Trends and driving factors of age-related hearing loss and severity over 30 years: a cross-sectional study

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Publicado en:BMC Geriatrics vol. 25 (2025), p. 1
Autor principal: Li, Fen-Fen
Otros Autores: Zi-Yue Fu, Han, Ke, Bing-Yu, Liang, Yan-Xun, Han, Ye-Hai, Liu, Bu-Sheng, Tong, Yu-Chen, Liu
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Springer Nature B.V.
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Acceso en línea:Citation/Abstract
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022 |a 1471-2318 
024 7 |a 10.1186/s12877-025-06066-6  |2 doi 
035 |a 3216558598 
045 2 |b d20250101  |b d20251231 
084 |a 58497  |2 nlm 
100 1 |a Li, Fen-Fen 
245 1 |a Trends and driving factors of age-related hearing loss and severity over 30 years: a cross-sectional study 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundAge-related hearing loss (AHL) is a modifiable risk factor for chronic disability and cognitive decline in adults over 60 years globally. Despite its preventable nature, long-term trends (1992-2021) in AHL burden and its demographic, socioeconomic, occupational noise exposures, and geographic drivers remain underexplored, limiting targeted intervention strategies.MethodsThis observational study analyzed age-standardized prevalence and years lived with disability (YLDs) for AHL among adults aged ≥60 years using the Global Burden of Disease Study 2021 (1992-2021). Data were stratified by sex, age, region, and nation, with demographic decomposition to isolate population aging effects and Bayesian spatiotemporal regression to quantify modifiable drivers (e.g., occupational noise). Temporal trends were evaluated by calculating annual average percentage change (AAPC) with 95% confidence intervals (CI).ResultsFrom 1992 to 2021, AHL-related prevalence and YLDs showed an upward trend globally (AAPC prevalence = 0.14 [95% CI: 0.13, 0.14]; AAPC YLDs = 0.17 [95% CI: 0.15, 0.20]). There was a downward trend in the YLDs of AHL from 1992 to 1995 (AAPC YLDs = -0.08 [95% CI: -0.19, 0.04]). Regionally, while most regions showed an increasing trend in AHL prevalence, 1990-2019, some regions still showed a decreasing trend (AAPC Western sub-Saharan Africa = -0,22 [95% CI: -0.37, -0.08]). In 2021, in the countries with middle socio-demographic index (SDI) levels, the older the population, the higher the prevalence and YLDs of AHL. Furthermore, the burden of AHL varies by age and sex and has unique temporal and spatial features. Notably, higher SDI levels correlated with reduced occupational noise-attributable burdens, while adults aged 70-74 years exhibited the highest occupational noise-driven YLDs.ConclusionThe global burden of AHL continues to rise, which is a growing problem for countries with medium SDI levels. Occupational noise exposure emerges as a critical modifiable risk factor, particularly in rapidly industrializing economies, highlighting the urgent need to prioritize workplace hearing protection programs and targeted noise control policies tailored to regional contexts. These interventions are especially vital for older men in low-resource settings and medically underserved countries to mitigate preventable disability and address health inequities. 
653 |a Population 
653 |a Monte Carlo simulation 
653 |a Noise 
653 |a Bayesian analysis 
653 |a Age 
653 |a Trends 
653 |a Disease 
653 |a Aging 
653 |a Hearing protection 
653 |a Hearing loss 
653 |a Risk factors 
653 |a Health disparities 
653 |a Approximation 
653 |a Demography 
653 |a Older people 
653 |a Cognitive ability 
653 |a Coronaviruses 
653 |a Global health 
653 |a COVID-19 
653 |a Occupational exposure 
653 |a Health risks 
653 |a Cross-sectional studies 
700 1 |a Zi-Yue Fu 
700 1 |a Han, Ke 
700 1 |a Bing-Yu, Liang 
700 1 |a Yan-Xun, Han 
700 1 |a Ye-Hai, Liu 
700 1 |a Bu-Sheng, Tong 
700 1 |a Yu-Chen, Liu 
773 0 |t BMC Geriatrics  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3216558598/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3216558598/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3216558598/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch