear, Nose and Throat - Voice, Speech and Language (ENT-VSL) and has sponsored nationally-representative health surveys to collect epidemiologic, population-based information on prevalence and risk factors for these health conditions. Objective: To estimate the United States burden of ENT-VSL disorders. Methods: Two US health surveys were analyzed: (1) National Health Interview Survey (NHIS) and (2) National Health and Nutrition Examination Survey (NHANES), which are conducted continuously on the civilian, noninstitutionalized US population. NIDCD collaborated with the National Center for Health Statistics (NCHS) in developing the 2012 NHIS Voice, Speech, and Language Supplement (voice, swallowing, speech and language questions); 2014 NHIS Hearing Supplement (hearing, tinnitus and hyperacusis questions); and 2016 NHIS Balance Supplement (balance, dizziness and falls questions). NIDCD also sponsored the first national survey of the chemical senses (olfaction/smell and gustation/taste questions) in NHANES, 2011-14. Prevalences were calculated using NCHS-provided weights for the survey years; US population estimates are standardized to the 2015 population (315.8 million). Results: Reported prevalence of moderate-or-worse hearing difficulty in children and adults was 6.5% (20.6 million); mild-or-worse was 15.7% (49.5 million). Prevalence of moderate-or-worse tinnitus in adults was 3.2% (7.8 million). Combined moderate-or-worse hearing/tinnitus prevalence was 8.0% (25.4 million); prevalence of combined mild-or-worse hearing/ tinnitus problem was 20.7% (65.3 million). Prevalence of reported moderate-or-worse balance/dizziness problems (BDP) in children and adults was 3.7% (11.4 million); mild-or-worse BDP prevalence in last 12 months was 13.1% (40.4 million). Prevalence of moderate-or-worse smell/taste problems, adults aged 40+, was 7.8% (11.8 million). The prevalence of moderate-or-worse voice-swallowing-speech-language (VSSL) disorders in children and adults was 3.1% (9.7 million); mild-or-worse VSSL problems lasting one or more weeks in last 12 months was 7.2% (22.0 million). Accounting for multiple conditions in individuals, the combined prevalence of moderate-or-worse ENT-VSL disorders was approximately 17.4% (54.8 million); mild-or-worse ENT-VSL disorders was 42.4% (133.9 million). Speech and language disorders are more common in children but, overall, the combined prevalence of ENT-VSL disorders is highest in older adults. Conclusion: About one in six Americans have disabling (moderate-or-worse) impairments of hearing and/or other sensory or communication disorders. [Description provided by NIOSH]
  • Subjects:
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  • ISSN:
    0742-3152
  • Publisher:
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  • CIO:
  • Division:
  • Topic:
  • Location:
  • Volume:
    42
  • NIOSHTIC Number:
    nn:20060897
  • Citation:
    Abstr Midwinter Res Meet Assoc Res Otolaryngol 2019 Feb; 42:717-718
  • Federal Fiscal Year:
    2019
  • Peer Reviewed:
    False
  • Source Full Name:
    Abstracts of the 42nd Midwinter Research Meeting of the Association for Research in Otolaryngology, February 9-13, 2019, Baltimore, Maryland
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  • Main Document Checksum:
    urn:sha-512:a2a44198836bbc496cdeaf5ca3ac04ede793afedbeedc6056257256cc35c5b19326bfe2cea1bec79d7ee04fbcd4f24f9859ab1ad2b0322f82b91dad0cb1dd336
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  • File Type:
    Filetype[PDF - 424.44 KB ]
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