Healthy People 2020 Hearing and Other Sensory or Communication Disorders: Methods, Data Resources, and Prevalence Estimates for Measuring Progress Towards Achieving Objectives
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2015/02/21
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Description:Introduction: Healthy People (HP), sponsored by the U.S. Office of the Assistant Secretary for Health, provides a national health agenda based on quantifiable objectives to improve the Nation's health. Only objectives tracked using reliable national data sets are included. Nine goals to improve hearing health were included in the HP 2010 Chapter 28--Vision and Hearing Health. HP 2020 retained these original nine hearing health objectives but expanded the topic area to include health objectives for other communication disorders, adding targets for tinnitus, balance (vestibular), smell, taste, voice (swallowing), Methods: Hearing healthcare goals include assessing rates of: newborn hearing screening, evaluation, and intervention; use of hearing aids, assistive listening devices, and cochlear implants; timely hearing evaluations; and use of hearing protection to guard against noise-induced hearing loss. Some objectives required setting up new databases (CDC EHDI Program), while others relied on innovative design of new questions for the National Health Interview Survey (NHIS), including combining NHIS questions with hearing exam data from the National Health and Nutrition Examination Survey (NHANES); still others required extracting information from the Healthcare Cost and Utilization Project (HCUP) in order to track annual cochlear implant (CI) surgeries. Results: CI surgeries nearly doubled from 2001-2010. The largest increase and highest prevalence for CI surgeries was for severe-to-profound hearing-impaired preschool-aged children, increasing from 9.0% in 2001 to 13.0% in 2009. Hearing aid use among older adults (aged 70+ years) with hearing loss of moderate or greater severity increased from 25.2% to 30.1%, 2001-2012. Among younger adults (20-69 years) with moderate or greater hearing loss, prevalence remained unchanged around 16%. Baseline estimates of adults (aged 20-69 years) having a hearing examination in the past 5 years are 28.6%, and for older adults (70+ years) 38.5%. Ever use of hearing protective devices for adults with noise exposure history is estimated as 53.1%, while noise-induced hearing loss among adolescents is estimated as 4.1%, increasing to 10.9% among working-age adults. Conclusion: The goal of HP is to redirect U.S. health policy towards prevention and health promotion based on the "new" public health, a.k.a. the "third epidemiological revolution". This report describes new methods, baseline measures, and resulting estimates that are being used to track HP 2020 objectives for hearing and other sensory or communication disorders. speech and language. Objective: Report on HP 2020 objectives and describe innovative assessment procedures for tracking objectives in the "Hearing and Other Sensory or Communication Disorders" topic area. [Description provided by NIOSH]
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ISSN:0742-3152
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Pages in Document:85-86
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Volume:38
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NIOSHTIC Number:nn:20061061
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Citation:Abstr Midwinter Res Meet Assoc Res Otolaryngol 2015 Feb; 38:85-86
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Federal Fiscal Year:2015
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Peer Reviewed:False
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Source Full Name:Abstracts of the 38th Midwinter Research Meeting of the Association for Research in Otolaryngology, Febuary 21-25, 2015, Baltimore, Maryland
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Main Document Checksum:urn:sha-512:1dacf76270a8cd9ae3ab962d3b7a8eb324555d8a2e7514b04bc06417d3d0cbcccb833dea87171d185301e80e06d47d84bb074a27e487a869a85699f310a78108
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