군 전역자의 이명장애에 영향을 미치는 요인
Factors Affecting Tinnitus Handicap in Discharged Soldiers with Tinnitus
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
The purpose of this study was to examine the characteristics of tinnitus in soldiers discharged from military service and to analyze the main cause which influences the tinnitus handicap. For the participants, 295 victims of tinnitus acquired during military service were included. The subjects completed a structured questionnaire to investigate sociodemographic characteristics, tinnitus characteristics, the health effects of the condition, and tinnitus handicap. Tinnitus handicap was measured by Tinnitus Handicap Inventory score. Univariate and multivariate logistic regression were used to analyze the association between age, disease history, tinnitus characteristics and tinnitus handicap. Results indicated that hearing loss, otologic symptoms, the kinds, site, loudness, and health effect of tinnitus significantly related to tinnitus handicap. In the multiple logistic regression analysis, hearing loss, otologic symptoms, and loudness of tinnitus significantly affected the tinnitus handicap. The adjusted odds ratios were as follows: 4.925 (95% CI, 2.710-8.949) for those who accompanied with hearing loss, and 8.738 (95% CI 1.847-41.329) for those who have severe loudness of tinnitus compared to mild loudness of tinnitus. As tinnitus accompanying hearing loss can effect everyday life significantly, the countermeasure in reducing the exposure of the noise in military is needed.
Abstract
The purpose of this study was to examine the characteristics of tinnitus in soldiers discharged from military service and to analyze the main cause which influences the tinnitus handicap. For the participants, 295 victims of tinnitus acquired during military service were included. The subjects completed a structured questionnaire to investigate sociodemographic characteristics, tinnitus characteristics, the health effects of the condition, and tinnitus handicap. Tinnitus handicap was measured by Tinnitus Handicap Inventory score. Univariate and multivariate logistic regression were used to analyze the association between age, disease history, tinnitus characteristics and tinnitus handicap. Results indicated that hearing loss, otologic symptoms, the kinds, site, loudness, and health effect of tinnitus significantly related to tinnitus handicap. In the multiple logistic regression analysis, hearing loss, otologic symptoms, and loudness of tinnitus significantly affected the tinnitus handicap. The adjusted odds ratios were as follows: 4.925 (95% CI, 2.710-8.949) for those who accompanied with hearing loss, and 8.738 (95% CI 1.847-41.329) for those who have severe loudness of tinnitus compared to mild loudness of tinnitus. As tinnitus accompanying hearing loss can effect everyday life significantly, the countermeasure in reducing the exposure of the noise in military is needed.
참고문헌 (30)
- 김규상, "소음 노출 작업자의 이명의 특성과 이에 영향을 미치는 요인", Annals of Occupational and Environmental Medicine, 14(4), pp.436~447 (2002), 대한직업환경의학회
- 김구상, "특수병과의 과거 군 소음 노출이 소음 노출 작업자의 청력에 미치는 영향", 예방의학회지, 36(2), pp.7~146 (2003), 대한예방의학회
- 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후과학회지 두경부외과학, 45(4), pp.328~334 (2002), 대한이비인후과학회
- 김헌, "군복무시 사격 및 포격훈련에 의한소음폭로력이 청력에 미치는 영향", 예방의학회지지, 24(1), pp.86~92 (1991)
- 류소진, "이명장애지수에 영향을 주는 요인에 대한 분석", 청능재활, 7(2), pp.164~178 (2011), 한국청각언어재활학회
- 박철원, "이명의 원인적요인에 대한 임상적 고찰", 대한청각학회지, 1(1), pp.97~102 (2007)
