title: A comparison of self-reported hearing loss and audiometry in a cohort of New York farmers.
abstract: The New York State Farm Family Health and Hazard Surveillance was conducted to assess the health status and safety practices among year-round adult farmers and farm residents in New York State and included a telephone interview survey of 1,727 persons from 552 farms. To determine the extent to which self-reported hearing loss is in agreement with audiometry, a subset of 376 participants who completed a hearing loss interview and pure-tone audiometry was analyzed. Thirty-six percent of the participants had self-reported hearing loss, defined as at least some difficulty hearing in one or both ears. The prevalence of audiometric hearing impairment, defined as a threshold average greater than 25 dB hearing level, was 9% for the binaural low-frequency average (500, 1000, and 2000 Hz), 29% for the binaural mid-frequency average (1000, 2000, 3000, and 4000 Hz), and 47% for the binaural high-frequency average (3000, 4000, 6000, and 8000 Hz). Agreement between self-report and audiometry was highest for the binaural mid-frequency average (kappa statistic 55%, sensitivity 77%, and specificity 82%). Self-reported hearing loss was found to be a moderately good measure of hearing impairment. We conclude that a simple questionnaire focusing on hearing difficulty is a useful and valid tool for conducting epidemiologic studies of farmers. Whenever possible, a substudy using audiometry should be conducted.
authors.affiliation: New York State Department of Health, Troy, USA. mig01@health.state.ny.us
authors.forename: M I
authors.initials: MI
authors.lastname: Gomez
authors.forename: S A
authors.initials: SA
authors.lastname: Hwang
authors.forename: L
authors.initials: L
authors.lastname: Sobotova
authors.forename: A D
authors.initials: AD
authors.lastname: Stark
authors.forename: J J
authors.initials: JJ
authors.lastname: May
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000382:Agricultural Workers' Diseases / Q000453:epidemiology*; D001301:Audiometry, Pure-Tone; D015331:Cohort Studies; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012647:Self-Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires