Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province

Introduction Hearing loss and cigarette smoking are major challenges that affect public health in China. Revealing the effect of smoking on hearing loss in the Chinese general population is critical for hearing health protection. We investigated the relationship between smoking status and hearing lo...

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Main Authors: Dahui Wang<sup>*</sup>, Yajun Zhu<sup>*</sup>, Chenhui Li, Yi Wang, Shichang Wang, Shuang Wu, Shiyan Zhang, Liangwen Xu
Format: Article
Language:English
Published: European Publishing 2021-05-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Relationship-between-cigarette-smoking-and-hearing-loss-in-nChina-A-cross-sectional,135440,0,2.html
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author Dahui Wang<sup>*</sup>
Yajun Zhu<sup>*</sup>
Chenhui Li
Yi Wang
Shichang Wang
Shuang Wu
Shiyan Zhang
Liangwen Xu
author_facet Dahui Wang<sup>*</sup>
Yajun Zhu<sup>*</sup>
Chenhui Li
Yi Wang
Shichang Wang
Shuang Wu
Shiyan Zhang
Liangwen Xu
author_sort Dahui Wang<sup>*</sup>
collection DOAJ
description Introduction Hearing loss and cigarette smoking are major challenges that affect public health in China. Revealing the effect of smoking on hearing loss in the Chinese general population is critical for hearing health protection. We investigated the relationship between smoking status and hearing loss in China, especially in stratified sex and age groups. Methods A cross-sectional study was conducted on 4685 individuals aged 20– 80 years in Zhejiang province from 2016 to 2018, with audiometric testing for hearing loss and a structured questionnaire for collecting smoking status and covariates. Logistic regression was used to estimate the association between smoking and hearing loss. Results Cigarette smoking was not significantly associated with hearing loss in females and young males. In middle-aged males, after adjusting for covariates, current smokers and past smokers had a significantly higher prevalence of speechfrequency loss (OR=1.65; 95% CI: 1.17–2.33 and OR=1.88; 95% CI: 1.11–3.17; respectively) and high-frequency hearing loss (OR=2.01; 95% CI: 1.43–2.84 and OR=2.64; 95% CI: 1.50–4.66; respectively). In older males, only past smokers had a significantly higher prevalence of speech-frequency hearing loss than never smokers (OR=2.58; 95% CI: 1.38–4.85). Regarding middle-aged and older current smokers, a dose-dependent relationship between smoking intensity and hearing loss was found. Passive smoking was not significantly associated with an increased hearing loss risk in all the three male groups. Conclusions The relationship between cigarette smoking and hearing loss varied according to gender and age. Therefore, the interventions for smoking need to be tailored according to age in males.
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spelling doaj.art-03bd6eb7c6da43ff929c3c99fb5f8c0d2022-12-21T23:41:18ZengEuropean PublishingTobacco Induced Diseases1617-96252021-05-0119May11010.18332/tid/135440135440Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang provinceDahui Wang<sup>*</sup>0Yajun Zhu<sup>*</sup>1Chenhui Li2Yi Wang3Shichang Wang4Shuang Wu5Shiyan Zhang6Liangwen Xu7Department of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Human Resources, Zhejiang Integrated Traditional and Western Medicine Hospital, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaDepartment of Medicine, Hangzhou Normal University, Hangzhou City, ChinaIntroduction Hearing loss and cigarette smoking are major challenges that affect public health in China. Revealing the effect of smoking on hearing loss in the Chinese general population is critical for hearing health protection. We investigated the relationship between smoking status and hearing loss in China, especially in stratified sex and age groups. Methods A cross-sectional study was conducted on 4685 individuals aged 20– 80 years in Zhejiang province from 2016 to 2018, with audiometric testing for hearing loss and a structured questionnaire for collecting smoking status and covariates. Logistic regression was used to estimate the association between smoking and hearing loss. Results Cigarette smoking was not significantly associated with hearing loss in females and young males. In middle-aged males, after adjusting for covariates, current smokers and past smokers had a significantly higher prevalence of speechfrequency loss (OR=1.65; 95% CI: 1.17–2.33 and OR=1.88; 95% CI: 1.11–3.17; respectively) and high-frequency hearing loss (OR=2.01; 95% CI: 1.43–2.84 and OR=2.64; 95% CI: 1.50–4.66; respectively). In older males, only past smokers had a significantly higher prevalence of speech-frequency hearing loss than never smokers (OR=2.58; 95% CI: 1.38–4.85). Regarding middle-aged and older current smokers, a dose-dependent relationship between smoking intensity and hearing loss was found. Passive smoking was not significantly associated with an increased hearing loss risk in all the three male groups. Conclusions The relationship between cigarette smoking and hearing loss varied according to gender and age. Therefore, the interventions for smoking need to be tailored according to age in males.http://www.tobaccoinduceddiseases.org/Relationship-between-cigarette-smoking-and-hearing-loss-in-nChina-A-cross-sectional,135440,0,2.htmlsmokinghearing lossrisk factorgeneral population
spellingShingle Dahui Wang<sup>*</sup>
Yajun Zhu<sup>*</sup>
Chenhui Li
Yi Wang
Shichang Wang
Shuang Wu
Shiyan Zhang
Liangwen Xu
Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
Tobacco Induced Diseases
smoking
hearing loss
risk factor
general population
title Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
title_full Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
title_fullStr Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
title_full_unstemmed Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
title_short Relationship between cigarette smoking and hearing loss in China: A cross-sectional study in Zhejiang province
title_sort relationship between cigarette smoking and hearing loss in china a cross sectional study in zhejiang province
topic smoking
hearing loss
risk factor
general population
url http://www.tobaccoinduceddiseases.org/Relationship-between-cigarette-smoking-and-hearing-loss-in-nChina-A-cross-sectional,135440,0,2.html
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