- 신동원, "기분 장애와 불안 장애 환자 군에서 기질의 차이", 우울조울병, 7(2), pp.120~125 (2009), 대한우울•조울병학회
- 정명현, "충격소음이 내이 청각기관에 미치는 영향에 관한 실험적 연구", 대한이비인후과학회지, 28(3), pp.227~256 (1985)
- Axelsson, A., "Acute acoustic trauma", Acta Otolaryngologica, 104(3-4), pp.225~233 (1987)
- Chung, D. Y., "Factors affecting the prevalence of tinnitus", Audiology, 23(5), pp.441~452 (1984)
- Collee, A., "Occupational exposure to noise and the prevalence of hearing loss in a Begian millitary population : A cross-sectional study", Noise Health, 13(50), pp.64~70 (2011)
- Dias, A., "Association between hearing loss level and degree of discomfort introduced by tinnitus in workers exposed to noise", Brazilian Journal of Otorthinolaryngology, 74(6), pp.876~883 (2008)
- Hazell, J. W. P., "A cochlear model for tinnitus", Proceedings International Tinnitus seminar, pp.121~128 (1987), Harsch Verlag
- Hiller, W., "Does sound stimulation have additive effects on cognitive-behavioral treatment of chronic tinnitus?", Behaviour Research and Therapy Journal, 43(5), pp.595~612 (2005)
- Keim, R. J., "Impulse noise and neurosensory hearing loss. Relationship to small arms fire", Medical Board of California, 113(3), pp.16~19 (1970)
- Kuk, F. K., "The psychometric properties of a tinnitus handicap questionnaire", Ear and Hearing, 11(6), pp.434~445 (1990)
- Lim, H. H., "Pathophysiology of tinnitus, In Tinnitus-basics and clinical management", pp.3~10 (2000), Jungang Moonhwa Co
- McShane, D. P., "Tinnitus prevalence in industrial hearing loss compensation claimants", Clinical Otolaryngology, 13(5), pp.323~330 (1988)
- Newman, C. W., "Development of the tinnitus handicap Inventory", Archives of Otolaryngology-Head and Neck Surgery, 122(2), pp.143~148 (1996)
- Newman, C. W., "Psychometric adequacy of the Tinnitus Handicap Inventory(THI)for evaluation treatment outcome", Journal of the American Academy of Audiology, 9(2), pp.153~160 (1998)
- Odess, J. S., "Acoustic trauma of sportsman hunter due to gunfiring", Laryngoscope, 82(11), pp.1971~1989 (1972)
- Pinto, P. C., "The impact of gender, age and hearing loss on tinnitus severity", Brazilian Journal of Otorthinolaryngology, 76(1), pp.18~24 (2010)
- Reed, G. F., "An audiometric study of two hundred cases of subjective tinnitus", Archives of Otolaryngology-Head and Neck Surgery, 71, pp.94~104 (1960)
- Savolainen, S., "Impulse noise and acute acoustic trauma in Finnish conscripts. Number of shots fired and safe distances", Scandinavian Audiology, 26(2), pp.122~126 (1997)
- Sułkowski, W., "Tinnitus and impulse noise-induced hearing loss in drop-forge operators", International Journal of Occupational Medicine and Environmental Health, 12(2), pp.177~82 (1999)
- Temmel, A. F., "Hearing loss and tinnitus in acute acoustic trauma", Wiener Klinische Wochenschrift, 111(21), pp.891~893 (1999)
- Ylikoski, J., "Acute acoustic trauma in Finnish conscripts : Etiological factors and characteristics of hearing impairment", Scandinavian Audiology, 18(3), pp.161~165 (1989)
- Ylikoski, J., "Subclinical vestibular pathology in patients with noise-induced hearing loss from intense impulse noise", Acta Otolaryngeal(Stcokh), 105(5-6), pp.558~563 (1988)
- Ylikoski, M. E., "Prolonged exposure to gunfire noise among professional soldiers", Scandinavian Journal of Work, Environment and Health, 20(2), pp.87~92 (1994)
- Ylikoski, M. E., "Hearing loss and handicap of professional soldiers exposed to gunfire noise", Scandinavian Journal of Work, Environment and Health, 20(2), pp.93~100 (1994)
